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Stock

No Nama Obat Kemasan Harga Satuan


Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet
2 Albendazole Suspensi botol
3 Alofar 100 mg tablet
4 Allopurinol tablet 100 mg tablet
5 Ambroxol Syr 15 mg/ml botol
6 Ambroxol Tablet tablet
7 Ambroxol Drop botol
8 Aminofilin injeksi 24 mg/ml ampul
9 Aminofilin tablet 200 mg tablet
10 Amitriptilin Tablet salut 25 mg (HCL) tablet
11 Amlodipin 5mg tablet
12 Amlodipin 10 mg tablet
13 Amoksisilin Kaplet 500 mg tablet
14 Amoksisilin Kapsul 250 mg kapsul
15 Amoksisilin Sirup kering 125 mg/5 ml botol
16 Amoksisilin Sirup Forte 250 mg/5ml botol
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul
18 botol
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet
25mg + levodi
Antifungi Doen kombinasi :
24 tube
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet
28 Asam askorbat (vitamin C) tablet 50 mg tablet
29 Asam Mefenamat 500 mg box
30 Asam Traneksamat Injeksi ampul
31 Asering Larutan botol
32 Asiklovir Krim 5 % tube
33 Asiklovir Tab 200 mg tablet
34 Asiklovir Tab 400 mg tablet
35 Atropin Injeksi 0,25mg/ml ampul
36 Aqua Pro injeksi steril, bebas pirogen vial
37 Azitromisin tablet
38 Bedak Salisil Serbuk Kotak
39 Betametason krim 0,1 % tube
40 Bisoprolol Tab 5 mg tablet
41 Captoril tablet 25 mg tablet
42 Captoril tablet 12,5 mg tablet
43 Calcium Lactate tablet
44 Carbamazepin tablet 200 mg tablet
45 Chlorexol Suspensi botol
46 Ciprofloxacin 500 mg tablet
47 Clindamisin Kap 300 mg kapsul
48 Clinoma tablet
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul
51 Clorpromazin tablet salut 100 mg (HCL) tablet
52 Clorpromazin tablet salut 25 mg (HCL) tablet
53 Codein Tablet 10 g tablet
54 Dasabion tablet
55 Deksametazon tablet 0,5 mg tablet
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul
57 Desoksimetason Krim 0,25% tube
58 DHP tablet
59 Diazepam Lar Rektal 5 mg/2,5 ml tube
60 Diazepam Lar Rektal 10 mg/2,5 ml tube
61 Diazepam injeksi 5 mg/ml ampul
62 Diazepam tablet 10 mg tablet
63 Diazepam tablet 5 mg tablet 100
64 Dietilkarbamazin 10 mg tablet
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul
66 Digoksin tablet 0,25 mg tablet
67 Diltiazem Tab tablet
68 Domperidom Tab 10 mg tablet
69 Domperidon suspensi 5 mg/5 ml botol
70 Dulcolax Supp adult 10 mg supp
71 Dulcolax Supp infant 5 mg supp
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul
HCL)
73 Eritromisin Kapsul 250 mg kapsul
74 Eritromisin Sirup 200 mg/ 5 ml botol
75 Etil Klorida Spray botol
76 Farsifen plus tablet
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul
78 Fenobarbital tablet 30 mg tablet
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet
81 Furosemide inj i.v/i.m 10 mg/ml ampul
82 Furosemide tablet 40 mg tablet
83 Floxifar 500 mg kaplet
84 Fasiprim Suspensi botol
85 Garam Oralit I serbuk kombinasi sachet
86 Gentamisin Inj ampul
87 Gentamisin Salep Mata tube
88 Gentamisin Tetes Mata botol
89 Gentamisin Salep 0, 1 % tube
90 Gentian Violet larutan 1 % botol
91 Glibenclamide tablet 5 mg tablet
92 Gliseril Guaikolat tablet 100 mg tablet
93 Glukosa larutan infus 5 % tablet
94 Griseofulvin tablet 125 mg, Micronized tablet
95 Gula Alami Granul botol
96 Haloperidol Tablet 0,5 mg tablet
97 Haloperidol Tablet 1,5 mg tablet
98 Haloperidol Tablet 5 mg tablet
99 Haloperidol injeksi ampul
100 Hexymer 2 mg tablet
101 Hidroklorotiazida tablet 25 mg tablet
102 Hidrokortison krim 2,5 % tube
103 Hidrogen Peroksida cairan 3% (H2O2) botol
104 Hufagesic 500 mg tablet
105 Hufamycetin Suspensi botol
106 Ibuprofen sirup 100 mg botol
107 Ibuprofen tablet 200 mg tablet
108 Ibuprofen tablet 400 mg tablet
109 Ichtiyol 15 g tube
110 Ifidex 0,5 mg tablet
111 Ifitamol tablet
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet
113 Kalsium Glukonas injeksi ampul
114 Ketokenazole Kriem 2 % tube
115 Ketokenazole Tab 200 mg tablet
116 Kloramfenikol kapsul 500 mg kapsul
117 Kloramfenikol Suspensi 125 mg/ml botol
118 Kloramfenikol tetes telinga 3 % botol
119 Kloramfenikol Salep Mata tube
120 Kloramfenikol Tetes Mata 0,5% botol
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol
+Larutan
Trimetoprim
258 Ka En 40
1 Bmg botol
125 Lanzoprazole kapsul 30 mg kapsul
264 Latibet 5 mg tablet
126 Lidokain injeksi 2 % ampul
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul
129 Lokev kapsul
130 Loperamide Tablet tablet
131 Loratadine Tab 10 mg tablet
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul
134 MDT MB Anak blister
135 MDT MB Dewasa blister 288
136 MDT PB Anak blister
137 MDT PB Dewasa blister
138 Maagel Suspensi botol
139 Mefamesis Sirup botol
140 Meloxicam 15 mg tablet
141 Meloxicam 7,5 mg tablet
142 Methampyron 500 mg tablet
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet
(Omegesic)
144 Metformin HCL tablet 500 mg tablet
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul
146 Metilergometrin Maleat tablet salut 0,125 mg tablet
147 Metilprednisolone kotak 100 tablet
148 Metoklopramide Inj 5 mg/ml ampul
149 Metoklopramide Tab 5 mg tablet
150 Metoklopramide Drop botol
151 Metronidazole tablet 250 mg tablet
152 Metronidazole tablet 500 mg tablet
153 Miconazole Krim 2 % tube
267 Milorin Tablet tablet
154 Multi Vitamin + Lysin botol
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul
157 Multivitamin + Vitamin C Dosis Tinggi tablet
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin +untuk Ibu Hamil mengandung Kotak 50 kaplet
Curcumae Ext Liver Ext
ferrous
vit A 2000
gluconate
IU, Tiamin mg,(Hepatoprotektor)
250HNO3 manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol
164 New Antides Kotak
165 Nifedifine Tab 10 mg tablet
166 Nistatin tablet salut 500.000 IU / g tablet
167 Nistatin Vaginal tablet 100.000 IU / g tablet
168 OAT Kategori Anak paket
169 OAT Kategori I & III paket 70
170 OAT Kategori II paket
Obat Anti Diare yang Mengandung Kaolin +
171 botol
Pectin
172 Obat Anti Malaria (OAM) tablet
173 Obat Batuk Hitam ( O.B.H ) Cairan botol
174 Obat Batuk Pilek Anak Bayi botol
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul
ml
176 Oksitetrasiklin HCL salep mata 1 % tube
177 Oksitetrasiklin salep kulit 3 % tube
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul
179 Omeprazole Kap 20 mg kapsul
180 Parasetamol Tab 100 mg tablet
181 Parasetamol Tab 500 mg tablet
182 Parasetamol Drops botol
183 Parasetamol sirup 120 mg / 5 ml botol
184 Parasetamol + Ibuprofen tab tablet
185 Phenylbutason tablet
186 Piracetam inj 1 g/5 ml ampul
187 Piracetam tab 800 mg tablet
188 Pirantel tablet score ( base ) 125 mg tablet
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet
190 Piroxicam Tab 20 mg tablet
191 Prednison Tablet 5 mg tablet
192 Primakuin tablet 15 mg tablet
193 Prokain Penicillin injeksi ampul
194 Propanolol tablet 40 mg ( HCL ) tablet
195 Propiltiourasil tablet 100 mg tablet
196 Provinas 200 mg kotak
197 Provinas 400 mg kotak
198 Ramolit kotak
199 Ranitidin tablet
200 Ranitidin Inj 25 mg / 25 ml kotak
201 Ratrim Forte kaplet
202 RDT buah
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul
205 Ringer Laktat Larutan infus botol
206 Risperidon 1 mg tablet
207 Risperidon 2 mg tablet
208 Salbutamol 2 mg tablet
209 Salbutamol 4 mg tablet
210 Salbutamol Sirup botol
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot
endap 4 %
212 Scopma kotak
213 Sefiksim kapsul 100 mg kapsul
214 Sefiksim sir 100 mg/5 ml botol
215 Sefotaxime Inj 1 g ampul
216 Seftriakson Inj 1 g ampul
217 Selmetor 4 mg kotak
218 Selmatic 20 mg tablet
219 Selferro tablet
220 Selpyron tablet
221 Sepadroksil Kap 500 mg kapsul
222 Sepadroksil sirup Kering 125 mg / ml botol
223 Setirizin 10 mg kapsul
224 Setirizin Sirup 5 mg/ 5 ml botol
225 Sianokobalamin ( Vit B 12 ) Tablet tablet
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul
227 Sikzonoat injeksi kaleng
228 Simvastatin tabet 10 mg tablet
229 Simvastatin tabet 20 mg tablet
Succus Liquiritae + Ammonium Chlorida +
230 botol
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube
232 Selescardio 5 mg tablet
233 Selespurin 100 mg tablet
234 Seleskin 500 mg kaplet
235 Tablet Tambah Darah tablet
236 Teofilin Tablet SR 300 mg / Rethpyl kotak
237 Tetrasiklin kapsul 250 mg kapsul
238 Tetrasiklin kapsul 500 mg kapsul
Tiamin (Vitamin B1) tablet 50 mg
239 tablet
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul
241 Tramadol Inj 50 mg/ml ampul
242 Tramadol tab 50 mg tablet
243 Tramofal tablet
244 Triheksifenidil tablet 2 mg tablet
245 Vaksin Rabies ampul
246 Vaksin BCG ampul
247 Vaksin Campak ampul
248 Vaksin Hepatitis B ampul
249 Vaksin Polio ampul
250 Vaksin DT ampul
251 Vaksin TD ampul
252 Vaksin DPT - Hb - Hib ampul
253 Vesperum Sirup botol
254 Vitamin B kompleks tablet tablet
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet
256 Zinc 20 mg tablet dispersibel tablet
257 Zinc pro Sirup 60 ml botol
259 Hufadexon 0,5 mg tablet
260 Eltazon 5 mg tablet
261 Floxifar 500 mg tablet
262 Selvim 10 mg tablet
263 Obat Batuk Dewasa botol
265 Kemoren 50 mg tablet
266 Rhemafar 4 mg tablet
268 Roverton tablet
269 Vitacaps kapsul
270 Devitalisasi Pasta ( Non arsen ) Buah
271 Eugenol cairan set

272 Glass Ionomer Cement ART sett

273 Kalsium Hidroksida Pasta set

274 Klorfenol kamfer Menthol ( CHKM ) sachet


275 Caviton set
276 Semen seng Fosfat serbuk dan cairan pasang
Temporary Stopping Fletcher serbuk dan
277 cairan pasang

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol
279 Lisol , mengandung Kresol tersabun 50 % botol
280 Povidon Iodida larutan 10 %, 30 ml botol
281 Povidon Iodida larutan 10 %, 60 ml botol
282 Povidon Iodida larutan 10 %, 300 ml botol
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah
290 Syringe 1 cc buah
291 Syringe 3 cc dus
292 Syringe 5 cc dus
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece
296 Safeglove PF No. 7 Pasang
297 Safeglove PF No. 7,5 Pasang
298 Safeglove PP No. 7 Pasang
299 Safeglove PP No. 7,5 Pasang
300 Safety Box buah
301 Examination Gloves size L Box
302 Examination Gloves size M Box
303 Examination Gloves size S Box
304 Examination Gloves size XS Box
305 Kapas pembalut / Absorben 250 gram roll
306 Kasa Kompres DRC 40cm / 40cm Steril Rol
307 Kasa Pembalut DRC 2 m x 80 cm Rol
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol
311 Kasa Hydrofil Steril 16 x 16 cm Dus
312 Kapas Berlemak DRC 500 gr Rol
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18 Box
315 Urocare Folley Catheter 2 way no.20 Box
316 UltraOne Test Hamil piece
317 Urine Bag Sterile Buah
318 Oxyflow Nasal Oxygen Anak Buah
319 Oxyflow Nasal Oxygen Bayi Buah
320 Oxyflow Nasal Oxygen Dewasa Buah
321 Alkohol swab Box
322 Silk 2/0 + jarum 1/2 GT 35 mm box
323 Silk 3/0 + jarum 1/2 GT 35 mm box
324 Face Mask Ear Loop Dus
325 Face Mask Ties On Dus
326 Infus set Anak set
327 Infuset Dewasa set
328 Plester 5 yards x 2 inch roll
329 Rapid Test HIV-AIDS Set / Kantong
330 Benecheck plus Glucose Test Strip 50's Box
331 Benecheck plus Total Cholestrol Test Strip 50's Box
332 Benecheck plus Uric Test Strip 50's Box
333 Umbilical cord klem steril Nylon piece
334 Wing Needle set
335 Pembalut Gibs Rol
336 Rivanol 300 cc botol
337 Kassa Hydrophil ukuran 40 x 80 cm roll
338 Ranitidin 150 mg Kotak
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol
342 Onemed Blood Lancet (JAYAMAS) Box
343 Prednison tabled 5 mg tablet
344 Povidon Iodine 300 cc botol
345 Povidon Iodine 300 ml botol
346 Pirantel syirup Botol
347 Sterile latex Surgical Gloves Size 7,5 Box
348 Plester Bulat Non Woven Box
349 Folic Acid/Asam Folat tablet
350 Griseofulvin tablet
351 Examinatin Gloves, Size XL box
458

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
18 270 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
17 53 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
135 323 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 0
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 0
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 270
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper
Multi sulfuntuk
Vitamin 0,25 mg,
Ibu vit C 50mengandung
Hamil mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
161 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 25 mg tablet 0
162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 53
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet 0
353 reagen pemeriksaan HB u/ bumil Botol 0
354 Stik Glukosa Unit 0
355 Stik Kolestrol Unit 0
356 Stik Asam Urat Unit 0
357 Sangobion tablet 0
358 Alat Monitor Multi Fungsi Unit 0

323

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp - 150
Rp - 5000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp - 3000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 450
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 20000
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000
Rp - 120
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 864
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 645
Rp - 480
Rp -
Rp - 18 36
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1,000
Rp - 25
Rp - 34
Rp - 34
Rp - 34
Rp - 1,750
Rp - 17

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 150 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 120 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 864 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 645 Rp - Rp -
0 480 Rp - Rp -
0 0 Rp - Rp -
54 216 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 30 23 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 1000 Rp - Rp -
0 25 Rp - Rp -
0 34 Rp - Rp -
0 34 Rp -
0 34 Rp -
0 1750 Rp -
0 17 Rp - Rp -

0 0 Rp - Rp -
84 46,188 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 150
6 Ambroxol Tablet tablet 5000
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 0
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 100
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 3000
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 450
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 tablet 0
mg
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 20000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 100
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 5000
99 Haloperidol injeksi ampul 120
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 864
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 645
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 480
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 216
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN
161 Natrium Diklofenat tab 25 mg tablet 0
162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 23
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 10000
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 40
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet 1000
353 reagen pemeriksaan HB u/ bumil Botol 25
354 Stik Glukosa Unit 34
355 Stik Kolestrol Unit 34
356 Stik Asam Urat Unit 34
357 Sangobion tablet 1750
358 Alat Monitor Multi Fungsi Unit 17

46,148

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp - 150 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 60 30 60 30 20 60 10 30 20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2400 500 2400 500 1200 500 2400 1200 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 12 12 12 12 12 12 12
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 240 24 48 24 48 72 48 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 20 20 10 20 30 10 20 50 20 20
Rp - 6
Rp - 48 12
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3
Rp - 48
Rp -
Rp -
Rp - 2592
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 16800
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3600
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp - 5 5 2 1 5
Rp - 5 5 5 5 5
Rp - 5 5 7 5 5
Rp - 5 5 5 5 5
Rp - 250 250 250 250
Rp - 1 1 1 1 1 1 1 1 1 2 1

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 100 200 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 3000 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
30 10 60 30 450 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 1200 300 2400 1200 16700 3300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 4500 Rp - Rp -
12 12 108 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
72 24 624 240 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 645 Rp - Rp -
20 30 30 10 10 320 160 Rp - Rp -
0 6 Rp - Rp -
18 30 234 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
0 71 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2592 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 26800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 1000 Rp - Rp -
1 19 6 Rp - Rp -
5 3 1 34 0 Rp - Rp -
5 1 1 34 0 Rp -
5 3 1 34 0 Rp -
250 500 1750 0 Rp -
1 1 1 1 1 17 0 Rp - Rp -

0 0 Rp - Rp -
22,032 47,453 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 5000
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 0
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 50
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 3300
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 4500
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 240
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
127 Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 : ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 645
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 160
134 MDT MB Anak blister 6
135 MDT MB Dewasa blister 234
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin + DHA/EPA + Beta Karoten botol 0

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 71
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 2592
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 26800
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 3600
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 40
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet 1000
353 reagen pemeriksaan HB u/ bumil Botol 6
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit

47,413

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 500 1000 2000 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50

Rp -

Rp -

Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 10 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 60
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 400
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 200 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp - 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 6
Rp - 48 48
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 6 10 5 5
Rp -
Rp -
Rp - 90 225 90 90 90 90 90 90 90 90 90
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 2000 1000 1000 5000 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 200 200 200 200 200 200 200 200 300 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp - 9
Rp - 9
Rp - 9
Rp - 3,000
Rp - 8

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
500 5000 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 10 50 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 60 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
400 2900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
900 3600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 48 192 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 645 Rp - Rp -
0 160 Rp - Rp -
6 0 Rp - Rp -
18 30 12 156 78 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
20 3 5 54 17 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
90 90 90 90 90 1575 1017 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 2000 1000 15000 11800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 200 300 200 200 3400 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
500 500 Rp - Rp -
0 6 Rp - Rp -
0 9 Rp - Rp -
0 9 Rp -
0 9 Rp -
0 3000 Rp -
0 8 Rp - Rp -

0 0 Rp - Rp -
26,589 32,774 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 2000
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 50
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 0
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
22 Anti Migren : Ergotamin Tartat 1 mg + Kofein tablet 0
50 mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 100
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 1500
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 60
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 200
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 tablet 0
mg
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 2900
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 3600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 1000
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 192
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 645
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 160
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 78
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
159 ferrous gluconate 250 mg, manganase sulf 0,2
Multi Vitamin tablet 0
mg, copper sulfuntuk Ibu vit
0,25 mg, Hamil
C 50mengandung
mg, folid acid
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1 mg, vit B12 7,5 mcg (OMEGAVIT)
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 0,1
Natrium Diklofenat
mg, asam tabmcg
folat 0,39 25 mg tablet 0
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 17
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 1017
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 11800
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 200
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 2000
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 5000
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 40
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet 500
353 reagen pemeriksaan HB u/ bumil Botol 6
354 Stik Glukosa Unit 9
355 Stik Kolestrol Unit 9
356 Stik Asam Urat Unit 9
357 Sangobion tablet 3000
358 Alat Monitor Multi Fungsi Unit 8

32,734

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 25 25 25
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 500 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 10 10
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 200 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 30 30
Rp -
Rp - 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 6 6
Rp -
Rp -
Rp - 90
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 55000 3000 3300 3000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 30000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 500 1000 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp - 7
Rp - 7
Rp - 7
Rp - 1000 500 500 250
Rp - 1

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
1000 2000 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 50 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
25 100 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1500 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 10 10 60 0 Rp - Rp -
0 0 Rp - Rp -
100 200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1300 1600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 24 168 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 645 Rp - Rp -
20 30 110 50 Rp - Rp -
0 0 Rp - Rp -
6 24 54 24 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
17 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
90 927 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 3000 2500 16800 50000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
200 200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
500 500 2000 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 5000 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
500 0 Rp - Rp -
0 6 Rp - Rp -
2 9 0 Rp - Rp -
2 9 0 Rp -
2 9 0 Rp -
750 3000 0 Rp -
2 3 5 Rp - Rp -

0 0 Rp - Rp -
31,505 96,269 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 5000
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 1600
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 2600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 5000
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 168
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 645
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 50
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 24
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 927
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 50000
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 30000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 40
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol 6
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit
96,229

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 168 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 645 Rp - Rp -
0 50 Rp - Rp -
0 0 Rp - Rp -
0 24 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 927 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 6 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 96,269 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 0
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
22 Anti Migren : Ergotamin Tartat 1 mg + Kofein tablet 0
50 mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 5000
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 1600
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 2600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 5000
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 168
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 0
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 645
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 50
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 24
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN
161 Natrium Diklofenat tab 25 mg tablet 0
162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 927
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 50000
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 30000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 40
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol 6
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit 5
Tablet FE

96,229

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 1000 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50 10 10 10 10

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 25 25 25 25 25
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 500 500 500 500
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 500 500 500 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 12
Rp - 365 12 5
Rp - 5 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 150 5 5 7 10 3
Rp - 20 2 1
Rp -
Rp - 45 90
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 39600 1000 2000 3000 500 1500 1000 500 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3000 500 500 500
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 6300 1000 1000 500 800 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 8
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp - 2 2
Rp - 2 2
Rp - 2 2
Rp -
Rp -
60,000

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
500 2000 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 50 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
25 25 25 200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 500 500 4000 6000 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 500 1000 5000 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 24 144 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 645 Rp - Rp -
0 50 Rp - Rp -
0 12 Rp - Rp -
6 6 29 360 Rp - Rp -
5 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
10 4 44 106 Rp - Rp -
3 17 Rp - Rp -
0 0 Rp - Rp -
135 792 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 1500 1000 2000 500 17000 72600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 2000 7000 23000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
200 500 300 500 3000 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 500 1000 6300 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
8 32 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 6 Rp - Rp -
2 0 Rp - Rp -
2 0 Rp -
2 0 Rp -
0 0 Rp -
0 5 Rp - Rp -
0 60000

0 0 Rp - Rp -
44,790 108,873 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 6000
42 Captoril tablet 12,5 mg tablet 500
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 1600
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 2600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 200
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 144
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
127 Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 : ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 645
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 50
134 MDT MB Anak blister 12
135 MDT MB Dewasa blister 360
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat tab
29 mg, potassium iodida
161 Natrium Diklofenat 25 mg tablet 0
0,1 mg, asam folat 0,39 mcg
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 106
170 OAT Kategori II paket 17
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 792
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 72600
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 23000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 32
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit 5
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol 6
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit
359 Tablet Fe 60000

108,841

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 500 500 500
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 500 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 6 6
Rp - 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 5 20 10 5 10 5 3
Rp - 3 2 1 3
Rp -
Rp - 45 540
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 3000 1000 2000 3000 1000 2000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 2000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5600 5600 5600

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 500 6000 0 Rp - Rp -
500 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
700 900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 48 96 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 645 Rp - Rp -
0 50 Rp - Rp -
12 0 Rp - Rp -
24 48 312 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
5 73 33 Rp - Rp -
9 8 Rp - Rp -
0 0 Rp - Rp -
585 207 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 1000 3000 21000 51600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 8000 15000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 32 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 5 Rp - Rp -
0 0 Rp - Rp -
0 6 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - Rp -
1000 5600 23400 36600

37,175 71,698 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 900
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 2600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 96
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 645
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 50
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 312
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN
161 Natrium Diklofenat tab 25 mg tablet 0
162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 33
170 OAT Kategori II paket 8
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 207
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 51600
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 15000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 32
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit
359 Tablet FE 36600

71,666

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 12 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 2 10 6 1
Rp - 3 1
Rp -
Rp - 45 45 45
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 2000 2000 3000 5000 2000 1000 2000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
5600 1000

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 96 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 20 625 Rp - Rp -
6 6 44 Rp - Rp -
0 0 Rp - Rp -
24 60 252 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
2 31 2 Rp - Rp -
2 2 8 0 Rp - Rp -
0 0 Rp - Rp -
135 72 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 1000 3000 1000 26000 25600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 11000 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 32 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - Rp -
1000 2000 9600 27000

0 0 Rp - Rp -
37,360 34,338 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 800
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 2600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 96
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 625
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 44
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 252
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 2
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 72
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 25600
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 4000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 32
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit
34,306

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 96 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 625 Rp - Rp -
0 44 Rp - Rp -
0 0 Rp - Rp -
0 252 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
0 2 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 72 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 25600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 32 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 34,338 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 800
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 2600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 96
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 625
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 44
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 252
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 2
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 72
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 25600
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 4000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 32
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit
34,306

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 96 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 625 Rp - Rp -
0 44 Rp - Rp -
0 0 Rp - Rp -
0 252 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
0 2 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 72 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 25600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 32 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 34,338 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 200
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 800
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 2600
99 Haloperidol injeksi ampul 12
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 96
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 625
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 44
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 252
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 3
169 OAT Kategori I & III paket 2
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 72
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 25600
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 4000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 32
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 clozapine 100 mg tablet
353 reagen pemeriksaan HB u/ bumil Botol
354 Stik Glukosa Unit
355 Stik Kolestrol Unit
356 Stik Asam Urat Unit
357 Sangobion tablet
358 Alat Monitor Multi Fungsi Unit
34,306

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
0 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 96 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 625 Rp - Rp -
0 44 Rp - Rp -
0 0 Rp - Rp -
0 252 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3 Rp - Rp -
0 2 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 72 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 25600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 32 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 34,338 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet
2 Albendazole Suspensi botol
3 Alofar 100 mg tablet
4 Allopurinol tablet 100 mg tablet
5 Ambroxol Syr 15 mg/ml botol
6 Ambroxol Tablet tablet
7 Ambroxol Drop botol
8 Aminofilin injeksi 24 mg/ml ampul
9 Aminofilin tablet 200 mg tablet
10 Amitriptilin Tablet salut 25 mg (HCL) tablet
11 Amlodipin 5mg tablet
12 Amlodipin 10 mg tablet
13 Amoksisilin Kaplet 500 mg tablet
14 Amoksisilin Kapsul 250 mg kapsul
15 Amoksisilin Sirup kering 125 mg/5 ml botol
16 Amoksisilin Sirup Forte 250 mg/5ml botol
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul
18 botol
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet
28 Asam askorbat (vitamin C) tablet 50 mg tablet
29 Asam Mefenamat 500 mg box
30 Asam Traneksamat Injeksi ampul
31 Asering Larutan botol
32 Asiklovir Krim 5 % tube
33 Asiklovir Tab 200 mg tablet
34 Asiklovir Tab 400 mg tablet
35 Atropin Injeksi 0,25mg/ml ampul
36 Aqua Pro injeksi steril, bebas pirogen vial
37 Azitromisin tablet
38 Bedak Salisil Serbuk Kotak
39 Betametason krim 0,1 % tube
40 Bisoprolol Tab 5 mg tablet
41 Captoril tablet 25 mg tablet
42 Captoril tablet 12,5 mg tablet
43 Calcium Lactate tablet
44 Carbamazepin tablet 200 mg tablet
45 Chlorexol Suspensi botol
46 Ciprofloxacin 500 mg tablet
47 Clindamisin Kap 300 mg kapsul
48 Clinoma tablet
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul
51 Clorpromazin tablet salut 100 mg (HCL) tablet
52 Clorpromazin tablet salut 25 mg (HCL) tablet
53 Codein Tablet 10 g tablet
54 Dasabion tablet
55 Deksametazon tablet 0,5 mg tablet
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul
57 Desoksimetason Krim 0,25% tube
58 DHP tablet
59 Diazepam Lar Rektal 5 mg/2,5 ml tube
60 Diazepam Lar Rektal 10 mg/2,5 ml tube
61 Diazepam injeksi 5 mg/ml ampul
62 Diazepam tablet 10 mg tablet
63 Diazepam tablet 5 mg tablet
64 Dietilkarbamazin 10 mg tablet
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul
66 Digoksin tablet 0,25 mg tablet
67 Diltiazem Tab tablet
68 Domperidom Tab 10 mg tablet
69 Domperidon suspensi 5 mg/5 ml botol
70 Dulcolax Supp adult 10 mg supp
71 Dulcolax Supp infant 5 mg supp
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul
73 Eritromisin Kapsul 250 mg kapsul
74 Eritromisin Sirup 200 mg/ 5 ml botol
75 Etil Klorida Spray botol
76 Farsifen plus tablet
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul
78 Fenobarbital tablet 30 mg tablet
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet
81 Furosemide inj i.v/i.m 10 mg/ml ampul
82 Furosemide tablet 40 mg tablet
83 Floxifar 500 mg kaplet
84 Fasiprim Suspensi botol
85 Garam Oralit I serbuk kombinasi sachet
86 Gentamisin Inj ampul
87 Gentamisin Salep Mata tube
88 Gentamisin Tetes Mata botol
89 Gentamisin Salep 0, 1 % tube
90 Gentian Violet larutan 1 % botol
91 Glibenclamide tablet 5 mg tablet
92 Gliseril Guaikolat tablet 100 mg tablet
93 Glukosa larutan infus 5 % tablet
94 Griseofulvin tablet 125 mg, Micronized tablet
95 Gula Alami Granul botol
96 Haloperidol Tablet 0,5 mg tablet
97 Haloperidol Tablet 1,5 mg tablet
98 Haloperidol Tablet 5 mg tablet
99 Haloperidol injeksi ampul
100 Hexymer 2 mg tablet
101 Hidroklorotiazida tablet 25 mg tablet
102 Hidrokortison krim 2,5 % tube
103 Hidrogen Peroksida cairan 3% (H2O2) botol
104 Hufagesic 500 mg tablet
105 Hufamycetin Suspensi botol
106 Ibuprofen sirup 100 mg botol
107 Ibuprofen tablet 200 mg tablet
108 Ibuprofen tablet 400 mg tablet
109 Ichtiyol 15 g tube
110 Ifidex 0,5 mg tablet
111 Ifitamol tablet
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet
113 Kalsium Glukonas injeksi ampul
114 Ketokenazole Kriem 2 % tube
115 Ketokenazole Tab 200 mg tablet
116 Kloramfenikol kapsul 500 mg kapsul
117 Kloramfenikol Suspensi 125 mg/ml botol
118 Kloramfenikol tetes telinga 3 % botol
119 Kloramfenikol Salep Mata tube
120 Kloramfenikol Tetes Mata 0,5% botol
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol
125 Lanzoprazole kapsul 30 mg kapsul
264 Latibet 5 mg tablet
126 Lidokain injeksi 2 % ampul
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul
129 Lokev kapsul
130 Loperamide Tablet tablet
131 Loratadine Tab 10 mg tablet
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul
134 MDT MB Anak blister
135 MDT MB Dewasa blister
136 MDT PB Anak blister
137 MDT PB Dewasa blister
138 Maagel Suspensi botol
139 Mefamesis Sirup botol
140 Meloxicam 15 mg tablet
141 Meloxicam 7,5 mg tablet
142 Methampyron 500 mg tablet

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet

144 Metformin HCL tablet 500 mg tablet

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul


146 Metilergometrin Maleat tablet salut 0,125 mg tablet
147 Metilprednisolone kotak 100 tablet
148 Metoklopramide Inj 5 mg/ml ampul
149 Metoklopramide Tab 5 mg tablet
150 Metoklopramide Drop botol
151 Metronidazole tablet 250 mg tablet
152 Metronidazole tablet 500 mg tablet
153 Miconazole Krim 2 % tube
267 Milorin Tablet tablet
154 Multi Vitamin + Lysin botol
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul
157 Multivitamin + Vitamin C Dosis Tinggi tablet
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol
164 New Antides Kotak
165 Nifedifine Tab 10 mg tablet
166 Nistatin tablet salut 500.000 IU / g tablet
167 Nistatin Vaginal tablet 100.000 IU / g tablet
168 OAT Kategori Anak paket
169 OAT Kategori I & III paket
170 OAT Kategori II paket
Obat Anti Diare yang Mengandung Kaolin +
171 botol
Pectin
172 Obat Anti Malaria (OAM) tablet
173 Obat Batuk Hitam ( O.B.H ) Cairan botol
174 Obat Batuk Pilek Anak Bayi botol
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul
ml
176 Oksitetrasiklin HCL salep mata 1 % tube
177 Oksitetrasiklin salep kulit 3 % tube
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul
179 Omeprazole Kap 20 mg kapsul
180 Parasetamol Tab 100 mg tablet
181 Parasetamol Tab 500 mg tablet
182 Parasetamol Drops botol
183 Parasetamol sirup 120 mg / 5 ml botol
184 Parasetamol + Ibuprofen tab tablet
185 Phenylbutason tablet
186 Piracetam inj 1 g/5 ml ampul
187 Piracetam tab 800 mg tablet
188 Pirantel tablet score ( base ) 125 mg tablet
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet
190 Piroxicam Tab 20 mg tablet
191 Prednison Tablet 5 mg tablet
192 Primakuin tablet 15 mg tablet
193 Prokain Penicillin injeksi ampul
194 Propanolol tablet 40 mg ( HCL ) tablet
195 Propiltiourasil tablet 100 mg tablet
196 Provinas 200 mg kotak
197 Provinas 400 mg kotak
198 Ramolit kotak
199 Ranitidin tablet
200 Ranitidin Inj 25 mg / 25 ml kotak
201 Ratrim Forte kaplet
202 RDT buah
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul
205 Ringer Laktat Larutan infus botol
206 Risperidon 1 mg tablet
207 Risperidon 2 mg tablet
208 Salbutamol 2 mg tablet
209 Salbutamol 4 mg tablet
210 Salbutamol Sirup botol
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot
212 Scopma kotak
213 Sefiksim kapsul 100 mg kapsul
214 Sefiksim sir 100 mg/5 ml botol
215 Sefotaxime Inj 1 g ampul
216 Seftriakson Inj 1 g ampul
217 Selmetor 4 mg kotak
218 Selmatic 20 mg tablet
219 Selferro tablet
220 Selpyron tablet
221 Sepadroksil Kap 500 mg kapsul
222 Sepadroksil sirup Kering 125 mg / ml botol
223 Setirizin 10 mg kapsul
224 Setirizin Sirup 5 mg/ 5 ml botol
225 Sianokobalamin ( Vit B 12 ) Tablet tablet
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul
227 Sikzonoat injeksi kaleng
228 Simvastatin tabet 10 mg tablet
229 Simvastatin tabet 20 mg tablet
230 Succus Liquiritae + Ammonium Chlorida + botol
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube
232 Selescardio 5 mg tablet
233 Selespurin 100 mg tablet
234 Seleskin 500 mg kaplet
235 Tablet Tambah Darah tablet
236 Teofilin Tablet SR 300 mg / Rethpyl kotak
237 Tetrasiklin kapsul 250 mg kapsul
238 Tetrasiklin kapsul 500 mg kapsul
Tiamin (Vitamin B1) tablet 50 mg
239 tablet
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul
241 Tramadol Inj 50 mg/ml ampul
242 Tramadol tab 50 mg tablet
243 Tramofal tablet
244 Triheksifenidil tablet 2 mg tablet
245 Vaksin Rabies ampul
246 Vaksin BCG ampul
247 Vaksin Campak ampul
248 Vaksin Hepatitis B ampul
249 Vaksin Polio ampul
250 Vaksin DT ampul
251 Vaksin TD ampul
252 Vaksin DPT - Hb - Hib ampul
253 Vesperum Sirup botol
254 Vitamin B kompleks tablet tablet
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet
256 Zinc 20 mg tablet dispersibel tablet
257 Zinc pro Sirup 60 ml botol
259 Hufadexon 0,5 mg tablet
260 Eltazon 5 mg tablet
261 Floxifar 500 mg tablet
262 Selvim 10 mg tablet
263 Obat Batuk Dewasa botol
265 Kemoren 50 mg tablet
266 Rhemafar 4 mg tablet
268 Roverton tablet
269 Vitacaps kapsul
270 Devitalisasi Pasta ( Non arsen ) Buah

271 Eugenol cairan set

272 Glass Ionomer Cement ART sett

273 Kalsium Hidroksida Pasta set

274 Klorfenol kamfer Menthol ( CHKM ) sachet


275 Caviton set
276 Semen seng Fosfat serbuk dan cairan pasang
Temporary Stopping Fletcher serbuk dan
277 cairan pasang

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol
279 Lisol , mengandung Kresol tersabun 50 % botol
280 Povidon Iodida larutan 10 %, 30 ml botol
281 Povidon Iodida larutan 10 %, 60 ml botol
282 Povidon Iodida larutan 10 %, 300 ml botol
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah
290 Syringe 1 cc buah
291 Syringe 3 cc dus
292 Syringe 5 cc dus
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece
296 Safeglove PF No. 7 Pasang
297 Safeglove PF No. 7,5 Pasang
298 Safeglove PP No. 7 Pasang
299 Safeglove PP No. 7,5 Pasang
300 Safety Box buah
301 Examination Gloves size L Box
302 Examination Gloves size M Box
303 Examination Gloves size S Box
304 Examination Gloves size XS Box
305 Kapas pembalut / Absorben 250 gram roll
306 Kasa Kompres DRC 40cm / 40cm Steril Rol
307 Kasa Pembalut DRC 2 m x 80 cm Rol
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol
311 Kasa Hydrofil Steril 16 x 16 cm Dus
312 Kapas Berlemak DRC 500 gr Rol
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18 Box
315 Urocare Folley Catheter 2 way no.20 Box
316 UltraOne Test Hamil piece
317 Urine Bag Sterile Buah
318 Oxyflow Nasal Oxygen Anak Buah
319 Oxyflow Nasal Oxygen Bayi Buah
320 Oxyflow Nasal Oxygen Dewasa Buah
321 Alkohol swab Box
322 Silk 2/0 + jarum 1/2 GT 35 mm box
323 Silk 3/0 + jarum 1/2 GT 35 mm box
324 Face Mask Ear Loop Dus
325 Face Mask Ties On Dus
326 Infus set Anak set
327 Infuset Dewasa set
328 Plester 5 yards x 2 inch roll
329 Rapid Test HIV-AIDS Set / Kantong
330 Benecheck plus Glucose Test Strip 50's Box
331 Benecheck plus Total Cholestrol Test Strip 50's Box
332 Benecheck plus Uric Test Strip 50's Box
333 Umbilical cord klem steril Nylon piece
334 Wing Needle set
335 Pembalut Gibs Rol
336 Rivanol 300 cc botol
337 Kassa Hydrophil ukuran 40 x 80 cm roll
338 Ranitidin 150 mg Kotak
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol
342 Onemed Blood Lancet (JAYAMAS) Box
343 Prednison tabled 5 mg tablet
344 Povidon Iodine 300 cc botol
345 Povidon Iodine 300 ml botol
346 Pirantel syirup Botol
347 Sterile latex Surgical Gloves Size 7,5 Box
348 Plester Bulat Non Woven Box
349 Folic Acid/Asam Folat tablet
350 Griseofulvin tablet
351 Examinatin Gloves, Size XL box
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
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Rp -
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Rp -

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Rp -
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
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Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
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Rp -
Rp -
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Rp -
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Rp -
Rp -
Rp -
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Rp -
Rp -
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Rp -
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Rp -
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Rp -
Rp -
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Rp -
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Rp -

Rp -

Rp -
Rp -
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Rp -
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Rp -
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Rp -
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Rp -
Rp -
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Rp -
Rp -
Rp -
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Rp -
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Rp -
Rp -
Rp -
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Rp -
Rp -
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Rp -
Rp -
Rp -
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Rp -
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Rp -
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Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
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Rp -
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Rp -
Rp -
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Rp -
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Rp -
Rp -
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Rp -

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Rp -
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet
2 Albendazole Suspensi botol
3 Alofar 100 mg tablet
4 Allopurinol tablet 100 mg tablet
5 Ambroxol Syr 15 mg/ml botol
6 Ambroxol Tablet tablet
7 Ambroxol Drop botol
8 Aminofilin injeksi 24 mg/ml ampul
9 Aminofilin tablet 200 mg tablet
10 Amitriptilin Tablet salut 25 mg (HCL) tablet
11 Amlodipin 5mg tablet
12 Amlodipin 10 mg tablet
13 Amoksisilin Kaplet 500 mg tablet
14 Amoksisilin Kapsul 250 mg kapsul
15 Amoksisilin Sirup kering 125 mg/5 ml botol
16 Amoksisilin Sirup Forte 250 mg/5ml botol
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul
18 botol
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet
28 Asam askorbat (vitamin C) tablet 50 mg tablet
29 Asam Mefenamat 500 mg box
30 Asam Traneksamat Injeksi ampul
31 Asering Larutan botol
32 Asiklovir Krim 5 % tube
33 Asiklovir Tab 200 mg tablet
34 Asiklovir Tab 400 mg tablet
35 Atropin Injeksi 0,25mg/ml ampul
36 Aqua Pro injeksi steril, bebas pirogen vial
37 Azitromisin tablet
38 Bedak Salisil Serbuk Kotak
39 Betametason krim 0,1 % tube
40 Bisoprolol Tab 5 mg tablet
41 Captoril tablet 25 mg tablet
42 Captoril tablet 12,5 mg tablet
43 Calcium Lactate tablet
44 Carbamazepin tablet 200 mg tablet
45 Chlorexol Suspensi botol
46 Ciprofloxacin 500 mg tablet
47 Clindamisin Kap 300 mg kapsul
48 Clinoma tablet
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul
51 Clorpromazin tablet salut 100 mg (HCL) tablet
52 Clorpromazin tablet salut 25 mg (HCL) tablet
53 Codein Tablet 10 g tablet
54 Dasabion tablet
55 Deksametazon tablet 0,5 mg tablet
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul
57 Desoksimetason Krim 0,25% tube
58 DHP tablet
59 Diazepam Lar Rektal 5 mg/2,5 ml tube
60 Diazepam Lar Rektal 10 mg/2,5 ml tube
61 Diazepam injeksi 5 mg/ml ampul
62 Diazepam tablet 10 mg tablet
63 Diazepam tablet 5 mg tablet
64 Dietilkarbamazin 10 mg tablet
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul
66 Digoksin tablet 0,25 mg tablet
67 Diltiazem Tab tablet
68 Domperidom Tab 10 mg tablet
69 Domperidon suspensi 5 mg/5 ml botol
70 Dulcolax Supp adult 10 mg supp
71 Dulcolax Supp infant 5 mg supp
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul
73 Eritromisin Kapsul 250 mg kapsul
74 Eritromisin Sirup 200 mg/ 5 ml botol
75 Etil Klorida Spray botol
76 Farsifen plus tablet
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul
78 Fenobarbital tablet 30 mg tablet
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet
81 Furosemide inj i.v/i.m 10 mg/ml ampul
82 Furosemide tablet 40 mg tablet
83 Floxifar 500 mg kaplet
84 Fasiprim Suspensi botol
85 Garam Oralit I serbuk kombinasi sachet
86 Gentamisin Inj ampul
87 Gentamisin Salep Mata tube
88 Gentamisin Tetes Mata botol
89 Gentamisin Salep 0, 1 % tube
90 Gentian Violet larutan 1 % botol
91 Glibenclamide tablet 5 mg tablet
92 Gliseril Guaikolat tablet 100 mg tablet
93 Glukosa larutan infus 5 % tablet
94 Griseofulvin tablet 125 mg, Micronized tablet
95 Gula Alami Granul botol
96 Haloperidol Tablet 0,5 mg tablet
97 Haloperidol Tablet 1,5 mg tablet
98 Haloperidol Tablet 5 mg tablet
99 Haloperidol injeksi ampul
100 Hexymer 2 mg tablet
101 Hidroklorotiazida tablet 25 mg tablet
102 Hidrokortison krim 2,5 % tube
103 Hidrogen Peroksida cairan 3% (H2O2) botol
104 Hufagesic 500 mg tablet
105 Hufamycetin Suspensi botol
106 Ibuprofen sirup 100 mg botol
107 Ibuprofen tablet 200 mg tablet
108 Ibuprofen tablet 400 mg tablet
109 Ichtiyol 15 g tube
110 Ifidex 0,5 mg tablet
111 Ifitamol tablet
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet
113 Kalsium Glukonas injeksi ampul
114 Ketokenazole Kriem 2 % tube
115 Ketokenazole Tab 200 mg tablet
116 Kloramfenikol kapsul 500 mg kapsul
117 Kloramfenikol Suspensi 125 mg/ml botol
118 Kloramfenikol tetes telinga 3 % botol
119 Kloramfenikol Salep Mata tube
120 Kloramfenikol Tetes Mata 0,5% botol
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol
125 Lanzoprazole kapsul 30 mg kapsul
264 Latibet 5 mg tablet
126 Lidokain injeksi 2 % ampul
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul
129 Lokev kapsul
130 Loperamide Tablet tablet
131 Loratadine Tab 10 mg tablet
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul
134 MDT MB Anak blister
135 MDT MB Dewasa blister
136 MDT PB Anak blister
137 MDT PB Dewasa blister
138 Maagel Suspensi botol
139 Mefamesis Sirup botol
140 Meloxicam 15 mg tablet
141 Meloxicam 7,5 mg tablet
142 Methampyron 500 mg tablet

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet

144 Metformin HCL tablet 500 mg tablet

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul


146 Metilergometrin Maleat tablet salut 0,125 mg tablet
147 Metilprednisolone kotak 100 tablet
148 Metoklopramide Inj 5 mg/ml ampul
149 Metoklopramide Tab 5 mg tablet
150 Metoklopramide Drop botol
151 Metronidazole tablet 250 mg tablet
152 Metronidazole tablet 500 mg tablet
153 Miconazole Krim 2 % tube
267 Milorin Tablet tablet
154 Multi Vitamin + Lysin botol
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul
157 Multivitamin + Vitamin C Dosis Tinggi tablet
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol
164 New Antides Kotak
165 Nifedifine Tab 10 mg tablet
166 Nistatin tablet salut 500.000 IU / g tablet
167 Nistatin Vaginal tablet 100.000 IU / g tablet
168 OAT Kategori Anak paket
169 OAT Kategori I & III paket
170 OAT Kategori II paket
Obat Anti Diare yang Mengandung Kaolin +
171 botol
Pectin
172 Obat Anti Malaria (OAM) tablet
173 Obat Batuk Hitam ( O.B.H ) Cairan botol
174 Obat Batuk Pilek Anak Bayi botol
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul
ml
176 Oksitetrasiklin HCL salep mata 1 % tube
177 Oksitetrasiklin salep kulit 3 % tube
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul
179 Omeprazole Kap 20 mg kapsul
180 Parasetamol Tab 100 mg tablet
181 Parasetamol Tab 500 mg tablet
182 Parasetamol Drops botol
183 Parasetamol sirup 120 mg / 5 ml botol
184 Parasetamol + Ibuprofen tab tablet
185 Phenylbutason tablet
186 Piracetam inj 1 g/5 ml ampul
187 Piracetam tab 800 mg tablet
188 Pirantel tablet score ( base ) 125 mg tablet
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet
190 Piroxicam Tab 20 mg tablet
191 Prednison Tablet 5 mg tablet
192 Primakuin tablet 15 mg tablet
193 Prokain Penicillin injeksi ampul
194 Propanolol tablet 40 mg ( HCL ) tablet
195 Propiltiourasil tablet 100 mg tablet
196 Provinas 200 mg kotak
197 Provinas 400 mg kotak
198 Ramolit kotak
199 Ranitidin tablet
200 Ranitidin Inj 25 mg / 25 ml kotak
201 Ratrim Forte kaplet
202 RDT buah
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul
205 Ringer Laktat Larutan infus botol
206 Risperidon 1 mg tablet
207 Risperidon 2 mg tablet
208 Salbutamol 2 mg tablet
209 Salbutamol 4 mg tablet
210 Salbutamol Sirup botol
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot
212 Scopma kotak
213 Sefiksim kapsul 100 mg kapsul
214 Sefiksim sir 100 mg/5 ml botol
215 Sefotaxime Inj 1 g ampul
216 Seftriakson Inj 1 g ampul
217 Selmetor 4 mg kotak
218 Selmatic 20 mg tablet
219 Selferro tablet
220 Selpyron tablet
221 Sepadroksil Kap 500 mg kapsul
222 Sepadroksil sirup Kering 125 mg / ml botol
223 Setirizin 10 mg kapsul
224 Setirizin Sirup 5 mg/ 5 ml botol
225 Sianokobalamin ( Vit B 12 ) Tablet tablet
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul
227 Sikzonoat injeksi kaleng
228 Simvastatin tabet 10 mg tablet
229 Simvastatin tabet 20 mg tablet
230 Succus Liquiritae + Ammonium Chlorida + botol
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube
232 Selescardio 5 mg tablet
233 Selespurin 100 mg tablet
234 Seleskin 500 mg kaplet
235 Tablet Tambah Darah tablet
236 Teofilin Tablet SR 300 mg / Rethpyl kotak
237 Tetrasiklin kapsul 250 mg kapsul
238 Tetrasiklin kapsul 500 mg kapsul
Tiamin (Vitamin B1) tablet 50 mg
239 tablet
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul
241 Tramadol Inj 50 mg/ml ampul
242 Tramadol tab 50 mg tablet
243 Tramofal tablet
244 Triheksifenidil tablet 2 mg tablet
245 Vaksin Rabies ampul
246 Vaksin BCG ampul
247 Vaksin Campak ampul
248 Vaksin Hepatitis B ampul
249 Vaksin Polio ampul
250 Vaksin DT ampul
251 Vaksin TD ampul
252 Vaksin DPT - Hb - Hib ampul
253 Vesperum Sirup botol
254 Vitamin B kompleks tablet tablet
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet
256 Zinc 20 mg tablet dispersibel tablet
257 Zinc pro Sirup 60 ml botol
259 Hufadexon 0,5 mg tablet
260 Eltazon 5 mg tablet
261 Floxifar 500 mg tablet
262 Selvim 10 mg tablet
263 Obat Batuk Dewasa botol
265 Kemoren 50 mg tablet
266 Rhemafar 4 mg tablet
268 Roverton tablet
269 Vitacaps kapsul
270 Devitalisasi Pasta ( Non arsen ) Buah

271 Eugenol cairan set

272 Glass Ionomer Cement ART sett

273 Kalsium Hidroksida Pasta set

274 Klorfenol kamfer Menthol ( CHKM ) sachet


275 Caviton set
276 Semen seng Fosfat serbuk dan cairan pasang
Temporary Stopping Fletcher serbuk dan
277 cairan pasang

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol
279 Lisol , mengandung Kresol tersabun 50 % botol
280 Povidon Iodida larutan 10 %, 30 ml botol
281 Povidon Iodida larutan 10 %, 60 ml botol
282 Povidon Iodida larutan 10 %, 300 ml botol
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah
290 Syringe 1 cc buah
291 Syringe 3 cc dus
292 Syringe 5 cc dus
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece
296 Safeglove PF No. 7 Pasang
297 Safeglove PF No. 7,5 Pasang
298 Safeglove PP No. 7 Pasang
299 Safeglove PP No. 7,5 Pasang
300 Safety Box buah
301 Examination Gloves size L Box
302 Examination Gloves size M Box
303 Examination Gloves size S Box
304 Examination Gloves size XS Box
305 Kapas pembalut / Absorben 250 gram roll
306 Kasa Kompres DRC 40cm / 40cm Steril Rol
307 Kasa Pembalut DRC 2 m x 80 cm Rol
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol
311 Kasa Hydrofil Steril 16 x 16 cm Dus
312 Kapas Berlemak DRC 500 gr Rol
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18 Box
315 Urocare Folley Catheter 2 way no.20 Box
316 UltraOne Test Hamil piece
317 Urine Bag Sterile Buah
318 Oxyflow Nasal Oxygen Anak Buah
319 Oxyflow Nasal Oxygen Bayi Buah
320 Oxyflow Nasal Oxygen Dewasa Buah
321 Alkohol swab Box
322 Silk 2/0 + jarum 1/2 GT 35 mm box
323 Silk 3/0 + jarum 1/2 GT 35 mm box
324 Face Mask Ear Loop Dus
325 Face Mask Ties On Dus
326 Infus set Anak set
327 Infuset Dewasa set
328 Plester 5 yards x 2 inch roll
329 Rapid Test HIV-AIDS Set / Kantong
330 Benecheck plus Glucose Test Strip 50's Box
331 Benecheck plus Total Cholestrol Test Strip 50's Box
332 Benecheck plus Uric Test Strip 50's Box
333 Umbilical cord klem steril Nylon piece
334 Wing Needle set
335 Pembalut Gibs Rol
336 Rivanol 300 cc botol
337 Kassa Hydrophil ukuran 40 x 80 cm roll
338 Ranitidin 150 mg Kotak
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol
342 Onemed Blood Lancet (JAYAMAS) Box
343 Prednison tabled 5 mg tablet
344 Povidon Iodine 300 cc botol
345 Povidon Iodine 300 ml botol
346 Pirantel syirup Botol
347 Sterile latex Surgical Gloves Size 7,5 Box
348 Plester Bulat Non Woven Box
349 Folic Acid/Asam Folat tablet
350 Griseofulvin tablet
351 Examinatin Gloves, Size XL box
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 0

144 Metformin HCL tablet 500 mg tablet 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin
Multi VitaminDosis
untukTinggi + Gingseng
Ibu Hamil Ext + :
mengandung
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext
vit A 2000
ferrous IU, Tiamin
gluconate mg,(Hepatoprotektor)
250HNO3 1,3 mg, Riboklovin
manganase sulf 0,2
159 1,3 tablet 0
mg,mg, piridoksin
copper HCl
sulf 0,25 mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
161 mg,
Natrium Diklofenat tabmg,
ferrous fumarat 29 25 mgpotassium iodida tablet 0
0,1 mg, asam folat 0,39 mcg
162 Natrium Diklofenat tab 50 mg
(PRENASE)/VITALAMIN tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
0

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
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Rp -

Rp -
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Rp -
Rp -
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Rp -
Rp -
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Rp -
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Rp -

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Rp -
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Rp -
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Rp -
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Rp -
Rp -
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet
2 Albendazole Suspensi botol
3 Alofar 100 mg tablet
4 Allopurinol tablet 100 mg tablet
5 Ambroxol Syr 15 mg/ml botol
6 Ambroxol Tablet tablet
7 Ambroxol Drop botol
8 Aminofilin injeksi 24 mg/ml ampul
9 Aminofilin tablet 200 mg tablet
10 Amitriptilin Tablet salut 25 mg (HCL) tablet
11 Amlodipin 5mg tablet
12 Amlodipin 10 mg tablet
13 Amoksisilin Kaplet 500 mg tablet
14 Amoksisilin Kapsul 250 mg kapsul
15 Amoksisilin Sirup kering 125 mg/5 ml botol
16 Amoksisilin Sirup Forte 250 mg/5ml botol
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul
18 botol
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet
28 Asam askorbat (vitamin C) tablet 50 mg tablet
29 Asam Mefenamat 500 mg box
30 Asam Traneksamat Injeksi ampul
31 Asering Larutan botol
32 Asiklovir Krim 5 % tube
33 Asiklovir Tab 200 mg tablet
34 Asiklovir Tab 400 mg tablet
35 Atropin Injeksi 0,25mg/ml ampul
36 Aqua Pro injeksi steril, bebas pirogen vial
37 Azitromisin tablet
38 Bedak Salisil Serbuk Kotak
39 Betametason krim 0,1 % tube
40 Bisoprolol Tab 5 mg tablet
41 Captoril tablet 25 mg tablet
42 Captoril tablet 12,5 mg tablet
43 Calcium Lactate tablet
44 Carbamazepin tablet 200 mg tablet
45 Chlorexol Suspensi botol
46 Ciprofloxacin 500 mg tablet
47 Clindamisin Kap 300 mg kapsul
48 Clinoma tablet
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul
51 Clorpromazin tablet salut 100 mg (HCL) tablet
52 Clorpromazin tablet salut 25 mg (HCL) tablet
53 Codein Tablet 10 g tablet
54 Dasabion tablet
55 Deksametazon tablet 0,5 mg tablet
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul
57 Desoksimetason Krim 0,25% tube
58 DHP tablet
59 Diazepam Lar Rektal 5 mg/2,5 ml tube
60 Diazepam Lar Rektal 10 mg/2,5 ml tube
61 Diazepam injeksi 5 mg/ml ampul
62 Diazepam tablet 10 mg tablet
63 Diazepam tablet 5 mg tablet
64 Dietilkarbamazin 10 mg tablet
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul
66 Digoksin tablet 0,25 mg tablet
67 Diltiazem Tab tablet
68 Domperidom Tab 10 mg tablet
69 Domperidon suspensi 5 mg/5 ml botol
70 Dulcolax Supp adult 10 mg supp
71 Dulcolax Supp infant 5 mg supp
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul
73 Eritromisin Kapsul 250 mg kapsul
74 Eritromisin Sirup 200 mg/ 5 ml botol
75 Etil Klorida Spray botol
76 Farsifen plus tablet
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul
78 Fenobarbital tablet 30 mg tablet
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet
81 Furosemide inj i.v/i.m 10 mg/ml ampul
82 Furosemide tablet 40 mg tablet
83 Floxifar 500 mg kaplet
84 Fasiprim Suspensi botol
85 Garam Oralit I serbuk kombinasi sachet
86 Gentamisin Inj ampul
87 Gentamisin Salep Mata tube
88 Gentamisin Tetes Mata botol
89 Gentamisin Salep 0, 1 % tube
90 Gentian Violet larutan 1 % botol
91 Glibenclamide tablet 5 mg tablet
92 Gliseril Guaikolat tablet 100 mg tablet
93 Glukosa larutan infus 5 % tablet 780
94 Griseofulvin tablet 125 mg, Micronized tablet
95 Gula Alami Granul botol
96 Haloperidol Tablet 0,5 mg tablet
97 Haloperidol Tablet 1,5 mg tablet
98 Haloperidol Tablet 5 mg tablet
99 Haloperidol injeksi ampul
100 Hexymer 2 mg tablet
101 Hidroklorotiazida tablet 25 mg tablet
102 Hidrokortison krim 2,5 % tube
103 Hidrogen Peroksida cairan 3% (H2O2) botol
104 Hufagesic 500 mg tablet
105 Hufamycetin Suspensi botol
106 Ibuprofen sirup 100 mg botol
107 Ibuprofen tablet 200 mg tablet
108 Ibuprofen tablet 400 mg tablet
109 Ichtiyol 15 g tube
110 Ifidex 0,5 mg tablet
111 Ifitamol tablet
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet
113 Kalsium Glukonas injeksi ampul
114 Ketokenazole Kriem 2 % tube
115 Ketokenazole Tab 200 mg tablet
116 Kloramfenikol kapsul 500 mg kapsul
117 Kloramfenikol Suspensi 125 mg/ml botol
118 Kloramfenikol tetes telinga 3 % botol
119 Kloramfenikol Salep Mata tube
120 Kloramfenikol Tetes Mata 0,5% botol
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol
125 Lanzoprazole kapsul 30 mg kapsul
264 Latibet 5 mg tablet
126 Lidokain injeksi 2 % ampul
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul
129 Lokev kapsul
130 Loperamide Tablet tablet
131 Loratadine Tab 10 mg tablet
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul
134 MDT MB Anak blister
135 MDT MB Dewasa blister
136 MDT PB Anak blister
137 MDT PB Dewasa blister
138 Maagel Suspensi botol
139 Mefamesis Sirup botol
140 Meloxicam 15 mg tablet
141 Meloxicam 7,5 mg tablet
142 Methampyron 500 mg tablet
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet
(Omegesic)
144 Metformin HCL tablet 500 mg tablet
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul
146 Metilergometrin Maleat tablet salut 0,125 mg tablet
147 Metilprednisolone kotak 100 tablet
148 Metoklopramide Inj 5 mg/ml ampul
149 Metoklopramide Tab 5 mg tablet
150 Metoklopramide Drop botol
151 Metronidazole tablet 250 mg tablet
152 Metronidazole tablet 500 mg tablet
153 Miconazole Krim 2 % tube
267 Milorin Tablet tablet
154 Multi Vitamin + Lysin botol
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul
157 Multivitamin + Vitamin C Dosis Tinggi tablet
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol
164 New Antides Kotak
165 Nifedifine Tab 10 mg tablet
166 Nistatin tablet salut 500.000 IU / g tablet
167 Nistatin Vaginal tablet 100.000 IU / g tablet
168 OAT Kategori Anak paket
169 OAT Kategori I & III paket
170 OAT Kategori II paket
171 Obat Anti Diare yang Mengandung Kaolin + botol
Pectin
172 Obat Anti Malaria (OAM) tablet
173 Obat Batuk Hitam ( O.B.H ) Cairan botol
174 Obat Batuk Pilek Anak Bayi botol
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul
ml
176 Oksitetrasiklin HCL salep mata 1 % tube
177 Oksitetrasiklin salep kulit 3 % tube
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul
179 Omeprazole Kap 20 mg kapsul
180 Parasetamol Tab 100 mg tablet
181 Parasetamol Tab 500 mg tablet
182 Parasetamol Drops botol
183 Parasetamol sirup 120 mg / 5 ml botol
184 Parasetamol + Ibuprofen tab tablet
185 Phenylbutason tablet
186 Piracetam inj 1 g/5 ml ampul
187 Piracetam tab 800 mg tablet
188 Pirantel tablet score ( base ) 125 mg tablet
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet
190 Piroxicam Tab 20 mg tablet
191 Prednison Tablet 5 mg tablet
192 Primakuin tablet 15 mg tablet
193 Prokain Penicillin injeksi ampul
194 Propanolol tablet 40 mg ( HCL ) tablet
195 Propiltiourasil tablet 100 mg tablet
196 Provinas 200 mg kotak
197 Provinas 400 mg kotak
198 Ramolit kotak
199 Ranitidin tablet
200 Ranitidin Inj 25 mg / 25 ml kotak
201 Ratrim Forte kaplet
202 RDT buah
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul
205 Ringer Laktat Larutan infus botol
206 Risperidon 1 mg tablet
207 Risperidon 2 mg tablet
208 Salbutamol 2 mg tablet
209 Salbutamol 4 mg tablet
210 Salbutamol Sirup botol
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot
endap 4 %
212 Scopma kotak
213 Sefiksim kapsul 100 mg kapsul
214 Sefiksim sir 100 mg/5 ml botol
215 Sefotaxime Inj 1 g ampul
216 Seftriakson Inj 1 g ampul
217 Selmetor 4 mg kotak
218 Selmatic 20 mg tablet
219 Selferro tablet
220 Selpyron tablet
221 Sepadroksil Kap 500 mg kapsul
222 Sepadroksil sirup Kering 125 mg / ml botol
223 Setirizin 10 mg kapsul
224 Setirizin Sirup 5 mg/ 5 ml botol
225 Sianokobalamin ( Vit B 12 ) Tablet tablet
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul
227 Sikzonoat injeksi kaleng
228 Simvastatin tabet 10 mg tablet
229 Simvastatin tabet 20 mg tablet
Succus Liquiritae + Ammonium Chlorida +
230 botol
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube
232 Selescardio 5 mg tablet
233 Selespurin 100 mg tablet
234 Seleskin 500 mg kaplet
235 Tablet Tambah Darah tablet
236 Teofilin Tablet SR 300 mg / Rethpyl kotak
237 Tetrasiklin kapsul 250 mg kapsul
238 Tetrasiklin kapsul 500 mg kapsul
Tiamin (Vitamin B1) tablet 50 mg
239 tablet
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul
241 Tramadol Inj 50 mg/ml ampul
242 Tramadol tab 50 mg tablet
243 Tramofal tablet
244 Triheksifenidil tablet 2 mg tablet
245 Vaksin Rabies ampul
246 Vaksin BCG ampul
247 Vaksin Campak ampul
248 Vaksin Hepatitis B ampul
249 Vaksin Polio ampul
250 Vaksin DT ampul
251 Vaksin TD ampul
252 Vaksin DPT - Hb - Hib ampul
253 Vesperum Sirup botol
254 Vitamin B kompleks tablet tablet
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet
256 Zinc 20 mg tablet dispersibel tablet
257 Zinc pro Sirup 60 ml botol
259 Hufadexon 0,5 mg tablet
260 Eltazon 5 mg tablet
261 Floxifar 500 mg tablet
262 Selvim 10 mg tablet
263 Obat Batuk Dewasa botol
265 Kemoren 50 mg tablet
266 Rhemafar 4 mg tablet
268 Roverton tablet
269 Vitacaps kapsul
270 Devitalisasi Pasta ( Non arsen ) Buah
271 Eugenol cairan set

272 Glass Ionomer Cement ART sett

273 Kalsium Hidroksida Pasta set

274 Klorfenol kamfer Menthol ( CHKM ) sachet


275 Caviton set
276 Semen seng Fosfat serbuk dan cairan pasang
Temporary Stopping Fletcher serbuk dan
277 cairan pasang

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol
279 Lisol , mengandung Kresol tersabun 50 % botol
280 Povidon Iodida larutan 10 %, 30 ml botol
281 Povidon Iodida larutan 10 %, 60 ml botol
282 Povidon Iodida larutan 10 %, 300 ml botol
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah
290 Syringe 1 cc buah
291 Syringe 3 cc dus
292 Syringe 5 cc dus
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece
296 Safeglove PF No. 7 Pasang
297 Safeglove PF No. 7,5 Pasang
298 Safeglove PP No. 7 Pasang
299 Safeglove PP No. 7,5 Pasang
300 Safety Box buah
301 Examination Gloves size L Box
302 Examination Gloves size M Box
303 Examination Gloves size S Box
304 Examination Gloves size XS Box
305 Kapas pembalut / Absorben 250 gram roll
306 Kasa Kompres DRC 40cm / 40cm Steril Rol
307 Kasa Pembalut DRC 2 m x 80 cm Rol
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol
311 Kasa Hydrofil Steril 16 x 16 cm Dus
312 Kapas Berlemak DRC 500 gr Rol
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18 Box
315 Urocare Folley Catheter 2 way no.20 Box
316 UltraOne Test Hamil piece
317 Urine Bag Sterile Buah
318 Oxyflow Nasal Oxygen Anak Buah
319 Oxyflow Nasal Oxygen Bayi Buah
320 Oxyflow Nasal Oxygen Dewasa Buah
321 Alkohol swab Box
322 Silk 2/0 + jarum 1/2 GT 35 mm box
323 Silk 3/0 + jarum 1/2 GT 35 mm box
324 Face Mask Ear Loop Dus
325 Face Mask Ties On Dus
326 Infus set Anak set
327 Infuset Dewasa set
328 Plester 5 yards x 2 inch roll
329 Rapid Test HIV-AIDS Set / Kantong
330 Benecheck plus Glucose Test Strip 50's Box
331 Benecheck plus Total Cholestrol Test Strip 50's Box
332 Benecheck plus Uric Test Strip 50's Box
333 Umbilical cord klem steril Nylon piece
334 Wing Needle set
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol
337 Kassa Hydrophil ukuran 40 x 80 cm roll
338 Ranitidin 150 mg Kotak
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol
342 Onemed Blood Lancet (JAYAMAS) Box
343 Prednison tabled 5 mg tablet
344 Povidon Iodine 300 cc botol
345 Povidon Iodine 300 ml botol
346 Pirantel syirup Botol
347 Sterile latex Surgical Gloves Size 7,5 Box
348 Plester Bulat Non Woven Box
349 Folic Acid/Asam Folat tablet
350 Griseofulvin tablet
351 Examinatin Gloves, Size XL box
780

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 780 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 780 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 780
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0

331 Benecheck plus Total Cholestrol Test Strip 50's Box 0

332 Benecheck plus Uric Test Strip 50's Box 0


333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
780

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 680 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
100 680 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 680
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
680

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
40 600 640 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
640 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi Vitamin untuk Ibu Hamil mengandung Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
ferrous
vit A 2000
gluconate
IU, Tiamin
250HNO3
mg, manganase
1,3 mg, Riboklovin
sulf 0,2
159 tablet 0
mg,mg,
1,3 copper
piridoksin
sulf 0,25
HCl
mg,0,85
vit mg,
C 50sianokobalamin
mg, folid acid
160 1 mcg,
2 mg, vit
micotinamid
B12 7,5 mcg10(OMEGAVIT)
mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
161 Natrium Diklofenat tabmcg
25 mg tablet 0
0,1 mg, asam folat 0,39
162 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0
271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 40 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin + DHA/EPA + Beta Karoten botol 0

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin + DHA/EPA + Beta Karoten botol 0

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
161 (PRENASE)/VITALAMIN
Natrium Diklofenat tab 25 mg tablet 0
162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin + DHA/EPA + Beta Karoten botol 0

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 0

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 0

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 0
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
22 Anti Migren : Ergotamin Tartat 1 mg + Kofein tablet 0
50 mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 tablet 0
mg
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 40
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN
161 Natrium Diklofenat tab 25 mg tablet 0
162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
171 Obat Anti Diare yang Mengandung Kaolin + botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 4
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

40

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 40 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet
2 Albendazole Suspensi botol
3 Alofar 100 mg tablet
4 Allopurinol tablet 100 mg tablet
5 Ambroxol Syr 15 mg/ml botol
6 Ambroxol Tablet tablet
7 Ambroxol Drop botol
8 Aminofilin injeksi 24 mg/ml ampul
9 Aminofilin tablet 200 mg tablet
10 Amitriptilin Tablet salut 25 mg (HCL) tablet
11 Amlodipin 5mg tablet
12 Amlodipin 10 mg tablet
13 Amoksisilin Kaplet 500 mg tablet
14 Amoksisilin Kapsul 250 mg kapsul
15 Amoksisilin Sirup kering 125 mg/5 ml botol
16 Amoksisilin Sirup Forte 250 mg/5ml botol
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul
18 botol
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet
Aluminium Hidroksida 200 mg

Anti bakteri Doen salep kombinasi :


20 Basitrasin 500 IU/g + tube
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 Bismuth Subgalat 150 mg + Heksaklorofen supp
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet
mg
Anti Parkinson Doen tablet kombinasi
23 tablet
karbidopa 25mg + levodi
Antifungi Doen kombinasi :
24 tube
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet
28 Asam askorbat (vitamin C) tablet 50 mg tablet
29 Asam Mefenamat 500 mg box
30 Asam Traneksamat Injeksi ampul
31 Asering Larutan botol
32 Asiklovir Krim 5 % tube
33 Asiklovir Tab 200 mg tablet
34 Asiklovir Tab 400 mg tablet
35 Atropin Injeksi 0,25mg/ml ampul
36 Aqua Pro injeksi steril, bebas pirogen vial
37 Azitromisin tablet
38 Bedak Salisil Serbuk Kotak
39 Betametason krim 0,1 % tube 100
40 Bisoprolol Tab 5 mg tablet
41 Captoril tablet 25 mg tablet
42 Captoril tablet 12,5 mg tablet
43 Calcium Lactate tablet
44 Carbamazepin tablet 200 mg tablet
45 Chlorexol Suspensi botol
46 Ciprofloxacin 500 mg tablet
47 Clindamisin Kap 300 mg kapsul
48 Clinoma tablet
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul

50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul

51 Clorpromazin tablet salut 100 mg (HCL) tablet


52 Clorpromazin tablet salut 25 mg (HCL) tablet
53 Codein Tablet 10 g tablet
54 Dasabion tablet
55 Deksametazon tablet 0,5 mg tablet
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul
57 Desoksimetason Krim 0,25% tube
58 DHP tablet
59 Diazepam Lar Rektal 5 mg/2,5 ml tube
60 Diazepam Lar Rektal 10 mg/2,5 ml tube
61 Diazepam injeksi 5 mg/ml ampul
62 Diazepam tablet 10 mg tablet
63 Diazepam tablet 5 mg tablet
64 Dietilkarbamazin 10 mg tablet
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul
66 Digoksin tablet 0,25 mg tablet
67 Diltiazem Tab tablet
68 Domperidom Tab 10 mg tablet
69 Domperidon suspensi 5 mg/5 ml botol
70 Dulcolax Supp adult 10 mg supp
71 Dulcolax Supp infant 5 mg supp
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul
73 Eritromisin Kapsul 250 mg kapsul
74 Eritromisin Sirup 200 mg/ 5 ml botol
75 Etil Klorida Spray botol
76 Farsifen plus tablet
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul
78 Fenobarbital tablet 30 mg tablet
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul
Fitomenadion (Vitamin K) tablet salut gula 10
80 tablet
mg
81 Furosemide inj i.v/i.m 10 mg/ml ampul
82 Furosemide tablet 40 mg tablet
83 Floxifar 500 mg kaplet
84 Fasiprim Suspensi botol
85 Garam Oralit I serbuk kombinasi sachet
86 Gentamisin Inj ampul
87 Gentamisin Salep Mata tube
88 Gentamisin Tetes Mata botol
89 Gentamisin Salep 0, 1 % tube
90 Gentian Violet larutan 1 % botol
91 Glibenclamide tablet 5 mg tablet
92 Gliseril Guaikolat tablet 100 mg tablet
93 Glukosa larutan infus 5 % tablet 20000
94 Griseofulvin tablet 125 mg, Micronized tablet
95 Gula Alami Granul botol
96 Haloperidol Tablet 0,5 mg tablet
97 Haloperidol Tablet 1,5 mg tablet
98 Haloperidol Tablet 5 mg tablet
99 Haloperidol injeksi ampul
100 Hexymer 2 mg tablet
101 Hidroklorotiazida tablet 25 mg tablet
102 Hidrokortison krim 2,5 % tube
103 Hidrogen Peroksida cairan 3% (H2O2) botol
104 Hufagesic 500 mg tablet
105 Hufamycetin Suspensi botol
106 Ibuprofen sirup 100 mg botol
107 Ibuprofen tablet 200 mg tablet
108 Ibuprofen tablet 400 mg tablet
109 Ichtiyol 15 g tube
110 Ifidex 0,5 mg tablet
111 Ifitamol tablet
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet
113 Kalsium Glukonas injeksi ampul
114 Ketokenazole Kriem 2 % tube
115 Ketokenazole Tab 200 mg tablet
116 Kloramfenikol kapsul 500 mg kapsul
117 Kloramfenikol Suspensi 125 mg/ml botol
118 Kloramfenikol tetes telinga 3 % botol
119 Kloramfenikol Salep Mata tube
120 Kloramfenikol Tetes Mata 0,5% botol
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol
+Larutan
Trimetoprim
258 Ka En 40
1 Bmg botol
125 Lanzoprazole kapsul 30 mg kapsul
264 Latibet 5 mg tablet
126 Lidokain injeksi 2 % ampul
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul
129 Lokev kapsul
130 Loperamide Tablet tablet
131 Loratadine Tab 10 mg tablet
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul
134 MDT MB Anak blister
135 MDT MB Dewasa blister
136 MDT PB Anak blister
137 MDT PB Dewasa blister
138 Maagel Suspensi botol
139 Mefamesis Sirup botol
140 Meloxicam 15 mg tablet
141 Meloxicam 7,5 mg tablet
142 Methampyron 500 mg tablet
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet
(Omegesic)
144 Metformin HCL tablet 500 mg tablet
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul
146 Metilergometrin Maleat tablet salut 0,125 mg tablet
147 Metilprednisolone kotak 100 tablet
148 Metoklopramide Inj 5 mg/ml ampul
149 Metoklopramide Tab 5 mg tablet
150 Metoklopramide Drop botol
151 Metronidazole tablet 250 mg tablet 17000
152 Metronidazole tablet 500 mg tablet
153 Miconazole Krim 2 % tube
267 Milorin Tablet tablet
154 Multi Vitamin + Lysin botol
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul
157 Multivitamin + Vitamin C Dosis Tinggi tablet
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet


162 Natrium Diklofenat tab 50 mg tablet
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 850
164 New Antides Kotak
165 Nifedifine Tab 10 mg tablet
166 Nistatin tablet salut 500.000 IU / g tablet
167 Nistatin Vaginal tablet 100.000 IU / g tablet
168 OAT Kategori Anak paket
169 OAT Kategori I & III paket
170 OAT Kategori II paket
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol

172 Obat Anti Malaria (OAM) tablet


173 Obat Batuk Hitam ( O.B.H ) Cairan botol
174 Obat Batuk Pilek Anak Bayi botol
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ml ampul

176 Oksitetrasiklin HCL salep mata 1 % tube


177 Oksitetrasiklin salep kulit 3 % tube
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul
179 Omeprazole Kap 20 mg kapsul
180 Parasetamol Tab 100 mg tablet
181 Parasetamol Tab 500 mg tablet
182 Parasetamol Drops botol
183 Parasetamol sirup 120 mg / 5 ml botol
184 Parasetamol + Ibuprofen tab tablet
185 Phenylbutason tablet
186 Piracetam inj 1 g/5 ml ampul
187 Piracetam tab 800 mg tablet
188 Pirantel tablet score ( base ) 125 mg tablet
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet
190 Piroxicam Tab 20 mg tablet
191 Prednison Tablet 5 mg tablet
192 Primakuin tablet 15 mg tablet
193 Prokain Penicillin injeksi ampul
194 Propanolol tablet 40 mg ( HCL ) tablet
195 Propiltiourasil tablet 100 mg tablet
196 Provinas 200 mg kotak
197 Provinas 400 mg kotak
198 Ramolit kotak
199 Ranitidin tablet
200 Ranitidin Inj 25 mg / 25 ml kotak
201 Ratrim Forte kaplet
202 RDT buah
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul
205 Ringer Laktat Larutan infus botol
206 Risperidon 1 mg tablet
207 Risperidon 2 mg tablet
208 Salbutamol 2 mg tablet
209 Salbutamol 4 mg tablet
210 Salbutamol Sirup botol
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot
endap 4 %
212 Scopma kotak
213 Sefiksim kapsul 100 mg kapsul
214 Sefiksim sir 100 mg/5 ml botol
215 Sefotaxime Inj 1 g ampul
216 Seftriakson Inj 1 g ampul
217 Selmetor 4 mg kotak
218 Selmatic 20 mg tablet
219 Selferro tablet
220 Selpyron tablet
221 Sepadroksil Kap 500 mg kapsul
222 Sepadroksil sirup Kering 125 mg / ml botol
223 Setirizin 10 mg kapsul
224 Setirizin Sirup 5 mg/ 5 ml botol
225 Sianokobalamin ( Vit B 12 ) Tablet tablet
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul
227 Sikzonoat injeksi kaleng
228 Simvastatin tabet 10 mg tablet
229 Simvastatin tabet 20 mg tablet
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol
Anisi Spir Sirup
231 Solinfec Cream tube
232 Selescardio 5 mg tablet
233 Selespurin 100 mg tablet
234 Seleskin 500 mg kaplet
235 Tablet Tambah Darah tablet
236 Teofilin Tablet SR 300 mg / Rethpyl kotak
237 Tetrasiklin kapsul 250 mg kapsul
238 Tetrasiklin kapsul 500 mg kapsul
Tiamin (Vitamin B1) tablet 50 mg
239 (HCL/Nitrat) tablet

240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul


241 Tramadol Inj 50 mg/ml ampul
242 Tramadol tab 50 mg tablet
243 Tramofal tablet
244 Triheksifenidil tablet 2 mg tablet
245 Vaksin Rabies ampul
246 Vaksin BCG ampul
247 Vaksin Campak ampul
248 Vaksin Hepatitis B ampul
249 Vaksin Polio ampul
250 Vaksin DT ampul
251 Vaksin TD ampul
252 Vaksin DPT - Hb - Hib ampul
253 Vesperum Sirup botol
254 Vitamin B kompleks tablet tablet
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet
256 Zinc 20 mg tablet dispersibel tablet
257 Zinc pro Sirup 60 ml botol
259 Hufadexon 0,5 mg tablet
260 Eltazon 5 mg tablet
261 Floxifar 500 mg tablet
262 Selvim 10 mg tablet
263 Obat Batuk Dewasa botol
265 Kemoren 50 mg tablet
266 Rhemafar 4 mg tablet
268 Roverton tablet
269 Vitacaps kapsul
270 Devitalisasi Pasta ( Non arsen ) Buah

271 Eugenol cairan set

272 Glass Ionomer Cement ART sett

273 Kalsium Hidroksida Pasta set

274 Klorfenol kamfer Menthol ( CHKM ) sachet


275 Caviton set
276 Semen seng Fosfat serbuk dan cairan pasang
Temporary Stopping Fletcher serbuk dan
277 cairan pasang

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol
279 Lisol , mengandung Kresol tersabun 50 % botol
280 Povidon Iodida larutan 10 %, 30 ml botol
281 Povidon Iodida larutan 10 %, 60 ml botol
282 Povidon Iodida larutan 10 %, 300 ml botol
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 4800
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1000
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah
290 Syringe 1 cc buah 65
291 Syringe 3 cc dus
292 Syringe 5 cc dus 71
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece
296 Safeglove PF No. 7 Pasang
297 Safeglove PF No. 7,5 Pasang
298 Safeglove PP No. 7 Pasang
299 Safeglove PP No. 7,5 Pasang
300 Safety Box buah
301 Examination Gloves size L Box
302 Examination Gloves size M Box
303 Examination Gloves size S Box
304 Examination Gloves size XS Box
305 Kapas pembalut / Absorben 250 gram roll
306 Kasa Kompres DRC 40cm / 40cm Steril Rol
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol
311 Kasa Hydrofil Steril 16 x 16 cm Dus
312 Kapas Berlemak DRC 500 gr Rol
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18 Box
315 Urocare Folley Catheter 2 way no.20 Box
316 UltraOne Test Hamil piece
317 Urine Bag Sterile Buah
318 Oxyflow Nasal Oxygen Anak Buah
319 Oxyflow Nasal Oxygen Bayi Buah
320 Oxyflow Nasal Oxygen Dewasa Buah
321 Alkohol swab Box
322 Silk 2/0 + jarum 1/2 GT 35 mm box
323 Silk 3/0 + jarum 1/2 GT 35 mm box
324 Face Mask Ear Loop Dus
325 Face Mask Ties On Dus
326 Infus set Anak set 1590
327 Infuset Dewasa set
328 Plester 5 yards x 2 inch roll
329 Rapid Test HIV-AIDS Set / Kantong
330 Benecheck plus Glucose Test Strip 50's Box

331 Benecheck plus Total Cholestrol Test Strip 50's Box

332 Benecheck plus Uric Test Strip 50's Box


333 Umbilical cord klem steril Nylon piece
334 Wing Needle set
335 Pembalut Gibs Rol
336 Rivanol 300 cc botol
337 Kassa Hydrophil ukuran 40 x 80 cm roll 128
338 Ranitidin 150 mg Kotak
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol
342 Onemed Blood Lancet (JAYAMAS) Box
343 Prednison tabled 5 mg tablet
344 Povidon Iodine 300 cc botol
345 Povidon Iodine 300 ml botol
346 Pirantel syirup Botol
347 Sterile latex Surgical Gloves Size 7,5 Box
348 Plester Bulat Non Woven Box
349 Folic Acid/Asam Folat tablet
350 Griseofulvin tablet
351 Examinatin Gloves, Size XL box

37,950

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
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Rp - 50 400
Rp -
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Rp -
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Rp - 100
Rp - 50
Rp -
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Rp -
Rp - 10 2
Rp -
Rp - 1 1 3 1
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Rp - 100 100
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Rp -

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Rp - 6
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Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 17000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
400 850 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 4700 Rp - Rp -
50 950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 14 51 Rp - Rp -
0 0 Rp - Rp -
1 7 64 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
40 240 1350 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
6 122 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
950 42,865 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 20000
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 17000
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 4700
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 950
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 51
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 64
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 1350
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 122
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
37,000

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 50 100 200
Rp - 100 100 100 100
Rp -
Rp -
Rp -
Rp - 6 2 3 3 4
Rp -
Rp - 10 4 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50 50 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 2 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 17000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
550 4150 Rp - Rp -
200 600 350 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1 5 24 27 Rp - Rp -
0 0 Rp - Rp -
19 45 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 1200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 10 112 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 41,672 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 20000
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 17000
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 4150
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 350
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 27
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 45
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 1200
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 112
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

37,000

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 1000 1000 1000 1000 3000 2000 1000
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 200 100
Rp - 50 50
Rp -
Rp -
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 3000 1000 17000 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 600 3550 Rp - Rp -
100 200 150 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
6 2 13 14 Rp - Rp -
0 0 Rp - Rp -
2 2 43 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 1150 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 5 25 87 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
17,000 23,857 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 20000
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 3550
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 150
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 14
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 43
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 1150
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 87
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
20,000

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp - 200 50
Rp - 100
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
250 3300 Rp - Rp -
100 50 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
3 10 4 Rp - Rp -
0 0 Rp - Rp -
0 43 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 50 1100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
3 11 76 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 23,497 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 20000
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 3300
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 50
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 4
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 43
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 1100
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 76
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
20,000

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 400 200 400 200
Rp -
Rp -
Rp -
Rp -
Rp - 4
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3 1 5 3
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 400 50 1850 1450 Rp - Rp -
50 50 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
4 0 Rp - Rp -
0 0 Rp - Rp -
5 5 10 33 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 200 900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1 3 16 60 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 21,583 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 20000
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1450
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 33
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 900
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 60
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
20,000

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
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Rp -
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Rp -

Rp -

Rp -
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Rp -
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Rp -
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Rp -
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Rp -
Rp -
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Rp -
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 33 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 60 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 21,583 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 20000
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1450
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 33
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 900
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 60
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
20,000

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 2 2 2 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
40 40 19960 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 2 4 29 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 250 650 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 15 45 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
40 21,539 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 19960
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Kotak 50 kaplet 0
Curcumae Ext + Liver Ext (Hepatoprotektor)
Multi Vitamin untuk Ibu Hamil mengandung :
ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1450
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 29
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 650
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 45
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
19,960

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 15 2 3 2 2 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 19760 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 1150 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 2 17 12 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 200 450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 5 40 5 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
200 21,022 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 19760
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 0
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1150
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 12
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 450
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 5
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

19,760

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -

0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19760 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 5 7 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 150 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 20,867 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 19760
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1000
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 7
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 300
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
19,760

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19760 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 7 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 20,867 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 19760
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0

158 Multivitamin Dosis Tinggi + Gingseng Ext + Kotak 50 kaplet 0


Curcumae Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 0

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1000
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 7
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 300
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

19,760

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19760 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 7 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 20,867 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 0
30 Asam Traneksamat Injeksi ampul 0
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 0
36 Aqua Pro injeksi steril, bebas pirogen vial 0
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 0
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 19760
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 0
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 0
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 0
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin + DHA/EPA + Beta Karoten botol 0

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 0
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 0
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang endap 4 % pot 0
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 0
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
277 Temporary Stopping Fletcher serbuk dan pasang 0
cairan

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 0
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 0
281 Povidon Iodida larutan 10 %, 60 ml botol 0
282 Povidon Iodida larutan 10 %, 300 ml botol 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1000
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 0
292 Syringe 5 cc dus 7
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 0
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 100
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 0
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 0
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 300
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
19,760

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
0

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
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0 20,867 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet
2 Albendazole Suspensi botol
3 Alofar 100 mg tablet
4 Allopurinol tablet 100 mg tablet
5 Ambroxol Syr 15 mg/ml botol
6 Ambroxol Tablet tablet
7 Ambroxol Drop botol
8 Aminofilin injeksi 24 mg/ml ampul 460
9 Aminofilin tablet 200 mg tablet
10 Amitriptilin Tablet salut 25 mg (HCL) tablet
11 Amlodipin 5mg tablet
12 Amlodipin 10 mg tablet
13 Amoksisilin Kaplet 500 mg tablet 894900
14 Amoksisilin Kapsul 250 mg kapsul
15 Amoksisilin Sirup kering 125 mg/5 ml botol
16 Amoksisilin Sirup Forte 250 mg/5ml botol 2840
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul
18 botol
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 381600
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1930
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet
Antifungi Doen kombinasi :
24 tube 352
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet
28 Asam askorbat (vitamin C) tablet 50 mg tablet
29 Asam Mefenamat 500 mg box 4293
30 Asam Traneksamat Injeksi ampul 500
31 Asering Larutan botol 1520
32 Asiklovir Krim 5 % tube
33 Asiklovir Tab 200 mg tablet
34 Asiklovir Tab 400 mg tablet
35 Atropin Injeksi 0,25mg/ml ampul 490
36 Aqua Pro injeksi steril, bebas pirogen vial 4378
37 Azitromisin tablet 200
38 Bedak Salisil Serbuk Kotak 208
39 Betametason krim 0,1 % tube 11850
40 Bisoprolol Tab 5 mg tablet
41 Captoril tablet 25 mg tablet
42 Captoril tablet 12,5 mg tablet
43 Calcium Lactate tablet
44 Carbamazepin tablet 200 mg tablet
45 Chlorexol Suspensi botol
46 Ciprofloxacin 500 mg tablet
47 Clindamisin Kap 300 mg kapsul
48 Clinoma tablet
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul
51 Clorpromazin tablet salut 100 mg (HCL) tablet 7000
52 Clorpromazin tablet salut 25 mg (HCL) tablet
53 Codein Tablet 10 g tablet
54 Dasabion tablet
55 Deksametazon tablet 0,5 mg tablet
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul
57 Desoksimetason Krim 0,25% tube
58 DHP tablet
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 50
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 40
61 Diazepam injeksi 5 mg/ml ampul
62 Diazepam tablet 10 mg tablet
63 Diazepam tablet 5 mg tablet
64 Dietilkarbamazin 10 mg tablet
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 12450
66 Digoksin tablet 0,25 mg tablet
67 Diltiazem Tab tablet 500
68 Domperidom Tab 10 mg tablet
69 Domperidon suspensi 5 mg/5 ml botol
70 Dulcolax Supp adult 10 mg supp 540
71 Dulcolax Supp infant 5 mg supp 1104
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul
HCL)
73 Eritromisin Kapsul 250 mg kapsul 500
74 Eritromisin Sirup 200 mg/ 5 ml botol 30
75 Etil Klorida Spray botol
76 Farsifen plus tablet
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul
78 Fenobarbital tablet 30 mg tablet
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 5010
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 16000
81 Furosemide inj i.v/i.m 10 mg/ml ampul
82 Furosemide tablet 40 mg tablet
83 Floxifar 500 mg kaplet 27700
84 Fasiprim Suspensi botol
85 Garam Oralit I serbuk kombinasi sachet
86 Gentamisin Inj ampul
87 Gentamisin Salep Mata tube
88 Gentamisin Tetes Mata botol
89 Gentamisin Salep 0, 1 % tube
90 Gentian Violet larutan 1 % botol
91 Glibenclamide tablet 5 mg tablet
92 Gliseril Guaikolat tablet 100 mg tablet
93 Glukosa larutan infus 5 % tablet
94 Griseofulvin tablet 125 mg, Micronized tablet 36500
95 Gula Alami Granul botol
96 Haloperidol Tablet 0,5 mg tablet 15700
97 Haloperidol Tablet 1,5 mg tablet 13300
98 Haloperidol Tablet 5 mg tablet 200
99 Haloperidol injeksi ampul
100 Hexymer 2 mg tablet
101 Hidroklorotiazida tablet 25 mg tablet
102 Hidrokortison krim 2,5 % tube 3481
103 Hidrogen Peroksida cairan 3% (H2O2) botol 84
104 Hufagesic 500 mg tablet
105 Hufamycetin Suspensi botol
106 Ibuprofen sirup 100 mg botol
107 Ibuprofen tablet 200 mg tablet
108 Ibuprofen tablet 400 mg tablet
109 Ichtiyol 15 g tube
110 Ifidex 0,5 mg tablet
111 Ifitamol tablet 81700
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet
113 Kalsium Glukonas injeksi ampul
114 Ketokenazole Kriem 2 % tube
115 Ketokenazole Tab 200 mg tablet 1500
116 Kloramfenikol kapsul 500 mg kapsul
117 Kloramfenikol Suspensi 125 mg/ml botol
118 Kloramfenikol tetes telinga 3 % botol
119 Kloramfenikol Salep Mata tube 3526
120 Kloramfenikol Tetes Mata 0,5% botol
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 267800
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol
125 Lanzoprazole kapsul 30 mg kapsul
264 Latibet 5 mg tablet
126 Lidokain injeksi 2 % ampul 25100
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 22550
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul
129 Lokev kapsul
130 Loperamide Tablet tablet 88500
131 Loratadine Tab 10 mg tablet 651
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul
134 MDT MB Anak blister
135 MDT MB Dewasa blister
136 MDT PB Anak blister
137 MDT PB Dewasa blister
138 Maagel Suspensi botol 144
139 Mefamesis Sirup botol
140 Meloxicam 15 mg tablet
141 Meloxicam 7,5 mg tablet
142 Methampyron 500 mg tablet 14400
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 13800
144 Metformin HCL tablet 500 mg tablet 21500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2800
146 Metilergometrin Maleat tablet salut 0,125 mg tablet
147 Metilprednisolone kotak 100 tablet
148 Metoklopramide Inj 5 mg/ml ampul
149 Metoklopramide Tab 5 mg tablet
150 Metoklopramide Drop botol
151 Metronidazole tablet 250 mg tablet
152 Metronidazole tablet 500 mg tablet 10000
153 Miconazole Krim 2 % tube 4784
267 Milorin Tablet tablet
154 Multi Vitamin + Lysin botol 1197
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul
157 Multivitamin + Vitamin C Dosis Tinggi tablet

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Kotak 50 kaplet
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN
161 Natrium Diklofenat tab 25 mg tablet 27050
162 Natrium Diklofenat tab 50 mg tablet 500
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak
165 Nifedifine Tab 10 mg tablet
166 Nistatin tablet salut 500.000 IU / g tablet
167 Nistatin Vaginal tablet 100.000 IU / g tablet
168 OAT Kategori Anak paket
169 OAT Kategori I & III paket
170 OAT Kategori II paket
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 5600

172 Obat Anti Malaria (OAM) tablet


173 Obat Batuk Hitam ( O.B.H ) Cairan botol
174 Obat Batuk Pilek Anak Bayi botol
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul
ml
176 Oksitetrasiklin HCL salep mata 1 % tube
177 Oksitetrasiklin salep kulit 3 % tube
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13800
179 Omeprazole Kap 20 mg kapsul
180 Parasetamol Tab 100 mg tablet
181 Parasetamol Tab 500 mg tablet
182 Parasetamol Drops botol 76
183 Parasetamol sirup 120 mg / 5 ml botol
184 Parasetamol + Ibuprofen tab tablet
185 Phenylbutason tablet
186 Piracetam inj 1 g/5 ml ampul
187 Piracetam tab 800 mg tablet
188 Pirantel tablet score ( base ) 125 mg tablet
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet
190 Piroxicam Tab 20 mg tablet 47100
191 Prednison Tablet 5 mg tablet
192 Primakuin tablet 15 mg tablet
193 Prokain Penicillin injeksi ampul
194 Propanolol tablet 40 mg ( HCL ) tablet 1200
195 Propiltiourasil tablet 100 mg tablet
196 Provinas 200 mg kotak
197 Provinas 400 mg kotak
198 Ramolit kotak 14
199 Ranitidin tablet 312400
200 Ranitidin Inj 25 mg / 25 ml kotak 7
201 Ratrim Forte kaplet 1000
202 RDT buah
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 91250
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul
205 Ringer Laktat Larutan infus botol 13420
206 Risperidon 1 mg tablet 150
207 Risperidon 2 mg tablet
208 Salbutamol 2 mg tablet
209 Salbutamol 4 mg tablet 1000
210 Salbutamol Sirup botol
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot
endap 4 %
212 Scopma kotak
213 Sefiksim kapsul 100 mg kapsul 37500
214 Sefiksim sir 100 mg/5 ml botol 1424
215 Sefotaxime Inj 1 g ampul 1110
216 Seftriakson Inj 1 g ampul 50
217 Selmetor 4 mg kotak
218 Selmatic 20 mg tablet
219 Selferro tablet
220 Selpyron tablet
221 Sepadroksil Kap 500 mg kapsul 4300
222 Sepadroksil sirup Kering 125 mg / ml botol
223 Setirizin 10 mg kapsul 500
224 Setirizin Sirup 5 mg/ 5 ml botol 150
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 64
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 12600
227 Sikzonoat injeksi kaleng
228 Simvastatin tabet 10 mg tablet
229 Simvastatin tabet 20 mg tablet
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol
Anisi Spir Sirup
231 Solinfec Cream tube
232 Selescardio 5 mg tablet 630
233 Selespurin 100 mg tablet 11600
234 Seleskin 500 mg kaplet 57600
235 Tablet Tambah Darah tablet
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 94
237 Tetrasiklin kapsul 250 mg kapsul
238 Tetrasiklin kapsul 500 mg kapsul
239 Tiamin (Vitamin B1) tablet 50 mg tablet
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul
241 Tramadol Inj 50 mg/ml ampul
242 Tramadol tab 50 mg tablet
243 Tramofal tablet
244 Triheksifenidil tablet 2 mg tablet
245 Vaksin Rabies ampul
246 Vaksin BCG ampul
247 Vaksin Campak ampul
248 Vaksin Hepatitis B ampul
249 Vaksin Polio ampul
250 Vaksin DT ampul
251 Vaksin TD ampul
252 Vaksin DPT - Hb - Hib ampul
253 Vesperum Sirup botol
254 Vitamin B kompleks tablet tablet
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet
256 Zinc 20 mg tablet dispersibel tablet 1300
257 Zinc pro Sirup 60 ml botol
259 Hufadexon 0,5 mg tablet
260 Eltazon 5 mg tablet
261 Floxifar 500 mg tablet
262 Selvim 10 mg tablet
263 Obat Batuk Dewasa botol
265 Kemoren 50 mg tablet
266 Rhemafar 4 mg tablet
268 Roverton tablet
269 Vitacaps kapsul
270 Devitalisasi Pasta ( Non arsen ) Buah

271 Eugenol cairan set

272 Glass Ionomer Cement ART sett

273 Kalsium Hidroksida Pasta set

274 Klorfenol kamfer Menthol ( CHKM ) sachet


275 Caviton set
276 Semen seng Fosfat serbuk dan cairan pasang
Temporary Stopping Fletcher serbuk dan
277 cairan pasang

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1572
279 Lisol , mengandung Kresol tersabun 50 % botol
280 Povidon Iodida larutan 10 %, 30 ml botol 1537
281 Povidon Iodida larutan 10 %, 60 ml botol 1488
282 Povidon Iodida larutan 10 %, 300 ml botol 1574
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 2000
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah
291 Syringe 3 cc dus 525
292 Syringe 5 cc dus 198
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 91
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 106
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece
296 Safeglove PF No. 7 Pasang
297 Safeglove PF No. 7,5 Pasang
298 Safeglove PP No. 7 Pasang
299 Safeglove PP No. 7,5 Pasang
300 Safety Box buah
301 Examination Gloves size L Box
302 Examination Gloves size M Box
303 Examination Gloves size S Box
304 Examination Gloves size XS Box
305 Kapas pembalut / Absorben 250 gram roll
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 30
307 Kasa Pembalut DRC 2 m x 80 cm Rol 425
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 3550
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 780
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 30
311 Kasa Hydrofil Steril 16 x 16 cm Dus
312 Kapas Berlemak DRC 500 gr Rol 186
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18 Box
315 Urocare Folley Catheter 2 way no.20 Box 65
316 UltraOne Test Hamil piece
317 Urine Bag Sterile Buah 1710
318 Oxyflow Nasal Oxygen Anak Buah 140
319 Oxyflow Nasal Oxygen Bayi Buah 140
320 Oxyflow Nasal Oxygen Dewasa Buah 110
321 Alkohol swab Box
322 Silk 2/0 + jarum 1/2 GT 35 mm box 37
323 Silk 3/0 + jarum 1/2 GT 35 mm box 21
324 Face Mask Ear Loop Dus 443
325 Face Mask Ties On Dus 14
326 Infus set Anak set
327 Infuset Dewasa set 2650
328 Plester 5 yards x 2 inch roll 443
329 Rapid Test HIV-AIDS Set / Kantong
330 Benecheck plus Glucose Test Strip 50's Box
331 Benecheck plus Total Cholestrol Test Strip 50's Box
332 Benecheck plus Uric Test Strip 50's Box
333 Umbilical cord klem steril Nylon piece
334 Wing Needle set
335 Pembalut Gibs Rol
336 Rivanol 300 cc botol 1723
337 Kassa Hydrophil ukuran 40 x 80 cm roll
338 Ranitidin 150 mg Kotak
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol
342 Onemed Blood Lancet (JAYAMAS) Box
343 Prednison tabled 5 mg tablet
344 Povidon Iodine 300 cc botol
345 Povidon Iodine 300 ml botol
346 Pirantel syirup Botol
347 Sterile latex Surgical Gloves Size 7,5 Box
348 Plester Bulat Non Woven Box
349 Folic Acid/Asam Folat tablet
350 Griseofulvin tablet
351 Examinatin Gloves, Size XL box

2,585,113

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 60 60 60 60 40 60
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 1000 1000 2000 1000 1500 2000 500
Rp -
Rp -
Rp - 50 100 100
Rp -
Rp -

Rp - 1000 1000 1000 2000 2000 500

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 20 10 10 25 10 5
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp - 50 50 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp - 600 600 600 600 60 600 600
Rp -
Rp - 500
Rp -
Rp -
Rp - 40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 60 60 60
Rp -
Rp -
Rp -
Rp - 1000 1000 1000 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000
Rp -
Rp - 100
Rp - 100
Rp - 200
Rp -
Rp -
Rp -
Rp - 48 49 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3000 1000 1000 1000 1500 1500 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 500
Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 100
Rp - 150 60 60
Rp -
Rp -
Rp -
Rp - 5 6 20 20 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 24 50 24
Rp -
Rp -
Rp -
Rp - 1000 2000 2000 500
Rp - 2000 1000 1000 1000
Rp - 500 500 2000
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 1000
Rp - 48 24
Rp -
Rp - 240 240 144 96

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -
Rp - 1000 500 500 500
Rp - 500
Rp - 240 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 6
Rp - 2000 1000 1000 1000 2000 2000 2000 1000
Rp - 4 3
Rp - 500
Rp -
Rp - 150
Rp -
Rp - 400 100 200 80 200
Rp - 50
Rp -
Rp -
Rp - 500
Rp -

Rp -
Rp -
500 500
48
Rp - 10 100 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 1000
Rp -
Rp -
Rp - 50 50 50
Rp - 1 1
Rp - 100
Rp -
Rp -
Rp -

Rp -

Rp -
Rp - 480 150
Rp - 1500 500 1000
Rp - 1000 1500 1000 1500
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1300
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp - 300
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 2 5 5
Rp -
Rp - 2 2 1 1 2 2
Rp - 1 1 1 1 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp - 100
Rp -
Rp -
Rp - 5
Rp -
Rp -
Rp - 5
Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 5 10 6 2
Rp - 7 7
Rp -
Rp - 50
Rp - 6
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
60 60 460 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 2000 15000 879900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 350 2490 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

2000 2000 11500 370100 Rp - Rp -

0 0 Rp - Rp -

0 1930 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

96 96 256 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 10 20 115 4178 Rp - Rp -
0 500 Rp - Rp -
100 1420 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 490 Rp - Rp -
50 50 4328 Rp - Rp -
100 200 0 Rp - Rp -
0 208 Rp - Rp -
150 11700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 6000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 10 40 Rp - Rp -
5 35 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 150 600 5010 7440 Rp - Rp -
0 0 Rp - Rp -
500 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
40 500 Rp - Rp -
0 1104 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
30 30 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
120 150 450 4560 Rp - Rp -
0 16000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 4500 23200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 2000 5500 31000 Rp - Rp -
0 0 Rp - Rp -
100 15600 Rp - Rp -
100 13200 Rp - Rp -
200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 169 3312 Rp - Rp -
0 84 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 2000 15000 66700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 48 3478 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 265800 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 210 610 24490 Rp - Rp -
120 120 510 22040 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 87500 Rp - Rp -
20 10 86 565 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 122 22 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 7500 6900 Rp - Rp -
500 3000 8500 5300 Rp - Rp -
500 1000 4500 17000 Rp - Rp -
200 100 800 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2500 7500 Rp - Rp -
72 4712 Rp - Rp -
0 0 Rp - Rp -
96 816 381 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
2500 24550 Rp - Rp -
500 0 Rp - Rp -
340 19660 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

100 100 5500 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 13800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 56 76 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2500 44600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
6 8 Rp - Rp -
500 1000 3400 1000 17900 294500 Rp - Rp -
7 0 Rp - Rp -
500 500 Rp - Rp -
0 0 Rp - Rp -
200 350 90900 Rp - Rp -
0 0 Rp - Rp -
20 100 400 1500 11920 Rp - Rp -
50 100 Rp - Rp -
0 0 Rp - Rp -
500 500 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
1000 36500 Rp - Rp -
48 1376 Rp - Rp -
20 10 160 950 Rp - Rp -
0 50 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
3000 1300 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
150 0 Rp - Rp -
2 62 Rp - Rp -
100 12500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
630 0 Rp - Rp -
500 3500 8100 Rp - Rp -
2000 7000 50600 Rp - Rp -
0 0 Rp - Rp -
5 89 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1300 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

5 10 1562 Rp - Rp -
0 0 Rp - Rp -
0 1537 Rp - Rp -
0 1488 Rp - Rp -
0 1574 Rp - Rp -
300 1700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
3 5 30 495 Rp - Rp -
0 198 Rp - Rp -
1 1 12 79 Rp - Rp -
1 1 7 99 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30 Rp - Rp -
0 425 Rp - Rp -
50 3500 Rp - Rp -
100 680 Rp - Rp -
0 30 Rp - Rp -
0 0 Rp - Rp -
2 7 179 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 60 Rp - Rp -
0 0 Rp - Rp -
10 1700 Rp - Rp -
0 140 Rp - Rp -
0 140 Rp - Rp -
0 110 Rp - Rp -
0 0 Rp - Rp -
3 3 34 Rp - Rp -
1 1 20 Rp - Rp -
28 415 Rp - Rp -
14 0 Rp - Rp -
0 0 Rp - Rp -
50 2600 Rp - Rp -
6 437 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1723 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
120,736 2,555,988 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 879900
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 2490
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 370100
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1930
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 256
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 4178
30 Asam Traneksamat Injeksi ampul 500
31 Asering Larutan botol 1420
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 490
36 Aqua Pro injeksi steril, bebas pirogen vial 4328
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 208
39 Betametason krim 0,1 % tube 11700
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 6000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 40
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 35
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 7440
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 500
71 Dulcolax Supp infant 5 mg supp 1104
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0

73 Eritromisin Kapsul 250 mg kapsul 500


74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 4560
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 16000

81 Furosemide inj i.v/i.m 10 mg/ml ampul 0


82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 23200
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 31000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 15600
97 Haloperidol Tablet 1,5 mg tablet 13200
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 3312
103 Hidrogen Peroksida cairan 3% (H2O2) botol 84
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 66700
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 1500
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 3478
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 265800
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 24490
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 22040
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 87500
131 Loratadine Tab 10 mg tablet 565
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 22
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 6900
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 5300
144 Metformin HCL tablet 500 mg tablet 17000
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 7500
153 Miconazole Krim 2 % tube 4712
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 381
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 24550


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 19660
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 5500

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ml ampul 0
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13800
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 44600
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 1200
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 8
199 Ranitidin tablet 294500
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 500
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 90900
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 11920
206 Risperidon 1 mg tablet 100
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 500
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 36500
214 Sefiksim sir 100 mg/5 ml botol 1376
215 Sefotaxime Inj 1 g ampul 950
216 Seftriakson Inj 1 g ampul 50
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 1300
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 500
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 62
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 12500
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 8100
234 Seleskin 500 mg kaplet 50600
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 89
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 (HCL/Nitrat) tablet 0
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1562
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 1537
281 Povidon Iodida larutan 10 %, 60 ml botol 1488
282 Povidon Iodida larutan 10 %, 300 ml botol 1574
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 1700
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 495
292 Syringe 5 cc dus 198
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 79
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 99
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 30
307 Kasa Pembalut DRC 2 m x 80 cm Rol 425
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 3500
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 680
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 30
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 179
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 60
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1700
318 Oxyflow Nasal Oxygen Anak Buah 140
319 Oxyflow Nasal Oxygen Bayi Buah 140
320 Oxyflow Nasal Oxygen Dewasa Buah 110
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 34
323 Silk 3/0 + jarum 1/2 GT 35 mm box 20
324 Face Mask Ear Loop Dus 415
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 2600
328 Plester 5 yards x 2 inch roll 437
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0

331 Benecheck plus Total Cholestrol Test Strip 50's Box 0

332 Benecheck plus Uric Test Strip 50's Box 0


333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 1723
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

2,464,377

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNTU DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
LIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 8000 3000 3000 1000 3000 2000 1000 3000 3000
Rp -
Rp -
Rp - 50 100 100 50 100 100 100
Rp -
Rp -

Rp - 9200 3000 3000 3000 2000 1000 4000 3000

Rp -

Rp - 30 50 50

Rp -

Rp -

Rp - 96 24

Rp -
Rp -
Rp -
Rp -
Rp - 70 30 30 30 20 20 10 10 30 20
Rp - 100 20 10 10
Rp - 200 100 300 100
Rp -
Rp -
Rp -
Rp - 90 100
Rp - 120 120 50 120
Rp -
Rp - 30 20 50 20 38
Rp - 100 50 400 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 20
Rp - 20
Rp -
Rp -
Rp -
Rp -
Rp - 540 600 300 600 900 600 600
Rp -
Rp -
Rp -
Rp -
Rp - 50 50
Rp - 60 60

Rp -

Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300 300 60 300 150 120 300 300

Rp - 2000 1000 1000

Rp -
Rp -
Rp - 2000 2000 3000 2000 1000 3000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 1000 2000 2000 1000 5000 2000
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp - 48 120 48 48
Rp - 2 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3000 2000 1000 2000 2000 2000 1000 3000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 48
Rp -
Rp -
Rp - 20000 10000 10000 10000 10000 10000 10000 10000 10000 10000
Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 100 200 300 100 300
Rp - 90 120 90 60 90 150 60
Rp -
Rp -
Rp - 5000 5000 3000 2000 3000 4000 3000
Rp - 20 20 10 5 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 900 3000
Rp -
Rp - 2000 1000 1000 2000 1000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 500 1500
Rp - 48 48 48
Rp -
Rp - 120 141

Rp -

Rp -
Rp -

Rp -

Rp -
Rp -

Rp - 2000 2000 1000 1000 1000 1000


Rp -
Rp - 200 200 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 3000 3000 1000 5000 3000 3000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 22400 11200 11200 11200 11200 11200 11200 11200 11200 11200
Rp -
Rp -
Rp -
Rp - 4000 500 500
Rp -
Rp - 200 200
Rp - 100
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
2000 1000 2000 2000 2000 2000 1000
48 48 48
Rp - 200 200
Rp - 20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp - 2 5
Rp - 300 100 100 100 300
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 1100 3000 2000
Rp - 10000 3000 3000 3000 3000 3000 5000 4000 2000
Rp -
Rp - 20 10 5 5 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -

Rp -

Rp - 15 5 5 10
Rp -
Rp -
Rp - 48
Rp -
Rp - 100 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 5 5 5 5 8 3
Rp -
Rp - 2 4 5
Rp - 1 4 5 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 30
Rp - 10
Rp - 50 50 50
Rp - 100 100
Rp - 30
Rp -
Rp - 5 3
Rp -
Rp -
Rp - 10 10
Rp -
Rp - 20 20 10 30
Rp - 20 40
Rp - 20 40
Rp - 20 10
Rp -
Rp - 1 4 2
Rp - 2 1 1 4 2
Rp - 15 5 7 5 10 5 5
Rp -
Rp -
Rp -
Rp - 12 12 6
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 24 48 48 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
AS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1500 1000 3000 3000 1000 36500 843400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 50 100 100 900 1590 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

3000 2000 3000 3000 39200 330900 Rp - Rp -

0 0 Rp - Rp -

10 140 1790 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

40 48 48 256 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 20 30 30 370 3808 Rp - Rp -
10 150 350 Rp - Rp -
40 100 100 940 480 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
190 300 Rp - Rp -
120 30 50 610 3718 Rp - Rp -
0 0 Rp - Rp -
50 208 0 Rp - Rp -
25 100 50 100 100 975 10725 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 40 0 Rp - Rp -
15 35 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 600 900 600 600 7440 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 400 Rp - Rp -
120 984 Rp - Rp -

0 0 Rp - Rp -

500 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
60 120 120 60 2190 2370 Rp - Rp -

4000 12000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
2000 2000 2000 3200 23200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 1500 4500 5000 31000 0 Rp - Rp -
0 0 Rp - Rp -
0 15600 Rp - Rp -
200 1200 12000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 48 96 48 480 2832 Rp - Rp -
7 77 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 3000 3000 2000 1000 28000 38700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1500 1500 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 96 288 3190 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10000 10000 4000 30000 10000 174000 91800 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 100 1300 23190 Rp - Rp -
60 90 150 60 1020 21020 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
3000 3000 3000 2000 36000 51500 Rp - Rp -
10 20 20 10 135 430 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
22 22 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
3000 6900 0 Rp - Rp -
5300 5300 0 Rp - Rp -
1000 1000 500 2000 2000 15500 1500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 2000 7500 0 Rp - Rp -
48 192 4520 Rp - Rp -
0 0 Rp - Rp -
120 381 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

1000 1000 500 1000 11500 13050 Rp - Rp -


0 0 Rp - Rp -
100 100 800 18860 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

100 100 200 5300 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 13800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 25000 19600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
700 500 1200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
4 4 4 Rp - Rp -
3000 11200 5000 142400 152100 Rp - Rp -
0 0 Rp - Rp -
500 500 0 Rp - Rp -
0 0 Rp - Rp -
300 350 5650 85250 Rp - Rp -
0 0 Rp - Rp -
100 100 600 11320 Rp - Rp -
100 0 Rp - Rp -

0 0 Rp - Rp -
500 500 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 2000 500 16500 20000 Rp - Rp -
48 48 240 1136 Rp - Rp -
200 200 800 150 Rp - Rp -
30 50 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1300 1300 0 Rp - Rp -
0 0 Rp - Rp -
500 0 Rp - Rp -
0 0 Rp - Rp -
7 55 Rp - Rp -
200 200 1000 2300 10200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
2000 8100 0 Rp - Rp -
2000 3000 5000 4600 50600 0 Rp - Rp -
0 0 Rp - Rp -
20 5 75 14 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

10 2 47 1515 Rp - Rp -
0 0 Rp - Rp -
50 50 10 110 1427 Rp - Rp -
10 58 1430 Rp - Rp -
0 1574 Rp - Rp -
50 200 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
10 5 7 63 432 Rp - Rp -
6 6 192 Rp - Rp -
2 3 1 17 62 Rp - Rp -
4 3 1 20 79 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
30 0 Rp - Rp -
10 415 Rp - Rp -
100 250 3250 Rp - Rp -
100 300 380 Rp - Rp -
30 0 Rp - Rp -
0 0 Rp - Rp -
5 13 166 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 40 Rp - Rp -
0 0 Rp - Rp -
80 1620 Rp - Rp -
60 80 Rp - Rp -
60 80 Rp - Rp -
30 80 Rp - Rp -
0 0 Rp - Rp -
3 10 24 Rp - Rp -
3 13 7 Rp - Rp -
3 5 5 5 70 345 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2600 Rp - Rp -
6 36 401 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 168 1555 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
636,633 1,856,859 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 843400
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 1590
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 330900
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1790
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3808
30 Asam Traneksamat Injeksi ampul 350
31 Asering Larutan botol 480
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 300
36 Aqua Pro injeksi steril, bebas pirogen vial 3718
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 10725
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0

50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0

51 Clorpromazin tablet salut 100 mg (HCL) tablet 6000


52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 400
71 Dulcolax Supp infant 5 mg supp 984
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 0

73 Eritromisin Kapsul 250 mg kapsul 0


74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 2370
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 12000

81 Furosemide inj i.v/i.m 10 mg/ml ampul 0


82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 15600
97 Haloperidol Tablet 1,5 mg tablet 12000
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 2832
103 Hidrogen Peroksida cairan 3% (H2O2) botol 77
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 38700
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 3190
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 91800
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 23190
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 - 2 ml ampul 21020
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 51500
131 Loratadine Tab 10 mg tablet 430
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 0
144 Metformin HCL tablet 500 mg tablet 1500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 4520
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 13050


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 18860
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 5300

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ml ampul 0

176 Oksitetrasiklin HCL salep mata 1 % tube 0


177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13800
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 19600
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 4
199 Ranitidin tablet 152100
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 85250
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 11320
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 20000
214 Sefiksim sir 100 mg/5 ml botol 1136
215 Sefotaxime Inj 1 g ampul 150
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 55
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 10200
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 14
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1515
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 1427
281 Povidon Iodida larutan 10 %, 60 ml botol 1430
282 Povidon Iodida larutan 10 %, 300 ml botol 1574
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 1500
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 432
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 62
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 79
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 415
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 3250
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 380
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 166
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 40
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1620
318 Oxyflow Nasal Oxygen Anak Buah 80
319 Oxyflow Nasal Oxygen Bayi Buah 80
320 Oxyflow Nasal Oxygen Dewasa Buah 80
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 24
323 Silk 3/0 + jarum 1/2 GT 35 mm box 7
324 Face Mask Ear Loop Dus 345
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 2600
328 Plester 5 yards x 2 inch roll 401
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 1555
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,827,744

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 2000 1000 1000 1000
Rp -
Rp -
Rp - 100 100 100 100 50
Rp -
Rp -

Rp - 2000 2000 500 3000

Rp -

Rp - 50

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 10 10 10 20 5 20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 30
Rp - 120
Rp -
Rp -
Rp - 50 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 150 150 300 300 120

Rp - 1000

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp - 24 48 48 48
Rp - 3 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3000 1000 1000 1000 2000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10000
Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp - 30 60
Rp -
Rp -
Rp - 2000 1000
Rp - 10 10 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 48
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -
Rp -

Rp - 1000 500
Rp -
Rp - 40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp - 250 250 150 200 250 250 200 300 250 250

Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 1000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10000
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp - 40
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp - 500 1000 500
Rp - 48
Rp - 150
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 5 5 3 5 3
Rp - 100 100 100 100
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp - 5 20 20 5 5
Rp -
Rp -
Rp -
Rp - 48 48 48 48 48 48 48 48 48 48 48
Rp - 200 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 5 10 2
Rp -
Rp - 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp - 100 100
Rp -
Rp -
Rp - 10 10 10
Rp -
Rp -
Rp - 10 10
Rp -
Rp - 10
Rp - 5 5 5
Rp - 5 5 5
Rp - 5 5 5
Rp -
Rp - 2 5 2 1 5
Rp - 5
Rp - 10 2 5 3 10 10 5 2 8
Rp -
Rp -
Rp - 50 400
Rp - 12 6 6
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 48 48 48 48 48 48 48 48
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 1000 1000 13500 829900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 100 100 700 890 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

1000 1000 5000 14500 316400 Rp - Rp -

0 0 Rp - Rp -

50 100 1690 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 10 30 10 130 3678 Rp - Rp -
50 50 300 Rp - Rp -
480 480 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
130 170 Rp - Rp -
120 240 3478 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
25 300 575 10150 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

1000 2000 4000 Rp - Rp -


0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 400 Rp - Rp -
60 60 924 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
450 1470 900 Rp - Rp -

500 1500 10500 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 15300 Rp - Rp -
500 11500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
168 2664 Rp - Rp -
5 10 67 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 2000 500 1000 13000 25700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 48 3142 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20000 30000 61800 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 23090 Rp - Rp -
90 20930 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10000 2000 15000 36500 Rp - Rp -
10 10 60 370 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1500 1500 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 48 240 4280 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

500 2000 1000 5000 8050 Rp - Rp -


0 0 Rp - Rp -
600 640 18220 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

200 250 250 250 250 3550 1750 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
300 100 600 13200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 5000 2000 11500 8100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
22400 32400 119700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 85150 Rp - Rp -
0 0 Rp - Rp -
400 600 1040 10280 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 4000 16000 Rp - Rp -
48 48 144 992 Rp - Rp -
150 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 4 5 5 45 10 Rp - Rp -
500 900 9300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 14 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

5 5 65 1450 Rp - Rp -
0 0 Rp - Rp -
0 1427 Rp - Rp -
0 1430 Rp - Rp -
48 48 48 48 48 768 806 Rp - Rp -
100 400 1100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
5 5 5 15 57 375 Rp - Rp -
0 192 Rp - Rp -
2 60 Rp - Rp -
2 2 77 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 415 Rp - Rp -
100 150 3100 Rp - Rp -
100 300 80 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 3 3 46 120 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 20 Rp - Rp -
0 0 Rp - Rp -
20 30 1590 Rp - Rp -
15 65 Rp - Rp -
15 65 Rp - Rp -
15 65 Rp - Rp -
0 0 Rp - Rp -
15 9 Rp - Rp -
2 7 0 Rp - Rp -
5 5 5 5 5 80 265 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 650 1950 Rp - Rp -
6 18 24 72 329 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 48 48 48 48 720 835 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
155,575 1,698,439 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 829900
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 890
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 316400
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1690
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3678
30 Asam Traneksamat Injeksi ampul 300
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 3478
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 10150
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 4000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 400
71 Dulcolax Supp infant 5 mg supp 924
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 900
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 10500
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 15300
97 Haloperidol Tablet 1,5 mg tablet 11500
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 2664
103 Hidrogen Peroksida cairan 3% (H2O2) botol 67
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 25700
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 3142
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 61800
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 23090
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 20930
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 36500
131 Loratadine Tab 10 mg tablet 370
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 4280
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 8050


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 18220
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1750

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13200
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 8100
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 4
199 Ranitidin tablet 119700
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 85150
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 10280
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 16000
214 Sefiksim sir 100 mg/5 ml botol 992
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 10
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 9300
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 14
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1450
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 1427
281 Povidon Iodida larutan 10 %, 60 ml botol 1430
282 Povidon Iodida larutan 10 %, 300 ml botol 806
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 1100
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 375
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 60
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 77
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 415
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 3100
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 80
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 120
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 20
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1590
318 Oxyflow Nasal Oxygen Anak Buah 65
319 Oxyflow Nasal Oxygen Bayi Buah 65
320 Oxyflow Nasal Oxygen Dewasa Buah 65
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 9
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 265
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 1950
328 Plester 5 yards x 2 inch roll 329
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 835
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,672,169

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 1000 1000 2000 5000 1000 500
Rp -
Rp -
Rp - 50 100 40 200 50
Rp -
Rp -

Rp - 1000 1000 1000 500

Rp -

Rp - 20 10 10 50 20

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 70 20 70 10 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 120 120
Rp -
Rp -
Rp - 200 50 200 100 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 30
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 48 48 48 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 48
Rp -
Rp -
Rp - 4000 4000 5000
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 210 60 300

Rp -
Rp -
Rp -
Rp - 10 10 20 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp - 600 60 40 600
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp - 200

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10000
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp - 600 40 60 100 600
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp - 1000
Rp - 192 48 48 48 48
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp - 5 2 20 5 5
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 2 5 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50 100 50
Rp - 80
Rp -
Rp -
Rp - 10 5 5 5
Rp -
Rp -
Rp - 10 5
Rp -
Rp - 90
Rp -
Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp - 3 3 5 5 10 3 3
Rp -
Rp -
Rp - 200
Rp - 12 6 12
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 1000 5000 100 1000 24600 805300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 50 590 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

500 2000 100 500 6600 309800 Rp - Rp -

0 0 Rp - Rp -

110 1580 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 20 10 10 220 3458 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
120 360 3118 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 700 9450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 3000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 350 Rp - Rp -
24 24 900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
30 870 Rp - Rp -
100 100 10400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 15300 Rp - Rp -
0 11500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 312 2352 Rp - Rp -
2 2 65 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 25200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
144 2998 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5000 10000 28000 33800 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 23090 Rp - Rp -
90 660 20270 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 36500 Rp - Rp -
10 5 10 70 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 1800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 24 120 4160 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

550 500 1000 2050 6000 Rp - Rp -


0 0 Rp - Rp -
200 200 1700 16520 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

200 1550 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 13100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 6100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
5000 100 15100 104600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 50 350 84800 Rp - Rp -
0 0 Rp - Rp -
400 200 2000 8280 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 2500 13500 Rp - Rp -
176 192 240 992 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 8 Rp - Rp -
0 9300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
14 14 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

2 20 2 1 62 1388 Rp - Rp -
0 0 Rp - Rp -
5 3 8 1419 Rp - Rp -
5 5 1425 Rp - Rp -
2 2 804 Rp - Rp -
50 1050 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
2 5 29 346 Rp - Rp -
0 192 Rp - Rp -
2 2 58 Rp - Rp -
0 77 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 415 Rp - Rp -
100 300 2800 Rp - Rp -
80 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 30 90 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 20 0 Rp - Rp -
0 0 Rp - Rp -
20 10 120 1470 Rp - Rp -
0 65 Rp - Rp -
0 65 Rp - Rp -
10 55 Rp - Rp -
0 0 Rp - Rp -
0 9 Rp - Rp -
0 0 Rp - Rp -
2 5 2 3 8 52 213 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 200 450 1500 Rp - Rp -
2 32 297 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 2 833 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
91,384 1,606,321 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 805300
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 300
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 309800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1580
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3458
30 Asam Traneksamat Injeksi ampul 300
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 3118
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 9450
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 3000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 350
71 Dulcolax Supp infant 5 mg supp 900
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 870
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 10400
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 15300
97 Haloperidol Tablet 1,5 mg tablet 11500
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 2352
103 Hidrogen Peroksida cairan 3% (H2O2) botol 65
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 25200
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 2998
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 33800
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 23090
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 20270
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 36500
131 Loratadine Tab 10 mg tablet 300
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1800
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 4160
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 6000


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 16520
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1550

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13100
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 6100
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 4
199 Ranitidin tablet 104600
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 84800
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 8280
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 13500
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 8
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 9300
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1388
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 1419
281 Povidon Iodida larutan 10 %, 60 ml botol 1425
282 Povidon Iodida larutan 10 %, 300 ml botol 804
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 1050
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 346
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 58
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 77
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 415
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 2800
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 90
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1470
318 Oxyflow Nasal Oxygen Anak Buah 65
319 Oxyflow Nasal Oxygen Bayi Buah 65
320 Oxyflow Nasal Oxygen Dewasa Buah 55
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 9
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 213
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 1500
328 Plester 5 yards x 2 inch roll 297
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 833
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,580,785

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3000 10000 5000 5000 3000 2000 3000 2000 2000
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp - 50

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 120 120
Rp -
Rp -
Rp - 750 750 200 100 750 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp - 30
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 400
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp - 120 96 48 96
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3000 5000 3000 3000 2000 2000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 240 240 240 240 120 240 240 240 120 118
Rp -
Rp -
Rp - 5000 3000 1000 1000 5000 1000 2000 800
Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 200 100 200 300 500 100 200 100 200 100

Rp - 300 90 600 90 90 90 300 90

Rp -
Rp -
Rp - 3000 3000
Rp - 20 10 10 10 10 20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 240 24 48
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp - 2500 2000
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3100 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10000 5000 3000 10000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 20 60
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp - 3000 1500 3000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2 1 2
Rp - 100 300 100 200 200 200 100
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp - 2 5 5
Rp -
Rp - 100 100 50 100 100 100
Rp - 48 96 48 48 48
Rp -
Rp - 100 100 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 10 5 3 2 5
Rp -
Rp - 5 4 2 2 2 2 1 1
Rp - 5 4 2 2 2 2 1 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10
Rp - 100 50 100 50
Rp -
Rp -
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp - 10
Rp - 10
Rp - 10
Rp - 45 10
Rp -
Rp - 3 2
Rp -
Rp - 10 10 15 5 5 10 10 5 2 3
Rp -
Rp -
Rp - 200 100 50
Rp - 12 6 6 6 6
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 3000 2000 3000 3000 48000 757300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 100 300 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

2000 2000 307800 Rp - Rp -

0 0 Rp - Rp -

50 100 1480 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 10 3448 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
240 2878 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
750 750 150 200 4500 4950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 50 200 150 Rp - Rp -
20 50 850 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 600 270 Rp - Rp -
2000 2400 8000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 200 15100 Rp - Rp -
500 700 10800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
96 48 504 1848 Rp - Rp -
5 5 60 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 2000 900 300 25200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
120 240 240 240 120 2998 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 3000 10000 33800 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 200 290 100 200 2990 20100 Rp - Rp -

300 60 300 100 2410 17860 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
2000 3000 11000 25500 Rp - Rp -
10 20 110 190 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 1700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
240 96 48 696 3464 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

1000 500 6000 0 Rp - Rp -


0 0 Rp - Rp -
60 40 40 340 16180 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

200 300 500 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 13100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 6100 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
2000 5000 3000 10000 10000 5200 64200 40400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 84800 Rp - Rp -
0 0 Rp - Rp -
40 200 40 40 400 7880 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
2000 3000 1000 13500 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1 2 8 0 Rp - Rp -
200 200 100 100 200 200 2200 7100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

10 2 24 1364 Rp - Rp -
0 0 Rp - Rp -
100 100 100 50 50 950 469 Rp - Rp -
48 48 96 48 528 897 Rp - Rp -
24 48 72 732 Rp - Rp -
100 50 400 50 850 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
5 5 5 10 5 60 286 Rp - Rp -
0 192 Rp - Rp -
2 2 2 1 26 32 Rp - Rp -
2 2 2 1 26 51 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 20 395 Rp - Rp -
50 350 2450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 10 80 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 20 1450 Rp - Rp -
5 6 21 44 Rp - Rp -
5 15 50 Rp - Rp -
55 0 Rp - Rp -
0 0 Rp - Rp -
2 2 9 0 Rp - Rp -
0 0 Rp - Rp -
5 2 2 5 3 5 97 116 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 200 100 50 900 600 Rp - Rp -
6 6 6 12 66 231 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 48 72 761 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
230,153 1,370,924 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 757300
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 307800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1480
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3448
30 Asam Traneksamat Injeksi ampul 300
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 2878
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 4950
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 3000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 150
71 Dulcolax Supp infant 5 mg supp 850
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 270
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 8000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 15100
97 Haloperidol Tablet 1,5 mg tablet 10800
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 1848
103 Hidrogen Peroksida cairan 3% (H2O2) botol 60
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 20100
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 17860
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 25500
131 Loratadine Tab 10 mg tablet 190
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1700
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 3464
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 16180
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1050

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13100
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 4
199 Ranitidin tablet 40400
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 84800
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 7880
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 7100
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1364
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 469
281 Povidon Iodida larutan 10 %, 60 ml botol 897
282 Povidon Iodida larutan 10 %, 300 ml botol 732
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 200
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 286
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 32
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 51
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 395
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 2450
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 80
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1450
318 Oxyflow Nasal Oxygen Anak Buah 44
319 Oxyflow Nasal Oxygen Bayi Buah 50
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 116
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 600
328 Plester 5 yards x 2 inch roll 231
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 761
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,350,632

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 757300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 307800 Rp - Rp -

0 0 Rp - Rp -

0 1480 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3448 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
0 2878 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 150 Rp - Rp -
0 850 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -
0 8000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 15100 Rp - Rp -
0 10800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1848 Rp - Rp -
0 60 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 20100 Rp - Rp -
0 17860 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 25500 Rp - Rp -
0 190 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3464 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 16180 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 13100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 40400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 84800 Rp - Rp -
0 0 Rp - Rp -
0 7880 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 7100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1364 Rp - Rp -
0 0 Rp - Rp -
0 469 Rp - Rp -
0 897 Rp - Rp -
0 732 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
0 286 Rp - Rp -
0 192 Rp - Rp -
0 32 Rp - Rp -
0 51 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 395 Rp - Rp -
0 2450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 80 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1450 Rp - Rp -
0 44 Rp - Rp -
0 50 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 116 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 600 Rp - Rp -
0 231 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 761 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 1,370,924 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 757300
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 307800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1480
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3448
30 Asam Traneksamat Injeksi ampul 300
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 2878
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 4950
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 3000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 150
71 Dulcolax Supp infant 5 mg supp 850
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 270
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 8000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 15100
97 Haloperidol Tablet 1,5 mg tablet 10800
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 1848
103 Hidrogen Peroksida cairan 3% (H2O2) botol 60
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 20100
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 17860
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 25500
131 Loratadine Tab 10 mg tablet 190
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1700
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 3464
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 16180
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1050

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13100
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 4
199 Ranitidin tablet 40400
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 84800
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 7880
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 7100
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1364
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 469
281 Povidon Iodida larutan 10 %, 60 ml botol 897
282 Povidon Iodida larutan 10 %, 300 ml botol 732
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 200
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 286
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 32
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 51
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 395
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 2450
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 80
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1450
318 Oxyflow Nasal Oxygen Anak Buah 44
319 Oxyflow Nasal Oxygen Bayi Buah 50
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 116
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 600
328 Plester 5 yards x 2 inch roll 231
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 761
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,350,632

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
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5000 1000 500 9000 748300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 307800 Rp - Rp -

0 0 Rp - Rp -

30 10 90 1390 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3448 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
120 120 360 2518 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
750 100 50 1250 3700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 100 50 Rp - Rp -
72 778 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -
1000 1000 2000 6000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 15100 Rp - Rp -
1000 9800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 360 1488 Rp - Rp -
7 5 12 48 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 19800 Rp - Rp -
150 90 300 17560 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
500 2500 23000 Rp - Rp -
20 70 120 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 1100 600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
168 3296 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 16180 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 300 1000 12100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4 Rp - Rp -
0 40400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 84700 Rp - Rp -
0 0 Rp - Rp -
40 300 80 440 7440 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 700 6400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

5 6 2 25 1339 Rp - Rp -
0 0 Rp - Rp -
0 469 Rp - Rp -
0 897 Rp - Rp -
2 26 706 Rp - Rp -
200 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
1 6 30 4 48 238 Rp - Rp -
0 192 Rp - Rp -
3 4 28 Rp - Rp -
2 3 48 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
30 20 80 315 Rp - Rp -
100 50 350 2100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 10 1 26 54 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 5 15 1435 Rp - Rp -
44 0 Rp - Rp -
5 5 45 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
3 5 5 15 2 94 22 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 600 0 Rp - Rp -
6 12 3 75 156 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 761 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
20,222 1,349,176 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 748300
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 307800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1390
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3448
30 Asam Traneksamat Injeksi ampul 300
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 2518
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 3700
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 3000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 50
71 Dulcolax Supp infant 5 mg supp 778
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 270
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 6000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 15100
97 Haloperidol Tablet 1,5 mg tablet 9800
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 1488
103 Hidrogen Peroksida cairan 3% (H2O2) botol 48
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 19800
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 17560
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 23000
131 Loratadine Tab 10 mg tablet 120
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 0
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 600
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 3296
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 16180
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1050

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 12100
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 4
199 Ranitidin tablet 40400
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 84700
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 7440
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 6400
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1339
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 469
281 Povidon Iodida larutan 10 %, 60 ml botol 897
282 Povidon Iodida larutan 10 %, 300 ml botol 706
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 238
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 28
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 48
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 315
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 2100
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 54
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1435
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 45
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 22
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 156
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 761
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,330,410

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 1000 5000 5000 1000 500
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp - 30 50

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 120
Rp -
Rp -
Rp - 100 750
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp - 60 60
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500
Rp -
Rp -
Rp -
Rp -
Rp - 240 120 48 24 48
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp - 1000 1000 1000
Rp - 10 20 10 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 600
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 96 48
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp - 100 100 340
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 4
Rp -
Rp -
Rp -
Rp -
Rp - 400 600 1000 250 4000 200
Rp -
Rp - 100 200 100 100 500
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 200
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp - 20 2 10 20 4 3
Rp -
Rp - 50 100
Rp - 144 33 48 96 48 96 96
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 6 10 20 5 5
Rp -
Rp - 2 3
Rp - 2 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 30 100
Rp - 100 100
Rp -
Rp -
Rp -
Rp - 4 5 2
Rp -
Rp -
Rp -
Rp -
Rp - 20 10
Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp -
Rp - 20
Rp -
Rp -
Rp -
Rp - 12 12 24 6
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 5000 2000 3000 28500 719800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 307800 Rp - Rp -

0 0 Rp - Rp -

50 20 150 1240 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3448 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
120 2398 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
750 1600 2100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 0 Rp - Rp -
120 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -
3000 200 4200 1800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 500 700 14400 Rp - Rp -
800 1800 8000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 48 576 912 Rp - Rp -
5 5 43 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 19700 Rp - Rp -
60 60 17500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 100 5100 17900 Rp - Rp -
10 10 20 85 35 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
48 288 3008 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
100 640 15540 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1100 11000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
4 0 Rp - Rp -
3300 100 3400 37000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
250 400 1050 8150 76550 Rp - Rp -
0 0 Rp - Rp -
100 500 120 1720 5720 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 500 5900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

10 3 10 82 1257 Rp - Rp -
0 0 Rp - Rp -
6 156 313 Rp - Rp -
96 144 801 96 Rp - Rp -
0 706 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
1 5 52 186 Rp - Rp -
0 192 Rp - Rp -
2 1 8 20 Rp - Rp -
2 1 6 42 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 140 175 Rp - Rp -
200 1900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 2 23 31 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 40 1395 Rp - Rp -
0 0 Rp - Rp -
10 20 25 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 22 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
30 6 12 102 54 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 761 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
60,068 1,287,080 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 719800
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 307800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1240
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3448
30 Asam Traneksamat Injeksi ampul 300
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 2398
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 2100
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 2000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 658
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 270
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 1800
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 14400
97 Haloperidol Tablet 1,5 mg tablet 8000
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 912
103 Hidrogen Peroksida cairan 3% (H2O2) botol 43
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 19700

127 Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 : ampul 17500


00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 17900
131 Loratadine Tab 10 mg tablet 35
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 3008
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 15540
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1050

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 11000
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 37000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 76550
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 5720
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 5900
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1257
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 313
281 Povidon Iodida larutan 10 %, 60 ml botol 96
282 Povidon Iodida larutan 10 %, 300 ml botol 706
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 186
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 20
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 42
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 175
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 1900
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 31
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1395
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 25
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 54
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 761
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,270,342

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 7000 1000 2000 5000 5000 2000 2000 2000
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp - 50 50

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 25
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300
Rp -
Rp -
Rp -
Rp -
Rp - 48 72 48 48 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 60

Rp - 100

Rp -
Rp -
Rp - 2000 1000 500
Rp - 15
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 24 48
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp - 200 60
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 100 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000
Rp -
Rp -
Rp -
Rp - 50 100
Rp -
Rp - 200 100 200
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 200 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp - 20 5 20 23 20 5
Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 3 20 3 5
Rp -
Rp - 1
Rp - 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 20 50
Rp - 50 100
Rp -
Rp -
Rp -
Rp - 1
Rp -
Rp -
Rp -
Rp -
Rp - 10 20 10
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 12 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5000 2000 5000 43000 676800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 307800 Rp - Rp -

0 0 Rp - Rp -

100 1140 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3448 Rp - Rp -
20 20 280 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
120 120 2278 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
225 1875 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -
800 1800 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 14400 Rp - Rp -
300 7700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
240 672 Rp - Rp -
0 43 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
60 19640 Rp - Rp -

100 17400 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
3500 14400 Rp - Rp -
20 35 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
168 2840 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
100 360 15180 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 500 10500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 35000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 76400 Rp - Rp -
0 0 Rp - Rp -
200 600 1300 4420 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 5400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

20 20 133 1124 Rp - Rp -
0 0 Rp - Rp -
10 303 Rp - Rp -
0 96 Rp - Rp -
48 48 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
1 5 5 47 139 Rp - Rp -
0 192 Rp - Rp -
1 1 3 17 Rp - Rp -
1 1 3 39 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 90 85 Rp - Rp -
200 350 1550 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1 30 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 10 10 70 1325 Rp - Rp -
0 0 Rp - Rp -
5 20 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
6 12 54 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
24 24 737 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
53,978 1,231,842 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 676800
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 307800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1140
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3448
30 Asam Traneksamat Injeksi ampul 280
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 2278
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 1875
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 2000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 658
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 270
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 14400
97 Haloperidol Tablet 1,5 mg tablet 7700
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 672
103 Hidrogen Peroksida cairan 3% (H2O2) botol 43
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 19640
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 17400
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 14400
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 2840
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 15180
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1050

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 10500
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 35000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 76400
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 4420
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 5400
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1124
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 303
281 Povidon Iodida larutan 10 %, 60 ml botol 96
282 Povidon Iodida larutan 10 %, 300 ml botol 658
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 139
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 17
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 39
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 85
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 1550
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 30
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1325
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 20
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 737
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,216,364

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
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Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Rp -
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 676800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 307800 Rp - Rp -

0 0 Rp - Rp -

0 1140 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3448 Rp - Rp -
0 280 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
0 2278 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1875 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 14400 Rp - Rp -
0 7700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 672 Rp - Rp -
0 43 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19640 Rp - Rp -
0 17400 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 14400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2840 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 15180 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 76400 Rp - Rp -
0 0 Rp - Rp -
0 4420 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1124 Rp - Rp -
0 0 Rp - Rp -
0 303 Rp - Rp -
0 96 Rp - Rp -
0 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
0 139 Rp - Rp -
0 192 Rp - Rp -
0 17 Rp - Rp -
0 39 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 85 Rp - Rp -
0 1550 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1325 Rp - Rp -
0 0 Rp - Rp -
0 20 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 737 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 1,231,842 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 676800
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 307800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1140
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3448
30 Asam Traneksamat Injeksi ampul 280
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 2278
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 1875
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 2000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 658
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 270
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 14400
97 Haloperidol Tablet 1,5 mg tablet 7700
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 672
103 Hidrogen Peroksida cairan 3% (H2O2) botol 43
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 19640
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 - 2 ml ampul 17400
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 14400
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 0
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 2840
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Ext + Liver Ext (Hepatoprotektor) Kotak 50 kaplet 0

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 15180
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1050

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 10500
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 35000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 76400
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 4420
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 5400
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1124
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 303
281 Povidon Iodida larutan 10 %, 60 ml botol 96
282 Povidon Iodida larutan 10 %, 300 ml botol 658
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 139
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 17
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 39
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 85
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 1550
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 30
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1325
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 20
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 737
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,216,364

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 676800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 307800 Rp - Rp -

0 0 Rp - Rp -

0 1140 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3448 Rp - Rp -
0 280 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
0 2278 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1875 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 14400 Rp - Rp -
0 7700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 672 Rp - Rp -
0 43 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19640 Rp - Rp -
0 17400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 14400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2840 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 15180 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 76400 Rp - Rp -
0 0 Rp - Rp -
0 4420 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1124 Rp - Rp -
0 0 Rp - Rp -
0 303 Rp - Rp -
0 96 Rp - Rp -
0 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
0 139 Rp - Rp -
0 192 Rp - Rp -
0 17 Rp - Rp -
0 39 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 85 Rp - Rp -
0 1550 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1325 Rp - Rp -
0 0 Rp - Rp -
0 20 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 737 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 1,231,842 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 0
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 0
5 Ambroxol Syr 15 mg/ml botol 0
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 0
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 676800
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 0
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 307800
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 0
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 1140
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 mg tablet 0

Anti Parkinson Doen tablet kombinasi


23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 0
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 0
29 Asam Mefenamat 500 mg box 3448
30 Asam Traneksamat Injeksi ampul 280
31 Asering Larutan botol 0
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 0
34 Asiklovir Tab 400 mg tablet 0
35 Atropin Injeksi 0,25mg/ml ampul 170
36 Aqua Pro injeksi steril, bebas pirogen vial 2278
37 Azitromisin tablet 0
38 Bedak Salisil Serbuk Kotak 0
39 Betametason krim 0,1 % tube 1875
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 0
43 Calcium Lactate tablet 0
44 Carbamazepin tablet 200 mg tablet 0
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 0
47 Clindamisin Kap 300 mg kapsul 0
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 2000
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 0
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 0
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 0
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 0
67 Diltiazem Tab tablet 0
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 0
71 Dulcolax Supp infant 5 mg supp 658
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 0
HCL)
73 Eritromisin Kapsul 250 mg kapsul 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 0
75 Etil Klorida Spray botol 0
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 270

Fitomenadion (Vitamin K) tablet salut gula 10


80 mg tablet 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 0
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 0
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 0
88 Gentamisin Tetes Mata botol 0
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 0
92 Gliseril Guaikolat tablet 100 mg tablet 0
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 0
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 14400
97 Haloperidol Tablet 1,5 mg tablet 7700
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 0
102 Hidrokortison krim 2,5 % tube 672
103 Hidrogen Peroksida cairan 3% (H2O2) botol 43
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 0
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 0
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 0
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 0
115 Ketokenazole Tab 200 mg tablet 0
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 0
118 Kloramfenikol tetes telinga 3 % botol 0
119 Kloramfenikol Salep Mata tube 0
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 0
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 0
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 19640
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 17400
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 14400
131 Loratadine Tab 10 mg tablet 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 0
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 0
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 0
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 0
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 0
148 Metoklopramide Inj 5 mg/ml ampul 0
149 Metoklopramide Tab 5 mg tablet 0
150 Metoklopramide Drop botol 0
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 0
153 Miconazole Krim 2 % tube 2840
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 0
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 0
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 0
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 0
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 0


162 Natrium Diklofenat tab 50 mg tablet 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 15180
164 New Antides Kotak 0
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 0
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 1050

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 0
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 10500
179 Omeprazole Kap 20 mg kapsul 0
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 0
184 Parasetamol + Ibuprofen tab tablet 0
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 0
187 Piracetam tab 800 mg tablet 0
188 Pirantel tablet score ( base ) 125 mg tablet 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 0
190 Piroxicam Tab 20 mg tablet 0
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 0
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 35000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 76400
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 0
205 Ringer Laktat Larutan infus botol 4420
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 0
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 0
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 0
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 0
224 Setirizin Sirup 5 mg/ 5 ml botol 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 5400
227 Sikzonoat injeksi kaleng 0
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 0
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 0
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 0
257 Zinc pro Sirup 60 ml botol 0
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 0

271 Eugenol cairan set 0

272 Glass Ionomer Cement ART sett 0

273 Kalsium Hidroksida Pasta set 0

274 Klorfenol kamfer Menthol ( CHKM ) sachet 0


275 Caviton set 0
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 1124
279 Lisol , mengandung Kresol tersabun 50 % botol 0
280 Povidon Iodida larutan 10 %, 30 ml botol 303
281 Povidon Iodida larutan 10 %, 60 ml botol 96
282 Povidon Iodida larutan 10 %, 300 ml botol 658
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2700
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 139
292 Syringe 5 cc dus 192
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 17
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 39
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 0
296 Safeglove PF No. 7 Pasang 0
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 0
302 Examination Gloves size M Box 0
303 Examination Gloves size S Box 0
304 Examination Gloves size XS Box 0
305 Kapas pembalut / Absorben 250 gram roll 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 85
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 1550
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 0
312 Kapas Berlemak DRC 500 gr Rol 30
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 0
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 0
317 Urine Bag Sterile Buah 1325
318 Oxyflow Nasal Oxygen Anak Buah 0
319 Oxyflow Nasal Oxygen Bayi Buah 20
320 Oxyflow Nasal Oxygen Dewasa Buah 0
321 Alkohol swab Box 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 0
324 Face Mask Ear Loop Dus 0
325 Face Mask Ties On Dus 0
326 Infus set Anak set 0
327 Infuset Dewasa set 0
328 Plester 5 yards x 2 inch roll 0
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 0
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 737
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 0
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 0
342 Onemed Blood Lancet (JAYAMAS) Box 0
343 Prednison tabled 5 mg tablet 0
344 Povidon Iodine 300 cc botol 0
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 0
347 Sterile latex Surgical Gloves Size 7,5 Box 0
348 Plester Bulat Non Woven Box 0
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100

1,216,364

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 0 Rp - Rp -
0 0 Rp - Rp -
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0 0 Rp - Rp -
0 0 Rp - Rp -
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0 676800 Rp - Rp -
0 0 Rp - Rp -
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0 307800 Rp - Rp -

0 0 Rp - Rp -

0 1140 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3448 Rp - Rp -
0 280 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 170 Rp - Rp -
0 2278 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1875 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 14400 Rp - Rp -
0 7700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 672 Rp - Rp -
0 43 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19640 Rp - Rp -

0 17400 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 14400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2840 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 15180 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1050 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 76400 Rp - Rp -
0 0 Rp - Rp -
0 4420 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 1124 Rp - Rp -
0 0 Rp - Rp -
0 303 Rp - Rp -
0 96 Rp - Rp -
0 658 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2700 Rp - Rp -
0 0 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
0 139 Rp - Rp -
0 192 Rp - Rp -
0 17 Rp - Rp -
0 39 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 85 Rp - Rp -
0 1550 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1325 Rp - Rp -
0 0 Rp - Rp -
0 20 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 737 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -

0 0 Rp - Rp -
0 1,231,842 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 3000
2 Albendazole Suspensi botol
3 Alofar 100 mg tablet
4 Allopurinol tablet 100 mg tablet 100000
5 Ambroxol Syr 15 mg/ml botol 9430
6 Ambroxol Tablet tablet 50000
7 Ambroxol Drop botol 892
8 Aminofilin injeksi 24 mg/ml ampul 960
9 Aminofilin tablet 200 mg tablet
10 Amitriptilin Tablet salut 25 mg (HCL) tablet
11 Amlodipin 5mg tablet
12 Amlodipin 10 mg tablet
13 Amoksisilin Kaplet 500 mg tablet
14 Amoksisilin Kapsul 250 mg kapsul
15 Amoksisilin Sirup kering 125 mg/5 ml botol 30000
16 Amoksisilin Sirup Forte 250 mg/5ml botol 20000
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul
18 botol
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 500000
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 5000
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet
Antifungi Doen kombinasi :
24 tube 1000
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet
28 Asam askorbat (vitamin C) tablet 50 mg tablet 78500
29 Asam Mefenamat 500 mg box 100000
30 Asam Traneksamat Injeksi ampul 2000
31 Asering Larutan botol 5000
32 Asiklovir Krim 5 % tube
33 Asiklovir Tab 200 mg tablet 100000
34 Asiklovir Tab 400 mg tablet 100000
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 2000
38 Bedak Salisil Serbuk Kotak 4000
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 10000
41 Captoril tablet 25 mg tablet
42 Captoril tablet 12,5 mg tablet 100000
43 Calcium Lactate tablet 50000
44 Carbamazepin tablet 200 mg tablet 5000
45 Chlorexol Suspensi botol
46 Ciprofloxacin 500 mg tablet 200000
47 Clindamisin Kap 300 mg kapsul 5000
48 Clinoma tablet
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul

50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul

51 Clorpromazin tablet salut 100 mg (HCL) tablet


52 Clorpromazin tablet salut 25 mg (HCL) tablet
53 Codein Tablet 10 g tablet
54 Dasabion tablet
55 Deksametazon tablet 0,5 mg tablet 446800
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 2900
57 Desoksimetason Krim 0,25% tube 300
58 DHP tablet
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 150
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 150
61 Diazepam injeksi 5 mg/ml ampul
62 Diazepam tablet 10 mg tablet
63 Diazepam tablet 5 mg tablet
64 Dietilkarbamazin 10 mg tablet
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 3000
66 Digoksin tablet 0,25 mg tablet 25000
67 Diltiazem Tab tablet 10000
68 Domperidom Tab 10 mg tablet 30000
69 Domperidon suspensi 5 mg/5 ml botol
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 1670

73 Eritromisin Kapsul 250 mg kapsul 10000


74 Eritromisin Sirup 200 mg/ 5 ml botol 2000
75 Etil Klorida Spray botol 241
76 Farsifen plus tablet
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul
78 Fenobarbital tablet 30 mg tablet
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 9000
Fitomenadion (Vitamin K) tablet salut gula 10
80 tablet 20000
mg
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 20000
83 Floxifar 500 mg kaplet
84 Fasiprim Suspensi botol
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul
87 Gentamisin Salep Mata tube 2000
88 Gentamisin Tetes Mata botol 2000
89 Gentamisin Salep 0, 1 % tube 300
90 Gentian Violet larutan 1 % botol 300
91 Glibenclamide tablet 5 mg tablet 85200
92 Gliseril Guaikolat tablet 100 mg tablet 198400
93 Glukosa larutan infus 5 % tablet
94 Griseofulvin tablet 125 mg, Micronized tablet 100000
95 Gula Alami Granul botol
96 Haloperidol Tablet 0,5 mg tablet
97 Haloperidol Tablet 1,5 mg tablet
98 Haloperidol Tablet 5 mg tablet
99 Haloperidol injeksi ampul
100 Hexymer 2 mg tablet
101 Hidroklorotiazida tablet 25 mg tablet 30000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet
105 Hufamycetin Suspensi botol
106 Ibuprofen sirup 100 mg botol
107 Ibuprofen tablet 200 mg tablet 77500
108 Ibuprofen tablet 400 mg tablet
109 Ichtiyol 15 g tube 2000
110 Ifidex 0,5 mg tablet
111 Ifitamol tablet
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 10000
113 Kalsium Glukonas injeksi ampul
114 Ketokenazole Kriem 2 % tube 5000
115 Ketokenazole Tab 200 mg tablet 30000
116 Kloramfenikol kapsul 500 mg kapsul
117 Kloramfenikol Suspensi 125 mg/ml botol 1500
118 Kloramfenikol tetes telinga 3 % botol 1000
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 600
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 200000
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 14100
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol
125 Lanzoprazole kapsul 30 mg kapsul 7440
264 Latibet 5 mg tablet
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul
129 Lokev kapsul
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 350
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul
134 MDT MB Anak blister
135 MDT MB Dewasa blister
136 MDT PB Anak blister
137 MDT PB Dewasa blister
138 Maagel Suspensi botol
139 Mefamesis Sirup botol
140 Meloxicam 15 mg tablet 25000
141 Meloxicam 7,5 mg tablet 13000
142 Methampyron 500 mg tablet 100000
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 200000
144 Metformin HCL tablet 500 mg tablet 100000
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet
147 Metilprednisolone kotak 100 tablet 92000
148 Metoklopramide Inj 5 mg/ml ampul 1500
149 Metoklopramide Tab 5 mg tablet 50000
150 Metoklopramide Drop botol 1500
151 Metronidazole tablet 250 mg tablet
152 Metronidazole tablet 500 mg tablet 30000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet
154 Multi Vitamin + Lysin botol 12000
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 8500
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul
157 Multivitamin + Vitamin C Dosis Tinggi tablet 133000
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 150000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 175100
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 100000


162 Natrium Diklofenat tab 50 mg tablet 100000
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 45600
165 Nifedifine Tab 10 mg tablet 20000
166 Nistatin tablet salut 500.000 IU / g tablet 5000
167 Nistatin Vaginal tablet 100.000 IU / g tablet 5000
168 OAT Kategori Anak paket
169 OAT Kategori I & III paket
170 OAT Kategori II paket
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 10464
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ml ampul

176 Oksitetrasiklin HCL salep mata 1 % tube


177 Oksitetrasiklin salep kulit 3 % tube
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul
179 Omeprazole Kap 20 mg kapsul 30000
180 Parasetamol Tab 100 mg tablet
181 Parasetamol Tab 500 mg tablet
182 Parasetamol Drops botol
183 Parasetamol sirup 120 mg / 5 ml botol 20000
184 Parasetamol + Ibuprofen tab tablet 134400
185 Phenylbutason tablet
186 Piracetam inj 1 g/5 ml ampul 690
187 Piracetam tab 800 mg tablet 8650
188 Pirantel tablet score ( base ) 125 mg tablet 35000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 45300
190 Piroxicam Tab 20 mg tablet 160000
191 Prednison Tablet 5 mg tablet 22000
192 Primakuin tablet 15 mg tablet
193 Prokain Penicillin injeksi ampul
194 Propanolol tablet 40 mg ( HCL ) tablet
195 Propiltiourasil tablet 100 mg tablet 40000
196 Provinas 200 mg kotak
197 Provinas 400 mg kotak
198 Ramolit kotak
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak
201 Ratrim Forte kaplet
202 RDT buah
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 57400
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet
207 Risperidon 2 mg tablet 3000
208 Salbutamol 2 mg tablet
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 1500
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot
endap 4 %
212 Scopma kotak
213 Sefiksim kapsul 100 mg kapsul 100000
214 Sefiksim sir 100 mg/5 ml botol
215 Sefotaxime Inj 1 g ampul 2500
216 Seftriakson Inj 1 g ampul 3000
217 Selmetor 4 mg kotak
218 Selmatic 20 mg tablet
219 Selferro tablet
220 Selpyron tablet
221 Sepadroksil Kap 500 mg kapsul
222 Sepadroksil sirup Kering 125 mg / ml botol
223 Setirizin 10 mg kapsul 50000
224 Setirizin Sirup 5 mg/ 5 ml botol 3000
225 Sianokobalamin ( Vit B 12 ) Tablet tablet
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 500
228 Simvastatin tabet 10 mg tablet 28140
229 Simvastatin tabet 20 mg tablet 21800
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 4784
Anisi Spir Sirup
231 Solinfec Cream tube
232 Selescardio 5 mg tablet
233 Selespurin 100 mg tablet
234 Seleskin 500 mg kaplet
235 Tablet Tambah Darah tablet 300000
236 Teofilin Tablet SR 300 mg / Rethpyl kotak
237 Tetrasiklin kapsul 250 mg kapsul
238 Tetrasiklin kapsul 500 mg kapsul 100000
Tiamin (Vitamin B1) tablet 50 mg
239 tablet
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul
241 Tramadol Inj 50 mg/ml ampul
242 Tramadol tab 50 mg tablet
243 Tramofal tablet
244 Triheksifenidil tablet 2 mg tablet 30000
245 Vaksin Rabies ampul
246 Vaksin BCG ampul
247 Vaksin Campak ampul
248 Vaksin Hepatitis B ampul
249 Vaksin Polio ampul
250 Vaksin DT ampul
251 Vaksin TD ampul
252 Vaksin DPT - Hb - Hib ampul
253 Vesperum Sirup botol
254 Vitamin B kompleks tablet tablet 47000
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 77000
256 Zinc 20 mg tablet dispersibel tablet 100000
257 Zinc pro Sirup 60 ml botol 4710
259 Hufadexon 0,5 mg tablet
260 Eltazon 5 mg tablet
261 Floxifar 500 mg tablet
262 Selvim 10 mg tablet
263 Obat Batuk Dewasa botol 31000
265 Kemoren 50 mg tablet
266 Rhemafar 4 mg tablet
268 Roverton tablet
269 Vitacaps kapsul
270 Devitalisasi Pasta ( Non arsen ) Buah 45

271 Eugenol cairan set 110

272 Glass Ionomer Cement ART sett 50

273 Kalsium Hidroksida Pasta set 50

274 Klorfenol kamfer Menthol ( CHKM ) sachet 50


275 Caviton set 50
276 Semen seng Fosfat serbuk dan cairan pasang
Temporary Stopping Fletcher serbuk dan
277 cairan pasang

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 282
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 3000
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 2000
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 2000
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 4600
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 19400
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 4000
290 Syringe 1 cc buah
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 200
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 195
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2500
298 Safeglove PP No. 7 Pasang 3000
299 Safeglove PP No. 7,5 Pasang 4900
300 Safety Box buah
301 Examination Gloves size L Box 370
302 Examination Gloves size M Box 300
303 Examination Gloves size S Box 180
304 Examination Gloves size XS Box 300
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 10000
307 Kasa Pembalut DRC 2 m x 80 cm Rol
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 10000
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 10000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 6000
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18 Box 2000
315 Urocare Folley Catheter 2 way no.20 Box
316 UltraOne Test Hamil piece 5000
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 500
319 Oxyflow Nasal Oxygen Bayi Buah
320 Oxyflow Nasal Oxygen Dewasa Buah 500
321 Alkohol swab Box 200
322 Silk 2/0 + jarum 1/2 GT 35 mm box 200
323 Silk 3/0 + jarum 1/2 GT 35 mm box 200
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 50
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 700
330 Benecheck plus Glucose Test Strip 50's Box 205
331 Benecheck plus Total Cholestrol Test Strip 50's Box 365
332 Benecheck plus Uric Test Strip 50's Box 220
333 Umbilical cord klem steril Nylon piece 581
334 Wing Needle set
335 Pembalut Gibs Rol
336 Rivanol 300 cc botol
337 Kassa Hydrophil ukuran 40 x 80 cm roll
338 Ranitidin 150 mg Kotak
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2500
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 3800
342 Onemed Blood Lancet (JAYAMAS) Box 300
343 Prednison tabled 5 mg tablet 30000
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol
346 Pirantel syirup Botol 1835
347 Sterile latex Surgical Gloves Size 7,5 Box 90
348 Plester Bulat Non Woven Box 300
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box 78
353 Doksisiklin tablet 100 mg tablet 10000

5,959,047

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp - 60 60 60
Rp -
Rp -
Rp -
Rp - 50 30
Rp - 1000 1000 1000 1000 500 2000 1000 1000 500
Rp - 36 36
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp - 25 25 25 50 25

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp - 250
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 100
Rp -
Rp -
Rp - 500 200 500 500
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 2000 1000 2000
Rp - 100 100
Rp -
Rp -
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp - 500
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 2 2
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp - 10 10
Rp -
Rp - 30 10 10
Rp -
Rp - 1000 500 200 500
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 1500
Rp -
Rp - 48
Rp -
Rp -
Rp -
Rp -
Rp - 25 25 25 25
Rp -
Rp -
Rp -
Rp - 20 72 10 10 10
Rp -
Rp - 20 10 40 10 10
Rp - 1000 1000 1000 600 600 600 1000 1000 600
Rp -
Rp -

Rp - 100 100 50
Rp -
Rp - 100 100
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 200 1000 400
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 700 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp - 500 1000 2000 1000 1000

Rp - 500

Rp -
Rp - 5000 1000 1000 1500

Rp -
Rp -
Rp -
Rp - 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 96 96 96 96

Rp -

Rp -
Rp -
Rp -
Rp - 300 300
Rp -
Rp -
Rp -
Rp - 150 80 50
Rp - 2000 500 1000 1000 1000 500
Rp -
Rp - 10
Rp - 200 100
Rp - 500 500 500
Rp - 500 500
Rp -
Rp - 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 900 100 150 1350 2650 1400 150 100 150 150 100
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500
Rp -
Rp -
Rp -
Rp - 10 10 15
Rp - 300 300 300 300 300 300
Rp - 350 500

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 700 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 500 500 500 1000 500
Rp - 1000 500 2000 1000 1000
Rp -
Rp - 24 24 24 24
Rp -
Rp -
Rp -
Rp -
Rp - 300 1000 1000 700
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200
Rp - 300
Rp -
Rp - 200 100 100 100
Rp - 200 200 200 100 100 200
Rp - 100 300
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300
Rp - 800
Rp -
Rp -
Rp - 5 8 5 14 3
Rp - 5
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 25 5 5 5 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp - 10 5
Rp - 43 5
Rp - 6 3
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
180 2820 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
50 130 9300 Rp - Rp -
500 500 1000 1000 12000 38000 Rp - Rp -
72 820 Rp - Rp -
0 960 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 500000 Rp - Rp -

25 175 4825 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 1000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 77500 Rp - Rp -
0 100000 Rp - Rp -
0 2000 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
250 99750 Rp - Rp -
0 100000 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
0 2000 Rp - Rp -
0 4000 Rp - Rp -
0 15000 Rp - Rp -
100 400 9600 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
300 2000 48000 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 200000 Rp - Rp -
100 4900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 500 9000 437800 Rp - Rp -
200 400 2500 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
0 150 Rp - Rp -
5 145 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
100 1100 23900 Rp - Rp -
0 10000 Rp - Rp -
300 1000 500 2300 27700 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -

0 1670 Rp - Rp -

0 10000 Rp - Rp -
0 2000 Rp - Rp -
4 237 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 9000 Rp - Rp -

0 20000 Rp - Rp -

0 0 Rp - Rp -
200 19800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
20 1980 Rp - Rp -
0 2000 Rp - Rp -
50 250 Rp - Rp -
0 300 Rp - Rp -
500 2700 82500 Rp - Rp -
1000 197400 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 29000 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 2000 6000 71500 Rp - Rp -
0 0 Rp - Rp -
48 1952 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 200 9800 Rp - Rp -
0 0 Rp - Rp -
25 125 4875 Rp - Rp -
0 30000 Rp - Rp -
0 0 Rp - Rp -
0 1500 Rp - Rp -
10 10 142 858 Rp - Rp -
0 5000 Rp - Rp -
10 100 500 Rp - Rp -
600 1000 600 9600 190400 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -

50 300 13800 Rp - Rp -
0 0 Rp - Rp -
100 300 7140 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -

0 30000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 30000 Rp - Rp -
10 10 340 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 25000 Rp - Rp -
200 2000 11000 Rp - Rp -
0 100000 Rp - Rp -
0 200000 Rp - Rp -
0 100000 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
500 2700 89300 Rp - Rp -
0 1500 Rp - Rp -
0 50000 Rp - Rp -
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 12000 Rp - Rp -

50 50 8450 Rp - Rp -

0 0 Rp - Rp -
5500 127500 Rp - Rp -

500 1000 149000 Rp - Rp -

0 0 Rp - Rp -
1000 1000 10500 164600 Rp - Rp -

0 100000 Rp - Rp -
0 100000 Rp - Rp -
0 20000 Rp - Rp -
2000 5000 40600 Rp - Rp -
0 20000 Rp - Rp -
0 5000 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
96 96 576 9888 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 29400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 430 19570 Rp - Rp -
500 1000 7500 126900 Rp - Rp -
0 0 Rp - Rp -
10 680 Rp - Rp -
100 400 8250 Rp - Rp -
500 2000 33000 Rp - Rp -
1000 44300 Rp - Rp -
0 160000 Rp - Rp -
3000 19000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 40000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
150 150 150 150 7800 49600 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
200 2800
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 1500 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -
0 2500 Rp - Rp -
20 20 2980 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 2500 47500 Rp - Rp -
0 3000 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
35 465 Rp - Rp -
1800 26340 Rp - Rp -
850 20950 Rp - Rp -

0 4784 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 298000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 100 2000 28000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 5500 41500 Rp - Rp -
1000 6500 70500 Rp - Rp -
500 500 99500 Rp - Rp -
24 120 4590 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 4000 27000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 45 Rp - Rp -

0 110 Rp - Rp -

0 50 Rp - Rp -

0 50 Rp - Rp -

0 50 Rp - Rp -
0 50 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
10 10 20 262 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
200 2800 Rp - Rp -
300 1700 Rp - Rp -
0 2000 Rp - Rp -
100 200 800 3800 Rp - Rp -
200 500 200 1900 17500 Rp - Rp -
100 500 3500 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 195 Rp - Rp -
0 4000 Rp - Rp -
0 2500 Rp - Rp -
100 400 2100 Rp - Rp -
100 900 2100 Rp - Rp -
0 4900 Rp - Rp -
0 0 Rp - Rp -
2 37 333 Rp - Rp -
5 295 Rp - Rp -
5 175 Rp - Rp -
0 300 Rp - Rp -
0 2000 Rp - Rp -
20 20 9980 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 10000 Rp - Rp -
20 20 9980 Rp - Rp -
5 55 5945 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 2500 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
2 198 Rp - Rp -
0 200 Rp - Rp -
0 200 Rp - Rp -
0 800 Rp - Rp -
0 800 Rp - Rp -
0 50 Rp - Rp -
0 50 Rp - Rp -
0 2000 Rp - Rp -
100 200 500 Rp - Rp -
2 17 188 Rp - Rp -
48 317 Rp - Rp -
9 211 Rp - Rp -
0 581 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2500 Rp - Rp -
60 80 140 3660 Rp - Rp 13,908,000
0 300 Rp - Rp 90,000
0 30000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
50 50 1785 Rp - Rp 3,275,475
1 3 87 Rp - Rp -
0 300 Rp - Rp -
100 29900 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 78 Rp - Rp -
0 10000 Rp - Rp -

0 0 Rp - Rp -
103,697 6,717,997 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 2820
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 100000
5 Ambroxol Syr 15 mg/ml botol 9300
6 Ambroxol Tablet tablet 38000
7 Ambroxol Drop botol 820
8 Aminofilin injeksi 24 mg/ml ampul 960
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 30000
16 Amoksisilin Sirup Forte 250 mg/5ml botol 20000
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 500000
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 4825
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 1000
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 77500
29 Asam Mefenamat 500 mg box 100000
30 Asam Traneksamat Injeksi ampul 2000
31 Asering Larutan botol 5000
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 99750
34 Asiklovir Tab 400 mg tablet 100000
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 2000
38 Bedak Salisil Serbuk Kotak 4000
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 9600
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 100000
43 Calcium Lactate tablet 48000
44 Carbamazepin tablet 200 mg tablet 5000
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 200000
47 Clindamisin Kap 300 mg kapsul 4900
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 437800
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 2500
57 Desoksimetason Krim 0,25% tube 300
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 150
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 145
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 3000
66 Digoksin tablet 0,25 mg tablet 23900
67 Diltiazem Tab tablet 10000
68 Domperidom Tab 10 mg tablet 27700
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 1670

73 Eritromisin Kapsul 250 mg kapsul 10000


74 Eritromisin Sirup 200 mg/ 5 ml botol 2000
75 Etil Klorida Spray botol 237
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 9000
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 20000

81 Furosemide inj i.v/i.m 10 mg/ml ampul 0


82 Furosemide tablet 40 mg tablet 19800
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 1980
88 Gentamisin Tetes Mata botol 2000
89 Gentamisin Salep 0, 1 % tube 250
90 Gentian Violet larutan 1 % botol 300
91 Glibenclamide tablet 5 mg tablet 82500
92 Gliseril Guaikolat tablet 100 mg tablet 197400
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 100000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 29000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 71500
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1952
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 9800
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 4875
115 Ketokenazole Tab 200 mg tablet 30000
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 1500
118 Kloramfenikol tetes telinga 3 % botol 858
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 500
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 190400
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 13800
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 7140
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 340
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 25000
141 Meloxicam 7,5 mg tablet 11000
142 Methampyron 500 mg tablet 100000
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 200000
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 100000
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 89300
148 Metoklopramide Inj 5 mg/ml ampul 1500
149 Metoklopramide Tab 5 mg tablet 50000
150 Metoklopramide Drop botol 1500
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 30000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 12000
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 8450
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 127500
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Ext + Liver Ext (Hepatoprotektor) Kotak 50 kaplet 149000

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 164600
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 100000


162 Natrium Diklofenat tab 50 mg tablet 100000
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 40600
165 Nifedifine Tab 10 mg tablet 20000
166 Nistatin tablet salut 500.000 IU / g tablet 5000
167 Nistatin Vaginal tablet 100.000 IU / g tablet 5000
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 9888
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 29400
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 19570
184 Parasetamol + Ibuprofen tab tablet 126900
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 680
187 Piracetam tab 800 mg tablet 8250
188 Pirantel tablet score ( base ) 125 mg tablet 33000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 44300
190 Piroxicam Tab 20 mg tablet 160000
191 Prednison Tablet 5 mg tablet 19000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 40000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 49600
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 2800
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 1500
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 100000
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 2500
216 Seftriakson Inj 1 g ampul 2980
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 47500
224 Setirizin Sirup 5 mg/ 5 ml botol 3000
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 465
228 Simvastatin tabet 10 mg tablet 26340
229 Simvastatin tabet 20 mg tablet 20950
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 4784
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 298000
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 100000
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 28000
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 41500
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 70500
256 Zinc 20 mg tablet dispersibel tablet 99500
257 Zinc pro Sirup 60 ml botol 4590
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 27000
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 45

271 Eugenol cairan set 110

272 Glass Ionomer Cement ART sett 50

273 Kalsium Hidroksida Pasta set 50

274 Klorfenol kamfer Menthol ( CHKM ) sachet 50


275 Caviton set 50
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 262
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 2800
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1700
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 2000
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 3800
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 17500
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 3500
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 200
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 195
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2100
298 Safeglove PP No. 7 Pasang 2100
299 Safeglove PP No. 7,5 Pasang 4900
300 Safety Box buah 0
301 Examination Gloves size L Box 333
302 Examination Gloves size M Box 295
303 Examination Gloves size S Box 175
304 Examination Gloves size XS Box 300
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 9980
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 10000
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9980
311 Kasa Hydrofil Steril 16 x 16 cm Dus 5945
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 2000
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 5000
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 500
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 500
321 Alkohol swab Box 198
322 Silk 2/0 + jarum 1/2 GT 35 mm box 200
323 Silk 3/0 + jarum 1/2 GT 35 mm box 200
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 50
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 500
330 Benecheck plus Glucose Test Strip 50's Box 188
331 Benecheck plus Total Cholestrol Test Strip 50's Box 317
332 Benecheck plus Uric Test Strip 50's Box 211
333 Umbilical cord klem steril Nylon piece 581
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2500
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 3660
342 Onemed Blood Lancet (JAYAMAS) Box 300
343 Prednison tabled 5 mg tablet 30000
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1785
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 300
349 Folic Acid/Asam Folat tablet 29900
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box 78
353 Doksisiklin tablet 100 mg tablet 10000

5,855,350

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp - 60 60 60 60 60 60 60 60
Rp -
Rp -
Rp -
Rp - 50 50 50 50 50 50 50 50
Rp - 1000 1000 1000 1000 1000 1000 1000
Rp - 10 20 20 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp - 50 50 50 50 50 50 50 50 50

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 1000 1000 1000 1000 500 1000
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500
Rp -
Rp -
Rp -
Rp - 20
Rp -
Rp -
Rp - 200 200 200
Rp -
Rp -
Rp - 500 500 500 500 500 500 500
Rp - 500
Rp -
Rp -
Rp - 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 1000 1000 1000 1000 1000
Rp - 100 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500 500 500
Rp -
Rp - 500 500 500 700
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp - 200 2000 400 400 200 400
Rp -
Rp -
Rp -
Rp -
Rp - 48 30 20 20 48 48 48
Rp - 24 24 24 24 24 24 24 24 24 24
Rp - 10 10 10 10 10 10 10 10 10
Rp - 24 24 24 24 24 24
Rp - 2000 500 500 500
Rp - 1000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 3000 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 1000 1000 1000 1000
Rp -
Rp - 24 24 24
Rp -
Rp -
Rp - 500 500 500 300 500 500
Rp -
Rp - 50 50 25 50 50 50 25 50 50
Rp -
Rp -
Rp -
Rp - 20 30 10 20 20 10 20 10
Rp -
Rp - 10 10 10 10 10 10 10
Rp - 2000 1000 1000 1000 1000 1000 1000 1000 1000
Rp -
Rp -

Rp - 100 100 100

Rp -
Rp - 200 100 100 200 100 200
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 10 10 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500 500 500 500 200 500 300
Rp - 500 500 500 500
Rp -
Rp - 2000 1000 3000 1000 1000 500
Rp -
Rp -
Rp -
Rp - 1000 1000 500 1000 1000
Rp - 50
Rp - 1000 1000 1000 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 96 240

Rp -

Rp -
Rp - 1000 1000 1000 1000

Rp - 1000 1000 1000 1000

Rp -
Rp - 5000 2000 1000 1000 1500

Rp -
Rp -
Rp -
Rp - 2000 1000 1000 2000 1000 1000
Rp - 500 500 500 500 500 500 500
Rp - 100 100
Rp - 100 100 100 100
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 192 192 96 192 96 96 96
Rp -
Rp -
Rp -
Rp -
Rp - 300 600 300 300 300 300 300 300
Rp -
Rp -
Rp -
Rp - 150 50 100
Rp - 1000 1000 1000 1000 1000 1000 2000 1000 1000
Rp -
Rp - 50
Rp - 100
Rp - 1000 500 500 500 500 500 500 500 500 500
Rp - 1000 1000 1000 1000
Rp -
Rp - 2000 1000 1000 1000 1000 1000
Rp -
Rp -
Rp -
Rp - 1000 1000 1000 1000 1000 1000 500 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp - 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500 500 500
Rp -
Rp -
Rp -
Rp - 10
Rp - 300 300 300 300 300 300 300 300 300
Rp - 300 300 300 300 300 300 300

Rp - 24 24 24 24 24

Rp -
Rp -
Rp -
Rp -
Rp - 4000 2500 14200 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 1000 500 500 500 500 500 500 500
Rp - 2000 1000 2000 1000
Rp - 1000 1000 1000
Rp - 24 24 24 24 24
Rp -
Rp -
Rp -
Rp -
Rp - 1500 1000 500 500
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp - 100 50 50
Rp -
Rp -
Rp - 100 100 100
Rp - 200 300 300 100 100
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp - 100 200 200 200 200 200 200
Rp - 100
Rp -
Rp - 22 10 5 5 10 10 5
Rp - 5 3
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 10 10 10 10 20 10 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1 3 2 2 3 1 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2 2 2 2 2 3 1
Rp - 5 5 10 10 5 5 2
Rp - 2 2 5 5 2 5 2
Rp - 1 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 120
Rp -
Rp - 500 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 100 100 200 100 100
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
AT PUSKESMAS

JUMLAH Sisa Stock Total Pemakaian


WANGGA LEMITO POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29
60 60 60 60 720 2100 Rp -
0 0 Rp -
0 0 Rp -
0 100000 Rp -
50 50 50 550 8750 Rp -
1000 500 1000 1000 1000 11500 26500 Rp -
10 10 50 20 150 670 Rp -
0 960 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 30000 Rp -
0 20000 Rp -
0 0 Rp -
0 0 Rp -

0 500000 Rp -

50 50 50 100 50 750 4075 Rp -

0 0 Rp -

0 0 Rp -

0 0 Rp -

0 1000 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
500 2000 8000 69500 Rp -
0 100000 Rp -
0 2000 Rp -
0 5000 Rp -
0 0 Rp -
500 250 500 500 3250 96500 Rp -
500 500 99500 Rp -
0 1000 Rp -
0 1000 Rp -
20 1980 Rp -
0 4000 Rp -
0 15000 Rp -
200 200 100 200 1300 8300 Rp -
0 0 Rp -
0 100000 Rp -
500 500 500 5000 43000 Rp -
500 4500 Rp -
0 0 Rp -
0 200000 Rp -
1000 3900 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 1000 1000 1000 1000 12000 425800 Rp -
100 100 100 400 1000 1500 Rp -
0 300 Rp -
0 0 Rp -
0 150 Rp -
0 145 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 3000 Rp -
500 200 200 2900 21000 Rp -
0 10000 Rp -
500 500 500 1000 500 5200 22500 Rp -
0 0 Rp -
0 1000 Rp -
0 960 Rp -

0 1670 Rp -

0 10000 Rp -
0 2000 Rp -
2 3 5 232 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 9000 Rp -
0 20000 Rp -

0 0 Rp -
400 4000 15800 Rp -
0 0 Rp -
0 0 Rp -
0 50000 Rp -
0 0 Rp -
10 12 20 304 1676 Rp -
24 24 24 312 1688 Rp -
10 10 10 10 130 120 Rp -
24 12 180 120 Rp -
500 1000 500 500 6000 76500 Rp -
500 1000 4500 192900 Rp -
0 0 Rp -
0 100000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 2000 11000 18000 Rp -
0 2000 Rp -
0 200 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 2000 1000 10000 61500 Rp -
0 0 Rp -
24 96 1856 Rp -
0 0 Rp -
0 0 Rp -
300 500 200 3800 6000 Rp -
0 0 Rp -
50 50 50 550 4325 Rp -
0 30000 Rp -
0 0 Rp -
0 1500 Rp -
20 20 18 50 20 268 590 Rp -
0 5000 Rp -
10 20 20 10 130 370 Rp -
1000 1000 2000 1000 15000 175400 Rp -
0 300000 Rp -
0 0 Rp -

100 100 100 600 13200 Rp -

0 0 Rp -
100 100 200 100 1400 5740 Rp -
0 0 Rp -
0 30000 Rp -

0 30000 Rp -

0 0 Rp -
0 0 Rp -
0 100000 Rp -
0 30000 Rp -
10 20 70 270 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
500 500 500 5000 20000 Rp -
500 1000 3500 7500 Rp -
2000 2000 98000 Rp -
1000 2000 1000 12500 187500 Rp -
0 100000 Rp -
0 2000 Rp -
0 0 Rp -
500 1000 1000 1000 1000 9000 80300 Rp -
50 100 1400 Rp -
500 1000 7500 42500 Rp -
0 1500 Rp -
0 0 Rp -
0 30000 Rp -
0 4100 Rp -
0 0 Rp -
336 11664 Rp -

0 8450 Rp -

0 0 Rp -
1500 1000 6500 121000 Rp -

500 1000 1500 7000 142000 Rp -

0 0 Rp -
1000 1000 2000 1000 15500 149100 Rp -

0 100000 Rp -
0 100000 Rp -
0 20000 Rp -
1000 2000 11000 29600 Rp -
100 500 100 500 300 5000 15000 Rp -
200 4800 Rp -
400 4600 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 15000 Rp -

0 0 Rp -
0 0 Rp -
96 192 96 1344 8544 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
300 450 3450 25950 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
50 150 100 600 18970 Rp -
2000 1000 1500 1000 15500 111400 Rp -
0 0 Rp -
50 630 Rp -
100 200 8050 Rp -
500 2000 500 8500 24500 Rp -
1000 1000 6000 38300 Rp -
0 160000 Rp -
1000 1000 1000 1000 11000 8000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 500 9000 31000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 300000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 10000 Rp -
500 700 750 4950 44650 Rp -
0 20000 Rp -
0 0 Rp -
0 2800
0 0 Rp -
0 100000 Rp -
0 1500 Rp -

0 0 Rp -
0 0 Rp -
0 100000 Rp -
0 0 Rp -
0 2500 Rp -
20 2960 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
250 250 250 250 3000 44500 Rp -
0 3000 Rp -
0 0 Rp -
0 20000 Rp -
10 455 Rp -
300 300 600 300 4200 22140 Rp -
300 300 500 500 300 4000 16950 Rp -

24 24 168 4616 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
10000 1500 22400 1000 57600 240400 Rp -
0 0 Rp -
0 0 Rp -
0 100000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
500 27500 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
500 500 500 500 7000 34500 Rp -
1000 1000 500 500 9000 61500 Rp -
500 3500 96000 Rp -
24 24 24 24 216 4374 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 500 5000 22000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 45 Rp -

0 110 Rp -

0 50 Rp -

0 50 Rp -

0 50 Rp -
0 50 Rp -
0 0 Rp -
0 0 Rp -

0 3000 Rp -
5 257 Rp -
0 2000 Rp -
0 2000 Rp -
0 1000 Rp -
0 0 Rp -
100 100 400 2400 Rp -
100 100 1600 Rp -
200 200 1800 Rp -
100 100 500 3300 Rp -
100 200 1300 16200 Rp -
100 100 300 3200 Rp -
0 0 Rp -
0 2000 Rp -
0 0 Rp -
0 200 Rp -
0 195 Rp -
0 4000 Rp -
0 2500 Rp -
100 2000 Rp -
200 200 100 100 200 2100 0 Rp -
100 4800 Rp -
0 0 Rp -
2 10 5 10 94 239 Rp -
3 5 16 279 Rp -
5 5 170 Rp -
5 5 295 Rp -
0 2000 Rp -
40 40 9940 Rp -
0 0 Rp -
0 10000 Rp -
0 10000 Rp -
40 40 9940 Rp -
10 10 20 20 150 5795 Rp -
0 200 Rp -
0 0 Rp -
0 2000 Rp -
0 0 Rp -
0 5000 Rp -
0 2500 Rp -
0 500 Rp -
0 0 Rp -
0 500 Rp -
1 2 17 181 Rp -
0 200 Rp -
0 200 Rp -
0 800 Rp -
0 800 Rp -
0 50 Rp -
0 50 Rp -
0 2000 Rp -
200 200 300 Rp -
2 1 17 171 Rp -
5 5 5 5 5 67 250 Rp -
2 2 27 184 Rp -
2 4 577 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 2500 Rp -
60 80 260 3400 Rp -
0 300 Rp -
1500 28500 Rp -
0 1000 Rp -
0 0 Rp -
0 1785 Rp -
0 87 Rp -
0 300 Rp -
700 29200 Rp -
0 100000 Rp -
0 100 Rp -
0 78 Rp -
0 10000 Rp -

0 0 Rp -
261,835 6,359,496 Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Total Stock Ket.

30 31
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Rp 12,444,000
Rp 90,000
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Rp 3,186,225
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Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Nip. 19800510 201001 2 001


Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 2100
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 100000
5 Ambroxol Syr 15 mg/ml botol 8750
6 Ambroxol Tablet tablet 26500
7 Ambroxol Drop botol 670
8 Aminofilin injeksi 24 mg/ml ampul 960
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 30000
16 Amoksisilin Sirup Forte 250 mg/5ml botol 20000
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 500000
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 4075
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 1000
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 69500
29 Asam Mefenamat 500 mg box 100000
30 Asam Traneksamat Injeksi ampul 2000
31 Asering Larutan botol 5000
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 96500
34 Asiklovir Tab 400 mg tablet 99500
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1980
38 Bedak Salisil Serbuk Kotak 4000
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 8300
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 100000
43 Calcium Lactate tablet 43000
44 Carbamazepin tablet 200 mg tablet 4500
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 200000
47 Clindamisin Kap 300 mg kapsul 3900
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 425800
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 1500
57 Desoksimetason Krim 0,25% tube 300
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 150
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 145
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 3000
66 Digoksin tablet 0,25 mg tablet 21000
67 Diltiazem Tab tablet 10000
68 Domperidom Tab 10 mg tablet 22500
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 1670
HCL)
73 Eritromisin Kapsul 250 mg kapsul 10000
74 Eritromisin Sirup 200 mg/ 5 ml botol 2000
75 Etil Klorida Spray botol 232
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 9000
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 20000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 15800
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 1676
88 Gentamisin Tetes Mata botol 1688
89 Gentamisin Salep 0, 1 % tube 120
90 Gentian Violet larutan 1 % botol 120
91 Glibenclamide tablet 5 mg tablet 76500
92 Gliseril Guaikolat tablet 100 mg tablet 192900
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 100000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 18000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 61500
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1856
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 6000
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 4325
115 Ketokenazole Tab 200 mg tablet 30000
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 1500
118 Kloramfenikol tetes telinga 3 % botol 590
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 370
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 175400
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 13200
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 5740
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 270
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 20000
141 Meloxicam 7,5 mg tablet 7500
142 Methampyron 500 mg tablet 98000
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 187500
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 100000
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 80300
148 Metoklopramide Inj 5 mg/ml ampul 1400
149 Metoklopramide Tab 5 mg tablet 42500
150 Metoklopramide Drop botol 1500
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 30000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 11664
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 8450
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 121000
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 142000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 149100
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 100000


162 Natrium Diklofenat tab 50 mg tablet 100000
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 29600
165 Nifedifine Tab 10 mg tablet 15000
166 Nistatin tablet salut 500.000 IU / g tablet 4800
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4600
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 8544
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 25950
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 18970
184 Parasetamol + Ibuprofen tab tablet 111400
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 630
187 Piracetam tab 800 mg tablet 8050
188 Pirantel tablet score ( base ) 125 mg tablet 24500
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 38300
190 Piroxicam Tab 20 mg tablet 160000
191 Prednison Tablet 5 mg tablet 8000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 31000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 44650
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 2800
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 1500
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 100000
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 2500
216 Seftriakson Inj 1 g ampul 2960
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 44500
224 Setirizin Sirup 5 mg/ 5 ml botol 3000
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 455
228 Simvastatin tabet 10 mg tablet 22140
229 Simvastatin tabet 20 mg tablet 16950
Succus Liquiritae + Ammonium Chlorida +
230 botol 4616
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 240400
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 100000
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 27500
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 34500
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 61500
256 Zinc 20 mg tablet dispersibel tablet 96000
257 Zinc pro Sirup 60 ml botol 4374
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 22000
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 45

271 Eugenol cairan set 110

272 Glass Ionomer Cement ART sett 50

273 Kalsium Hidroksida Pasta set 50

274 Klorfenol kamfer Menthol ( CHKM ) sachet 50


275 Caviton set 50
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 257
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 2400
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1600
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1800
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 3300
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 16200
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 3200
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 200
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 195
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2000
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 4800
300 Safety Box buah 0
301 Examination Gloves size L Box 239
302 Examination Gloves size M Box 279
303 Examination Gloves size S Box 170
304 Examination Gloves size XS Box 295
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 9940
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 10000
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9940
311 Kasa Hydrofil Steril 16 x 16 cm Dus 5795
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 2000
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 5000
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 500
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 500
321 Alkohol swab Box 181
322 Silk 2/0 + jarum 1/2 GT 35 mm box 200
323 Silk 3/0 + jarum 1/2 GT 35 mm box 200
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 50
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 300
330 Benecheck plus Glucose Test Strip 50's Box 171
331 Benecheck plus Total Cholestrol Test Strip 50's Box 250
332 Benecheck plus Uric Test Strip 50's Box 184
333 Umbilical cord klem steril Nylon piece 577
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2500
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 3400
342 Onemed Blood Lancet (JAYAMAS) Box 300
343 Prednison tabled 5 mg tablet 28500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1785
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 300
349 Folic Acid/Asam Folat tablet 29200
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box 78
353 Doksisiklin tablet 100 mg tablet 10000

5,593,515

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp - 60
Rp -
Rp -
Rp - 1000 1000 1000 1000 1000 1000 1000
Rp - 25 25 50
Rp - 1000 1000 2000 1000 1000 500 1000 500 1000
Rp - 20 10 20 20
Rp - 30 30
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp - 50 50 25 25 50 25 50

Rp -

Rp -

Rp -

Rp - 48 48 48 120 120

Rp -
Rp -
Rp -
Rp - 500 1000 1000 1000 1000 500 1000
Rp -
Rp - 20 50
Rp -
Rp -
Rp - 1000 500 1000 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300 200
Rp -
Rp -
Rp - 1000 1000 1000 1000 1000
Rp - 300 100 100 200
Rp -
Rp - 1000 1000
Rp - 1000 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 1000 500 1000 1000 500 1000 500 800
Rp - 100 100 100
Rp -
Rp -
Rp - 5 5
Rp - 5 5
Rp -
Rp -
Rp -
Rp -
Rp - 30 30 30 30 30
Rp - 500
Rp -
Rp - 500 1000 500 500
Rp -
Rp -
Rp -
Rp - 10 100 20
Rp - 1000 500 500
Rp -
Rp - 1 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 200 400 600 200
Rp -
Rp -
Rp -
Rp -
Rp - 48 20 48
Rp - 24 48 24
Rp - 10 10 20 10
Rp - 24 24
Rp - 1000 500 500 500
Rp - 2000 1000 1000 900
Rp -
Rp - 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 1000 500 1000
Rp -
Rp - 24 24
Rp -
Rp -
Rp - 500
Rp -
Rp - 25 25 50
Rp - 500
Rp -
Rp - 50 50 50 50 50 50 50
Rp - 20 30 20 10 10
Rp -
Rp - 10 20 10
Rp - 1000 1000 1000 2000 1000 1000 1000 400 1000
Rp -
Rp -

Rp - 50 50

Rp -
Rp - 200 200 100 100 500 100 100 100
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp - 20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500 200 500
Rp - 500 200 300
Rp - 1000
Rp - 2000 1000 1000 500 1000
Rp - 1000
Rp -
Rp -
Rp - 1000 500 1000
Rp - 50 10 20 20 50 10 50
Rp - 1000 500 1000 1000
Rp - 10 10 10 10
Rp -
Rp -
Rp -
Rp -
Rp - 48 48 48

Rp -

Rp -
Rp - 1000 1000 1000 1000 500 1000

Rp - 500 500

Rp -

Rp - 1000 3000 500 1000

Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000
Rp - 100 100 100
Rp - 100 100 100
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 192 96 96 96 96 96
Rp -
Rp -
Rp -
Rp -
Rp - 300 600 600 600 300
Rp -
Rp -
Rp -
Rp - 150 50 50 50 50
Rp - 2000 2000 400 500
Rp -
Rp - 10 10 50 10 10 10
Rp - 1000 300
Rp - 500
Rp - 1000 1000
Rp -
Rp - 1000 1000
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 500 300
Rp -
Rp -
Rp - 600 300 100 100 400
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500 500 500 500 500
Rp - 60 60 60 60 30 30
Rp -
Rp -
Rp - 20 10
Rp - 300 600 300 600
Rp - 300 500 500
Rp - 24 24 24 24
Rp -
Rp -
Rp -
Rp -
Rp - 500 10000 4000 2000 10000 1000 2000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 100 100 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 500 1000 500 500 500
Rp - 2000 2000 1000 1000 1000 500 1000
Rp - 500 500
Rp - 120 48 48 48 24
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp - 1 1 3

Rp - 1 1 3

Rp - 1 1 3

Rp - 1 1 1

Rp - 1 1 3
Rp - 1 1 3
Rp -
Rp -

Rp -
Rp - 2 5 5 2 2
Rp -
Rp -
Rp -
Rp -
Rp - 50
Rp -
Rp -
Rp - 200 100 300 200
Rp - 400 100 200 400 100 200 300
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 200 200 200 200 200 200
Rp -
Rp - 4 5 5 5 10 5 5
Rp -
Rp -
Rp -
Rp -
Rp - 100 40 100 100
Rp -
Rp -
Rp -
Rp - 100 40 100 100
Rp - 20 15 20 20
Rp -
Rp -
Rp -
Rp -
Rp - 50 50 50 50 50 50
Rp -
Rp -
Rp -
Rp -
Rp - 5 2 5 3 2 2
Rp -
Rp - 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 100
Rp - 4 2
Rp - 5 3
Rp - 4 2
Rp - 1 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 2 3 3 3
Rp - 60 60
Rp - 10 2 5 2 2 5 2 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 5 5 5
Rp -
Rp -
Rp - 40
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
60 120 1980 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 9000 91000 Rp - Rp -
25 50 50 225 8525 Rp - Rp -
500 500 2000 12000 14500 Rp - Rp -
10 20 100 570 Rp - Rp -
60 120 840 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 500000 Rp - Rp -

25 50 100 100 550 3525 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

384 616 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 1000 9000 60500 Rp - Rp -
0 100000 Rp - Rp -
30 100 200 1800 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
3000 93500 Rp - Rp -
0 99500 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
0 1980 Rp - Rp -
0 4000 Rp - Rp -
0 15000 Rp - Rp -
500 100 1100 7200 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
500 500 6000 37000 Rp - Rp -
200 900 3600 Rp - Rp -
0 0 Rp - Rp -
1000 3000 197000 Rp - Rp -
200 1400 2500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 1000 1000 1000 12800 413000 Rp - Rp -
100 400 1100 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
5 15 135 Rp - Rp -
5 15 130 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
30 180 2820 Rp - Rp -
500 1000 20000 Rp - Rp -
1000 1000 9000 Rp - Rp -
500 3000 19500 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
20 150 1520 Rp - Rp -
500 2500 7500 Rp - Rp -
0 2000 Rp - Rp -
1 3 6 226 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 9000 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
400 600 400 600 3600 12200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
116 1560 Rp - Rp -
24 24 144 1544 Rp - Rp -
20 10 80 40 Rp - Rp -
24 24 96 24 Rp - Rp -
1000 1000 4500 72000 Rp - Rp -
1000 1000 6900 186000 Rp - Rp -
0 0 Rp - Rp -
1000 3000 97000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 2000 4000 14000 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 3000 2000 10500 51000 Rp - Rp -
0 0 Rp - Rp -
24 24 96 1760 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 5000 Rp - Rp -
0 0 Rp - Rp -
50 25 175 4150 Rp - Rp -
500 1000 29000 Rp - Rp -
0 0 Rp - Rp -
50 50 50 50 50 40 640 860 Rp - Rp -
10 10 30 140 450 Rp - Rp -
0 5000 Rp - Rp -
40 330 Rp - Rp -
400 400 3000 1000 14200 161200 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -

100 200 13000 Rp - Rp -

0 0 Rp - Rp -
100 200 1700 4040 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -

0 30000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 30000 Rp - Rp -
10 30 240 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1500 3700 16300 Rp - Rp -
500 1500 6000 Rp - Rp -
2000 3000 95000 Rp - Rp -
500 2000 2000 10000 177500 Rp - Rp -
1000 2000 98000 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
300 500 1000 2000 1000 7300 73000 Rp - Rp -
10 30 250 1150 Rp - Rp -
1000 4500 38000 Rp - Rp -
10 10 60 1440 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
144 11520 Rp - Rp -

50 50 8400 Rp - Rp -

0 0 Rp - Rp -
500 2000 1000 9000 112000 Rp - Rp -

1000 2000 140000 Rp - Rp -

0 0 Rp - Rp -

500 2000 1000 9000 140100 Rp - Rp -

0 100000 Rp - Rp -
0 100000 Rp - Rp -
0 20000 Rp - Rp -
2000 2000 27600 Rp - Rp -
500 500 500 3500 11500 Rp - Rp -
300 4500 Rp - Rp -
100 400 4200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
96 192 96 1056 7488 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 3000 22950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 100 150 150 800 18170 Rp - Rp -
1000 2000 1000 8900 102500 Rp - Rp -
0 0 Rp - Rp -
20 30 150 480 Rp - Rp -
100 1400 6650 Rp - Rp -
1000 1500 23000 Rp - Rp -
2000 4000 34300 Rp - Rp -
0 160000 Rp - Rp -
1000 1000 1000 5000 3000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 2500 28500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
900 43750 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
100 1600 1200
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 1500 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -
20 40 60 2440 Rp - Rp -
40 40 2920 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 4000 40500 Rp - Rp -
30 60 40 430 2570 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
10 40 415 Rp - Rp -
300 600 300 600 600 4200 17940 Rp - Rp -
500 500 450 2750 14200 Rp - Rp -
24 120 4496 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 32500 207900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 1000 1800 25700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 500 2000 1000 9000 25500 Rp - Rp -
500 500 2000 1000 12500 49000 Rp - Rp -
500 1500 94500 Rp - Rp -
24 312 4062 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 500 500 4500 17500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1 6 39 Rp - Rp -

1 6 104 Rp - Rp -

1 6 44 Rp - Rp -

1 4 46 Rp - Rp -

1 6 44 Rp - Rp -
1 6 44 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
16 241 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
100 150 2250 Rp - Rp -
0 1600 Rp - Rp -
0 1800 Rp - Rp -
100 100 1000 2300 Rp - Rp -
300 400 2400 13800 Rp - Rp -
200 200 500 2700 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 195 Rp - Rp -
0 4000 Rp - Rp -
0 2500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
100 200 100 200 50 2050 2750 Rp - Rp -
0 0 Rp - Rp -
5 5 10 5 64 175 Rp - Rp -
0 279 Rp - Rp -
0 170 Rp - Rp -
0 295 Rp - Rp -
0 2000 Rp - Rp -
100 440 9500 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 10000 Rp - Rp -
100 440 9500 Rp - Rp -
20 20 115 5680 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
50 50 400 4600 Rp - Rp -
0 2500 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
5 2 3 2 31 150 Rp - Rp -
0 200 Rp - Rp -
2 198 Rp - Rp -
0 800 Rp - Rp -
0 800 Rp - Rp -
0 50 Rp - Rp -
0 50 Rp - Rp -
0 2000 Rp - Rp -
100 300 0 Rp - Rp -
2 8 163 Rp - Rp -
3 11 239 Rp - Rp -
6 178 Rp - Rp -
2 575 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2 18 2482 Rp - Rp -
60 40 220 3180 Rp - Rp 10,812,000
5 30 65 235 Rp - Rp 70,500
0 28500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1785 Rp - Rp 3,186,225
0 87 Rp - Rp -
5 25 275 Rp - Rp -
100 100 29100 Rp - Rp -
0 100000 Rp - Rp -
40 60 Rp - Rp -
0 78 Rp - Rp -
0 10000 Rp - Rp -

0 0 Rp - Rp -
213,932 6,068,272 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1980
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 91000
5 Ambroxol Syr 15 mg/ml botol 8525
6 Ambroxol Tablet tablet 14500
7 Ambroxol Drop botol 570
8 Aminofilin injeksi 24 mg/ml ampul 840
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 30000
16 Amoksisilin Sirup Forte 250 mg/5ml botol 20000
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 500000
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 3525
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 Bismuth Subgalat 150 mg + Heksaklorofen supp 0
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 616
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 60500
29 Asam Mefenamat 500 mg box 100000
30 Asam Traneksamat Injeksi ampul 1800
31 Asering Larutan botol 5000
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 93500
34 Asiklovir Tab 400 mg tablet 99500
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1980
38 Bedak Salisil Serbuk Kotak 4000
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 7200
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 100000
43 Calcium Lactate tablet 37000
44 Carbamazepin tablet 200 mg tablet 3600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 197000
47 Clindamisin Kap 300 mg kapsul 2500
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 413000
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 1100
57 Desoksimetason Krim 0,25% tube 300
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 135
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 130
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 2820
66 Digoksin tablet 0,25 mg tablet 20000
67 Diltiazem Tab tablet 9000
68 Domperidom Tab 10 mg tablet 19500
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 1520
HCL)
73 Eritromisin Kapsul 250 mg kapsul 7500
74 Eritromisin Sirup 200 mg/ 5 ml botol 2000
75 Etil Klorida Spray botol 226
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 9000
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 20000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 12200
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 1560
88 Gentamisin Tetes Mata botol 1544
89 Gentamisin Salep 0, 1 % tube 40
90 Gentian Violet larutan 1 % botol 24
91 Glibenclamide tablet 5 mg tablet 72000
92 Gliseril Guaikolat tablet 100 mg tablet 186000
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 97000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 14000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 51000
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1760
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 5000
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 4150
115 Ketokenazole Tab 200 mg tablet 29000
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 860
118 Kloramfenikol tetes telinga 3 % botol 450
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 330
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 161200
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 13000
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 4040
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 240
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 16300
141 Meloxicam 7,5 mg tablet 6000
142 Methampyron 500 mg tablet 95000
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 177500
144 Metformin HCL tablet 500 mg tablet 98000
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 73000
148 Metoklopramide Inj 5 mg/ml ampul 1150
149 Metoklopramide Tab 5 mg tablet 38000
150 Metoklopramide Drop botol 1440
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 30000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 11520

Multi Vitamin Sirup + Curcuma + Lysin HCl +


155 Biotin botol 8400
+ DHA/EPA + Beta Karoten/CURBION

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 112000

Multivitamin Dosis Tinggi + Gingseng Ext +


158 Curcumae Kotak 50 kaplet 140000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 140100
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 100000


162 Natrium Diklofenat tab 50 mg tablet 100000
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 27600
165 Nifedifine Tab 10 mg tablet 11500
166 Nistatin tablet salut 500.000 IU / g tablet 4500
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4200
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 7488
175 Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 22950
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 18170
184 Parasetamol + Ibuprofen tab tablet 102500
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 480
187 Piracetam tab 800 mg tablet 6650
188 Pirantel tablet score ( base ) 125 mg tablet 23000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 34300
190 Piroxicam Tab 20 mg tablet 160000
191 Prednison Tablet 5 mg tablet 3000
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 28500
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 43750
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 1200
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 1500
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 100000
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 2440
216 Seftriakson Inj 1 g ampul 2920
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 40500
224 Setirizin Sirup 5 mg/ 5 ml botol 2570
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 415
228 Simvastatin tabet 10 mg tablet 17940
229 Simvastatin tabet 20 mg tablet 14200
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 4496
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 207900
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 100000
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 25700
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 25500
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 49000
256 Zinc 20 mg tablet dispersibel tablet 94500
257 Zinc pro Sirup 60 ml botol 4062
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 17500
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 39

271 Eugenol cairan set 104

272 Glass Ionomer Cement ART sett 44

273 Kalsium Hidroksida Pasta set 46

274 Klorfenol kamfer Menthol ( CHKM ) sachet 44


275 Caviton set 44
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 241
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 2250
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1600
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1800
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2300
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 13800
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 2700
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 200
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 195
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2000
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 2750
300 Safety Box buah 0
301 Examination Gloves size L Box 175
302 Examination Gloves size M Box 279
303 Examination Gloves size S Box 170
304 Examination Gloves size XS Box 295
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 9500
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 10000
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9500
311 Kasa Hydrofil Steril 16 x 16 cm Dus 5680
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 2000
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 4600
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 500
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 500
321 Alkohol swab Box 150
322 Silk 2/0 + jarum 1/2 GT 35 mm box 200
323 Silk 3/0 + jarum 1/2 GT 35 mm box 198
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 50
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 163
331 Benecheck plus Total Cholestrol Test Strip 50's Box 239
332 Benecheck plus Uric Test Strip 50's Box 178
333 Umbilical cord klem steril Nylon piece 575
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2482
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 3180
342 Onemed Blood Lancet (JAYAMAS) Box 235
343 Prednison tabled 5 mg tablet 28500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1785
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 275
349 Folic Acid/Asam Folat tablet 29100
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box 78
353 Doksisiklin tablet 100 mg tablet 10000

5,379,583

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp - 60
Rp -
Rp -
Rp - 500 3000 500
Rp - 50 100
Rp -
Rp - 10 20 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp - 100 50 50

Rp -

Rp -

Rp -

Rp - 48

Rp -
Rp -
Rp -
Rp - 1000 1000 2000 500 500
Rp -
Rp - 50
Rp - 200
Rp -
Rp - 1000 500 500
Rp -
Rp -
Rp -
Rp -
Rp - 50 50 50
Rp -
Rp - 200 200
Rp -
Rp -
Rp - 500 500
Rp - 500
Rp -
Rp - 500 500
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 2000 500 5000 500 1000 500
Rp - 100 100
Rp -
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 30 60
Rp -
Rp -
Rp - 1000 2000 500
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp - 2 2 7 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 400
Rp -
Rp -
Rp -
Rp -
Rp - 48
Rp - 24 24 24
Rp - 10 10
Rp - 24
Rp - 2000 500
Rp - 3000 2000 1000
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 2000 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 1000 5000 500 500
Rp -
Rp - 24
Rp -
Rp -
Rp - 1000
Rp -
Rp - 50 50
Rp - 1000
Rp -
Rp -
Rp - 10 20 5
Rp -
Rp - 10 20 5
Rp - 200 2000 1000 2000 1000 200
Rp -
Rp -
Rp - 50
Rp -
Rp - 200 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 300 300
Rp - 500 500 1000
Rp - 1000 2000
Rp - 500 1000 500
Rp - 500
Rp -
Rp -
Rp - 1000 1000 4000
Rp - 50
Rp - 500
Rp - 25 5
Rp -
Rp - 500
Rp -
Rp -
Rp - 120 96 240 48 48 96 240 48 48

Rp - 100 100 50 50 50 100 50 50 50 50

Rp -
Rp - 500 1000 500 500

Rp - 1000 500

Rp -
Rp - 500 1000 600

Rp -
Rp -
Rp -
Rp - 500
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 96 96 96 96
Rp -
Rp -
Rp -
Rp -
Rp - 300 300 300 300 300
Rp -
Rp -
Rp -
Rp - 100 100 150
Rp - 3000 1000 500
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000
Rp -
Rp - 1000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp - 98 49 49 49 49 49 98 49 49 98 49

Rp -
Rp -

Rp - 200 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 1000 500 500 1000 250
Rp - 120 60
Rp -
Rp -
Rp -
Rp - 300 300 300
Rp - 300 300

Rp - 24

Rp -
Rp -
Rp -
Rp -
Rp - 2000 3000 11200 2000 2000 1000 2000 5500 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 1000 500 500
Rp - 1000 3000 500 500
Rp - 500 500
Rp - 48 168 96 96 240 96 48
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500
Rp -
Rp -
Rp -
Rp -
Rp - 1

Rp - 1

Rp - 1

Rp - 3 2

Rp - 1
Rp - 1
Rp -
Rp -

Rp -
Rp - 6
Rp -
Rp -
Rp -
Rp -
Rp - 50 50 100
Rp -
Rp -
Rp - 100
Rp - 100 100 300 100
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 100 100
Rp -
Rp - 10 5 10 5 10 5
Rp -
Rp -
Rp -
Rp -
Rp - 100 100
Rp -
Rp -
Rp -
Rp - 100 100
Rp - 50 60 20 20 70 10
Rp -
Rp -
Rp -
Rp -
Rp - 50 50
Rp -
Rp -
Rp -
Rp -
Rp - 5 1 5 1 5 1
Rp -
Rp - 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 10 2 3 1
Rp - 5 25 3 5 5 2
Rp - 5 10 3 5 3
Rp - 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1 2 2
Rp - 120
Rp - 5 1 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5
Rp - 200 900
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
60 1920 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
4000 87000 Rp - Rp -
10 160 8365 Rp - Rp -
100 100 14400 Rp - Rp -
40 530 Rp - Rp -
30 30 810 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 150 29850 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 500000 Rp - Rp -

100 300 3225 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

72 120 496 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 5500 55000 Rp - Rp -
0 100000 Rp - Rp -
50 100 1700 Rp - Rp -
200 4800 Rp - Rp -
0 0 Rp - Rp -
100 2100 91400 Rp - Rp -
500 500 99000 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
0 1980 Rp - Rp -
30 50 5 235 3765 Rp - Rp -
0 15000 Rp - Rp -
500 900 6300 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
1000 500 2500 34500 Rp - Rp -
500 3100 Rp - Rp -
0 0 Rp - Rp -
500 100 1600 195400 Rp - Rp -
500 1500 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 500 2000 500 14500 398500 Rp - Rp -
100 300 600 500 Rp - Rp -
0 300 Rp - Rp -
0 0 Rp - Rp -
5 130 Rp - Rp -
0 130 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
60 120 270 2550 Rp - Rp -
0 20000 Rp - Rp -
1500 1500 7500 Rp - Rp -
500 500 500 100 500 5600 13900 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
100 1420 Rp - Rp -
1000 1000 6500 Rp - Rp -
0 2000 Rp - Rp -
7 16 35 191 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 9000 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
400 800 11400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
48 48 23 167 1393 Rp - Rp -
72 1472 Rp - Rp -
10 10 40 0 Rp - Rp -
24 0 Rp - Rp -
500 500 3500 68500 Rp - Rp -
6000 180000 Rp - Rp -
0 0 Rp - Rp -
1000 96000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 5000 9000 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 200 10700 40300 Rp - Rp -
0 0 Rp - Rp -
24 7 55 1705 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 4000 Rp - Rp -
0 0 Rp - Rp -
25 125 4025 Rp - Rp -
1000 28000 Rp - Rp -
0 0 Rp - Rp -
50 50 810 Rp - Rp -
35 415 Rp - Rp -
0 5000 Rp - Rp -
20 10 65 265 Rp - Rp -
600 1000 1000 9000 152200 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
50 50 150 12850 Rp - Rp -
0 0 Rp - Rp -
100 200 100 1100 2940 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 30000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 30000 Rp - Rp -
0 240 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 1300 15000 Rp - Rp -
500 500 3000 3000 Rp - Rp -
3000 92000 Rp - Rp -
500 500 1000 4000 173500 Rp - Rp -
500 97500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
500 500 500 7500 65500 Rp - Rp -
10 60 1090 Rp - Rp -
1000 1500 36500 Rp - Rp -
10 40 1400 Rp - Rp -
0 0 Rp - Rp -
1000 1500 28500 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
240 48 240 96 24 24 1656 9864 Rp - Rp -

50 100 50 100 50 50 1050 7350 Rp - Rp -

0 0 Rp - Rp -
1000 100 500 4100 107900 Rp - Rp -

500 2000 138000 Rp - Rp -

0 0 Rp - Rp -
1000 100 3200 136900 Rp - Rp -

0 100000 Rp - Rp -
0 100000 Rp - Rp -
0 20000 Rp - Rp -
1000 1500 26100 Rp - Rp -
500 500 1500 10000 Rp - Rp -
0 4500 Rp - Rp -
100 100 4100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
96 96 10 586 6902 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 90 1890 21060 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
50 10 410 17760 Rp - Rp -
500 500 100 5600 96900 Rp - Rp -
0 0 Rp - Rp -
0 480 Rp - Rp -
0 6650 Rp - Rp -
0 23000 Rp - Rp -
2000 32300 Rp - Rp -
0 160000 Rp - Rp -
3000 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 28000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
100 50 250 43500 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
200 1000 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
98 98 98 980 520 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -
200 600 1840 Rp - Rp -
0 2920 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
250 250 200 4450 36050 Rp - Rp -
180 2390 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 415 Rp - Rp -
300 300 300 1800 16140 Rp - Rp -
250 300 300 1450 12750 Rp - Rp -

24 48 4448 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
3000 1500 1000 35200 172700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 99500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 25600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 4500 21000 Rp - Rp -
1000 6000 43000 Rp - Rp -
500 1500 93000 Rp - Rp -
48 48 72 960 3102 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 2000 15500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1 2 4 35 Rp - Rp -

1 2 4 100 Rp - Rp -

1 2 4 40 Rp - Rp -

1 6 40 Rp - Rp -

1 2 4 40 Rp - Rp -
1 2 4 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
6 235 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
200 2050 Rp - Rp -
0 1600 Rp - Rp -
0 1800 Rp - Rp -
100 2200 Rp - Rp -
600 13200 Rp - Rp -
100 2600 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 195 Rp - Rp -
0 4000 Rp - Rp -
0 2500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
100 400 2350 Rp - Rp -
0 0 Rp - Rp -
5 5 55 120 Rp - Rp -
1 1 278 Rp - Rp -
0 170 Rp - Rp -
0 295 Rp - Rp -
0 2000 Rp - Rp -
100 100 400 9100 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 10000 Rp - Rp -
100 100 400 9100 Rp - Rp -
30 50 20 5 17 352 5328 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
50 50 200 4400 Rp - Rp -
0 2500 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
1 1 20 130 Rp - Rp -
0 200 Rp - Rp -
1 197 Rp - Rp -
0 800 Rp - Rp -
0 800 Rp - Rp -
0 50 Rp - Rp -
0 50 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
1 5 1 2 2 32 131 Rp - Rp -
2 5 2 2 3 59 180 Rp - Rp -
2 5 2 2 3 40 138 Rp - Rp -
1 574 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
5 2477 Rp - Rp -
10 130 3050 Rp - Rp 9,699,000
1 9 226 Rp - Rp 53,110
1000 1000 27500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1785 Rp - Rp 3,186,225
0 87 Rp - Rp -
3 8 267 Rp - Rp -
1100 28000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 78 Rp - Rp -
0 10000 Rp - Rp -

0 0 Rp - Rp -
142,060 5,869,114 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1920
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 87000
5 Ambroxol Syr 15 mg/ml botol 8365
6 Ambroxol Tablet tablet 14400
7 Ambroxol Drop botol 530
8 Aminofilin injeksi 24 mg/ml ampul 810
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 29850
16 Amoksisilin Sirup Forte 250 mg/5ml botol 20000
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 500000
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 3225
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 Bismuth Subgalat 150 mg + Heksaklorofen supp 0
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 496
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 55000
29 Asam Mefenamat 500 mg box 100000
30 Asam Traneksamat Injeksi ampul 1700
31 Asering Larutan botol 4800
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 91400
34 Asiklovir Tab 400 mg tablet 99000
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1980
38 Bedak Salisil Serbuk Kotak 3765
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 6300
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 100000
43 Calcium Lactate tablet 34500
44 Carbamazepin tablet 200 mg tablet 3100
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 195400
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 398500
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 500
57 Desoksimetason Krim 0,25% tube 300
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 130
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 130
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 2550
66 Digoksin tablet 0,25 mg tablet 20000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 13900
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 1420
HCL)
73 Eritromisin Kapsul 250 mg kapsul 6500
74 Eritromisin Sirup 200 mg/ 5 ml botol 2000
75 Etil Klorida Spray botol 191
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 9000
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 20000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 11400
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 1393
88 Gentamisin Tetes Mata botol 1472
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 68500
92 Gliseril Guaikolat tablet 100 mg tablet 180000
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 96000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 9000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 40300
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1705
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 4000
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 4025
115 Ketokenazole Tab 200 mg tablet 28000
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 810
118 Kloramfenikol tetes telinga 3 % botol 415
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 265
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 152200
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 12850
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 2940
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 - 2 ml ampul 30000
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 240
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 15000
141 Meloxicam 7,5 mg tablet 3000
142 Methampyron 500 mg tablet 92000
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) tablet 173500
144 Metformin HCL tablet 500 mg tablet 97500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 65500
148 Metoklopramide Inj 5 mg/ml ampul 1090
149 Metoklopramide Tab 5 mg tablet 36500
150 Metoklopramide Drop botol 1400
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 28500
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 9864
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 7350
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 107900
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 138000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 136900
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN
161 Natrium Diklofenat tab 25 mg tablet 100000
162 Natrium Diklofenat tab 50 mg tablet 100000
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 26100
165 Nifedifine Tab 10 mg tablet 10000
166 Nistatin tablet salut 500.000 IU / g tablet 4500
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4100
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 6902
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 21060
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 17760
184 Parasetamol + Ibuprofen tab tablet 96900
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 480
187 Piracetam tab 800 mg tablet 6650
188 Pirantel tablet score ( base ) 125 mg tablet 23000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 32300
190 Piroxicam Tab 20 mg tablet 160000
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 28000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 43500
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 1000
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 520
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 100000
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 1840
216 Seftriakson Inj 1 g ampul 2920
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 36050
224 Setirizin Sirup 5 mg/ 5 ml botol 2390
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 415
228 Simvastatin tabet 10 mg tablet 16140
229 Simvastatin tabet 20 mg tablet 12750

230 Succus Liquiritae + Ammonium Chlorida + botol 4448


Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 172700
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 99500
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 25600
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 21000
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 43000
256 Zinc 20 mg tablet dispersibel tablet 93000
257 Zinc pro Sirup 60 ml botol 3102
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 15500
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 235
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 2050
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1600
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1800
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2200
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 13200
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 2600
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 200
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 195
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2000
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 2350
300 Safety Box buah 0
301 Examination Gloves size L Box 120
302 Examination Gloves size M Box 278
303 Examination Gloves size S Box 170
304 Examination Gloves size XS Box 295
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 9100
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 10000
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9100
311 Kasa Hydrofil Steril 16 x 16 cm Dus 5328
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 2000
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 4400
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 500
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 500
321 Alkohol swab Box 130
322 Silk 2/0 + jarum 1/2 GT 35 mm box 200
323 Silk 3/0 + jarum 1/2 GT 35 mm box 197
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 50
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 131
331 Benecheck plus Total Cholestrol Test Strip 50's Box 180
332 Benecheck plus Uric Test Strip 50's Box 138
333 Umbilical cord klem steril Nylon piece 574
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2477
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 3050
342 Onemed Blood Lancet (JAYAMAS) Box 226
343 Prednison tabled 5 mg tablet 27500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1785
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 267
349 Folic Acid/Asam Folat tablet 28000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box 78
353 Doksisiklin tablet 100 mg tablet 10000

5,237,523

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNTU DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
LIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp - 150
Rp -
Rp -
Rp - 5000 2000 3000 2000 3000 1000 5000 1000 1000 1000 1000
Rp - 50 200 50 50
Rp - 500 3000 500 2000 1000 900 1000
Rp - 20 100 10 30 10 20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300 300 600 300 300 300 300 150 300 300 300
Rp - 300 300 500 300 300 300 300 300 300 300
Rp -
Rp -

Rp - 16800 16800 16800 16800 16800 16800 16800 16800 16800 16800 16800

Rp - 50 200 50 50 50 50 100

Rp -

Rp -

Rp -

Rp - 48

Rp -
Rp -
Rp -
Rp - 1000 1000 2000 2000 2000 1000 1000 2000 1000
Rp - 10000 2000 3000 3000 4000 10000 3000 2000 1000
Rp - 100 100
Rp -
Rp -
Rp - 2000 2000 1000 2000 1000 1000
Rp - 2000 2000 4000 2000 2000 2000 1000 2000 4000 2000 1000
Rp -
Rp -
Rp -
Rp - 20
Rp -
Rp -
Rp -
Rp - 4000 2000 5000 2000 2000 2000 4000 2000 2000 2000 2000
Rp - 2000 1000 2000 500
Rp - 500 1000
Rp -
Rp - 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 2000 5000 3000 3000 2000 1000 3000 1000 2000
Rp - 100 100
Rp - 81 10 10 10 5
Rp -
Rp - 5 5
Rp - 5 5
Rp -
Rp -
Rp -
Rp -
Rp - 60 90 90 90 90 60
Rp -
Rp -
Rp - 1000 2000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp - 500 500
Rp - 120 120 40
Rp - 5 4
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 400 400 200
Rp -
Rp -
Rp -
Rp -
Rp - 48 96 48 48 48 48
Rp - 24 24 24 48 24 24
Rp -
Rp -
Rp - 1000 1000 2000 1000
Rp - 4000 2000 1000 2000 1000 1000 500
Rp -
Rp - 4000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 5000 1000 1000 2000 1000 1500 1000 500
Rp -
Rp - 48 24
Rp -
Rp -
Rp -
Rp -
Rp - 200 25 25
Rp - 1000
Rp -
Rp - 50
Rp - 72 10
Rp -
Rp - 20 10 50 10 10 10
Rp - 3000 2000 5000 2000 3000 2000 1000 2000 1000
Rp -
Rp -

Rp - 300 150 150 300 300 300 300 100 300

Rp -
Rp - 100 100 500 100 200 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 30 30
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 2000 500 500 1000 500 500 500
Rp - 500 1000
Rp - 2000
Rp - 5000 2000 2000 2000 2000 2000 2000 1000
Rp - 2000 2000 3000 2000 500 2000 2000 500
Rp -
Rp -
Rp - 1000
Rp - 100 50
Rp - 2000 1000 1000
Rp -
Rp -
Rp - 2000 2000 3000 1000 1000 2000 1000
Rp -
Rp -
Rp - 480 120 240 120 96 120 240 120 120 120

Rp - 50 50 200 50 50 50 100 50 50 50

Rp -
Rp - 10000 2000 2000 2000 3000 10000 2000 3000 2000 2000

Rp - 10000 1000 10000 1000 1000 2000 10000 1000 3000 2000 1000

Rp -

Rp - 10000 5000 5000 3000 3000 10000 3000 3000


Rp - 500
Rp - 1000 1000 2000 1000 2000 2000 1000 500
Rp -
Rp - 1000 2000
Rp - 2000 500 500
Rp - 100
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 96 288 96 96 96 192 89 96
Rp -
Rp -
Rp -
Rp -
Rp - 1200 1500 300 300 600 300 300 300
Rp -
Rp -
Rp -
Rp - 200 100 500 200 100 100 100 100
Rp - 2000 2000 5000 2000 1000 2000 2000 2000 2000
Rp -
Rp - 80 50 10
Rp - 500 150
Rp -
Rp - 2000
Rp - 1000 1000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -

Rp -
Rp -

Rp - 200 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2250 1000 500 300
Rp - 60 180 60 60 60
Rp -
Rp -
Rp -
Rp - 600 300 2100 300 600 600 600 300 300
Rp - 500 1500 500 500 500 300 500

Rp - 48 48

Rp -
Rp -
Rp -
Rp -
Rp - 3000 5600 2000 1000 3000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 2000 1000 1000 500 500
Rp - 1000 2000 5000 1000 1000 2000 3000 2000 2000 1000
Rp - 10000 2000 5000 10000 5000 5000 5000 2000 3000 3000
Rp - 240 48 120 120 240 48 240 48
Rp -
Rp -
Rp -
Rp -
Rp - 500 2000 1000 500 500
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 50 50 50 100 50
Rp -
Rp - 50 50 50 50
Rp - 100
Rp - 200 100 200 300 100 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 100 200
Rp -
Rp - 10 3 10 10
Rp - 2 10 2 5 3 5 3 4 2
Rp - 3 2 5 5 5 2
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp - 50
Rp - 100
Rp - 30 100 50 100 100 20 10
Rp -
Rp -
Rp -
Rp -
Rp - 50 50 50 50 50
Rp -
Rp -
Rp -
Rp -
Rp - 2 2 10 5 2 2
Rp - 3 1 1 2 1 1
Rp - 1 1 2 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 30 5 5 1
Rp - 5 5 50 5 5 5
Rp - 5 5 30 5 5 3
Rp - 2 2 1 1 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 2
Rp -
Rp - 3 11 1
Rp - 2000 1000 3000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000
Rp -
Rp - 40 3
Rp -
Rp - 500

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
AT PUSKESMAS

JUMLAH Sisa Stock Total Pemakaian


WANGGA LEMITO POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29
120 270 1650 Rp -
0 0 Rp -
0 0 Rp -
2000 3000 1000 1000 32000 55000 Rp -
15 50 50 100 100 665 7700 Rp -
1000 2000 500 2000 14400 0 Rp -
20 50 260 270 Rp -
0 810 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
300 300 300 300 4650 25200 Rp -
300 300 300 200 4300 15700 Rp -
0 0 Rp -
0 0 Rp -

16800 16800 16800 16800 3000 255000 245000 Rp -

50 100 50 50 50 850 2375 Rp -

0 0 Rp -

0 0 Rp -

0 0 Rp -

72 48 168 328 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 1000 2000 2000 19000 36000 Rp -
3000 10000 3000 54000 46000 Rp -
50 100 50 100 100 600 1100 Rp -
0 4800 Rp -
0 0 Rp -
2000 11000 80400 Rp -
2000 2000 2000 30000 69000 Rp -
0 1000 Rp -
0 1000 Rp -
0 1980 Rp -
20 50 30 120 3645 Rp -
0 15000 Rp -
1000 500 1500 4800 Rp -
0 0 Rp -
2000 4000 2000 4000 3000 44000 56000 Rp -
1000 1000 7500 27000 Rp -
1500 1600 Rp -
0 0 Rp -
2000 1000 1500 7500 187900 Rp -
0 1000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
3000 2000 3000 4000 2000 2000 40000 358500 Rp -
100 100 100 500 0 Rp -
116 184 Rp -
0 0 Rp -
10 120 Rp -
10 120 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
30 120 240 240 90 1200 1350 Rp -
0 20000 Rp -
0 7500 Rp -
1000 1000 2000 2000 11000 2900 Rp -
0 0 Rp -
0 1000 Rp -
0 960 Rp -
100 100 200 1220 Rp -
500 1000 500 3000 3500 Rp -
120 120 120 640 1360 Rp -
2 5 2 2 20 171 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
300 120 420 8580 Rp -
1000 1000 19000 Rp -
0 0 Rp -
400 600 1000 1000 1000 5000 6400 Rp -
0 0 Rp -
0 0 Rp -
0 50000 Rp -
0 0 Rp -
48 384 1009 Rp -
24 24 48 264 1208 Rp -
0 0 Rp -
0 0 Rp -
1000 1000 2000 1000 10000 58500 Rp -
500 500 1000 1000 14500 165500 Rp -
0 0 Rp -
2000 2000 10000 86000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
2000 500 1500 5000 4000 Rp -
0 2000 Rp -
0 200 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
2000 2000 2000 2000 2000 3000 28000 12300 Rp -
0 0 Rp -
24 96 1609 Rp -
0 0 Rp -
0 0 Rp -
500 500 500 1500 2500 Rp -
0 0 Rp -
25 50 50 50 425 3600 Rp -
1000 1000 1000 1000 1000 6000 22000 Rp -
0 0 Rp -
50 100 710 Rp -
20 20 122 293 Rp -
0 5000 Rp -
20 10 20 160 105 Rp -
2000 3000 2000 2000 3000 2000 35000 117200 Rp -
0 300000 Rp -
0 0 Rp -

500 300 400 300 200 100 4000 8850 Rp -

0 0 Rp -
100 100 200 200 100 200 2100 840 Rp -
0 0 Rp -
0 30000 Rp -
0 30000 Rp -
0 0 Rp -
0 0 Rp -
0 100000 Rp -
0 30000 Rp -
20 80 160 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
500 500 500 1000 500 9000 6000 Rp -
500 1000 3000 0 Rp -
2000 3000 7000 85000 Rp -
2000 1000 3000 2000 3000 1500 30500 143000 Rp -
500 1000 500 1000 2000 1000 20000 77500 Rp -
0 2000 Rp -
0 0 Rp -
500 1000 2000 1000 1000 6500 59000 Rp -
90 200 440 650 Rp -
1000 2000 2000 3000 1000 13000 23500 Rp -
0 1400 Rp -
0 0 Rp -
500 1000 500 1000 1000 1000 17000 11500 Rp -
0 4100 Rp -
0 0 Rp -
240 120 240 240 240 96 2952 6912 Rp -

50 50 50 100 50 1000 6350 Rp -

0 0 Rp -
2000 3000 2000 2000 2000 1500 50500 57400 Rp -

2000 2000 10000 2000 1000 59000 79000 Rp -

0 0 Rp -

5000 3000 2000 10000 10000 2000 74000 62900 Rp -


1000 1000 2500 97500 Rp -
1000 1000 1000 2000 1000 16500 83500 Rp -
0 20000 Rp -
2000 5000 21100 Rp -
500 500 500 4500 5500 Rp -
500 600 3900 Rp -
0 4100 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 15000 Rp -

0 0 Rp -
0 0 Rp -
96 96 96 96 192 96 1721 5181 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
600 600 300 450 600 7350 13710 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
100 100 100 150 100 50 2000 15760 Rp -
2000 2000 2000 2000 2000 1500 31500 65400 Rp -
0 0 Rp -
50 100 50 340 140 Rp -
500 1150 5500 Rp -
0 23000 Rp -
1000 3000 29300 Rp -
1000 2000 2000 9000 151000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 1000 27000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 300000 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 10000 Rp -
0 43500 Rp -
0 20000 Rp -
0 0 Rp -
100 900 Rp -
0 0 Rp -
0 100000 Rp -
0 520 Rp -

0 0 Rp -
0 0 Rp -
1000 1000 99000 Rp -
0 0 Rp -
100 40 200 640 1200 Rp -
0 2920 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
500 250 250 2000 1000 8050 28000 Rp -
60 60 60 60 660 1730 Rp -
0 0 Rp -
0 20000 Rp -
0 415 Rp -
300 300 300 600 600 300 8100 8040 Rp -
500 500 500 500 6300 6450 Rp -

24 120 4328 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 2000 18600 154100 Rp -
0 0 Rp -
0 0 Rp -
0 99500 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
100 25500 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 1000 1000 1000 10000 11000 Rp -
1000 1000 2000 1000 3000 1500 29500 13500 Rp -
2000 10000 5000 5000 4000 76000 17000 Rp -
240 120 48 120 96 1728 1374 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1000 1000 500 7000 8500 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 35 Rp -

0 100 Rp -

0 40 Rp -

0 40 Rp -

0 40 Rp -
0 40 Rp -
0 0 Rp -
0 0 Rp -

0 3000 Rp -
0 235 Rp -
0 2000 Rp -
0 2000 Rp -
0 1000 Rp -
0 0 Rp -
50 50 50 300 50 900 1150 Rp -
0 1600 Rp -
50 50 300 1500 Rp -
100 200 2000 Rp -
300 300 1600 11600 Rp -
100 100 2500 Rp -
0 0 Rp -
0 2000 Rp -
0 0 Rp -
0 200 Rp -
0 195 Rp -
0 4000 Rp -
0 2500 Rp -
0 2000 Rp -
0 0 Rp -
100 200 100 900 1450 Rp -
0 0 Rp -
10 10 6 5 64 56 Rp -
3 2 6 47 231 Rp -
22 148 Rp -
0 295 Rp -
0 2000 Rp -
100 200 8900 Rp -
0 0 Rp -
0 10000 Rp -
50 9950 Rp -
100 9000 Rp -
10 100 100 50 20 690 4638 Rp -
0 200 Rp -
0 0 Rp -
0 2000 Rp -
0 0 Rp -
50 50 50 400 4000 Rp -
0 2500 Rp -
0 500 Rp -
0 0 Rp -
0 500 Rp -
2 1 2 28 102 Rp -
1 1 2 13 187 Rp -
1 2 1 2 2 13 184 Rp -
0 800 Rp -
0 800 Rp -
0 50 Rp -
0 50 Rp -
0 2000 Rp -
0 0 Rp -
5 10 5 5 71 60 Rp -
5 10 5 5 100 80 Rp -
5 10 5 5 78 60 Rp -
2 10 564 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
2 9 2468 Rp -
60 60 60 180 2870 Rp -
5 20 206 Rp -
2000 1000 2000 12000 15500 Rp -
0 1000 Rp -
0 0 Rp -
0 1785 Rp -
0 87 Rp -
10 10 257 Rp -
2000 26000 Rp -
0 100000 Rp -
3 46 54 Rp -
0 78 Rp -
500 9500 Rp -

0 0 Rp -
1,059,973 4,645,419 Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Total Stock Ket.

30 31
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
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Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Nip. 19800510 201001 2 001


Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1650
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 55000
5 Ambroxol Syr 15 mg/ml botol 7700
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 270
8 Aminofilin injeksi 24 mg/ml ampul 810
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 25200
16 Amoksisilin Sirup Forte 250 mg/5ml botol 15700
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 245000
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 2375
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 328
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 36000
29 Asam Mefenamat 500 mg box 46000
30 Asam Traneksamat Injeksi ampul 1100
31 Asering Larutan botol 4800
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 80400
34 Asiklovir Tab 400 mg tablet 69000
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1980
38 Bedak Salisil Serbuk Kotak 3645
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 4800
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 56000
43 Calcium Lactate tablet 27000
44 Carbamazepin tablet 200 mg tablet 1600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 187900
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 358500
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 184
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 120
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 120
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 1350
66 Digoksin tablet 0,25 mg tablet 20000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 2900
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 1220
HCL)
73 Eritromisin Kapsul 250 mg kapsul 3500
74 Eritromisin Sirup 200 mg/ 5 ml botol 1360
75 Etil Klorida Spray botol 171
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 8580
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 19000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 6400
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 1009
88 Gentamisin Tetes Mata botol 1208
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 58500
92 Gliseril Guaikolat tablet 100 mg tablet 165500
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 86000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 4000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 12300
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1609
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 2500
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 3600
115 Ketokenazole Tab 200 mg tablet 22000
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 710
118 Kloramfenikol tetes telinga 3 % botol 293
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 105
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 117200
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol
Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0
Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 8850
+Larutan
Trimetoprim
258 Ka En 40
1 Bmg botol 0
125 Lanzoprazole kapsul 30 mg kapsul 840
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 30000
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 160
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 6000
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 85000
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 143000
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 77500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 59000
148 Metoklopramide Inj 5 mg/ml ampul 650
149 Metoklopramide Tab 5 mg tablet 23500
150 Metoklopramide Drop botol 1400
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 11500
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 6912
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin + DHA/EPA + Beta Karoten botol 6350

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 57400
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 79000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 62900
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 97500


162 Natrium Diklofenat tab 50 mg tablet 83500
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 21100
165 Nifedifine Tab 10 mg tablet 5500
166 Nistatin tablet salut 500.000 IU / g tablet 3900
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4100
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 5181
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 13710
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 15760
184 Parasetamol + Ibuprofen tab tablet 65400
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 140
187 Piracetam tab 800 mg tablet 5500
188 Pirantel tablet score ( base ) 125 mg tablet 23000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 29300
190 Piroxicam Tab 20 mg tablet 151000
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 27000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 43500
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 900
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 520
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 99000
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 1200
216 Seftriakson Inj 1 g ampul 2920
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 28000
224 Setirizin Sirup 5 mg/ 5 ml botol 1730
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 415
228 Simvastatin tabet 10 mg tablet 8040
229 Simvastatin tabet 20 mg tablet 6450
Succus Liquiritae + Ammonium Chlorida +
230 botol 4328
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 154100
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 99500
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 25500
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 11000
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 13500
256 Zinc 20 mg tablet dispersibel tablet 17000
257 Zinc pro Sirup 60 ml botol 1374
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 8500
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 235
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 1150
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1600
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1500
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2000
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 11600
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 2500
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 200
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 195
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2000
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 1450
300 Safety Box buah 0
301 Examination Gloves size L Box 56
302 Examination Gloves size M Box 231
303 Examination Gloves size S Box 148
304 Examination Gloves size XS Box 295
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8900
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 9950
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 4638
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 2000
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 4000
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 500
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 500
321 Alkohol swab Box 102
322 Silk 2/0 + jarum 1/2 GT 35 mm box 187
323 Silk 3/0 + jarum 1/2 GT 35 mm box 184
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 50
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 60
331 Benecheck plus Total Cholestrol Test Strip 50's Box 80
332 Benecheck plus Uric Test Strip 50's Box 60
333 Umbilical cord klem steril Nylon piece 564
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2468
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 2870
342 Onemed Blood Lancet (JAYAMAS) Box 206
343 Prednison tabled 5 mg tablet 15500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1785
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 257
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 54
352 Sterile latex Surgical Gloves Size 7 Box
353 Doksisiklin tablet 100 mg tablet

4,177,550

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 1650 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 55000 Rp - Rp -
0 7700 Rp - Rp -
0 0 Rp - Rp -
0 270 Rp - Rp -
0 810 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 25200 Rp - Rp -
0 15700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 245000 Rp - Rp -

0 2375 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 328 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 36000 Rp - Rp -
0 46000 Rp - Rp -
0 1100 Rp - Rp -
0 4800 Rp - Rp -
0 0 Rp - Rp -
0 80400 Rp - Rp -
0 69000 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
0 1980 Rp - Rp -
0 3645 Rp - Rp -
0 15000 Rp - Rp -
0 4800 Rp - Rp -
0 0 Rp - Rp -
0 56000 Rp - Rp -
0 27000 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
0 187900 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 358500 Rp - Rp -
0 0 Rp - Rp -
0 184 Rp - Rp -
0 0 Rp - Rp -
0 120 Rp - Rp -
0 120 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1350 Rp - Rp -
0 20000 Rp - Rp -
0 7500 Rp - Rp -
0 2900 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
0 1220 Rp - Rp -
0 3500 Rp - Rp -
0 1360 Rp - Rp -
0 171 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 8580 Rp - Rp -
0 19000 Rp - Rp -
0 0 Rp - Rp -
0 6400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
0 1009 Rp - Rp -
0 1208 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 58500 Rp - Rp -
0 165500 Rp - Rp -
0 0 Rp - Rp -
0 86000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 4000 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 12300 Rp - Rp -
0 0 Rp - Rp -
0 1609 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2500 Rp - Rp -
0 0 Rp - Rp -
0 3600 Rp - Rp -
0 22000 Rp - Rp -
0 0 Rp - Rp -
0 710 Rp - Rp -
0 293 Rp - Rp -
0 5000 Rp - Rp -
0 105 Rp - Rp -
0 117200 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 8850 Rp - Rp -
0 0 Rp - Rp -
0 840 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 30000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 30000 Rp - Rp -
0 160 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6000 Rp - Rp -
0 0 Rp - Rp -
0 85000 Rp - Rp -
0 143000 Rp - Rp -
0 77500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 59000 Rp - Rp -
0 650 Rp - Rp -
0 23500 Rp - Rp -
0 1400 Rp - Rp -
0 0 Rp - Rp -
0 11500 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 6912 Rp - Rp -

0 6350 Rp - Rp -

0 0 Rp - Rp -
0 57400 Rp - Rp -

0 79000 Rp - Rp -

0 0 Rp - Rp -

0 62900 Rp - Rp -

0 97500 Rp - Rp -
0 83500 Rp - Rp -
0 20000 Rp - Rp -
0 21100 Rp - Rp -
0 5500 Rp - Rp -
0 3900 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 5181 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 13710 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 15760 Rp - Rp -
0 65400 Rp - Rp -
0 0 Rp - Rp -
0 140 Rp - Rp -
0 5500 Rp - Rp -
0 23000 Rp - Rp -
0 29300 Rp - Rp -
0 151000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 27000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 43500 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 900 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 520 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 99000 Rp - Rp -
0 0 Rp - Rp -
0 1200 Rp - Rp -
0 2920 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 28000 Rp - Rp -
0 1730 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 415 Rp - Rp -
0 8040 Rp - Rp -
0 6450 Rp - Rp -
0 4328 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 154100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 99500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 25500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 11000 Rp - Rp -
0 13500 Rp - Rp -
0 17000 Rp - Rp -
0 1374 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 8500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35 Rp - Rp -

0 100 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
0 235 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1150 Rp - Rp -
0 1600 Rp - Rp -
0 1500 Rp - Rp -
0 2000 Rp - Rp -
0 11600 Rp - Rp -
0 2500 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 200 Rp - Rp -
0 195 Rp - Rp -
0 4000 Rp - Rp -
0 2500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 1450 Rp - Rp -
0 0 Rp - Rp -
0 56 Rp - Rp -
0 231 Rp - Rp -
0 148 Rp - Rp -
0 295 Rp - Rp -
0 2000 Rp - Rp -
0 8900 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 9950 Rp - Rp -
0 9000 Rp - Rp -
0 4638 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 4000 Rp - Rp -
0 2500 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 102 Rp - Rp -
0 187 Rp - Rp -
0 184 Rp - Rp -
0 800 Rp - Rp -
0 800 Rp - Rp -
0 50 Rp - Rp -
0 50 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 60 Rp - Rp -
0 80 Rp - Rp -
0 60 Rp - Rp -
0 564 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2468 Rp - Rp -
0 2870 Rp - Rp 8,236,900
0 206 Rp - Rp 42,436
0 15500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1785 Rp - Rp 3,186,225
0 87 Rp - Rp -
0 257 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 54 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 4,645,419 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1650
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 55000
5 Ambroxol Syr 15 mg/ml botol 7700
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 270
8 Aminofilin injeksi 24 mg/ml ampul 810
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 25200
16 Amoksisilin Sirup Forte 250 mg/5ml botol 15700
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 245000
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 2375
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 Bismuth Subgalat 150 mg + Heksaklorofen supp 0
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 328
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 36000
29 Asam Mefenamat 500 mg box 46000
30 Asam Traneksamat Injeksi ampul 1100
31 Asering Larutan botol 4800
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 80400
34 Asiklovir Tab 400 mg tablet 69000
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1980
38 Bedak Salisil Serbuk Kotak 3645
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 4800
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 56000
43 Calcium Lactate tablet 27000
44 Carbamazepin tablet 200 mg tablet 1600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 187900
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 358500
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 184
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 120
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 120
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 1350
66 Digoksin tablet 0,25 mg tablet 20000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 2900
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 1220
HCL)
73 Eritromisin Kapsul 250 mg kapsul 3500
74 Eritromisin Sirup 200 mg/ 5 ml botol 1360
75 Etil Klorida Spray botol 171
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 8580
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 19000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 6400
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 1009
88 Gentamisin Tetes Mata botol 1208
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 58500
92 Gliseril Guaikolat tablet 100 mg tablet 165500
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 86000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 4000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 12300
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1609
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 2500
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 3600
115 Ketokenazole Tab 200 mg tablet 22000
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 710
118 Kloramfenikol tetes telinga 3 % botol 293
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 105
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 117200
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 8850
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 840
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 30000
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 160
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 6000
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 85000
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 143000
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 77500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 59000
148 Metoklopramide Inj 5 mg/ml ampul 650
149 Metoklopramide Tab 5 mg tablet 23500
150 Metoklopramide Drop botol 1400
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 11500
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 6912
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin + DHA/EPA + Beta Karoten botol 6350

156 Multivitamin Anti Anemia + Asam Folat kapsul 0


157 Multivitamin + Vitamin C Dosis Tinggi tablet 57400
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 79000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 62900
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 97500


162 Natrium Diklofenat tab 50 mg tablet 83500
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 21100
165 Nifedifine Tab 10 mg tablet 5500
166 Nistatin tablet salut 500.000 IU / g tablet 3900
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4100
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 5181
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 13710
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 15760
184 Parasetamol + Ibuprofen tab tablet 65400
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 140
187 Piracetam tab 800 mg tablet 5500
188 Pirantel tablet score ( base ) 125 mg tablet 23000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 29300
190 Piroxicam Tab 20 mg tablet 151000
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 27000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 43500
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 900
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 520
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 99000
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 1200
216 Seftriakson Inj 1 g ampul 2920
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 28000
224 Setirizin Sirup 5 mg/ 5 ml botol 1730
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 415
228 Simvastatin tabet 10 mg tablet 8040
229 Simvastatin tabet 20 mg tablet 6450
Succus Liquiritae + Ammonium Chlorida +
230 botol 4328
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 154100
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 99500
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 25500
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 11000
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 13500
256 Zinc 20 mg tablet dispersibel tablet 17000
257 Zinc pro Sirup 60 ml botol 1374
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 8500
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 235
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 1150
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1600
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1500
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 2000
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 11600
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 2500
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 200
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 195
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2000
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 1450
300 Safety Box buah 0
301 Examination Gloves size L Box 56
302 Examination Gloves size M Box 231
303 Examination Gloves size S Box 148
304 Examination Gloves size XS Box 295
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8900
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 9950
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 4638
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 2000
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 4000
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 500
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 500
321 Alkohol swab Box 102
322 Silk 2/0 + jarum 1/2 GT 35 mm box 187
323 Silk 3/0 + jarum 1/2 GT 35 mm box 184
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 50
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 60
331 Benecheck plus Total Cholestrol Test Strip 50's Box 80
332 Benecheck plus Uric Test Strip 50's Box 60
333 Umbilical cord klem steril Nylon piece 564
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2468
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 2870
342 Onemed Blood Lancet (JAYAMAS) Box 206
343 Prednison tabled 5 mg tablet 15500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1785
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 257
349 Folic Acid/Asam Folat tablet 26000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 54
352 Sterile latex Surgical Gloves Size 7 Box 78
353 Doksisiklin tablet 100 mg tablet

4,177,550

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp - 120
Rp -
Rp -
Rp - 500 500
Rp - 100 50 50 50 50
Rp -
Rp - 20 20 20 20 10 10
Rp - 24
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 150
Rp -
Rp -
Rp -

Rp -

Rp - 100 50 50 25 50 100 50

Rp -

Rp -

Rp -

Rp - 48

Rp -
Rp -
Rp -
Rp - 1000 500 500
Rp - 1000 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 20
Rp - 30 50 30 20 10
Rp -
Rp - 800 500 500 500
Rp -
Rp - 500 3000 500 1000 500
Rp - 500
Rp -
Rp -
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 1000 1000 500
Rp -
Rp - 20 10
Rp -
Rp -
Rp - 5
Rp -
Rp -
Rp -
Rp -
Rp - 60 90 60
Rp -
Rp -
Rp - 1000 900
Rp -
Rp -
Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 150 150 150
Rp -
Rp -
Rp - 200 400
Rp -
Rp -
Rp -
Rp -
Rp - 48 48
Rp - 24 24 48
Rp -
Rp -
Rp - 500 1000 500
Rp - 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 1000 500
Rp -
Rp -
Rp -
Rp -
Rp - 200
Rp -
Rp - 50 25 25 50
Rp - 1000 500
Rp -
Rp -
Rp - 20 10 20 20 27
Rp -
Rp - 10 10
Rp - 1000 1000 1000 400
Rp -
Rp -

Rp - 50 100

Rp -
Rp - 100 200 40
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 12 12 12 12 12 12 12 12 12 4
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 500 500 300
Rp -
Rp - 1000
Rp - 1000 1000 500
Rp - 1000 1000
Rp -
Rp -
Rp - 1000 2000
Rp - 100 50 20 20
Rp - 500
Rp - 10
Rp -
Rp - 1000
Rp -
Rp -
Rp - 120 48

Rp - 100 50 50

Rp -
Rp - 5000 500 500

Rp - 1500 500

Rp -

Rp - 1500 1000

Rp - 500
Rp - 2000 500
Rp -
Rp - 1000
Rp - 1300 500
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 96 96 192 96 96 96 96 96
Rp -
Rp -
Rp -
Rp -
Rp - 600 300 300
Rp -
Rp -
Rp -
Rp - 100 100
Rp - 2000 1000 500
Rp -
Rp -
Rp - 500
Rp - 500
Rp - 2000 1000
Rp - 500 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp - 49

Rp -
Rp -
1000

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 500 500 200
Rp - 60 60 120
Rp -
Rp -
Rp -
Rp - 600 900 1200 300
Rp - 500 1000 500 600 300
Rp - 60 24 24
Rp -
Rp -
Rp -
Rp -
Rp - 5600 2000 5600 2000 3000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300 200 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 1000 500
Rp - 2000 2200 1000
Rp -
Rp - 120
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp - 10 5
Rp -
Rp -
Rp -
Rp -
Rp - 50 50 100
Rp - 50
Rp - 50 100
Rp - 200 100 100 100
Rp - 900 200 300 400 300 100 100 100
Rp - 400 100 100 100 300 400 200 200 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 250 50 150 250 50
Rp -
Rp - 5 5 2 18 3
Rp - 10 5 3 3 10 2
Rp - 3 3
Rp -
Rp -
Rp - 100 100
Rp -
Rp -
Rp - 100 100 100 100
Rp -
Rp - 3 33 50 20 20
Rp -
Rp -
Rp - 10 10 10 10
Rp -
Rp - 50 50 50
Rp -
Rp -
Rp -
Rp - 50 50
Rp - 4 4 2 2 5 2 1
Rp - 2 1 2 1
Rp - 2 1 2 2 2 1
Rp -
Rp -
Rp -
Rp - 1 1 1 2
Rp -
Rp -
Rp - 2 4 5 5 3 3
Rp - 5 10 6 5 5
Rp - 5 8 8 5 5
Rp - 2 1
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3 3 3
Rp - 60
Rp - 4 1 1 3 1
Rp -
Rp -
Rp -
Rp - 100
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
120 1530 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 53000 Rp - Rp -
50 350 7350 Rp - Rp -
0 0 Rp - Rp -
20 120 150 Rp - Rp -
24 786 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 450 24750 Rp - Rp -
200 200 15500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

16800 16800 228200 Rp - Rp -

50 475 1900 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

24 72 256 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 34000 Rp - Rp -
3000 500 5500 40500 Rp - Rp -
0 1100 Rp - Rp -
0 4800 Rp - Rp -
0 0 Rp - Rp -
0 80400 Rp - Rp -
500 500 68500 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
20 1960 Rp - Rp -
30 50 10 230 3415 Rp - Rp -
0 15000 Rp - Rp -
200 2000 4500 300 Rp - Rp -
0 0 Rp - Rp -
1000 500 2000 500 9500 46500 Rp - Rp -
500 26500 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
1000 1500 186400 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 3000 1000 9500 349000 Rp - Rp -
0 0 Rp - Rp -
10 10 50 134 Rp - Rp -
0 0 Rp - Rp -
0 120 Rp - Rp -
5 115 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
120 60 390 960 Rp - Rp -
0 20000 Rp - Rp -
0 7500 Rp - Rp -
1000 2900 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
10 10 30 1190 Rp - Rp -
500 500 3000 Rp - Rp -
0 1360 Rp - Rp -
4 16 20 151 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
450 150 1050 7530 Rp - Rp -
0 19000 Rp - Rp -
0 0 Rp - Rp -
600 1200 5200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
96 913 Rp - Rp -
96 1112 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 3000 55500 Rp - Rp -
500 1000 200 3700 161800 Rp - Rp -
0 0 Rp - Rp -
500 1000 1500 84500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 2500 1500 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 500 5500 6800 Rp - Rp -
0 0 Rp - Rp -
0 1609 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 200 900 1600 Rp - Rp -
0 0 Rp - Rp -
25 50 225 3375 Rp - Rp -
1500 20500 Rp - Rp -
0 0 Rp - Rp -
50 50 660 Rp - Rp -
10 10 117 176 Rp - Rp -
0 5000 Rp - Rp -
10 10 40 65 Rp - Rp -
1000 4000 1000 9400 107800 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -

100 250 8600 Rp - Rp -

0 0 Rp - Rp -
200 100 200 840 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 30000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 30000 Rp - Rp -
12 12 12 12 160 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 500 3800 2200 Rp - Rp -
0 0 Rp - Rp -
1000 84000 Rp - Rp -
2000 4500 138500 Rp - Rp -
1000 3000 74500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
1000 1000 1500 1000 7500 51500 Rp - Rp -
10 150 350 300 Rp - Rp -
1000 1500 22000 Rp - Rp -
10 10 10 40 1360 Rp - Rp -
0 0 Rp - Rp -
500 500 1000 3000 8500 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
240 96 504 6408 Rp - Rp -

50 250 6100 Rp - Rp -

0 0 Rp - Rp -
1000 1500 8500 48900 Rp - Rp -

1000 3000 76000 Rp - Rp -

0 0 Rp - Rp -

10000 1000 13500 49400 Rp - Rp -

500 500 1500 96000 Rp - Rp -


500 500 1500 1000 6000 77500 Rp - Rp -
0 20000 Rp - Rp -
1000 20100 Rp - Rp -
500 500 1000 500 4300 1200 Rp - Rp -
0 3900 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
96 96 1056 4125 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 1500 12210 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 400 15360 Rp - Rp -
1000 1000 5500 59900 Rp - Rp -
0 0 Rp - Rp -
10 40 50 90 Rp - Rp -
200 500 1200 4300 Rp - Rp -
500 22500 Rp - Rp -
3000 26300 Rp - Rp -
500 2000 149000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 27000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
100 43400 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
100 300 600
0 0 Rp - Rp -
0 100000 Rp - Rp -
49 471 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
1000 3600 1000 6600 92400 Rp - Rp -
0 0 Rp - Rp -
200 100 300 900 Rp - Rp -
0 2920 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 3000 25000 Rp - Rp -
240 1490 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 415 Rp - Rp -
300 300 150 3750 4290 Rp - Rp -
300 300 3500 2950 Rp - Rp -
60 168 4160 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
11200 1000 2000 34400 119700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 99500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
700 24800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 1000 7500 3500 Rp - Rp -
500 800 6500 7000 Rp - Rp -
10000 10000 7000 Rp - Rp -
120 1254 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 500 2000 6500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35 Rp - Rp -

0 100 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
5 20 215 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
50 150 400 750 Rp - Rp -
50 1550 Rp - Rp -
100 250 1250 Rp - Rp -
200 700 1300 Rp - Rp -
600 500 3500 8100 Rp - Rp -
200 300 100 2500 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
2 2 198 Rp - Rp -
2 1 3 192 Rp - Rp -
0 4000 Rp - Rp -
0 2500 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
150 100 1000 450 Rp - Rp -
0 0 Rp - Rp -
5 2 40 16 Rp - Rp -
2 2 5 42 189 Rp - Rp -
2 5 13 135 Rp - Rp -
0 295 Rp - Rp -
0 2000 Rp - Rp -
100 300 8600 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
200 600 9350 Rp - Rp -
0 9000 Rp - Rp -
100 20 246 4392 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
10 10 5 65 1935 Rp - Rp -
0 0 Rp - Rp -
100 50 50 350 3650 Rp - Rp -
0 2500 Rp - Rp -
50 50 450 Rp - Rp -
0 0 Rp - Rp -
50 50 5 205 295 Rp - Rp -
2 5 27 75 Rp - Rp -
1 1 8 179 Rp - Rp -
1 11 173 Rp - Rp -
0 800 Rp - Rp -
0 800 Rp - Rp -
0 50 Rp - Rp -
1 6 44 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
2 5 2 3 34 26 Rp - Rp -
5 5 7 3 51 29 Rp - Rp -
5 5 2 3 46 14 Rp - Rp -
1 4 8 556 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
9 2459 Rp - Rp -
120 180 2690 Rp - Rp 7,720,300
10 196 Rp - Rp 40,376
0 15500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
100 1685 Rp - Rp 3,007,725
0 87 Rp - Rp -
3 3 254 Rp - Rp -
0 26000 Rp - Rp -
0 100000 Rp - Rp -
0 54 Rp - Rp -
0 78 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
179,179 4,386,991 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1530
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 53000
5 Ambroxol Syr 15 mg/ml botol 7350
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 150
8 Aminofilin injeksi 24 mg/ml ampul 786
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 24750
16 Amoksisilin Sirup Forte 250 mg/5ml botol 15500
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 228200
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 1900
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 256
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 34000
29 Asam Mefenamat 500 mg box 40500
30 Asam Traneksamat Injeksi ampul 1100
31 Asering Larutan botol 4800
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 80400
34 Asiklovir Tab 400 mg tablet 68500
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1960
38 Bedak Salisil Serbuk Kotak 3415
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 300
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 46500
43 Calcium Lactate tablet 26500
44 Carbamazepin tablet 200 mg tablet 1600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 186400
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 349000
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 134
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 120
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 115
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 960
66 Digoksin tablet 0,25 mg tablet 20000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 1190
HCL)
73 Eritromisin Kapsul 250 mg kapsul 3000
74 Eritromisin Sirup 200 mg/ 5 ml botol 1360
75 Etil Klorida Spray botol 151
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 7530
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 19000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 5200
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 913
88 Gentamisin Tetes Mata botol 1112
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 55500
92 Gliseril Guaikolat tablet 100 mg tablet 161800
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 84500
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 1500
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 6800
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1609
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 1600
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 3375
115 Ketokenazole Tab 200 mg tablet 20500
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 660
118 Kloramfenikol tetes telinga 3 % botol 176
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 65
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 107800
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 8600
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 2200
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 84000
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 138500
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 74500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 2000
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 51500
148 Metoklopramide Inj 5 mg/ml ampul 300
149 Metoklopramide Tab 5 mg tablet 22000
150 Metoklopramide Drop botol 1360
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 8500
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 6408
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 6100
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 48900
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 76000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 49400
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 96000


162 Natrium Diklofenat tab 50 mg tablet 77500
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 20100
165 Nifedifine Tab 10 mg tablet 1200
166 Nistatin tablet salut 500.000 IU / g tablet 3900
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4100
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 4125
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 12210
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 15360
184 Parasetamol + Ibuprofen tab tablet 59900
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 90
187 Piracetam tab 800 mg tablet 4300
188 Pirantel tablet score ( base ) 125 mg tablet 22500
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 26300
190 Piroxicam Tab 20 mg tablet 149000
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 27000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 43400
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 600
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 471
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 92400
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 900
216 Seftriakson Inj 1 g ampul 2920
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 25000
224 Setirizin Sirup 5 mg/ 5 ml botol 1490
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 415
228 Simvastatin tabet 10 mg tablet 4290
229 Simvastatin tabet 20 mg tablet 2950
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 4160
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 119700
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 99500
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 24800
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 3500
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 7000
256 Zinc 20 mg tablet dispersibel tablet 7000
257 Zinc pro Sirup 60 ml botol 1254
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 6500
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 215
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 750
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1550
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1250
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 1300
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 8100
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 198
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 192
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 2000
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 450
300 Safety Box buah 0
301 Examination Gloves size L Box 16
302 Examination Gloves size M Box 189
303 Examination Gloves size S Box 135
304 Examination Gloves size XS Box 295
305 Kapas pembalut / Absorben 250 gram roll 2000
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8600
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 9350
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 4392
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 1935
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 3650
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 450
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 295
321 Alkohol swab Box 75
322 Silk 2/0 + jarum 1/2 GT 35 mm box 179
323 Silk 3/0 + jarum 1/2 GT 35 mm box 173
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 800
326 Infus set Anak set 50
327 Infuset Dewasa set 44
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 26
331 Benecheck plus Total Cholestrol Test Strip 50's Box 29
332 Benecheck plus Uric Test Strip 50's Box 14
333 Umbilical cord klem steril Nylon piece 556
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2459
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 2690
342 Onemed Blood Lancet (JAYAMAS) Box 196
343 Prednison tabled 5 mg tablet 15500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1685
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 254
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 54
352 Sterile latex Surgical Gloves Size 7 Box
353 Doksisiklin tablet 100 mg tablet

3,998,371

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp - 1000 500
Rp - 100 50 50 50 50
Rp -
Rp - 20 50 20 30
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 600 150
Rp - 500 500
Rp -
Rp -

Rp - 19800 16800 700 1000 16800 1000 1000 1000 16800

Rp - 200 50 50 50 100

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 500 500 1000
Rp - 1000 500 1000 1000
Rp - 100
Rp - 200 200
Rp -
Rp - 500 500
Rp - 500
Rp -
Rp -
Rp - 100 20
Rp - 30 200 20 20 10
Rp -
Rp -
Rp -
Rp - 1600 3000 500 1000
Rp - 1000 500 1000 500 500 1000
Rp -
Rp -
Rp - 1000 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 3000 1000 2000 2000 500
Rp -
Rp - 30 10 10
Rp -
Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp -
Rp - 60 90 60 150
Rp - 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 10 100 10
Rp -
Rp -
Rp - 2 10 2 2 2 5 2
Rp -
Rp -
Rp -
Rp - 90 150 60 150 150 300 150 150
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp - 10
Rp - 24
Rp -
Rp -
Rp - 2000 500
Rp - 2000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp - 24 24 48 24
Rp -
Rp -
Rp - 200
Rp -
Rp - 25 50 25
Rp -
Rp -
Rp -
Rp - 10
Rp -
Rp - 20 10
Rp - 4000 2000 1000 1000 1000
Rp -
Rp -

Rp - 200

Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 700 500
Rp -
Rp - 1000 1000
Rp - 10000 15000 1000 10000 1000 1000 1000
Rp - 500
Rp - 300
Rp -
Rp - 2000 1000 2000 500
Rp - 100
Rp - 500 500
Rp - 10 10 10 10 10
Rp -
Rp - 1000
Rp -
Rp -
Rp - 240 528 120 120 840 120 240 360

Rp - 100 200 100 250 50 50 50

Rp -
Rp - 10000 1000 500 500

Rp - 1000

Rp -

Rp - 2000

Rp - 500
Rp - 2000 500
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 192 192 96 96 96 192 96 96 96
Rp -
Rp -
Rp -
Rp -
Rp - 600 1200 300 300 900 300 300 300
Rp -
Rp -
Rp -
Rp - 160 100 150 100 100 100
Rp - 1000 500 1000 500
Rp -
Rp - 50
Rp - 250 100
Rp - 500
Rp - 1300 1000 500
Rp - 1600 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp - 1000 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1500 600 1000 600 2000 200 250 200
Rp -
Rp -
Rp - 100 200
Rp -
Rp -
Rp - 49 98

Rp -
Rp -
7200 500 1000

Rp - 150 300 20 20
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 500 1000
Rp - 60 60 60 60
Rp -
Rp -
Rp - 10 10 10
Rp - 900 1200 600 300 300 300
Rp - 1000 1000 350 300

Rp - 12 24

Rp -
Rp -
Rp -
Rp -
Rp - 2000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 300 500 100 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2000 500
Rp - 500 500 500
Rp - 500 500 2000
Rp - 240 48
Rp -
Rp -
Rp -
Rp -
Rp - 1000 2000 1000
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp - 3 20 3 20 1
Rp -
Rp -
Rp -
Rp -
Rp - 100 50 50
Rp - 50
Rp - 200 50
Rp - 100 100 100
Rp - 100 200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 100 200 100 50
Rp -
Rp - 100 200
Rp -
Rp - 10
Rp - 10 10 2 5 10 5
Rp - 10 10 2 5 2 3
Rp -
Rp - 5
Rp - 100
Rp -
Rp -
Rp - 100 100
Rp -
Rp - 100 30 100 120
Rp -
Rp -
Rp - 15 10 10 10
Rp -
Rp - 50 100 50
Rp -
Rp -
Rp -
Rp -
Rp - 16 2 2
Rp - 2 1 2 1
Rp - 1 2
Rp -
Rp - 20 5 3 5 20 5 5
Rp -
Rp - 4 1 1 1 1 1
Rp -
Rp -
Rp - 2 10 2 1 1 5 1
Rp - 5 10 1 1 5 1
Rp - 4 5 5
Rp - 4 1 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 14 2
Rp - 60 120
Rp - 1 1 5 2 1 2
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 2 10
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
30 30 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 2500 6000 47000 Rp - Rp -
50 50 400 6950 Rp - Rp -
0 0 Rp - Rp -
120 30 Rp - Rp -
0 786 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 600 1950 22800 Rp - Rp -
300 500 300 2100 13400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

2000 18800 20800 116500 111700 Rp - Rp -

50 200 75 775 1125 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

24 24 232 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 3000 6500 27500 Rp - Rp -
1000 4500 36000 Rp - Rp -
100 1000 Rp - Rp -
400 4400 Rp - Rp -
0 0 Rp - Rp -
1000 79400 Rp - Rp -
1000 250 1750 66750 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
120 1840 Rp - Rp -
30 10 12 332 3083 Rp - Rp -
0 15000 Rp - Rp -
100 100 200 Rp - Rp -
0 0 Rp - Rp -
1000 2000 500 2000 11600 34900 Rp - Rp -
4500 22000 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
1500 184900 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 1000 1000 2300 14800 334200 Rp - Rp -
0 0 Rp - Rp -
10 10 70 64 Rp - Rp -
0 0 Rp - Rp -
0 120 Rp - Rp -
10 105 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
60 60 60 60 600 360 Rp - Rp -
1000 19000 Rp - Rp -
0 7500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
10 130 1060 Rp - Rp -
0 3000 Rp - Rp -
40 40 1320 Rp - Rp -
2 15 42 109 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
120 300 180 1800 5730 Rp - Rp -
0 19000 Rp - Rp -
0 0 Rp - Rp -
200 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
48 58 855 Rp - Rp -
24 1088 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 4000 51500 Rp - Rp -
200 3200 158600 Rp - Rp -
0 0 Rp - Rp -
1000 2000 3000 81500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 1000 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 5800 Rp - Rp -
0 0 Rp - Rp -
30 150 1459 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
200 200 600 1000 Rp - Rp -
0 0 Rp - Rp -
25 125 3250 Rp - Rp -
0 20500 Rp - Rp -
0 0 Rp - Rp -
0 660 Rp - Rp -
50 10 10 80 96 Rp - Rp -
0 5000 Rp - Rp -
10 25 65 0 Rp - Rp -
3000 1000 2000 2200 17200 90600 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -

300 500 8100 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -

0 30000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 30000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 2200 0 Rp - Rp -
0 0 Rp - Rp -
2000 82000 Rp - Rp -
5000 3000 47000 91500 Rp - Rp -
500 74000 Rp - Rp -
100 400 1600 Rp - Rp -
0 0 Rp - Rp -
1000 1000 500 2000 10000 41500 Rp - Rp -
100 200 100 Rp - Rp -
2000 3000 19000 Rp - Rp -
20 50 20 140 1220 Rp - Rp -
0 0 Rp - Rp -
500 1000 2500 6000 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
264 288 3120 3288 Rp - Rp -

192 992 5108 Rp - Rp -

0 0 Rp - Rp -
1000 2100 15100 33800 Rp - Rp -

1000 1000 3000 73000 Rp - Rp -

0 0 Rp - Rp -

10000 12000 37400 Rp - Rp -

500 1000 500 2500 93500 Rp - Rp -


500 500 1000 4500 73000 Rp - Rp -
0 20000 Rp - Rp -
0 20100 Rp - Rp -
500 700 500 Rp - Rp -
0 3900 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
96 96 96 1440 2685 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
300 4500 7710 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
100 100 400 100 1410 13950 Rp - Rp -
1000 2000 6000 53900 Rp - Rp -
0 0 Rp - Rp -
50 40 Rp - Rp -
200 550 3750 Rp - Rp -
2000 2500 20000 Rp - Rp -
2800 23500 Rp - Rp -
1000 4600 144400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 3500 23500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
350 1250 1100 9050 34350 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
100 400 200
0 0 Rp - Rp -
0 100000 Rp - Rp -
49 196 275 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
2000 1000 3600 15300 77100 Rp - Rp -
0 0 Rp - Rp -
30 10 350 20 900 0 Rp - Rp -
0 2920 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 250 4750 20250 Rp - Rp -
60 60 60 420 1070 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
10 10 10 60 355 Rp - Rp -
300 300 4200 90 Rp - Rp -
300 2950 0 Rp - Rp -

24 60 4100 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 117700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10000 10000 89500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1400 23400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 3500 0 Rp - Rp -
500 2000 1000 1000 6000 1000 Rp - Rp -
3000 4000 Rp - Rp -
288 966 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1500 6500 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35 Rp - Rp -

0 100 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
2 5 54 161 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
200 50 450 300 Rp - Rp -
50 1500 Rp - Rp -
200 100 550 700 Rp - Rp -
300 1000 Rp - Rp -
500 800 7300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 198 Rp - Rp -
0 192 Rp - Rp -
0 4000 Rp - Rp -
0 2500 Rp - Rp -
200 750 1250 Rp - Rp -
0 0 Rp - Rp -
150 450 0 Rp - Rp -
0 0 Rp - Rp -
10 6 Rp - Rp -
3 10 5 60 129 Rp - Rp -
10 5 47 88 Rp - Rp -
0 295 Rp - Rp -
5 1995 Rp - Rp -
100 100 300 8300 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
100 300 9050 Rp - Rp -
0 9000 Rp - Rp -
40 390 4002 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
10 10 65 1870 Rp - Rp -
0 0 Rp - Rp -
50 100 100 100 550 3100 Rp - Rp -
0 2500 Rp - Rp -
5 5 445 Rp - Rp -
0 0 Rp - Rp -
5 5 290 Rp - Rp -
1 21 54 Rp - Rp -
1 2 9 170 Rp - Rp -
1 1 5 168 Rp - Rp -
0 800 Rp - Rp -
3 20 2 20 10 118 682 Rp - Rp -
0 50 Rp - Rp -
4 2 15 29 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
3 1 26 0 Rp - Rp -
5 1 29 0 Rp - Rp -
14 0 Rp - Rp -
2 9 547 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
16 2443 Rp - Rp -
60 60 300 2390 Rp - Rp 6,429,100
1 1 14 182 Rp - Rp 35,672
0 15500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
50 50 1635 Rp - Rp 2,754,975
0 87 Rp - Rp -
0 254 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
12 42 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
377,293 3,964,149 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1500
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 47000
5 Ambroxol Syr 15 mg/ml botol 6950
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 30
8 Aminofilin injeksi 24 mg/ml ampul 786
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 22800
16 Amoksisilin Sirup Forte 250 mg/5ml botol 13400
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 111700
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 1125
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 232
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 27500
29 Asam Mefenamat 500 mg box 36000
30 Asam Traneksamat Injeksi ampul 1000
31 Asering Larutan botol 4400
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 79400
34 Asiklovir Tab 400 mg tablet 66750
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1840
38 Bedak Salisil Serbuk Kotak 3083
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 200
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 34900
43 Calcium Lactate tablet 22000
44 Carbamazepin tablet 200 mg tablet 1600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 184900
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 334200
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 64
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 120
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 105
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 360
66 Digoksin tablet 0,25 mg tablet 19000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 1060
HCL)
73 Eritromisin Kapsul 250 mg kapsul 3000
74 Eritromisin Sirup 200 mg/ 5 ml botol 1320
75 Etil Klorida Spray botol 109
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 5730
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 19000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 5000
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 855
88 Gentamisin Tetes Mata botol 1088
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 51500
92 Gliseril Guaikolat tablet 100 mg tablet 158600
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 81500
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 1000
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 5800
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1459
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 1000
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 3250
115 Ketokenazole Tab 200 mg tablet 20500
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 660
118 Kloramfenikol tetes telinga 3 % botol 96
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 90600
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 8100
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 30000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 82000
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 91500
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 74000
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1600
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 41500
148 Metoklopramide Inj 5 mg/ml ampul 100
149 Metoklopramide Tab 5 mg tablet 19000
150 Metoklopramide Drop botol 1220
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 6000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 3288
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 5108
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 33800
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 73000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 37400
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 93500


162 Natrium Diklofenat tab 50 mg tablet 73000
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 20100
165 Nifedifine Tab 10 mg tablet 500
166 Nistatin tablet salut 500.000 IU / g tablet 3900
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4100
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 2685
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 7710
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 13950
184 Parasetamol + Ibuprofen tab tablet 53900
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 40
187 Piracetam tab 800 mg tablet 3750
188 Pirantel tablet score ( base ) 125 mg tablet 20000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 23500
190 Piroxicam Tab 20 mg tablet 144400
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 23500
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 34350
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 200
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 275
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 77100
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 2920
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 20250
224 Setirizin Sirup 5 mg/ 5 ml botol 1070
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 355
228 Simvastatin tabet 10 mg tablet 90
229 Simvastatin tabet 20 mg tablet 0
230 Succus Liquiritae + Ammonium Chlorida + botol 4100
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 117700
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 89500
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 23400
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 1000
256 Zinc 20 mg tablet dispersibel tablet 4000
257 Zinc pro Sirup 60 ml botol 966
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 161
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 300
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1500
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 700
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 1000
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 7300
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 198
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 192
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 2500
297 Safeglove PF No. 7,5 Pasang 1250
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 6
302 Examination Gloves size M Box 129
303 Examination Gloves size S Box 88
304 Examination Gloves size XS Box 295
305 Kapas pembalut / Absorben 250 gram roll 1995
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8300
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 9050
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 4002
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 1870
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 3100
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 445
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 290
321 Alkohol swab Box 54
322 Silk 2/0 + jarum 1/2 GT 35 mm box 170
323 Silk 3/0 + jarum 1/2 GT 35 mm box 168
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 682
326 Infus set Anak set 50
327 Infuset Dewasa set 29
328 Plester 5 yards x 2 inch roll 2000
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 547
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2443
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 2390
342 Onemed Blood Lancet (JAYAMAS) Box 182
343 Prednison tabled 5 mg tablet 15500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1635
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 254
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 42
352 Sterile latex Surgical Gloves Size 7 Box
353 Doksisiklin tablet 100 mg tablet

3,621,078

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp - 500 500
Rp - 100 100 50 50
Rp -
Rp - 30
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 600
Rp - 250 50
Rp -
Rp -

Rp - 16800

Rp - 50 100 50 50 50 25

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 500 1000
Rp - 2000 3000 1000 2000 2000 1000
Rp -
Rp -
Rp -
Rp - 500
Rp - 500
Rp -
Rp -
Rp - 20
Rp - 100 20 200 20 10 20 10 10
Rp -
Rp - 200
Rp -
Rp - 2000 3000 500 1000 1000 500 1000
Rp - 1000 1000 1000 500 500
Rp -
Rp -
Rp - 1000 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5000 3000 1000 5000 1000 2000 1000 1000
Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 60 150
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 100 100
Rp -
Rp - 100
Rp - 5 2 10 2 2
Rp -
Rp -
Rp -
Rp - 150 150 90
Rp - 500 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 48 48
Rp - 48 24 24
Rp -
Rp -
Rp - 2000
Rp - 2000 500
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 1000 800 500
Rp -
Rp -
Rp -
Rp -
Rp - 500
Rp -
Rp - 50 50 25
Rp -
Rp -
Rp -
Rp - 6
Rp -
Rp -
Rp - 2000 3000 1000 1000 1000
Rp - 8000 16800 1000 3000
Rp -

Rp - 200

Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp - 1000 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 3000 500
Rp - 10000 2000 1000 3000 500
Rp - 1000 500 500 500
Rp - 100
Rp -
Rp - 1000 1000 500
Rp - 20
Rp - 1000 1000
Rp - 20 20 30 10 10
Rp -
Rp - 1000 500
Rp -
Rp -
Rp - 120 240 120 120

Rp - 50 50 50 50 50

Rp -
Rp - 1000 500

Rp -

Rp -

Rp -

Rp - 2000 500 500 500 500


Rp - 1000 500 500 500
Rp -
Rp -
Rp - 500
Rp -
Rp - 100
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp - 96 192 96 96 192 96 96
Rp -
Rp -
Rp -
Rp -
Rp - 300 300
Rp -
Rp -
Rp -
Rp - 150 600 150 250 150 150 150 150
Rp - 5000 1000 2000 1000 3000 1000
Rp -
Rp - 10
Rp - 100 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 50 100
Rp -
Rp -
Rp - 200
Rp -
Rp -
Rp - 98 98

Rp -
Rp -
1000 500 1000

Rp -
Rp - 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000 500 500 500 500 500
Rp - 120 60 120 60
Rp -
Rp -
Rp -
Rp - 90
Rp -
Rp - 60 48
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 500 300
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 1000
Rp - 500
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp - 20
Rp -
Rp -
Rp -
Rp -
Rp - 50 50 50
Rp - 50
Rp - 50 50
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 200 200 100
Rp - 200 200 200 200 50
Rp -
Rp -
Rp -
Rp -
Rp - 5 10 7 5 10 3 2
Rp - 5 3 3 5 10 5 3 2
Rp -
Rp - 5
Rp - 100 100
Rp -
Rp -
Rp - 100 100 100
Rp -
Rp - 50 100 30 100 12 10
Rp -
Rp -
Rp - 10 20 10
Rp -
Rp - 50 50 50
Rp -
Rp - 20
Rp -
Rp - 50 20
Rp - 5 5 4 2 1
Rp - 1
Rp - 2 1
Rp -
Rp - 5 10 5 10 10 20 7 5
Rp -
Rp - 2 4
Rp - 20 20 10
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp - 5 5 1
Rp -
Rp - 1 1 5 2 1 3
Rp - 2000
Rp -
Rp -
Rp -
Rp -
Rp - 2 5
Rp -
Rp -
Rp - 5 3 5 2
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 2000 45000 Rp - Rp -
100 100 500 6450 Rp - Rp -
0 0 Rp - Rp -
30 0 Rp - Rp -
0 786 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 22200 Rp - Rp -
200 500 12900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

16800 94900 Rp - Rp -

50 100 475 650 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

24 24 208 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 3000 24500 Rp - Rp -
3000 1000 3000 18000 18000 Rp - Rp -
200 200 800 Rp - Rp -
0 4400 Rp - Rp -
0 0 Rp - Rp -
500 78900 Rp - Rp -
500 1000 65750 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
20 1820 Rp - Rp -
50 30 470 2613 Rp - Rp -
0 15000 Rp - Rp -
200 0 Rp - Rp -
0 0 Rp - Rp -
1000 500 10500 24400 Rp - Rp -
500 4500 17500 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
3000 181900 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 19800 1000 40800 293400 Rp - Rp -
0 0 Rp - Rp -
10 20 44 Rp - Rp -
0 0 Rp - Rp -
0 120 Rp - Rp -
0 105 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 360 0 Rp - Rp -
0 19000 Rp - Rp -
0 7500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
200 860 Rp - Rp -
0 3000 Rp - Rp -
100 1220 Rp - Rp -
2 2 25 84 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 540 5190 Rp - Rp -
1000 18000 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
96 759 Rp - Rp -
96 992 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 49500 Rp - Rp -
500 3000 155600 Rp - Rp -
0 0 Rp - Rp -
2000 500 1000 4500 77000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
2000 5300 500 Rp - Rp -
0 0 Rp - Rp -
0 1459 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 500 Rp - Rp -
0 0 Rp - Rp -
50 50 225 3025 Rp - Rp -
1000 1000 19500 Rp - Rp -
0 0 Rp - Rp -
0 660 Rp - Rp -
6 90 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
3000 1000 2000 1000 15000 75600 Rp - Rp -
5000 5000 38800 261200 Rp - Rp -
0 0 Rp - Rp -

200 7900 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -

0 30000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
1000 3000 27000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
4500 77500 Rp - Rp -
1000 10000 3000 30500 61000 Rp - Rp -
1000 3500 70500 Rp - Rp -
100 1500 Rp - Rp -
0 0 Rp - Rp -
1000 1000 2000 6500 35000 Rp - Rp -
20 80 Rp - Rp -
1000 2000 5000 14000 Rp - Rp -
20 20 130 1090 Rp - Rp -
0 0 Rp - Rp -
500 1000 3000 3000 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
96 696 2592 Rp - Rp -

50 300 4808 Rp - Rp -

0 0 Rp - Rp -
1000 2500 31300 Rp - Rp -

1000 1000 72000 Rp - Rp -

0 0 Rp - Rp -

0 37400 Rp - Rp -

500 500 5000 88500 Rp - Rp -


500 500 1000 4500 68500 Rp - Rp -
0 20000 Rp - Rp -
0 20100 Rp - Rp -
500 0 Rp - Rp -
0 3900 Rp - Rp -
100 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
96 96 96 1152 1533 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
600 1200 6510 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
150 150 2050 11900 Rp - Rp -
2000 1000 3000 19000 34900 Rp - Rp -
0 0 Rp - Rp -
10 30 Rp - Rp -
200 350 3400 Rp - Rp -
0 20000 Rp - Rp -
0 23500 Rp - Rp -
3000 3000 141400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1500 22000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
150 34200 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
200 0
0 0 Rp - Rp -
0 100000 Rp - Rp -
79 275 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
1000 1000 1000 5500 71600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
20 10 40 2880 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
500 1000 5000 15250 Rp - Rp -
60 60 480 590 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 355 Rp - Rp -
90 0 Rp - Rp -
0 0 Rp - Rp -
24 132 3968 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 117700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 89500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
800 22600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
1000 0 Rp - Rp -
500 3500 Rp - Rp -
0 966 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35 Rp - Rp -

0 100 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
5 5 30 131 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
50 50 50 300 0 Rp - Rp -
50 1450 Rp - Rp -
50 150 550 Rp - Rp -
0 1000 Rp - Rp -
0 7300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 198 Rp - Rp -
0 192 Rp - Rp -
0 4000 Rp - Rp -
200 700 1800 Rp - Rp -
200 200 1250 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6 Rp - Rp -
3 3 10 5 63 66 Rp - Rp -
3 3 10 5 57 31 Rp - Rp -
10 10 285 Rp - Rp -
5 1990 Rp - Rp -
100 300 8000 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
100 100 500 8550 Rp - Rp -
0 9000 Rp - Rp -
100 100 30 532 3470 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
10 20 10 80 1790 Rp - Rp -
0 0 Rp - Rp -
50 200 2900 Rp - Rp -
0 2500 Rp - Rp -
20 425 Rp - Rp -
0 0 Rp - Rp -
70 220 Rp - Rp -
1 18 36 Rp - Rp -
1 1 3 167 Rp - Rp -
1 1 5 163 Rp - Rp -
0 800 Rp - Rp -
10 5 5 92 590 Rp - Rp -
0 50 Rp - Rp -
6 23 Rp - Rp -
50 1950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 547 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
10 21 2422 Rp - Rp -
60 60 2330 Rp - Rp 5,568,700
1 14 168 Rp - Rp 30,576
2000 13500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1635 Rp - Rp 2,673,225
0 87 Rp - Rp -
7 247 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
3 2 3 23 19 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
286,860 3,669,949 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1500
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 45000
5 Ambroxol Syr 15 mg/ml botol 6450
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 786
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 22200
16 Amoksisilin Sirup Forte 250 mg/5ml botol 12900
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 94900
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 650
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 208
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 24500
29 Asam Mefenamat 500 mg box 18000
30 Asam Traneksamat Injeksi ampul 800
31 Asering Larutan botol 4400
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 78900
34 Asiklovir Tab 400 mg tablet 65750
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1820
38 Bedak Salisil Serbuk Kotak 2613
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 24400
43 Calcium Lactate tablet 17500
44 Carbamazepin tablet 200 mg tablet 1600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 181900
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 293400
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 44
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 120
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 105
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 19000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 860
73 Eritromisin Kapsul 250 mg kapsul 3000
74 Eritromisin Sirup 200 mg/ 5 ml botol 1220
75 Etil Klorida Spray botol 84
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 5190
Fitomenadion (Vitamin K) tablet salut gula 10
80 tablet 18000
mg
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 5000
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 759
88 Gentamisin Tetes Mata botol 992
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 49500
92 Gliseril Guaikolat tablet 100 mg tablet 155600
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 77000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 500
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 500
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1459
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 500
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 3025
115 Ketokenazole Tab 200 mg tablet 19500
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 660
118 Kloramfenikol tetes telinga 3 % botol 90
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 75600
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 261200
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 7900
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 27000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 77500
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 61000
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 70500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1500
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 35000
148 Metoklopramide Inj 5 mg/ml ampul 80
149 Metoklopramide Tab 5 mg tablet 14000
150 Metoklopramide Drop botol 1090
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 3000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 2592
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 4808
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 31300
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 72000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 37400
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN
161 Natrium Diklofenat tab 25 mg tablet 88500
162 Natrium Diklofenat tab 50 mg tablet 68500
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 20100
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 3900
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4000
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 1533
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 6510
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 11900
184 Parasetamol + Ibuprofen tab tablet 34900
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 30
187 Piracetam tab 800 mg tablet 3400
188 Pirantel tablet score ( base ) 125 mg tablet 20000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 23500
190 Piroxicam Tab 20 mg tablet 141400
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 22000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 34200
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 71600
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 2880
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 15250
224 Setirizin Sirup 5 mg/ 5 ml botol 590
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 355
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 3968
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 117700
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 89500
239 Tiamin (Vitamin B1) tablet 50 mg tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 22600
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 3500
257 Zinc pro Sirup 60 ml botol 966
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 131
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1450
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 550
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 1000
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 7300
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 198
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 192
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 1800
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 6
302 Examination Gloves size M Box 66
303 Examination Gloves size S Box 31
304 Examination Gloves size XS Box 285
305 Kapas pembalut / Absorben 250 gram roll 1990
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8000
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 8550
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 3470
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 1790
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 2900
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 425
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 220
321 Alkohol swab Box 36
322 Silk 2/0 + jarum 1/2 GT 35 mm box 167
323 Silk 3/0 + jarum 1/2 GT 35 mm box 163
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 590
326 Infus set Anak set 50
327 Infuset Dewasa set 23
328 Plester 5 yards x 2 inch roll 1950
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 547
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2422
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 2330
342 Onemed Blood Lancet (JAYAMAS) Box 168
343 Prednison tabled 5 mg tablet 13500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1635
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 247
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box
353 Doksisiklin tablet 100 mg tablet

3,334,218

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 45000 Rp - Rp -
0 6450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 786 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22200 Rp - Rp -
0 12900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 94900 Rp - Rp -

0 650 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 208 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 24500 Rp - Rp -
0 18000 Rp - Rp -
0 800 Rp - Rp -
0 4400 Rp - Rp -
0 0 Rp - Rp -
0 78900 Rp - Rp -
0 65750 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
0 1820 Rp - Rp -
0 2613 Rp - Rp -
0 15000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 24400 Rp - Rp -
0 17500 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
0 181900 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 293400 Rp - Rp -
0 0 Rp - Rp -
0 44 Rp - Rp -
0 0 Rp - Rp -
0 120 Rp - Rp -
0 105 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19000 Rp - Rp -
0 7500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -

0 860 Rp - Rp -
0 3000 Rp - Rp -
0 1220 Rp - Rp -
0 84 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5190 Rp - Rp -
0 18000 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
0 759 Rp - Rp -
0 992 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 49500 Rp - Rp -
0 155600 Rp - Rp -
0 0 Rp - Rp -
0 77000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 1459 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 3025 Rp - Rp -
0 19500 Rp - Rp -
0 0 Rp - Rp -
0 660 Rp - Rp -
0 90 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 75600 Rp - Rp -
0 261200 Rp - Rp -
0 0 Rp - Rp -

0 7900 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -

0 30000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 27000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 77500 Rp - Rp -
0 61000 Rp - Rp -
0 70500 Rp - Rp -
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 35000 Rp - Rp -
0 80 Rp - Rp -
0 14000 Rp - Rp -
0 1090 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 2592 Rp - Rp -

0 4808 Rp - Rp -

0 0 Rp - Rp -
0 31300 Rp - Rp -

0 72000 Rp - Rp -

0 0 Rp - Rp -

0 37400 Rp - Rp -
0 88500 Rp - Rp -
0 68500 Rp - Rp -
0 20000 Rp - Rp -
0 20100 Rp - Rp -
0 0 Rp - Rp -
0 3900 Rp - Rp -
0 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 1533 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6510 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 11900 Rp - Rp -
0 34900 Rp - Rp -
0 0 Rp - Rp -
0 30 Rp - Rp -
0 3400 Rp - Rp -
0 20000 Rp - Rp -
0 23500 Rp - Rp -
0 141400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 34200 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 71600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2880 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 15250 Rp - Rp -
0 590 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 355 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3968 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 117700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 89500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3500 Rp - Rp -
0 966 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35 Rp - Rp -

0 100 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
0 131 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1450 Rp - Rp -
0 550 Rp - Rp -
0 1000 Rp - Rp -
0 7300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 198 Rp - Rp -
0 192 Rp - Rp -
0 4000 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6 Rp - Rp -
0 66 Rp - Rp -
0 31 Rp - Rp -
0 285 Rp - Rp -
0 1990 Rp - Rp -
0 8000 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 8550 Rp - Rp -
0 9000 Rp - Rp -
0 3470 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 1790 Rp - Rp -
0 0 Rp - Rp -
0 2900 Rp - Rp -
0 2500 Rp - Rp -
0 425 Rp - Rp -
0 0 Rp - Rp -
0 220 Rp - Rp -
0 36 Rp - Rp -
0 167 Rp - Rp -
0 163 Rp - Rp -
0 800 Rp - Rp -
0 590 Rp - Rp -
0 50 Rp - Rp -
0 23 Rp - Rp -
0 1950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 547 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2422 Rp - Rp -
0 2330 Rp - Rp 5,428,900
0 168 Rp - Rp 28,224
0 13500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1635 Rp - Rp 2,673,225
0 87 Rp - Rp -
0 247 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 3,669,949 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1500
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 45000
5 Ambroxol Syr 15 mg/ml botol 6450
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 786
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 22200
16 Amoksisilin Sirup Forte 250 mg/5ml botol 12900
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 94900
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 650
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 supp 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa 25mg + levodi tablet 0
Antifungi Doen kombinasi :
24 tube 208
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 24500
29 Asam Mefenamat 500 mg box 18000
30 Asam Traneksamat Injeksi ampul 800
31 Asering Larutan botol 4400
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 78900
34 Asiklovir Tab 400 mg tablet 65750
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1820
38 Bedak Salisil Serbuk Kotak 2613
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 24400
43 Calcium Lactate tablet 17500
44 Carbamazepin tablet 200 mg tablet 1600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 181900
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 293400
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 44
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 120
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 105
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 19000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 860
HCL)
73 Eritromisin Kapsul 250 mg kapsul 3000
74 Eritromisin Sirup 200 mg/ 5 ml botol 1220
75 Etil Klorida Spray botol 84
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 5190
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 18000
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 5000
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 759
88 Gentamisin Tetes Mata botol 992
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 49500
92 Gliseril Guaikolat tablet 100 mg tablet 155600
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 77000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 500
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 500
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1459
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 500
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 3025
115 Ketokenazole Tab 200 mg tablet 19500
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 660
118 Kloramfenikol tetes telinga 3 % botol 90
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 75600
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 261200
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 7900
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ampul 30000
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 27000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 77500
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 61000
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 70500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1500
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 35000
148 Metoklopramide Inj 5 mg/ml ampul 80
149 Metoklopramide Tab 5 mg tablet 14000
150 Metoklopramide Drop botol 1090
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 3000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 2592
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 4808
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 31300
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 72000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


159 ferrous gluconate 250 mg, manganase sulf 0,2 tablet 0
mg, copper sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 37400
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 88500


162 Natrium Diklofenat tab 50 mg tablet 68500
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 20100
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 3900
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4000
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 1533
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 6510
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 11900
184 Parasetamol + Ibuprofen tab tablet 34900
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 30
187 Piracetam tab 800 mg tablet 3400
188 Pirantel tablet score ( base ) 125 mg tablet 20000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 23500
190 Piroxicam Tab 20 mg tablet 141400
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 22000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 34200
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 71600
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 2880
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 15250
224 Setirizin Sirup 5 mg/ 5 ml botol 590
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 355
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium botol 3968
Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 117700
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 89500
Tiamin (Vitamin B1) tablet 50 mg
239 (HCL/Nitrat) tablet 0
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 22600
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 3500
257 Zinc pro Sirup 60 ml botol 966
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 131
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1450
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 550
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 1000
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 7300
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 198
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 192
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 1800
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 6
302 Examination Gloves size M Box 66
303 Examination Gloves size S Box 31
304 Examination Gloves size XS Box 285
305 Kapas pembalut / Absorben 250 gram roll 1990
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8000
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 8550
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 3470
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 1790
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 2900
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 425
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 220
321 Alkohol swab Box 36
322 Silk 2/0 + jarum 1/2 GT 35 mm box 167
323 Silk 3/0 + jarum 1/2 GT 35 mm box 163
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 590
326 Infus set Anak set 50
327 Infuset Dewasa set 23
328 Plester 5 yards x 2 inch roll 1950
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 547
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2422
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 2330
342 Onemed Blood Lancet (JAYAMAS) Box 168
343 Prednison tabled 5 mg tablet 13500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1635
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 247
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box
353 Doksisiklin tablet 100 mg tablet

3,334,218

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -

Rp -

Rp -
Rp -
Rp -
Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 45000 Rp - Rp -
0 6450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 786 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22200 Rp - Rp -
0 12900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 94900 Rp - Rp -

0 650 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 208 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 24500 Rp - Rp -
0 18000 Rp - Rp -
0 800 Rp - Rp -
0 4400 Rp - Rp -
0 0 Rp - Rp -
0 78900 Rp - Rp -
0 65750 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
0 1820 Rp - Rp -
0 2613 Rp - Rp -
0 15000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 24400 Rp - Rp -
0 17500 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
0 181900 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 293400 Rp - Rp -
0 0 Rp - Rp -
0 44 Rp - Rp -
0 0 Rp - Rp -
0 120 Rp - Rp -
0 105 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19000 Rp - Rp -
0 7500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
0 860 Rp - Rp -
0 3000 Rp - Rp -
0 1220 Rp - Rp -
0 84 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5190 Rp - Rp -
0 18000 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
0 759 Rp - Rp -
0 992 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 49500 Rp - Rp -
0 155600 Rp - Rp -
0 0 Rp - Rp -
0 77000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 1459 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 3025 Rp - Rp -
0 19500 Rp - Rp -
0 0 Rp - Rp -
0 660 Rp - Rp -
0 90 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 75600 Rp - Rp -
0 261200 Rp - Rp -
0 0 Rp - Rp -
0 7900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 30000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 27000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 77500 Rp - Rp -
0 61000 Rp - Rp -
0 70500 Rp - Rp -
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 35000 Rp - Rp -
0 80 Rp - Rp -
0 14000 Rp - Rp -
0 1090 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 2592 Rp - Rp -

0 4808 Rp - Rp -

0 0 Rp - Rp -
0 31300 Rp - Rp -

0 72000 Rp - Rp -

0 0 Rp - Rp -

0 37400 Rp - Rp -

0 88500 Rp - Rp -
0 68500 Rp - Rp -
0 20000 Rp - Rp -
0 20100 Rp - Rp -
0 0 Rp - Rp -
0 3900 Rp - Rp -
0 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 1533 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6510 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 11900 Rp - Rp -
0 34900 Rp - Rp -
0 0 Rp - Rp -
0 30 Rp - Rp -
0 3400 Rp - Rp -
0 20000 Rp - Rp -
0 23500 Rp - Rp -
0 141400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 34200 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 71600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2880 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 15250 Rp - Rp -
0 590 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 355 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3968 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 117700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 89500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3500 Rp - Rp -
0 966 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35 Rp - Rp -

0 100 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
0 131 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1450 Rp - Rp -
0 550 Rp - Rp -
0 1000 Rp - Rp -
0 7300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 198 Rp - Rp -
0 192 Rp - Rp -
0 4000 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6 Rp - Rp -
0 66 Rp - Rp -
0 31 Rp - Rp -
0 285 Rp - Rp -
0 1990 Rp - Rp -
0 8000 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 8550 Rp - Rp -
0 9000 Rp - Rp -
0 3470 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 1790 Rp - Rp -
0 0 Rp - Rp -
0 2900 Rp - Rp -
0 2500 Rp - Rp -
0 425 Rp - Rp -
0 0 Rp - Rp -
0 220 Rp - Rp -
0 36 Rp - Rp -
0 167 Rp - Rp -
0 163 Rp - Rp -
0 800 Rp - Rp -
0 590 Rp - Rp -
0 50 Rp - Rp -
0 23 Rp - Rp -
0 1950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 547 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2422 Rp - Rp -
0 2330 Rp - Rp 5,428,900
0 168 Rp - Rp 28,224
0 13500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1635 Rp - Rp 2,673,225
0 87 Rp - Rp -
0 247 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 3,669,949 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
Stock
No Nama Obat Kemasan Harga Satuan
Awal

1 2 3 4 5
1 Albendazol Tab 400 mg tablet 1500
2 Albendazole Suspensi botol 0
3 Alofar 100 mg tablet 0
4 Allopurinol tablet 100 mg tablet 45000
5 Ambroxol Syr 15 mg/ml botol 6450
6 Ambroxol Tablet tablet 0
7 Ambroxol Drop botol 0
8 Aminofilin injeksi 24 mg/ml ampul 786
9 Aminofilin tablet 200 mg tablet 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0
11 Amlodipin 5mg tablet 0
12 Amlodipin 10 mg tablet 0
13 Amoksisilin Kaplet 500 mg tablet 0
14 Amoksisilin Kapsul 250 mg kapsul 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 22200
16 Amoksisilin Sirup Forte 250 mg/5ml botol 12900
17 Ampicillin inj II Suspensi, kombinasi :
Antasida Doen ampul 0
18 botol 0
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 tablet 94900
Aluminium Hidroksida 200 mg
Anti bakteri Doen salep kombinasi :
20 Basitrasin 500 IU/g + tube 650
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 Bismuth Subgalat 150 mg + Heksaklorofen supp 0
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa tablet 0
25mg + levodi
Antifungi Doen kombinasi :
24 tube 208
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ampul 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 24500
29 Asam Mefenamat 500 mg box 18000
30 Asam Traneksamat Injeksi ampul 800
31 Asering Larutan botol 4400
32 Asiklovir Krim 5 % tube 0
33 Asiklovir Tab 200 mg tablet 78900
34 Asiklovir Tab 400 mg tablet 65750
35 Atropin Injeksi 0,25mg/ml ampul 1000
36 Aqua Pro injeksi steril, bebas pirogen vial 1000
37 Azitromisin tablet 1820
38 Bedak Salisil Serbuk Kotak 2613
39 Betametason krim 0,1 % tube 15000
40 Bisoprolol Tab 5 mg tablet 0
41 Captoril tablet 25 mg tablet 0
42 Captoril tablet 12,5 mg tablet 24400
43 Calcium Lactate tablet 17500
44 Carbamazepin tablet 200 mg tablet 1600
45 Chlorexol Suspensi botol 0
46 Ciprofloxacin 500 mg tablet 181900
47 Clindamisin Kap 300 mg kapsul 1000
48 Clinoma tablet 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0
53 Codein Tablet 10 g tablet 0
54 Dasabion tablet 0
55 Deksametazon tablet 0,5 mg tablet 293400
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0
57 Desoksimetason Krim 0,25% tube 44
58 DHP tablet 0
59 Diazepam Lar Rektal 5 mg/2,5 ml tube 120
60 Diazepam Lar Rektal 10 mg/2,5 ml tube 105
61 Diazepam injeksi 5 mg/ml ampul 0
62 Diazepam tablet 10 mg tablet 0
63 Diazepam tablet 5 mg tablet 0
64 Dietilkarbamazin 10 mg tablet 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0
66 Digoksin tablet 0,25 mg tablet 19000
67 Diltiazem Tab tablet 7500
68 Domperidom Tab 10 mg tablet 0
69 Domperidon suspensi 5 mg/5 ml botol 0
70 Dulcolax Supp adult 10 mg supp 1000
71 Dulcolax Supp infant 5 mg supp 960
72 Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai ampul 860
HCL)
73 Eritromisin Kapsul 250 mg kapsul 3000
74 Eritromisin Sirup 200 mg/ 5 ml botol 1220
75 Etil Klorida Spray botol 84
76 Farsifen plus tablet 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0
78 Fenobarbital tablet 30 mg tablet 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 5190
Fitomenadion (Vitamin K) tablet salut gula 10
80 tablet 18000
mg
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0
82 Furosemide tablet 40 mg tablet 5000
83 Floxifar 500 mg kaplet 0
84 Fasiprim Suspensi botol 0
85 Garam Oralit I serbuk kombinasi sachet 50000
86 Gentamisin Inj ampul 0
87 Gentamisin Salep Mata tube 759
88 Gentamisin Tetes Mata botol 992
89 Gentamisin Salep 0, 1 % tube 0
90 Gentian Violet larutan 1 % botol 0
91 Glibenclamide tablet 5 mg tablet 49500
92 Gliseril Guaikolat tablet 100 mg tablet 155600
93 Glukosa larutan infus 5 % tablet 0
94 Griseofulvin tablet 125 mg, Micronized tablet 77000
95 Gula Alami Granul botol 0
96 Haloperidol Tablet 0,5 mg tablet 0
97 Haloperidol Tablet 1,5 mg tablet 0
98 Haloperidol Tablet 5 mg tablet 0
99 Haloperidol injeksi ampul 0
100 Hexymer 2 mg tablet 0
101 Hidroklorotiazida tablet 25 mg tablet 500
102 Hidrokortison krim 2,5 % tube 2000
103 Hidrogen Peroksida cairan 3% (H2O2) botol 200
104 Hufagesic 500 mg tablet 0
105 Hufamycetin Suspensi botol 0
106 Ibuprofen sirup 100 mg botol 0
107 Ibuprofen tablet 200 mg tablet 500
108 Ibuprofen tablet 400 mg tablet 0
109 Ichtiyol 15 g tube 1459
110 Ifidex 0,5 mg tablet 0
111 Ifitamol tablet 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 500
113 Kalsium Glukonas injeksi ampul 0
114 Ketokenazole Kriem 2 % tube 3025
115 Ketokenazole Tab 200 mg tablet 19500
116 Kloramfenikol kapsul 500 mg kapsul 0
117 Kloramfenikol Suspensi 125 mg/ml botol 660
118 Kloramfenikol tetes telinga 3 % botol 90
119 Kloramfenikol Salep Mata tube 5000
120 Kloramfenikol Tetes Mata 0,5% botol 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 75600
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 261200
123 Kotrimoksazol DOEN II ( pediatrik)120 mg tablet 0
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg botol 7900
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B botol 0
125 Lanzoprazole kapsul 30 mg kapsul 0
264 Latibet 5 mg tablet 0
126 Lidokain injeksi 2 % ampul 30000
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 30000
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0
129 Lokev kapsul 0
130 Loperamide Tablet tablet 100000
131 Loratadine Tab 10 mg tablet 27000
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0
134 MDT MB Anak blister 0
135 MDT MB Dewasa blister 0
136 MDT PB Anak blister 0
137 MDT PB Dewasa blister 0
138 Maagel Suspensi botol 0
139 Mefamesis Sirup botol 0
140 Meloxicam 15 mg tablet 0
141 Meloxicam 7,5 mg tablet 0
142 Methampyron 500 mg tablet 77500
Methampyron + Vit B1, Vit B6, Vit B12
143 tablet 61000
(Omegesic)
144 Metformin HCL tablet 500 mg tablet 70500
145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1500
146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0
147 Metilprednisolone kotak 100 tablet 35000
148 Metoklopramide Inj 5 mg/ml ampul 80
149 Metoklopramide Tab 5 mg tablet 14000
150 Metoklopramide Drop botol 1090
151 Metronidazole tablet 250 mg tablet 0
152 Metronidazole tablet 500 mg tablet 3000
153 Miconazole Krim 2 % tube 4100
267 Milorin Tablet tablet 0
154 Multi Vitamin + Lysin botol 2592
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin botol 4808
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 31300
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae Kotak 50 kaplet 72000
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper tablet 0
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)

Multi Vitamin untuk Ibu Hamil mengandung


vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 tablet 37400
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg tablet 88500


162 Natrium Diklofenat tab 50 mg tablet 68500
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 20000
164 New Antides Kotak 20100
165 Nifedifine Tab 10 mg tablet 0
166 Nistatin tablet salut 500.000 IU / g tablet 3900
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4000
168 OAT Kategori Anak paket 0
169 OAT Kategori I & III paket 0
170 OAT Kategori II paket 0
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin botol 15000

172 Obat Anti Malaria (OAM) tablet 0


173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0
174 Obat Batuk Pilek Anak Bayi botol 1533
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0
177 Oksitetrasiklin salep kulit 3 % tube 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 0
179 Omeprazole Kap 20 mg kapsul 6510
180 Parasetamol Tab 100 mg tablet 0
181 Parasetamol Tab 500 mg tablet 0
182 Parasetamol Drops botol 0
183 Parasetamol sirup 120 mg / 5 ml botol 11900
184 Parasetamol + Ibuprofen tab tablet 34900
185 Phenylbutason tablet 0
186 Piracetam inj 1 g/5 ml ampul 30
187 Piracetam tab 800 mg tablet 3400
188 Pirantel tablet score ( base ) 125 mg tablet 20000
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 23500
190 Piroxicam Tab 20 mg tablet 141400
191 Prednison Tablet 5 mg tablet 0
192 Primakuin tablet 15 mg tablet 0
193 Prokain Penicillin injeksi ampul 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0
195 Propiltiourasil tablet 100 mg tablet 22000
196 Provinas 200 mg kotak 0
197 Provinas 400 mg kotak 0
198 Ramolit kotak 0
199 Ranitidin tablet 300000
200 Ranitidin Inj 25 mg / 25 ml kotak 0
201 Ratrim Forte kaplet 0
202 RDT buah 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 10000
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 34200
205 Ringer Laktat Larutan infus botol 20000
206 Risperidon 1 mg tablet 0
207 Risperidon 2 mg tablet 0
208 Salbutamol 2 mg tablet 0
209 Salbutamol 4 mg tablet 100000
210 Salbutamol Sirup botol 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0
endap 4 %
212 Scopma kotak 0
213 Sefiksim kapsul 100 mg kapsul 71600
214 Sefiksim sir 100 mg/5 ml botol 0
215 Sefotaxime Inj 1 g ampul 0
216 Seftriakson Inj 1 g ampul 2880
217 Selmetor 4 mg kotak 0
218 Selmatic 20 mg tablet 0
219 Selferro tablet 0
220 Selpyron tablet 0
221 Sepadroksil Kap 500 mg kapsul 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0
223 Setirizin 10 mg kapsul 15250
224 Setirizin Sirup 5 mg/ 5 ml botol 590
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 20000
227 Sikzonoat injeksi kaleng 355
228 Simvastatin tabet 10 mg tablet 0
229 Simvastatin tabet 20 mg tablet 0
Succus Liquiritae + Ammonium Chlorida +
230 botol 3968
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0
232 Selescardio 5 mg tablet 0
233 Selespurin 100 mg tablet 0
234 Seleskin 500 mg kaplet 0
235 Tablet Tambah Darah tablet 117700
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0
237 Tetrasiklin kapsul 250 mg kapsul 0
238 Tetrasiklin kapsul 500 mg kapsul 89500
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0
241 Tramadol Inj 50 mg/ml ampul 0
242 Tramadol tab 50 mg tablet 0
243 Tramofal tablet 0
244 Triheksifenidil tablet 2 mg tablet 22600
245 Vaksin Rabies ampul 0
246 Vaksin BCG ampul 0
247 Vaksin Campak ampul 0
248 Vaksin Hepatitis B ampul 0
249 Vaksin Polio ampul 0
250 Vaksin DT ampul 0
251 Vaksin TD ampul 0
252 Vaksin DPT - Hb - Hib ampul 0
253 Vesperum Sirup botol 0
254 Vitamin B kompleks tablet tablet 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0
256 Zinc 20 mg tablet dispersibel tablet 3500
257 Zinc pro Sirup 60 ml botol 966
259 Hufadexon 0,5 mg tablet 0
260 Eltazon 5 mg tablet 0
261 Floxifar 500 mg tablet 0
262 Selvim 10 mg tablet 0
263 Obat Batuk Dewasa botol 0
265 Kemoren 50 mg tablet 0
266 Rhemafar 4 mg tablet 0
268 Roverton tablet 0
269 Vitacaps kapsul 0
270 Devitalisasi Pasta ( Non arsen ) Buah 35

271 Eugenol cairan set 100

272 Glass Ionomer Cement ART sett 40

273 Kalsium Hidroksida Pasta set 40

274 Klorfenol kamfer Menthol ( CHKM ) sachet 40


275 Caviton set 40
276 Semen seng Fosfat serbuk dan cairan pasang 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 3000
279 Lisol , mengandung Kresol tersabun 50 % botol 131
280 Povidon Iodida larutan 10 %, 30 ml botol 2000
281 Povidon Iodida larutan 10 %, 60 ml botol 2000
282 Povidon Iodida larutan 10 %, 300 ml botol 1000
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 1450
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 550
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 1000
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 7300
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 0
290 Syringe 1 cc buah 0
291 Syringe 3 cc dus 2000
292 Syringe 5 cc dus 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 198
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 192
295 Catgut Chromic/chirurgic gloves, sise 8.0 piece 4000
296 Safeglove PF No. 7 Pasang 1800
297 Safeglove PF No. 7,5 Pasang 0
298 Safeglove PP No. 7 Pasang 0
299 Safeglove PP No. 7,5 Pasang 0
300 Safety Box buah 0
301 Examination Gloves size L Box 6
302 Examination Gloves size M Box 66
303 Examination Gloves size S Box 31
304 Examination Gloves size XS Box 285
305 Kapas pembalut / Absorben 250 gram roll 1990
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8000
307 Kasa Pembalut DRC 2 m x 80 cm Rol 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 10000
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 8550
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000
311 Kasa Hydrofil Steril 16 x 16 cm Dus 3470
312 Kapas Berlemak DRC 500 gr Rol 200
313 Larutan Reagen Ziohl Nelson (ZN) 0
314 Urocare Folley Catheter 2 way no.18 Box 1790
315 Urocare Folley Catheter 2 way no.20 Box 0
316 UltraOne Test Hamil piece 2900
317 Urine Bag Sterile Buah 2500
318 Oxyflow Nasal Oxygen Anak Buah 425
319 Oxyflow Nasal Oxygen Bayi Buah 0
320 Oxyflow Nasal Oxygen Dewasa Buah 220
321 Alkohol swab Box 36
322 Silk 2/0 + jarum 1/2 GT 35 mm box 167
323 Silk 3/0 + jarum 1/2 GT 35 mm box 163
324 Face Mask Ear Loop Dus 800
325 Face Mask Ties On Dus 590
326 Infus set Anak set 50
327 Infuset Dewasa set 23
328 Plester 5 yards x 2 inch roll 1950
329 Rapid Test HIV-AIDS Set / Kantong 0
330 Benecheck plus Glucose Test Strip 50's Box 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0
332 Benecheck plus Uric Test Strip 50's Box 0
333 Umbilical cord klem steril Nylon piece 547
334 Wing Needle set 0
335 Pembalut Gibs Rol 0
336 Rivanol 300 cc botol 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0
338 Ranitidin 150 mg Kotak 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m Roll 2422
341 Metokloperamide sirup 5 mg(LEXAPRAM) Botol 2330
342 Onemed Blood Lancet (JAYAMAS) Box 168
343 Prednison tabled 5 mg tablet 13500
344 Povidon Iodine 300 cc botol 1000
345 Povidon Iodine 300 ml botol 0
346 Pirantel syirup Botol 1635
347 Sterile latex Surgical Gloves Size 7,5 Box 87
348 Plester Bulat Non Woven Box 247
349 Folic Acid/Asam Folat tablet 30000
350 Griseofulvin tablet 100000
351 Examinatin Gloves, Size XL box 100
352 Sterile latex Surgical Gloves Size 7 Box
353 Doksisiklin tablet 100 mg tablet

3,334,218

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001
PEMAKAIAN OBAT DAK-DAU (BMF) TA 2015
BULAN DESEMBER TAHUN 2017

PEMAKAIAN OBAT PUSKESMAS

Obat
Total Harga PANCA PANCA WONGG WONGG
Masuk
PAGUAT DENGILO MARISA BUNT DUHIA PATILA MOTOLOH KARSA KARSA ARASI I ARASI II
ULIA DAA NGGIO U I II

6 7 8 9 10 11 12 13 14 15 16 17 18
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Kepala Bidang Pelayanan dan SDK


Dinas Kesehatan
Kabupaten Pohuwato

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
MAS

JUMLAH Sisa Stock Total Pemakaian Total Stock


WANGGA LEMIT POPAYAT POPAYA POPAYAT TFC KLB DLL
RASI O O TIMUR TO O BARAT

19 20 21 22 23 24 25 26 27 28 29 30
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 45000 Rp - Rp -
0 6450 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 786 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22200 Rp - Rp -
0 12900 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 94900 Rp - Rp -

0 650 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 0 Rp - Rp -

0 208 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 24500 Rp - Rp -
0 18000 Rp - Rp -
0 800 Rp - Rp -
0 4400 Rp - Rp -
0 0 Rp - Rp -
0 78900 Rp - Rp -
0 65750 Rp - Rp -
0 1000 Rp - Rp -
0 1000 Rp - Rp -
0 1820 Rp - Rp -
0 2613 Rp - Rp -
0 15000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 24400 Rp - Rp -
0 17500 Rp - Rp -
0 1600 Rp - Rp -
0 0 Rp - Rp -
0 181900 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 293400 Rp - Rp -
0 0 Rp - Rp -
0 44 Rp - Rp -
0 0 Rp - Rp -
0 120 Rp - Rp -
0 105 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 19000 Rp - Rp -
0 7500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1000 Rp - Rp -
0 960 Rp - Rp -
0 860 Rp - Rp -
0 3000 Rp - Rp -
0 1220 Rp - Rp -
0 84 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 5190 Rp - Rp -
0 18000 Rp - Rp -
0 0 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 50000 Rp - Rp -
0 0 Rp - Rp -
0 759 Rp - Rp -
0 992 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 49500 Rp - Rp -
0 155600 Rp - Rp -
0 0 Rp - Rp -
0 77000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 2000 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 1459 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 500 Rp - Rp -
0 0 Rp - Rp -
0 3025 Rp - Rp -
0 19500 Rp - Rp -
0 0 Rp - Rp -
0 660 Rp - Rp -
0 90 Rp - Rp -
0 5000 Rp - Rp -
0 0 Rp - Rp -
0 75600 Rp - Rp -
0 261200 Rp - Rp -
0 0 Rp - Rp -

0 7900 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 30000 Rp - Rp -
0 30000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 100000 Rp - Rp -
0 27000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 77500 Rp - Rp -
0 61000 Rp - Rp -
0 70500 Rp - Rp -
0 1500 Rp - Rp -
0 0 Rp - Rp -
0 35000 Rp - Rp -
0 80 Rp - Rp -
0 14000 Rp - Rp -
0 1090 Rp - Rp -
0 0 Rp - Rp -
0 3000 Rp - Rp -
0 4100 Rp - Rp -
0 0 Rp - Rp -
0 2592 Rp - Rp -

0 4808 Rp - Rp -

0 0 Rp - Rp -
0 31300 Rp - Rp -

0 72000 Rp - Rp -

0 0 Rp - Rp -

0 37400 Rp - Rp -

0 88500 Rp - Rp -
0 68500 Rp - Rp -
0 20000 Rp - Rp -
0 20100 Rp - Rp -
0 0 Rp - Rp -
0 3900 Rp - Rp -
0 4000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 15000 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 1533 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6510 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 11900 Rp - Rp -
0 34900 Rp - Rp -
0 0 Rp - Rp -
0 30 Rp - Rp -
0 3400 Rp - Rp -
0 20000 Rp - Rp -
0 23500 Rp - Rp -
0 141400 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 300000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 34200 Rp - Rp -
0 20000 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 100000 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 0 Rp - Rp -
0 71600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2880 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 15250 Rp - Rp -
0 590 Rp - Rp -
0 0 Rp - Rp -
0 20000 Rp - Rp -
0 355 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3968 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 117700 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 89500 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 22600 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 3500 Rp - Rp -
0 966 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 35 Rp - Rp -

0 100 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -

0 40 Rp - Rp -
0 40 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 3000 Rp - Rp -
0 131 Rp - Rp -
0 2000 Rp - Rp -
0 2000 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 1450 Rp - Rp -
0 550 Rp - Rp -
0 1000 Rp - Rp -
0 7300 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2000 Rp - Rp -
0 0 Rp - Rp -
0 198 Rp - Rp -
0 192 Rp - Rp -
0 4000 Rp - Rp -
0 1800 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 6 Rp - Rp -
0 66 Rp - Rp -
0 31 Rp - Rp -
0 285 Rp - Rp -
0 1990 Rp - Rp -
0 8000 Rp - Rp -
0 0 Rp - Rp -
0 10000 Rp - Rp -
0 8550 Rp - Rp -
0 9000 Rp - Rp -
0 3470 Rp - Rp -
0 200 Rp - Rp -
0 0 Rp - Rp -
0 1790 Rp - Rp -
0 0 Rp - Rp -
0 2900 Rp - Rp -
0 2500 Rp - Rp -
0 425 Rp - Rp -
0 0 Rp - Rp -
0 220 Rp - Rp -
0 36 Rp - Rp -
0 167 Rp - Rp -
0 163 Rp - Rp -
0 800 Rp - Rp -
0 590 Rp - Rp -
0 50 Rp - Rp -
0 23 Rp - Rp -
0 1950 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 547 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -
0 2422 Rp - Rp -
0 2330 Rp - Rp 5,428,900
0 168 Rp - Rp 28,224
0 13500 Rp - Rp -
0 1000 Rp - Rp -
0 0 Rp - Rp -
0 1635 Rp - Rp 2,673,225
0 87 Rp - Rp -
0 247 Rp - Rp -
0 30000 Rp - Rp -
0 100000 Rp - Rp -
0 100 Rp - Rp -
0 0 Rp - Rp -
0 0 Rp - Rp -

0 0 Rp - Rp -
0 3,669,949 Rp - Rp -

Marisa, 2013

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato

Ainun, S.Farm., Apt.


Nip. 19800510 201001 2 001
Ket.

31
EVALUASI PE
TRIWULA

PEMAKAIAN

Stock Obat
No Nama Obat Kemasan Awal Masuk
BS 2012 2013

1 2 3 5 5 6 7 8
1 Albendazol Tab 400 mg tablet 3000 0 0 0 0
2 Albendazole Suspensi botol 0 0 0 0 0
3 Alofar 100 mg tablet 0 0 0 0 0
4 Allopurinol tablet 100 mg tablet 100000 0 0 0 0
5 Ambroxol Syr 15 mg/ml botol 9430 300 100 0 0
6 Ambroxol Tablet tablet 50000 5000 0 0 0
7 Ambroxol Drop botol 892 0 0 0 0
8 Aminofilin injeksi 24 mg/ml ampul 1420 0 0 0 0
9 Aminofilin tablet 200 mg tablet 0 0 0 0 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0 0 0 0 0
11 Amlodipin 5mg tablet 0 0 0 0 0
12 Amlodipin 10 mg tablet 0 0 0 0 0
13 Amoksisilin Kaplet 500 mg tablet 894900 0 0 0 0
14 Amoksisilin Kapsul 250 mg kapsul 0 0 0 0 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 30000 0 0 0 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 22840 0 0 0 0
17 AmpicillinDoen
Antasida inj II Suspensi, kombinasi : ampul 0 0 0 0 0
18 botol 0 0 0 0 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 881600 0 0 0 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 5000 0 0 0 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 1930 0 0 0 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0 0 0 0 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0 0 0 0 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 1352 0 0 0 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0 0 0 0 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0 0 0 0 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0 0 0 0 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 78500 0 0 0 0
29 Asam Mefenamat 500 mg box 104293 0 0 0 0
30 Asam Traneksamat Injeksi ampul 2500 0 0 0 0
31 Asering Larutan botol 6520 0 0 0 0
32 Asiklovir Krim 5 % tube 0 50 0 0 0
33 Asiklovir Tab 200 mg tablet 100000 0 0 0 0
34 Asiklovir Tab 400 mg tablet 100000 0 0 0 0
35 Atropin Injeksi 0,25mg/ml ampul 1490 0 0 0 0
36 Aqua Pro injeksi steril, bebas pirogen vial 5378 0 0 0 0
37 Azitromisin tablet 2200 0 0 0 0
38 Bedak Salisil Serbuk Kotak 4208 100 100 0 0
39 Betametason krim 0,1 % tube 26950 0 0 0 0
40 Bisoprolol Tab 5 mg tablet 10000 0 0 0 0
41 Captoril tablet 25 mg tablet 0 3000 3000 0 0
42 Captoril tablet 12,5 mg tablet 100000 0 0 0 0
43 Calcium Lactate tablet 50000 0 0 0 0
44 Carbamazepin tablet 200 mg tablet 5000 0 0 0 0
45 Chlorexol Suspensi botol 0 0 0 0 0
46 Ciprofloxacin 500 mg tablet 200000 0 0 0 0
47 Clindamisin Kap 300 mg kapsul 5000 0 0 0 0
48 Clinoma tablet 0 0 0 0 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0 0 0 0 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0 0 0 0 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 7000 0 0 0 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0 0 0 0 0
53 Codein Tablet 10 g tablet 0 0 0 0 0
54 Dasabion tablet 0 0 0 0 0
55 Deksametazon tablet 0,5 mg tablet 446800 0 0 0 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 2900 0 0 0 0
57 Desoksimetason Krim 0,25% tube 300 0 0 0 0
58 DHP tablet 0 0 0 0 0
59 Diazepam Lar Rektal 5 mg/2,5 ml botol 200 0 0 0 0
60 Diazepam Lar Rektal 10 mg/2,5 ml botol 190 0 0 0 0
61 Diazepam injeksi 5 mg/ml ampul 0 0 0 0 0
62 Diazepam tablet 2 mg tablet 0 0 0 0 0
63 Diazepam tablet 5 mg tablet 100 0 100 0 0
64 Dietilkarbamazin 10 mg tablet 0 0 0 0 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 15450 0 0 0 0
66 Digoksin tablet 0,25 mg tablet 25000 0 0 0 0
67 Diltiazem Tab tablet 10500 0 0 0 0
68 Domperidom Tab 10 mg tablet 30000 0 0 0 0
69 Domperidon suspensi 5 mg/5 ml botol 0 0 0 0 0
70 Dulcolax Supp adult 10 mg supp 1540 0 0 0 0
71 Dulcolax Supp infant 5 mg supp 2064 0 0 0 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 1670 0 0 0 0
73 Eritromisin Kapsul 250 mg kapsul 10500 0 0 0 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 2030 0 0 0 0
75 Etil Klorida Spray botol 241 0 0 0 0
76 Farsifen plus tablet 0 0 0 0 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0 450 450 0 0
78 Fenobarbital tablet 30 mg tablet 0 0 0 0 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 14010 0 0 0 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 36000 0 0 0 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0 0 0 0 0
82 Furosemide tablet 40 mg tablet 20000 0 0 0 0
83 Floxifar 500 mg kaplet 27700 0 0 0 0
84 Fasiprim Suspensi botol 0 0 0 0 0
85 Garam Oralit I serbuk kombinasi sachet 50000 20000 16700 0 0
86 Gentamisin Inj ampul 0 0 0 0 0
87 Gentamisin Salep Mata tube 2000 0 0 0 0
88 Gentamisin Tetes Mata botol 2000 0 0 0 0
89 Gentamisin Salep 0, 1 % tube 300 0 0 0 0
90 Gentian Violet larutan 1 % botol 300 100 100 0 0
91 Glibenclamide tablet 5 mg tablet 85200 0 0 0 0
92 Gliseril Guaikolat tablet 100 mg tablet 198400 0 0 0 0
93 Glukosa larutan infus 5 % tablet 20780 0 0 0 0
94 Griseofulvin tablet 125 mg, Micronized tablet 136500 0 0 0 0
95 Gula Alami Granul botol 0 0 0 0 0
96 Haloperidol Tablet 0,5 mg tablet 15700 0 0 0 0
97 Haloperidol Tablet 1,5 mg tablet 13300 0 0 0 0
98 Haloperidol Tablet 5 mg tablet 200 5000 500 0 0
99 Haloperidol injeksi ampul 0 120 108 0 0
100 Hexymer 2 mg tablet 0 0 0 0 0
101 Hidroklorotiazida tablet 25 mg tablet 30000 0 0 0 0
102 Hidrokortison krim 2,5 % tube 5481 0 0 0 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 284 0 0 0 0
104 Hufagesic 500 mg tablet 0 0 0 0 0
105 Hufamycetin Suspensi botol 0 0 0 0 0
106 Ibuprofen sirup 100 mg botol 0 0 0 0 0
107 Ibuprofen tablet 200 mg tablet 77500 0 0 0 0
108 Ibuprofen tablet 400 mg tablet 0 0 0 0 0
109 Ichtiyol 15 g tube 2000 0 0 0 0
110 Ifidex 0,5 mg tablet 0 0 0 0 0
111 Ifitamol tablet 81700 0 0 0 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 10000 0 0 0 0
113 Kalsium Glukonas injeksi ampul 0 864 624 0 0
114 Ketokenazole Kriem 2 % tube 5000 0 0 0 0
115 Ketokenazole Tab 200 mg tablet 31500 0 0 0 0
116 Kloramfenikol kapsul 500 mg kapsul 0 0 0 0 0
117 Kloramfenikol Suspensi 125 mg/ml botol 1500 0 0 0 0
118 Kloramfenikol tetes telinga 3 % botol 1000 0 0 0 0
119 Kloramfenikol Salep Mata tube 8526 0 0 0 0
120 Kloramfenikol Tetes Mata 0,5% botol 600 0 0 0 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 200000 0 0 0 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 567800 0 0 0 0
123 Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0 0 0 0 0
Kotrimoksazol Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 14100 0 0 0 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0 0 0 0 0
125 Lanzoprazole kapsul 30 mg kapsul 7440 0 0 0 0
264 Latibet 5 mg tablet 0 0 0 0 0
126 Lidokain injeksi 2 % ampul 55100 0 0 0 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 52550 0 0 0 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0 0 0 0 0
129 Lokev kapsul 0 0 0 0 0
130 Loperamide Tablet tablet 188500 0 0 0 0
131 Loratadine Tab 10 mg tablet 30651 0 0 0 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 350 645 0 0 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 0 480 320 0 0
134 MDT MB Anak blister 0 6 0 0 0
135 MDT MB Dewasa blister 288 48 102 0 0
136 MDT PB Anak blister 0 0 0 0 0
137 MDT PB Dewasa blister 0 0 0 0 0
138 Maagel Suspensi botol 144 0 0 0 0
139 Mefamesis Sirup botol 0 0 0 0 0
140 Meloxicam 15 mg tablet 25000 0 0 0 0
141 Meloxicam 7,5 mg tablet 13000 0 0 0 0
142 Methampyron 500 mg tablet 114400 0 0 0 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 213800 0 0 0 0

144 Metformin HCL tablet 500 mg tablet 121500 0 0 0 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 4800 0 0 0 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0 0 0 0 0
147 Metilprednisolone kotak 100 tablet 92000 0 0 0 0
148 Metoklopramide Inj 5 mg/ml ampul 1500 0 0 0 0
149 Metoklopramide Tab 5 mg tablet 50000 0 0 0 0
150 Metoklopramide Drop botol 1500 0 0 0 0
151 Metronidazole tablet 250 mg tablet 17000 0 0 0 0
152 Metronidazole tablet 500 mg tablet 40000 0 0 0 0
153 Miconazole Krim 2 % tube 8884 0 0 0 0
267 Milorin Tablet tablet 0 0 0 0 0
154 Multi Vitamin + Lysin botol 13197 0 0 0 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 8500 0 0 0 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0 0 0 0 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 133000 0 0 0 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi
Multi Vitamin
Ext +untuk Ibu Hamil mengandung Kotak 50 kaplet 150000 0 0 0 0
Curcumae
Vitamin untuk
Liver Ibu
Ext Hamil
(Hepatoprotektor)
mengandung
ferrous gluconate 250 mg, manganase sulf 0,2
159 vit Acopper
2000 IU, Tiamin HNO3 1,3 mg, Riboklovin tablet 0 0 0 0 0
mg, sulf 0,25 mg, vit C 50 mg, folid acid
1,3 mg, piridoksin HCl(OMEGAVIT)
0,85 mg, sianokobalamin
160 1 mg, vit B12 7,5 mcg tablet 175100 0 0 0 0
2 mcg, micotinamid 10 mg, kalsium laktose 350
161 Natrium
mg, Diklofenat
ferrous fumarat tab 25 mg
29 mg, potassium iodida tablet 127050 0 0 0 0
162 0,1 mg, asam folat 0,39 mcg
Natrium Diklofenat tab 50 mg (PRENASE) tablet 100500 0 0 0 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 40850 0 0 0 0
164 New Antides Kotak 45600 0 0 0 0
165 Nifedifine Tab 10 mg tablet 20000 0 0 0 0
166 Nistatin tablet salut 500.000 IU / g tablet 5000 0 0 0 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 5000 0 0 0 0
168 OAT Kategori Anak paket 0 3 0 0 0
169 OAT Kategori I & III paket 70 48 47 0 0
170 OAT Kategori II paket 0 0 0 0 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 20600 0 0 0 0
Pectin
172 Obat Anti Malaria (OAM) tablet 0 2592 0 0 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0 0 0 0 0
174 Obat Batuk Pilek Anak Bayi botol 10464 0 0 0 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0 0 0 0 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0 0 0 0 0
177 Oksitetrasiklin salep kulit 3 % tube 0 0 0 0 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13800 0 0 0 0
179 Omeprazole Kap 20 mg kapsul 30000 0 0 0 0
180 Parasetamol Tab 100 mg tablet 0 0 0 0 0
181 Parasetamol Tab 500 mg tablet 0 26800 0 0 0
182 Parasetamol Drops botol 76 0 0 0 0
183 Parasetamol sirup 120 mg / 5 ml botol 20000 0 0 0 0
184 Parasetamol + Ibuprofen + Cafein tablet 134400 0 0 0 0
185 Phenylbutason tablet 0 0 0 0 0
186 Piracetam inj 1 g/5 ml ampul 690 0 0 0 0
187 Piracetam tab 800 mg tablet 8650 0 0 0 0
188 Pirantel tablet score ( base ) 125 mg tablet 35000 0 0 0 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 45300 0 0 0 0
190 Piroxicam Tab 20 mg tablet 207100 0 0 0 0
191 Prednison Tablet 5 mg tablet 22000 0 0 0 0
192 Primakuin tablet 15 mg tablet 0 3600 0 0 0
193 Prokain Penicillin injeksi ampul 0 0 0 0 0
194 Propanolol tablet 40 mg ( HCL ) tablet 1200 0 0 0 0
195 Propiltiourasil tablet 100 mg tablet 40000 0 0 0 0
196 Provinas 200 mg kotak 0 0 0 0 0
197 Provinas 400 mg kotak 0 0 0 0 0
198 Ramolit kotak 14 0 0 0 0
199 Ranitidin tablet 612400 0 0 0 0
200 Ranitidin Inj 25 mg / 25 ml kotak 7 0 0 0 0
201 Ratrim Forte kaplet 1000 0 0 0 0
202 RDT buah 0 0 0 0 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 101250 0 0 0 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 57400 0 0 0 0
205 Ringer Laktat Larutan infus botol 33420 0 0 0 0
206 Risperidon 1 mg tablet 150 0 0 0 0
207 Risperidon 2 mg tablet 3000 0 0 0 0
208 Salbutamol 2 mg tablet 0 0 0 0 0
209 Salbutamol 4 mg tablet 101000 0 0 0 0
210 Salbutamol Sirup botol 1500 0 0 0 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0 0 0 0 0
endap 4 %
212 Scopma kotak 0 0 0 0 0
213 Sefiksim kapsul 100 mg kapsul 137500 0 0 0 0
214 Sefiksim sir 100 mg/5 ml botol 1424 0 0 0 0
215 Sefotaxime Inj 1 g ampul 3610 0 0 0 0
216 Seftriakson Inj 1 g ampul 3050 0 0 0 0
217 Selmetor 4 mg kotak 0 0 0 0 0
218 Selmatic 20 mg tablet 0 0 0 0 0
219 Selferro tablet 0 0 0 0 0
220 Selpyron tablet 0 0 0 0 0
221 Sepadroksil Kap 500 mg kapsul 4300 0 0 0 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0 0 0 0 0
223 Setirizin 10 mg kapsul 50500 0 0 0 0
224 Setirizin Sirup 5 mg/ 5 ml botol 3150 0 0 0 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 64 0 0 0 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 32600 0 0 0 0
227 Sikzonoat injeksi kaleng 500 0 0 0 0
228 Simvastatin tabet 10 mg tablet 28140 0 0 0 0
229 Simvastatin tabet 20 mg tablet 21800 0 0 0 0
230 Succus Liquiritae + Ammonium Chlorida + botol 4784 - 0 0 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0 - 0 0 0
232 Selescardio 5 mg tablet 630 - 0 0 0
233 Selespurin 100 mg tablet 11600 - 0 0 0
234 Seleskin 500 mg kaplet 57600 - 0 0 0
235 Tablet Tambah Darah tablet 300000 - 0 0 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 94 - 0 0 0
237 Tetrasiklin kapsul 250 mg kapsul 0 - 0 0 0
238 Tetrasiklin kapsul 500 mg kapsul 100000 - 0 0 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0 0 0 0 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0 0 0 0 0
241 Tramadol Inj 50 mg/ml ampul 0 0 0 0 0
242 Tramadol tab 50 mg tablet 0 0 0 0 0
243 Tramofal tablet 0 0 0 0 0
244 Triheksifenidil tablet 2 mg tablet 30000 0 0 0 0
245 Vaksin Rabies ampul 0 0 0 0 0
246 Vaksin BCG ampul 0 0 0 0 0
247 Vaksin Campak ampul 0 0 0 0 0
248 Vaksin Hepatitis B ampul 0 0 0 0 0
249 Vaksin Polio ampul 0 0 0 0 0
250 Vaksin DT ampul 0 0 0 0 0
251 Vaksin TD ampul 0 0 0 0 0
252 Vaksin DPT - Hb - Hib ampul 0 0 0 0 0
253 Vesperum Sirup botol 0 0 0 0 0
254 Vitamin B kompleks tablet tablet 47000 0 0 0 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 77000 0 0 0 0
256 Zinc 20 mg tablet dispersibel tablet 101300 0 0 0 0
257 Zinc pro Sirup 60 ml botol 4710 0 0 0 0
259 Hufadexon 0,5 mg tablet 0 0 0 0 0
260 Eltazon 5 mg tablet Rp - 0 0 0 0
261 Floxifar 500 mg tablet 0 0 0 0 0
262 Selvim 10 mg tablet 0 0 0 0 0
263 Obat Batuk Dewasa botol 31000 0 0 0 0
265 Kemoren 50 mg tablet 0 0 0 0 0
266 Rhemafar 4 mg tablet 0 0 0 0 0
268 Roverton tablet 0 0 0 0 0
269 Vitacaps kapsul 0 0 0 0 0

270 Devitalisasi Pasta ( Non arsen ) Buah 45 0 0 0 0

271 Eugenol cairan set 110 0 0 0 0

272 Glass Ionomer Cement ART sett 50 0 0 0 0

273 Kalsium Hidroksida Pasta set 50 0 0 0 0


274 Klorfenol kamfer Menthol ( CHKM ) sachet 50 0 0 0 0
275 Mummyfying Pasta sachet 50 0 0 0 0
276 Semen seng Fosfat serbuk dan cairan pasang 0 0 0 0 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0 0 0 0 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 4572 0 0 0 0
279 Lisol , mengandung Kresol tersabun 50 % botol 282 0 0 0 0
280 Povidon Iodida larutan 10 %, 30 ml botol 3537 0 0 0 0
281 Povidon Iodida larutan 10 %, 60 ml botol 3488 0 0 0 0
282 Povidon Iodida larutan 10 %, 100 ml botol 2574 0 0 0 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 2000 0 0 0 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 3000 0 0 0 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 6800 0 0 0 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 3000 0 0 0 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 7300 0 0 0 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 19400 0 0 0 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 5800 0 0 0 0
290 Syringe 1 cc buah 65 0 0 0 0
291 Syringe 3 cc dus 2525 0 0 0 0
292 Syringe 5 cc dus 269 0 0 0 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 291 0 0 0 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 301 0 0 0 0
295 Catgut Chromic piece 4000 0 0 0 0
296 Safeglove PF No. 7 Pasang 2500 0 0 0 0
297 Safeglove PF No. 7,5 Pasang 2500 0 0 0 0
298 Safeglove PP No. 7 Pasang 3000 0 0 0 0
299 Safeglove PP No. 7,5 Pasang 4900 0 0 0 0
300 Safety Box buah 0 0 0 0 0
301 Examination Gloves size L Box 370 0 0 0 0
302 Examination Gloves size M Box 300 0 0 0 0
303 Examination Gloves size S Box 180 0 0 0 0
304 Examination Gloves size XS Box 300 0 0 0 0
305 Kapas pembalut / Absorben 250 gram roll 2000 0 0 0 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 10030 0 0 0 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 525 0 0 0 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 13550 0 0 0 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 10780 0 0 0 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 10030 0 0 0 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 6000 0 0 0 0
312 Kapas Berlemak DRC 500 gr Rol 386 0 0 0 0
313 Larutan Reagen Ziohl Nelson (ZN) 0 40 0 0 0
314 Urocare Folley Catheter 2 way no.18 Box 2000 0 0 0 0
315 Urocare Folley Catheter 2 way no.20 Box 65 0 0 0 0
316 UltraOne Test Hamil Buah 5000 0 0 0 0
317 Urine Bag Sterile Buah 4210 0 0 0 0
318 Oxyflow Nasal Oxygen Anak Buah 640 0 0 0 0
319 Oxyflow Nasal Oxygen Bayi Buah 140 0 0 0 0
320 Oxyflow Nasal Oxygen Dewasa Buah 610 0 0 0 0
321 Alkohol swab Box 200 0 0 0 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 237 0 0 0 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 221 0 0 0 0
324 Face Mask Ear Loop Dus 1243 0 0 0 0
325 Face Mask Ties On Dus 814 0 0 0 0
326 Infus set Anak set 1640 0 0 0 0
327 Infuset Dewasa set 2700 0 0 0 0
328 Plester 5 yards x 2 inch roll 2443 0 0 0 0
329 Rapid Test HIV-AIDS Set / Kantong 700 0 0 0 0
330 Benecheck plus Glucose Test Strip 50's Box 205 0 0 0 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 365 0 0 0 0
332 Benecheck plus Uric Test Strip 50's Box 220 0 0 0 0
333 Umbilical cord klem steril Nylon piece 581 0 0 0 0
334 Wing Needle set 0 0 0 0 0
335 Pembalut Gibs Rol 4 0 0 0 0
336 Rivanol 300 cc botol 1723 0 0 0 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 128 0 0 0 0
338 Ranitidin 150 mg Kotak 0 0 0 0 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket 0 0 0 0 0
340
341
342

8,532,848

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato
dr. Syahrawanty S. Abbas
Nip. 19780901 200802 2 001
LUASI PENGGUNAAN OBAT
RIWULAN I TAHUN 2017

EMAKAIAN OBAT PUSKESMAS Pemakaian RAWAT INAP

Pemakaian
RAWAT
2014 2015 2016 2017 TOTAL BS 2012 2013 2014 2015 2016 2017 TOTAL JALAN

9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 1020 1020 0 0 0 0 0 0 360 360 660
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9000 9000 0 0 0 0 0 0 5000 5000 4000
0 0 0 905 1005 100 0 0 0 0 0 380 480 525
0 0 0 35500 35500 0 0 0 0 0 0 17500 17500 18000
0 0 0 322 322 0 0 0 0 0 0 112 112 210
0 0 460 120 580 0 0 0 0 0 280 60 340 240
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 65000 0 65000 0 0 0 0 0 33500 0 33500 31500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1950 0 1950 0 0 0 0 0 1100 0 1100 850
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 65200 0 65200 0 0 0 0 0 36200 0 36200 29000


0 0 0 1475 1475 0 0 0 0 0 0 650 650 825

0 0 240 0 240 0 0 0 0 0 230 0 230 10

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 352 384 736 0 0 0 0 0 264 120 384 352
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 18000 18000 0 0 0 0 0 0 5500 5500 12500
0 0 615 0 615 0 0 0 0 0 295 0 295 320
0 0 200 200 400 0 0 0 0 0 180 120 300 100
0 0 1520 0 1520 0 0 0 0 0 1320 0 1320 200
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 6500 6500 0 0 0 0 0 0 3000 3000 3500
0 0 0 500 500 0 0 0 0 0 0 500 500 0
0 0 320 0 320 0 0 0 0 0 290 0 290 30
0 0 900 0 900 0 0 0 0 0 750 0 750 150
0 0 200 20 220 0 0 0 0 0 200 20 220 0
0 0 208 0 308 100 0 0 0 0 100 0 200 108
0 100 1700 0 1800 0 0 0 0 0 1300 0 1300 500
0 0 0 2800 2800 0 0 0 0 0 0 1800 1800 1000
0 0 0 0 3000 2000 0 0 0 0 0 0 2000 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13000 13000 0 0 0 0 0 0 2500 2500 10500
0 0 0 1400 1400 0 0 0 0 0 0 500 500 900
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3000 3000 0 0 0 0 0 0 1000 1000 2000
0 0 0 2500 2500 0 0 0 0 0 0 2400 2400 100
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3000 0 3000 0 0 0 0 0 0 0 0 3000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 33800 33800 0 0 0 0 0 0 18000 18000 15800
0 0 0 1800 1800 0 0 0 0 0 0 1400 1400 400
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 50 15 65 0 0 0 0 0 20 5 25 40
0 0 40 20 60 0 0 0 0 0 35 10 45 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 100 100 0 0 0 0 0 0 100 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 12450 180 12630 0 0 0 0 0 4650 30 4680 7950
0 0 0 5000 5000 0 0 0 0 0 0 1000 1000 4000
0 0 500 1000 1500 0 0 0 0 0 500 1000 1500 0
0 0 0 10500 10500 0 0 0 0 0 0 6200 6200 4300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 140 0 140 0 0 0 0 0 50 0 50 90
0 0 180 0 180 0 0 0 0 0 120 0 120 60
0 0 0 150 150 0 0 0 0 0 0 100 100 50
0 0 500 2500 3000 0 0 0 0 0 500 500 1000 2000
0 0 30 0 30 0 0 0 0 0 0 0 0 30
0 0 0 15 15 0 0 0 0 0 0 6 6 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 450 300 0 0 0 0 0 0 300 150
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4110 0 4110 0 0 0 0 0 2100 0 2100 2010
0 0 5500 0 5500 0 0 0 0 0 4500 0 4500 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7800 7800 0 0 0 0 0 0 4400 4400 3400
0 0 27700 0 27700 0 0 0 0 0 12200 0 12200 15500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 16700 12000 0 0 0 0 0 0 12000 4700
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 440 440 0 0 0 0 0 0 184 184 256
0 0 0 456 456 0 0 0 0 0 0 120 120 336
0 0 0 260 260 0 0 0 0 0 0 130 130 130
0 0 0 276 376 100 0 0 0 0 0 120 220 156
0 0 0 13200 13200 0 0 0 0 0 0 7700 7700 5500
0 0 0 12400 12400 0 0 0 0 0 0 7000 7000 5400
740 0 0 0 740 0 0 0 600 0 0 0 600 140
0 0 36500 3000 39500 0 0 0 0 0 20000 0 20000 19500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 400 0 400 0 0 0 0 0 100 0 100 300
0 0 1800 0 1800 0 0 0 0 0 1300 0 1300 500
0 0 200 0 700 0 0 0 0 0 200 0 200 500
0 0 0 0 108 24 0 0 0 0 0 0 24 84
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 16000 16000 0 0 0 0 0 0 7000 7000 9000
0 0 817 0 817 0 0 0 0 0 481 0 481 336
0 0 17 0 17 0 0 0 0 0 10 0 10 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 26500 26500 0 0 0 0 0 0 12500 12500 14000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 240 240 0 0 0 0 0 0 96 96 144
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 56000 0 56000 0 0 0 0 0 30500 0 30500 25500
0 0 0 5000 5000 0 0 0 0 0 0 2500 2500 2500
0 0 0 0 624 432 0 0 0 0 0 0 432 192
0 0 0 850 850 0 0 0 0 0 0 275 275 575
0 0 1500 1000 2500 0 0 0 0 0 0 0 0 2500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 640 640 0 0 0 0 0 0 150 150 490
0 0 0 550 550 0 0 0 0 0 0 332 332 218
0 0 384 0 384 0 0 0 0 0 144 0 144 240
0 0 0 270 270 0 0 0 0 0 0 140 140 130
0 0 0 38800 38800 0 0 0 0 0 0 17000 17000 21800
0 0 206000 0 206000 0 0 0 0 0 90500 0 90500 115500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1100 1100 0 0 0 0 0 0 500 500 600
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3400 3400 0 0 0 0 0 0 2300 2300 1100
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2010 0 2010 0 0 0 0 0 1310 0 1310 700
0 0 1620 0 1620 0 0 0 0 0 840 0 840 780
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 52000 0 52000 0 0 0 0 0 30000 0 30000 22000
0 0 281 0 281 0 0 0 0 0 150 0 150 131
0 0 0 110 110 0 0 0 0 0 0 70 70 40
0 0 0 0 320 130 0 0 0 0 0 0 130 190
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 102 84 0 0 0 0 0 0 84 18
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 144 0 144 0 0 0 0 0 120 0 120 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 8700 8700 0 0 0 0 0 0 4400 4400 4300
0 0 0 7000 7000 0 0 0 0 0 0 3200 3200 3800
0 0 14400 5000 19400 0 0 0 0 0 7900 3000 10900 8500

0 0 13800 22500 36300 0 0 0 0 0 6000 12500 18500 17800

0 0 21500 2000 23500 0 0 0 0 0 14000 2000 16000 7500

0 0 800 0 800 0 0 0 0 0 700 0 700 100


0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 19000 19000 0 0 0 0 0 0 10200 10200 8800
0 0 0 350 350 0 0 0 0 0 0 300 300 50
0 0 0 12000 12000 0 0 0 0 0 0 5000 5000 7000
0 0 0 60 60 0 0 0 0 0 0 10 10 50
0 17000 0 0 17000 0 0 0 0 10000 0 0 10000 7000
0 0 10000 0 10000 0 0 0 0 0 6000 0 6000 4000
0 0 504 0 504 0 0 0 0 0 192 0 192 312
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1197 480 1677 0 0 0 0 0 885 240 1125 552
0 0 0 100 100 0 0 0 0 0 0 100 100 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 21000 21000 0 0 0 0 0 0 8000 8000 13000
0 0 0 10000 10000 0 0 0 0 0 0 6000 6000 4000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 35000 35000 0 0 0 0 0 0 22000 22000 13000
0 0 19000 0 19000 0 0 0 0 0 11500 0 11500 7500
0 0 500 0 500 0 0 0 0 0 500 0 500 0
0 850 1780 0 2630 0 0 0 0 850 1440 0 2290 340
0 0 0 18000 18000 0 0 0 0 0 0 11000 11000 7000
0 0 0 8500 8500 0 0 0 0 0 0 4500 4500 4000
0 0 0 500 500 0 0 0 0 0 0 200 200 300
0 0 0 800 800 0 0 0 0 0 0 500 500 300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 47 23 0 0 0 0 0 0 23 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3850 0 3850 0 0 0 0 0 1450 0 1450 2400
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2976 2976 0 0 0 0 0 0 1824 1824 1152
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 600 0 600 0 0 0 0 0 600 0 600 0
0 0 0 7050 7050 0 0 0 0 0 0 4050 4050 3000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 76 0 76 0 0 0 0 0 76 0 76 0
0 0 0 1830 1830 0 0 0 0 0 0 830 830 1000
0 0 0 31900 31900 0 0 0 0 0 0 17000 17000 14900
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 210 210 0 0 0 0 0 0 160 160 50
0 0 0 2000 2000 0 0 0 0 0 0 2000 2000 0
0 0 0 12000 12000 0 0 0 0 0 0 5500 5500 6500
0 0 0 11000 11000 0 0 0 0 0 0 5500 5500 5500
0 0 39000 0 39000 0 0 0 0 0 22500 0 22500 16500
0 0 0 19000 19000 0 0 0 0 0 0 9000 9000 10000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1200 0 1200 0 0 0 0 0 700 0 700 500
0 0 0 11500 11500 0 0 0 0 0 0 6000 6000 5500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 0 10 0 0 0 0 0 6 0 6 4
0 0 192700 0 192700 0 0 0 0 0 100000 0 100000 92700
0 0 7 0 7 0 0 0 0 0 7 0 7 0
0 0 1000 0 1000 0 0 0 0 0 500 0 500 500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 6100 0 6100 0 0 0 0 0 1250 0 1250 4850
0 0 0 13650 13650 0 0 0 0 0 0 4500 4500 9150
0 0 3140 0 3140 0 0 0 0 0 2700 0 2700 440
0 0 150 0 150 0 0 0 0 0 100 0 100 50
0 0 0 1800 1800 0 0 0 0 0 0 1100 1100 700
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1000 0 1000 0 0 0 0 0 500 0 500 500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 21500 0 21500 0 0 0 0 0 11500 0 11500 10000
0 0 432 0 432 0 0 0 0 0 240 0 240 192
0 0 1110 60 1170 0 0 0 0 0 1070 40 1110 60
0 0 50 80 130 0 0 0 0 0 50 70 120 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4300 0 4300 0 0 0 0 0 3300 0 3300 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 500 9500 10000 0 0 0 0 0 500 4750 5250 4750
0 0 150 430 580 0 0 0 0 0 150 180 330 250
0 0 54 0 54 0 0 0 0 0 27 0 27 27
0 0 3300 0 3300 0 0 0 0 0 2100 0 2100 1200
0 0 0 85 85 0 0 0 0 0 0 40 40 45
0 0 0 10200 10200 0 0 0 0 0 0 4200 4200 6000
0 0 0 7600 7600 0 0 0 0 0 0 3050 3050 4550
0 0 0 288 288 0 0 0 0 0 0 192 192 96
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 630 0 630 0 0 0 0 0 630 0 630 0
0 0 11600 0 11600 0 0 0 0 0 5500 0 5500 6100
0 0 57600 0 57600 0 0 0 0 0 33600 0 33600 24000
0 0 0 92100 92100 0 0 0 0 0 0 65600 65600 26500
0 0 80 0 80 0 0 0 0 0 30 0 30 50
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4300 4300 0 0 0 0 0 0 1200 1200 3100
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 21500 21500 0 0 0 0 0 0 9000 9000 12500
0 0 0 28000 28000 0 0 0 0 0 0 17000 17000 11000
0 0 1300 5500 6800 0 0 0 0 0 0 4000 4000 2800
0 0 0 648 648 0 0 0 0 0 0 360 360 288
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 13500 13500 0 0 0 0 0 0 8300 8300 5200
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 6 6 0 0 0 0 0 0 6 6 0

0 0 0 6 6 0 0 0 0 0 0 6 6 0

0 0 0 6 6 0 0 0 0 0 0 6 6 0

0 0 0 4 4 0 0 0 0 0 0 4 4 0
0 0 0 6 6 0 0 0 0 0 0 6 6 0
0 0 0 6 6 0 0 0 0 0 0 6 6 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 122 0 122 0 0 0 0 0 105 0 105 17


0 0 0 41 41 0 0 0 0 0 0 25 25 16
0 0 110 0 110 0 0 0 0 0 50 0 50 60
0 0 58 0 58 0 0 0 0 0 0 0 0 58
0 0 768 0 768 0 0 0 0 0 288 0 288 480
0 0 900 0 900 0 0 0 0 0 750 0 750 150
0 0 0 750 750 0 0 0 0 0 0 750 750 0
0 1250 0 400 1650 0 0 0 0 1000 0 400 1400 250
0 850 0 200 1050 0 0 0 0 700 0 200 900 150
0 0 0 2300 2300 0 0 0 0 0 0 1500 1500 800
0 0 0 5600 5600 0 0 0 0 0 0 2900 2900 2700
0 0 0 1300 1300 0 0 0 0 0 0 700 700 600
0 51 0 0 51 0 0 0 0 38 0 0 38 13
0 0 150 0 150 0 0 0 0 0 110 0 110 40
0 28 6 0 34 0 0 0 0 19 6 0 25 9
0 0 31 0 31 0 0 0 0 0 16 0 16 15
0 0 29 0 29 0 0 0 0 0 14 0 14 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 500 500 0 0 0 0 0 0 400 400 100
0 0 0 3000 3000 0 0 0 0 0 0 1900 1900 1100
0 0 0 2150 2150 0 0 0 0 0 0 800 800 1350
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 195 195 0 0 0 0 0 0 133 133 62
0 0 0 21 21 0 0 0 0 0 0 18 18 3
0 0 0 10 10 0 0 0 0 0 0 10 10 0
0 0 0 5 5 0 0 0 0 0 0 5 5 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 30 500 530 0 0 0 0 0 30 120 150 380
0 0 10 0 10 0 0 0 0 0 0 0 0 10
0 0 450 0 450 0 0 0 0 0 300 0 300 150
0 0 700 0 700 0 0 0 0 0 600 0 600 100
0 0 30 500 530 0 0 0 0 0 30 120 150 380
0 0 0 320 320 0 0 0 0 0 0 155 155 165
0 0 66 0 66 0 0 0 0 0 50 0 50 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 45 0 45 0 0 0 0 0 25 0 25 20
0 0 0 400 400 0 0 0 0 0 0 100 100 300
0 0 120 0 120 0 0 0 0 0 80 0 80 40
0 0 75 0 75 0 0 0 0 0 20 0 20 55
0 0 75 0 75 0 0 0 0 0 20 0 20 55
0 0 45 0 45 0 0 0 0 0 20 0 20 25
0 0 0 50 50 0 0 0 0 0 0 26 26 24
0 0 28 0 28 0 0 0 0 0 8 0 8 20
0 0 21 2 23 0 0 0 0 0 10 2 12 11
0 0 178 0 178 0 0 0 0 0 96 0 96 82
0 0 14 0 14 0 0 0 0 0 0 0 0 14
0 440 0 0 440 0 0 0 0 390 0 0 390 50
0 0 700 0 700 0 0 0 0 0 600 0 600 100
0 0 114 0 114 0 0 0 0 0 66 0 66 48
0 0 0 700 700 0 0 0 0 0 0 100 100 600
0 0 0 42 42 0 0 0 0 0 0 22 22 20
0 0 0 126 126 0 0 0 0 0 0 78 78 48
0 0 0 42 42 0 0 0 0 0 0 21 21 21
0 0 0 6 6 0 0 0 0 0 0 2 2 4
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 888 0 888 0 0 0 0 0 360 0 360 528
0 41 0 0 41 0 0 0 0 33 0 0 33 8
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0

741,487

Kepala Bidang Pelayanan dan SDK Kepala Seksi Kefarmasian,


Dinas Kesehatan Dinas Kesehat
Kabupaten Pohuwato Kabupaten Pohu

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
SISA STOK Ket.

23 24
1980
0
0
91000
8725
19500
570
840
0
0
0
0
829900
0
30000
20890
0
0

816400
3525

1690

0
0
616
0
0
0
60500
103678
2100
5000
50
93500
99500
1170
4478
1980
4000
25150
7200
0
100000
37000
3600
0
197000
2500
0
0
0
4000
0
0
0
413000
1100
300
0
135
130
0
0
0
0
2820
20000
9000
19500
0
1400
1884
1520
7500
2000
226
0
0
0
9900
30500
0
12200
0
0
53300
0
1560
1544
40
24
72000
186000
20040
97000
0
15300
11500
4500
12
0
14000
4664
267
0
0
0
51000
0
1760
0
25700
5000
240
4150
29000
0
860
450
8142
330
161200
361800
0
13000
0
4040
0
53090
50930
0
0
136500
30370
885
160
6
234
0
0
0
0
16300
6000
95000

177500

98000

4000
0
73000
1150
38000
1440
0
30000
8380
0
11520
8400
0
112000
140000
0
140100
108050
100000
38220
27600
11500
4500
4200
3
71
0
16750
2592
0
7488
0
0
0
13200
22950
0
26800
0
18170
102500
0
480
6650
23000
34300
168100
3000
3600
0
0
28500
0
0
4
419700
0
0
0
95150
43750
30280
0
1200
0
100000
1500
0
0
116000
992
2440
2920
0
0
0
0
0
0
40500
2570
10
29300
415
17940
14200
4496
0
0
0
0
207900
14
0
100000
0
0
0
0
0
25700
0
0
0
0
0
0
0
0
0
25500
49000
94500
4062
0
0
0
0
17500
0
0
0
0

39

104

44

46
44
44
0
0

4450
241
3427
3430
1806
1100
2250
5150
1950
5000
13800
4500
14
2375
235
260
272
4000
2500
2000
0
2750
0
175
279
170
295
2000
9500
515
13100
10080
9500
5680
320
40
2000
20
4600
4090
565
65
565
150
209
198
1065
800
1200
2000
2329
0
163
239
178
575
0
4
835
87
0
0
0
0

7,837,852

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato
EVALUASI PE
TRIWULAN

PEMAKAIAN

Stock Obat
No Nama Obat Kemasan Awal Masuk
BS 2012 2013

1 2 3 5 5 6 7 8
1 Albendazol Tab 400 mg tablet 1980 0 0 0 0
2 Albendazole Suspensi botol 0 0 0 0 0
3 Alofar 100 mg tablet 0 0 0 0 0
4 Allopurinol tablet 100 mg tablet 91000 0 0 0 0
5 Ambroxol Syr 15 mg/ml botol 8725 0 0 0 0
6 Ambroxol Tablet tablet 19500 2000 7000 0 0
7 Ambroxol Drop botol 570 0 0 0 0
8 Aminofilin injeksi 24 mg/ml ampul 840 0 0 0 0
9 Aminofilin tablet 200 mg tablet 0 0 0 0 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0 0 0 0 0
11 Amlodipin 5mg tablet 0 0 0 0 0
12 Amlodipin 10 mg tablet 0 0 0 0 0
13 Amoksisilin Kaplet 500 mg tablet 829900 0 0 0 0
14 Amoksisilin Kapsul 250 mg kapsul 0 0 0 0 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 30000 0 0 0 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 20890 0 0 0 0
17 AmpicillinDoen
Antasida inj II Suspensi, kombinasi : ampul 0 0 0 0 0
18 botol 0 50 50 0 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 816400 0 0 0 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 3525 0 0 0 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 1690 0 0 0 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0 0 0 0 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0 0 0 0 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 616 0 0 0 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0 0 0 0 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0 0 0 0 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0 0 0 0 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 60500 0 0 0 0
29 Asam Mefenamat 500 mg box 103678 0 0 0 0
30 Asam Traneksamat Injeksi ampul 2100 0 0 0 0
31 Asering Larutan botol 5000 0 0 0 0
32 Asiklovir Krim 5 % tube 50 100 150 0 0
33 Asiklovir Tab 200 mg tablet 93500 0 0 0 0
34 Asiklovir Tab 400 mg tablet 99500 0 0 0 0
35 Atropin Injeksi 0,25mg/ml ampul 1170 0 0 0 0
36 Aqua Pro injeksi steril, bebas pirogen vial 4478 0 0 0 0
37 Azitromisin tablet 1980 0 0 0 0
38 Bedak Salisil Serbuk Kotak 4000 0 0 0 0
39 Betametason krim 0,1 % tube 25150 0 0 0 0
40 Bisoprolol Tab 5 mg tablet 7200 0 0 0 0
41 Captoril tablet 25 mg tablet 0 6500 1500 0 0
42 Captoril tablet 12,5 mg tablet 100000 0 0 0 0
43 Calcium Lactate tablet 37000 0 0 0 0
44 Carbamazepin tablet 200 mg tablet 3600 0 0 0 0
45 Chlorexol Suspensi botol 0 0 0 0 0
46 Ciprofloxacin 500 mg tablet 197000 0 0 0 0
47 Clindamisin Kap 300 mg kapsul 2500 0 0 0 0
48 Clinoma tablet 0 0 0 0 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0 0 0 0 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0 0 0 0 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 4000 0 0 0 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0 0 0 0 0
53 Codein Tablet 10 g tablet 0 0 0 0 0
54 Dasabion tablet 0 0 0 0 0
55 Deksametazon tablet 0,5 mg tablet 413000 0 0 0 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 1100 0 0 0 0
57 Desoksimetason Krim 0,25% tube 300 0 0 0 0
58 DHP tablet 0 0 0 0 0
59 Diazepam Lar Rektal 5 mg/2,5 ml botol 135 0 0 0 0
60 Diazepam Lar Rektal 10 mg/2,5 ml botol 130 0 0 0 0
61 Diazepam injeksi 5 mg/ml ampul 0 60 60 0 0
62 Diazepam tablet 2 mg tablet 0 0 0 0 0
63 Diazepam tablet 5 mg tablet 0 200 200 0 0
64 Dietilkarbamazin 10 mg tablet 0 0 0 0 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 2820 0 0 0 0
66 Digoksin tablet 0,25 mg tablet 20000 0 0 0 0
67 Diltiazem Tab tablet 9000 0 0 0 0
68 Domperidom Tab 10 mg tablet 19500 0 0 0 0
69 Domperidon suspensi 5 mg/5 ml botol 0 0 0 0 0
70 Dulcolax Supp adult 10 mg supp 1400 0 0 0 0
71 Dulcolax Supp infant 5 mg supp 1884 0 0 0 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 1520 0 0 0 0
73 Eritromisin Kapsul 250 mg kapsul 7500 0 0 0 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 2000 0 0 0 0
75 Etil Klorida Spray botol 226 0 0 0 0
76 Farsifen plus tablet 0 0 0 0 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0 0 0 0 0
78 Fenobarbital tablet 30 mg tablet 0 0 0 0 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 9900 0 0 0 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 30500 0 0 0 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0 0 0 0 0
82 Furosemide tablet 40 mg tablet 12200 0 0 0 0
83 Floxifar 500 mg kaplet 0 0 0 0 0
84 Fasiprim Suspensi botol 0 0 0 0 0
85 Garam Oralit I serbuk kombinasi sachet 53300 0 1700 0 0
86 Gentamisin Inj ampul 0 0 0 0 0
87 Gentamisin Salep Mata tube 1560 0 0 0 0
88 Gentamisin Tetes Mata botol 1544 0 0 0 0
89 Gentamisin Salep 0, 1 % tube 40 0 0 0 0
90 Gentian Violet larutan 1 % botol 24 0 0 0 0
91 Glibenclamide tablet 5 mg tablet 72000 0 0 0 0
92 Gliseril Guaikolat tablet 100 mg tablet 186000 0 0 0 0
93 Glukosa larutan infus 5 % tablet 20040 0 0 0 0
94 Griseofulvin tablet 125 mg, Micronized tablet 97000 0 0 0 0
95 Gula Alami Granul botol 0 0 0 0 0
96 Haloperidol Tablet 0,5 mg tablet 15300 0 0 0 0
97 Haloperidol Tablet 1,5 mg tablet 11500 0 0 0 0
98 Haloperidol Tablet 5 mg tablet 4500 0 1900 0 0
99 Haloperidol injeksi ampul 12 0 0 0 0
100 Hexymer 2 mg tablet 0 0 0 0 0
101 Hidroklorotiazida tablet 25 mg tablet 14000 0 0 0 0
102 Hidrokortison krim 2,5 % tube 4664 0 0 0 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 267 0 0 0 0
104 Hufagesic 500 mg tablet 0 0 0 0 0
105 Hufamycetin Suspensi botol 0 0 0 0 0
106 Ibuprofen sirup 100 mg botol 0 0 0 0 0
107 Ibuprofen tablet 200 mg tablet 51000 0 0 0 0
108 Ibuprofen tablet 400 mg tablet 0 6000 1000 0 0
109 Ichtiyol 15 g tube 1760 0 0 0 0
110 Ifidex 0,5 mg tablet 0 0 0 0 0
111 Ifitamol tablet 25700 0 0 0 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 5000 0 0 0 0
113 Kalsium Glukonas injeksi ampul 240 0 72 0 0
114 Ketokenazole Kriem 2 % tube 4150 0 0 0 0
115 Ketokenazole Tab 200 mg tablet 29000 0 0 0 0
116 Kloramfenikol kapsul 500 mg kapsul 0 0 0 0 0
117 Kloramfenikol Suspensi 125 mg/ml botol 860 0 0 0 0
118 Kloramfenikol tetes telinga 3 % botol 450 0 0 0 0
119 Kloramfenikol Salep Mata tube 8142 0 0 0 0
120 Kloramfenikol Tetes Mata 0,5% botol 330 0 0 0 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 161200 0 0 0 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 361800 0 0 0 0
123 Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0 0 0 0 0
Kotrimoksazol Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 13000 0 0 0 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0 0 0 0 0
125 Lanzoprazole kapsul 30 mg kapsul 4040 0 0 0 0
264 Latibet 5 mg tablet 0 0 0 0 0
126 Lidokain injeksi 2 % ampul 53090 0 0 0 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 50930 0 0 0 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0 0 0 0 0
129 Lokev kapsul 0 0 0 0 0
130 Loperamide Tablet tablet 136500 0 0 0 0
131 Loratadine Tab 10 mg tablet 30370 0 0 0 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 885 0 0 0 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 160 0 110 0 0
134 MDT MB Anak blister 6 0 6 0 0
135 MDT MB Dewasa blister 234 0 210 0 0
136 MDT PB Anak blister 0 0 0 0 0
137 MDT PB Dewasa blister 0 0 0 0 0
138 Maagel Suspensi botol 0 0 0 0 0
139 Mefamesis Sirup botol 0 0 0 0 0
140 Meloxicam 15 mg tablet 16300 0 0 0 0
141 Meloxicam 7,5 mg tablet 6000 0 0 0 0
142 Methampyron 500 mg tablet 95000 0 0 0 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 177500 0 0 0 0

144 Metformin HCL tablet 500 mg tablet 98000 0 0 0 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 4000 0 0 0 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0 0 0 0 0
147 Metilprednisolone kotak 100 tablet 73000 0 0 0 0
148 Metoklopramide Inj 5 mg/ml ampul 1150 0 0 0 0
149 Metoklopramide Tab 5 mg tablet 38000 0 0 0 0
150 Metoklopramide Drop botol 1440 0 0 0 0
151 Metronidazole tablet 250 mg tablet 0 0 0 0 0
152 Metronidazole tablet 500 mg tablet 30000 0 0 0 0
153 Miconazole Krim 2 % tube 8380 0 0 0 0
267 Milorin Tablet tablet 0 0 0 0 0
154 Multi Vitamin + Lysin botol 11520 0 0 0 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 8400 0 0 0 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0 0 0 0 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 112000 0 0 0 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi
Multi Vitamin
Ext +untuk Ibu Hamil mengandung Kotak 50 kaplet 140000 0 0 0 0
Curcumae
Vitamin untuk
Liver Ibu
Ext Hamil
(Hepatoprotektor)
mengandung
ferrous gluconate 250 mg, manganase sulf 0,2
159 vit Acopper
2000 IU, Tiamin HNO3 1,3 mg, Riboklovin tablet 0 0 0 0 0
mg, sulf 0,25 mg, vit C 50 mg, folid acid
1,3 mg, piridoksin HCl(OMEGAVIT)
0,85 mg, sianokobalamin
160 1 mg, vit B12 7,5 mcg tablet 140100 0 0 0 0
2 mcg, micotinamid 10 mg, kalsium laktose 350
161 Natrium
mg, Diklofenat
ferrous fumarat tab 25 mg
29 mg, potassium iodida tablet 108050 0 0 0 0
162 0,1 mg, asam folat 0,39 mcg
Natrium Diklofenat tab 50 mg (PRENASE) tablet 100000 0 0 0 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 38220 0 0 0 0
164 New Antides Kotak 27600 0 0 0 0
165 Nifedifine Tab 10 mg tablet 11500 0 0 0 0
166 Nistatin tablet salut 500.000 IU / g tablet 4500 0 0 0 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4200 0 0 0 0
168 OAT Kategori Anak paket 3 0 0 0 0
169 OAT Kategori I & III paket 71 0 71 0 0
170 OAT Kategori II paket 0 0 0 0 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 16750 0 0 0 0
Pectin
172 Obat Anti Malaria (OAM) tablet 2592 0 1665 0 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0 0 0 0 0
174 Obat Batuk Pilek Anak Bayi botol 7488 0 0 0 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0 0 0 0 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0 0 0 0 0
177 Oksitetrasiklin salep kulit 3 % tube 0 0 0 0 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13200 0 0 0 0
179 Omeprazole Kap 20 mg kapsul 22950 0 0 0 0
180 Parasetamol Tab 100 mg tablet 0 0 0 0 0
181 Parasetamol Tab 500 mg tablet 26800 55000 31800 0 0
182 Parasetamol Drops botol 0 0 0 0 0
183 Parasetamol sirup 120 mg / 5 ml botol 18170 0 0 0 0
184 Parasetamol + Ibuprofen + Cafein tablet 102500 0 0 0 0
185 Phenylbutason tablet 0 0 0 0 0
186 Piracetam inj 1 g/5 ml ampul 480 0 0 0 0
187 Piracetam tab 800 mg tablet 6650 0 0 0 0
188 Pirantel tablet score ( base ) 125 mg tablet 23000 0 0 0 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 34300 0 0 0 0
190 Piroxicam Tab 20 mg tablet 168100 0 0 0 0
191 Prednison Tablet 5 mg tablet 3000 30000 0 0 0
192 Primakuin tablet 15 mg tablet 3600 0 3600 0 0
193 Prokain Penicillin injeksi ampul 0 0 0 0 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0 0 0 0 0
195 Propiltiourasil tablet 100 mg tablet 28500 0 0 0 0
196 Provinas 200 mg kotak 0 0 0 0 0
197 Provinas 400 mg kotak 0 0 0 0 0
198 Ramolit kotak 4 0 0 0 0
199 Ranitidin tablet 419700 0 0 0 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0 0 0 0 0
201 Ratrim Forte kaplet 0 0 0 0 0
202 RDT buah 0 0 0 0 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 95150 0 0 0 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 43750 0 0 0 0
205 Ringer Laktat Larutan infus botol 30280 0 0 0 0
206 Risperidon 1 mg tablet 0 0 0 0 0
207 Risperidon 2 mg tablet 1200 0 0 0 0
208 Salbutamol 2 mg tablet 0 0 0 0 0
209 Salbutamol 4 mg tablet 100000 2000 2000 0 0
210 Salbutamol Sirup botol 1500 0 0 0 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0 0 0 0 0
endap 4 %
212 Scopma kotak 0 0 0 0 0
213 Sefiksim kapsul 100 mg kapsul 116000 0 0 0 0
214 Sefiksim sir 100 mg/5 ml botol 992 0 0 0 0
215 Sefotaxime Inj 1 g ampul 2440 0 0 0 0
216 Seftriakson Inj 1 g ampul 2920 0 0 0 0
217 Selmetor 4 mg kotak 0 0 0 0 0
218 Selmatic 20 mg tablet 0 0 0 0 0
219 Selferro tablet 0 0 0 0 0
220 Selpyron tablet 0 0 0 0 0
221 Sepadroksil Kap 500 mg kapsul 0 5000 5000 0 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0 0 0 0 0
223 Setirizin 10 mg kapsul 40500 0 0 0 0
224 Setirizin Sirup 5 mg/ 5 ml botol 2570 0 0 0 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 10 0 0 0 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 29300 0 0 0 0
227 Sikzonoat injeksi kaleng 415 0 0 0 0
228 Simvastatin tabet 10 mg tablet 17940 0 0 0 0
229 Simvastatin tabet 20 mg tablet 14200 0 0 0 0
230 Succus Liquiritae + Ammonium Chlorida + botol 4496 - 0 0 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0 - 0 0 0
232 Selescardio 5 mg tablet 0 - 0 0 0
233 Selespurin 100 mg tablet 0 - 0 0 0
234 Seleskin 500 mg kaplet 0 - 0 0 0
235 Tablet Tambah Darah tablet 207900 - 0 0 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 14 - 0 0 0
237 Tetrasiklin kapsul 250 mg kapsul 0 - 0 0 0
238 Tetrasiklin kapsul 500 mg kapsul 100000 - 0 0 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0 0 0 0 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0 0 0 0 0
241 Tramadol Inj 50 mg/ml ampul 0 0 0 0 0
242 Tramadol tab 50 mg tablet 0 0 0 0 0
243 Tramofal tablet 0 0 0 0 0
244 Triheksifenidil tablet 2 mg tablet 25700 0 0 0 0
245 Vaksin Rabies ampul 0 0 0 0 0
246 Vaksin BCG ampul 0 0 0 0 0
247 Vaksin Campak ampul 0 0 0 0 0
248 Vaksin Hepatitis B ampul 0 0 0 0 0
249 Vaksin Polio ampul 0 0 0 0 0
250 Vaksin DT ampul 0 0 0 0 0
251 Vaksin TD ampul 0 0 0 0 0
252 Vaksin DPT - Hb - Hib ampul 0 0 0 0 0
253 Vesperum Sirup botol 0 0 0 0 0
254 Vitamin B kompleks tablet tablet 25500 0 0 0 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 49000 0 0 0 0
256 Zinc 20 mg tablet dispersibel tablet 94500 0 0 0 0
257 Zinc pro Sirup 60 ml botol 4062 0 0 0 0
259 Hufadexon 0,5 mg tablet 0 0 0 0 0
260 Eltazon 5 mg tablet Rp - 0 0 0 0
261 Floxifar 500 mg tablet 0 0 0 0 0
262 Selvim 10 mg tablet 0 0 0 0 0
263 Obat Batuk Dewasa botol 17500 0 0 0 0
265 Kemoren 50 mg tablet 0 0 0 0 0
266 Rhemafar 4 mg tablet 0 0 0 0 0
268 Roverton tablet 0 0 0 0 0
269 Vitacaps kapsul 0 0 0 0 0

270 Devitalisasi Pasta ( Non arsen ) Buah 39 0 0 0 0

271 Eugenol cairan set 104 0 0 0 0

272 Glass Ionomer Cement ART sett 44 0 0 0 0

273 Kalsium Hidroksida Pasta set 46 0 0 0 0


274 Klorfenol kamfer Menthol ( CHKM ) sachet 44 0 0 0 0
275 Mummyfying Pasta sachet 44 0 0 0 0
276 Semen seng Fosfat serbuk dan cairan pasang 0 0 0 0 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0 0 0 0 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 4450 0 0 0 0
279 Lisol , mengandung Kresol tersabun 50 % botol 241 0 0 0 0
280 Povidon Iodida larutan 10 %, 30 ml botol 3427 0 0 0 0
281 Povidon Iodida larutan 10 %, 60 ml botol 3430 0 0 0 0
282 Povidon Iodida larutan 10 %, 100 ml botol 1806 0 0 0 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 1100 0 0 0 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 2250 0 0 0 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 5150 0 0 0 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1950 0 0 0 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 5000 0 0 0 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 13800 0 0 0 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 4500 0 0 0 0
290 Syringe 1 cc buah 14 0 0 0 0
291 Syringe 3 cc dus 2375 0 0 0 0
292 Syringe 5 cc dus 235 0 0 0 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 260 0 0 0 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 272 0 0 0 0
295 Catgut Chromic piece 4000 0 0 0 0
296 Safeglove PF No. 7 Pasang 2500 0 0 0 0
297 Safeglove PF No. 7,5 Pasang 2000 0 0 0 0
298 Safeglove PP No. 7 Pasang 0 0 0 0 0
299 Safeglove PP No. 7,5 Pasang 2750 0 0 0 0
300 Safety Box buah 0 0 0 0 0
301 Examination Gloves size L Box 175 0 0 0 0
302 Examination Gloves size M Box 279 0 0 0 0
303 Examination Gloves size S Box 170 0 0 0 0
304 Examination Gloves size XS Box 295 0 0 0 0
305 Kapas pembalut / Absorben 250 gram roll 2000 0 0 0 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 9500 0 0 0 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 515 0 0 0 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 13100 0 0 0 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 10080 0 0 0 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9500 0 0 0 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 5680 0 0 0 0
312 Kapas Berlemak DRC 500 gr Rol 320 0 0 0 0
313 Larutan Reagen Ziohl Nelson (ZN) 40 0 0 0 0
314 Urocare Folley Catheter 2 way no.18 Box 2000 0 0 0 0
315 Urocare Folley Catheter 2 way no.20 Box 20 0 0 0 0
316 UltraOne Test Hamil Buah 4600 0 0 0 0
317 Urine Bag Sterile Buah 4090 0 0 0 0
318 Oxyflow Nasal Oxygen Anak Buah 565 0 0 0 0
319 Oxyflow Nasal Oxygen Bayi Buah 65 0 0 0 0
320 Oxyflow Nasal Oxygen Dewasa Buah 565 0 0 0 0
321 Alkohol swab Box 150 0 0 0 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 209 0 0 0 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 198 0 0 0 0
324 Face Mask Ear Loop Dus 1065 0 0 0 0
325 Face Mask Ties On Dus 800 0 0 0 0
326 Infus set Anak set 1200 0 0 0 0
327 Infuset Dewasa set 2000 0 0 0 0
328 Plester 5 yards x 2 inch roll 2329 0 0 0 0
329 Rapid Test HIV-AIDS Set / Kantong 0 0 0 0 0
330 Benecheck plus Glucose Test Strip 50's Box 163 0 0 0 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 239 0 0 0 0
332 Benecheck plus Uric Test Strip 50's Box 178 0 0 0 0
333 Umbilical cord klem steril Nylon piece 575 0 0 0 0
334 Wing Needle set 0 0 0 0 0
335 Pembalut Gibs Rol 4 0 0 0 0
336 Rivanol 300 cc botol 835 0 0 0 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 87 0 0 0 0
338 Ranitidin 150 mg Kotak 0 0 0 0 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340
341
342

7,078,705

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato
dr. Syahrawanty S. Abbas
Nip. 19780901 200802 2 001
LUASI PENGGUNAAN OBAT
RIWULAN II TAHUN 2017

EMAKAIAN OBAT PUSKESMAS Pemakaian RAWAT INAP

Pemakaian
RAWAT
2014 2015 2016 2017 TOTAL BS 2012 2013 2014 2015 2016 2017 TOTAL JALAN

9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 330 330 0 0 0 0 0 0 180 180 150
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 36000 36000 0 0 0 0 0 0 21500 21500 14500
0 0 0 825 825 0 0 0 0 0 0 500 500 325
0 0 0 14500 21500 6000 0 0 0 0 0 6900 12900 8600
0 0 0 300 300 0 0 0 0 0 0 150 150 150
0 0 0 30 30 0 0 0 0 0 0 30 30 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 72600 0 72600 0 0 0 0 0 35000 0 35000 37600
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4800 4800 0 0 0 0 0 0 2250 2250 2550
0 0 890 4300 5190 0 0 0 0 0 600 1600 2200 2990
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 50 50 0 0 0 0 0 0 50 0

0 0 8600 255000 263600 0 0 0 0 0 2000 1E+05 102800 160800


0 0 0 1150 1150 0 0 0 0 0 0 650 650 500

0 0 210 0 210 0 0 0 0 0 120 0 120 90

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 288 288 0 0 0 0 0 0 48 48 240
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24500 24500 0 0 0 0 0 0 11000 11000 13500
0 0 230 54000 54230 0 0 0 0 0 165 36000 36165 18065
0 0 0 700 700 0 0 0 0 0 0 400 400 300
0 0 0 200 200 0 0 0 0 0 0 200 200 0
0 0 0 0 150 130 0 0 0 0 0 0 130 20
0 0 0 13100 13100 0 0 0 0 0 0 4000 4000 9100
0 0 0 30500 30500 0 0 0 0 0 0 13000 13000 17500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 600 0 600 0 0 0 0 0 240 0 240 360
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 355 355 0 0 0 0 0 0 170 170 185
0 0 5200 0 5200 0 0 0 0 0 4150 0 4150 1050
0 0 0 2400 2400 0 0 0 0 0 0 2200 2200 200
0 0 0 0 1500 1500 0 0 0 0 0 0 1500 0
0 0 0 44000 44000 0 0 0 0 0 0 23000 23000 21000
0 0 0 10000 10000 0 0 0 0 0 0 2000 2000 8000
0 0 0 2000 2000 0 0 0 0 0 0 500 500 1500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9100 9100 0 0 0 0 0 0 1000 1000 8100
0 0 0 1500 1500 0 0 0 0 0 0 1500 1500 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1000 0 1000 0 0 0 0 0 0 0 0 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 54500 54500 0 0 0 0 0 0 28000 28000 26500
0 0 0 1100 1100 0 0 0 0 0 0 1000 1000 100
0 0 0 116 116 0 0 0 0 0 0 91 91 25
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 15 15 0 0 0 0 0 0 5 5 10
0 0 0 10 10 0 0 0 0 0 0 5 5 5
0 0 0 0 60 30 0 0 0 0 0 0 30 30
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 200 200 0 0 0 0 0 0 200 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1470 1470 0 0 0 0 0 0 540 540 930
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1500 1500 0 0 0 0 0 0 1500 1500 0
0 0 0 16600 16600 0 0 0 0 0 0 10000 10000 6600
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 250 0 250 0 0 0 0 0 150 0 150 100
0 0 74 0 74 0 0 0 0 0 30 0 30 44
0 0 0 300 300 0 0 0 0 0 0 100 100 200
0 0 0 4000 4000 0 0 0 0 0 0 2500 2500 1500
0 0 0 640 640 0 0 0 0 0 0 520 520 120
0 0 0 55 55 0 0 0 0 0 0 30 30 25
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 630 420 1050 0 0 0 0 0 0 0 0 1050
0 0 2500 1000 3500 0 0 0 0 0 2000 0 2000 1500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5800 5800 0 0 0 0 0 0 2600 2600 3200
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1700 0 0 0 0 0 0 0 0 1700
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 551 551 0 0 0 0 0 0 192 192 359
0 0 0 336 336 0 0 0 0 0 0 168 168 168
0 0 0 40 40 0 0 0 0 0 0 40 40 0
0 0 0 24 24 0 0 0 0 0 0 24 24 0
0 0 0 13500 13500 0 0 0 0 0 0 5500 5500 8000
0 0 0 20500 20500 0 0 0 0 0 0 9000 9000 11500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 11000 11000 0 0 0 0 0 0 4000 4000 7000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 200 0 200 0 0 0 0 0 0 0 0 200
0 0 700 0 700 0 0 0 0 0 500 0 500 200
0 0 0 0 1900 200 0 0 0 0 0 0 200 1700
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10000 10000 0 0 0 0 0 0 4000 4000 6000
0 0 816 0 816 0 0 0 0 0 288 0 288 528
0 0 7 0 7 0 0 0 0 0 5 0 5 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 38700 38700 0 0 0 0 0 0 21000 21000 17700
0 0 0 0 1000 1000 0 0 0 0 0 0 1000 0
0 0 0 151 151 0 0 0 0 0 0 72 72 79
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25700 0 25700 0 0 0 0 0 7000 0 7000 18700
0 0 0 2500 2500 0 0 0 0 0 0 2000 2000 500
0 0 0 0 72 24 0 0 0 0 0 0 24 48
0 0 0 550 550 0 0 0 0 0 0 250 250 300
0 0 0 7000 7000 0 0 0 0 0 0 3000 3000 4000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 150 150 0 0 0 0 0 0 50 50 100
0 0 0 157 157 0 0 0 0 0 0 92 92 65
0 0 3142 0 3142 0 0 0 0 0 1488 0 1488 1654
0 0 0 225 225 0 0 0 0 0 0 120 120 105
0 0 0 44000 44000 0 0 0 0 0 0 22000 22000 22000
0 0 61800 0 61800 0 0 0 0 0 19000 0 19000 42800
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4150 4150 0 0 0 0 0 0 1450 1450 2700
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3200 3200 0 0 0 0 0 0 1900 1900 1300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2990 0 2990 0 0 0 0 0 1090 0 1090 1900
0 0 3070 0 3070 0 0 0 0 0 2160 0 2160 910
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11000 0 11000 0 0 0 0 0 8000 0 8000 3000
0 0 180 0 180 0 0 0 0 0 80 0 80 100
0 0 0 80 80 0 0 0 0 0 0 80 80 0
0 0 0 0 110 80 0 0 0 0 0 0 80 30
0 0 0 0 6 0 0 0 0 0 0 0 0 6
0 0 0 0 210 78 0 0 0 0 0 0 78 132
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10300 10300 0 0 0 0 0 0 6000 6000 4300
0 0 0 6000 6000 0 0 0 0 0 0 4500 4500 1500
0 0 0 10000 10000 0 0 0 0 0 0 2000 2000 8000

0 0 0 34500 34500 0 0 0 0 0 0 14000 14000 20500

0 0 0 20500 20500 0 0 0 0 0 0 9500 9500 11000

0 0 300 0 300 0 0 0 0 0 100 0 100 200


0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 14000 14000 0 0 0 0 0 0 9500 9500 4500
0 0 0 500 500 0 0 0 0 0 0 440 440 60
0 0 0 14500 14500 0 0 0 0 0 0 7000 7000 7500
0 0 0 40 40 0 0 0 0 0 0 25 25 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 18500 18500 0 0 0 0 0 0 10000 10000 8500
0 0 816 0 816 0 0 0 0 0 336 0 336 480
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4608 4608 0 0 0 0 0 0 2520 2520 2088
0 0 0 2050 2050 0 0 0 0 0 0 1100 1100 950
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 54600 54600 0 0 0 0 0 0 28500 28500 26100
0 0 0 61000 61000 0 0 0 0 0 0 45000 45000 16000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 77200 77200 0 0 0 0 0 0 36000 36000 41200
0 0 8050 2500 10550 0 0 0 0 0 5500 0 5500 5050
0 0 0 16500 16500 0 0 0 0 0 0 10000 10000 6500
0 0 2040 0 2040 0 0 0 0 0 1800 0 1800 240
0 0 0 6500 6500 0 0 0 0 0 0 3500 3500 3000
0 0 0 6000 6000 0 0 0 0 0 0 2500 2500 3500
0 0 0 600 600 0 0 0 0 0 0 100 100 500
0 0 0 100 100 0 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 71 49 0 0 0 0 0 0 49 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 700 0 700 0 0 0 0 0 0 0 0 700
0 0 0 0 1665 540 0 0 0 0 0 0 540 1125
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2307 2307 0 0 0 0 0 0 1056 1056 1251
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 100 0 100 0 0 0 0 0 0 0 0 100
0 0 0 9240 9240 0 0 0 0 0 0 4500 4500 4740
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 31800 24800 0 0 0 0 0 0 24800 7000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2410 2410 0 0 0 0 0 0 1400 1400 1010
0 0 0 37100 37100 0 0 0 0 0 0 19000 19000 18100
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 340 340 0 0 0 0 0 0 240 240 100
0 0 0 1150 1150 0 0 0 0 0 0 650 650 500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5000 5000 0 0 0 0 0 0 0 0 5000
0 0 8100 9000 17100 0 0 0 0 0 4100 0 4100 13000
0 0 0 3000 3000 0 0 0 0 0 0 2000 2000 1000
0 0 0 0 3600 1400 0 0 0 0 0 0 1400 2200
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1500 1500 0 0 0 0 0 0 0 0 1500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 79300 0 79300 0 0 0 0 0 40000 0 40000 39300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 350 0 350 0 0 0 0 0 0 0 0 350
0 0 0 250 250 0 0 0 0 0 0 0 0 250
0 0 2400 0 2400 0 0 0 0 0 2000 0 2000 400
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 300 300 0 0 0 0 0 0 100 100 200
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 2000 2000 0 0 0 0 0 0 2000 0
0 0 0 980 980 0 0 0 0 0 0 490 490 490
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 16000 1000 17000 0 0 0 0 0 13500 0 13500 3500
0 0 992 0 992 0 0 0 0 0 384 0 384 608
0 0 0 1240 1240 0 0 0 0 0 0 1200 1200 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 5000 4000 0 0 0 0 0 0 4000 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 12500 12500 0 0 0 0 0 0 6000 6000 6500
0 0 0 840 840 0 0 0 0 0 0 540 540 300
0 0 10 0 10 0 0 0 0 0 8 0 8 2
0 0 2200 0 2200 0 0 0 0 0 900 0 900 1300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9900 9900 0 0 0 0 0 0 5400 5400 4500
0 0 0 7750 7750 0 0 0 0 0 0 3600 3600 4150
0 0 0 168 168 0 0 0 0 0 0 96 96 72
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 53800 53800 0 0 0 0 0 0 25300 25300 28500
0 0 14 0 14 0 0 0 0 0 0 0 0 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 500 500 0 0 0 0 0 0 0 0 500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 200 200 0 0 0 0 0 0 100 100 100
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 14500 14500 0 0 0 0 0 0 5500 5500 9000
0 0 0 35500 35500 0 0 0 0 0 0 17500 17500 18000
0 0 0 77500 77500 0 0 0 0 0 0 38000 38000 39500
0 0 0 2688 2688 0 0 0 0 0 0 1080 1080 1608
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9000 9000 0 0 0 0 0 0 4500 4500 4500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 4 4 0 0 0 0 0 0 4 4 0

0 0 0 4 4 0 0 0 0 0 0 4 4 0

0 0 0 4 4 0 0 0 0 0 0 4 4 0

0 0 0 6 6 0 0 0 0 0 0 6 6 0
0 0 0 4 4 0 0 0 0 0 0 4 4 0
0 0 0 4 4 0 0 0 0 0 0 4 4 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 86 0 86 0 0 0 0 0 52 0 52 34
0 0 0 6 6 0 0 0 0 0 0 6 6 0
0 0 958 0 958 0 0 0 0 0 450 0 450 508
0 0 533 0 533 0 0 0 0 0 ### 0 #VALUE! #VALUE!
0 0 74 0 74 0 0 0 0 0 24 0 24 50
0 0 900 0 900 0 0 0 0 0 750 0 750 150
0 0 0 1100 1100 0 0 0 0 0 0 700 700 400
0 2100 0 0 2100 0 0 0 0 1800 0 0 1800 300
0 150 0 300 450 0 0 0 0 150 0 200 350 100
0 0 0 300 300 0 0 0 0 0 0 200 200 100
0 0 0 2200 2200 0 0 0 0 0 0 1200 1200 1000
0 0 0 200 200 0 0 0 0 0 0 100 100 100
0 14 0 0 14 0 0 0 0 12 0 0 12 2
0 0 89 0 89 0 0 0 0 0 55 0 55 34
0 10 0 0 10 0 0 0 0 5 0 0 5 5
0 0 28 0 28 0 0 0 0 0 19 0 19 9
0 0 26 0 26 0 0 0 0 0 17 0 17 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1300 1300 0 0 0 0 0 0 800 800 500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 119 119 0 0 0 0 0 0 85 85 34
0 0 0 48 48 0 0 0 0 0 0 20 20 28
0 0 0 22 22 0 0 0 0 0 0 5 5 17
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 600 600 0 0 0 0 0 0 400 400 200
0 0 20 0 20 0 0 0 0 0 10 0 10 10
0 0 650 0 650 0 0 0 0 0 250 0 250 400
0 0 80 50 130 0 0 0 0 0 80 50 130 0
0 0 0 500 500 0 0 0 0 0 0 400 400 100
0 0 0 1042 1042 0 0 0 0 0 0 500 500 542
0 0 40 0 40 0 0 0 0 0 15 0 15 25
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 20 0 20 0 0 0 0 0 15 0 15 5
0 0 0 600 600 0 0 0 0 0 0 400 400 200
0 0 140 0 140 0 0 0 0 0 120 0 120 20
0 0 21 0 21 0 0 0 0 0 15 0 15 6
0 0 15 0 15 0 0 0 0 0 15 0 15 0
0 0 65 0 65 0 0 0 0 0 55 0 55 10
0 0 0 48 48 0 0 0 0 0 0 32 32 16
0 0 9 13 22 0 0 0 0 0 9 4 13 9
0 0 0 14 14 0 0 0 0 0 0 5 5 9
0 0 149 0 149 0 0 0 0 0 68 0 68 81
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 250 0 0 250 0 0 0 0 100 0 0 100 150
0 0 1350 0 1350 0 0 0 0 0 1050 0 1050 300
0 0 98 0 98 0 0 0 0 0 54 0 54 44
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 103 103 0 0 0 0 0 0 71 71 32
0 0 0 159 159 0 0 0 0 0 0 117 117 42
0 0 0 118 118 0 0 0 0 0 0 80 80 38
0 0 0 11 11 0 0 0 0 0 0 3 3 8
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 74 0 74 0 0 0 0 0 0 0 0 74
0 27 0 0 27 0 0 0 0 16 0 0 16 11
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0

801,069

Kepala Bidang Pelayanan dan SDK Kepala Seksi Kefarmasian, A


Dinas Kesehatan Dinas Kesehat
Kabupaten Pohuwato Kabupaten Pohu

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
SISA STOK Ket.

23 24
1650
0
0
55000
7900
0
270
810
0
0
0
0
757300
0
25200
15700
0
0

552800
2375

1480

0
0
328
0
0
0
36000
49448
1400
4800
0
80400
69000
1170
3878
1980
3645
19950
4800
5000
56000
27000
1600
0
187900
1000
0
0
0
3000
0
0
0
358500
0
184
0
120
120
0
0
0
0
1350
20000
7500
2900
0
1150
1810
1220
3500
1360
171
0
0
0
8850
27000
0
6400
0
0
51600
0
1009
1208
0
0
58500
165500
20040
86000
0
15100
10800
2600
12
0
4000
3848
260
0
0
0
12300
5000
1609
0
0
2500
168
3600
22000
0
710
293
5000
105
117200
300000
0
8850
0
840
0
50100
47860
0
0
125500
30190
805
50
0
24
0
0
0
0
6000
0
85000

143000

77500

3700
0
59000
650
23500
1400
0
11500
7564
0
6912
6350
0
57400
79000
0
62900
97500
83500
36180
21100
5500
3900
4100
3
0
0
16050
927
0
5181
0
0
0
13100
13710
0
50000
0
15760
65400
0
140
5500
23000
29300
151000
30000
0
0
0
27000
0
0
4
340400
0
0
0
94800
43500
27880
0
900
0
100000
520
0
0
99000
0
1200
2920
0
0
0
0
0
0
28000
1730
0
27100
415
8040
6450
4328
0
0
0
0
154100
0
0
99500
0
0
0
0
0
25500
0
0
0
0
0
0
0
0
0
11000
13500
17000
1374
0
0
0
0
8500
0
0
0
0

35

100

40

40
40
40
0
0

4364
235
2469
2897
1732
200
1150
3050
1500
4700
11600
4300
0
2286
225
232
246
4000
2500
2000
0
1450
0
56
231
148
295
2000
8900
495
12450
9950
9000
4638
280
40
2000
0
4000
3950
544
50
500
102
187
184
916
800
950
650
2231
0
60
80
60
564
0
4
761
60
0
0
0
0

6,134,048

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato
EVALUASI PE
TRIWULAN

PEMAKAIAN

Stock Obat
No Nama Obat Kemasan Awal Masuk
BS 2012 2013

1 2 3 5 5 6 7 8
1 Albendazol Tab 400 mg tablet 1650 0 0 0 0
2 Albendazole Suspensi botol 0 0 0 0 0
3 Alofar 100 mg tablet 0 0 0 0 0
4 Allopurinol tablet 100 mg tablet 55000 0 0 0 0
5 Ambroxol Syr 15 mg/ml botol 7900 0 0 0 0
6 Ambroxol Tablet tablet 0 2000 2000 0 0
7 Ambroxol Drop botol 270 0 0 0 0
8 Aminofilin injeksi 24 mg/ml ampul 810 0 0 0 0
9 Aminofilin tablet 200 mg tablet 0 0 0 0 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0 0 0 0 0
11 Amlodipin 5mg tablet 0 0 0 0 0
12 Amlodipin 10 mg tablet 0 0 0 0 0
13 Amoksisilin Kaplet 500 mg tablet 757300 0 0 0 0
14 Amoksisilin Kapsul 250 mg kapsul 0 0 0 0 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 25200 0 0 0 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 15700 0 0 0 0
17 AmpicillinDoen
Antasida inj II Suspensi, kombinasi : ampul 0 0 0 0 0
18 botol 0 50 50 0 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 552800 0 0 0 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 2375 0 0 0 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 1480 0 0 0 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0 0 0 0 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0 0 0 0 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 328 0 0 0 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0 0 0 0 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0 0 0 0 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0 0 0 0 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 36000 0 0 0 0
29 Asam Mefenamat 500 mg box 49448 0 0 0 0
30 Asam Traneksamat Injeksi ampul 1400 0 0 0 0
31 Asering Larutan botol 4800 0 0 0 0
32 Asiklovir Krim 5 % tube 0 200 200 0 0
33 Asiklovir Tab 200 mg tablet 80400 0 0 0 0
34 Asiklovir Tab 400 mg tablet 69000 0 0 0 0
35 Atropin Injeksi 0,25mg/ml ampul 1170 0 0 0 0
36 Aqua Pro injeksi steril, bebas pirogen vial 3878 0 0 0 0
37 Azitromisin tablet 1980 0 0 0 0
38 Bedak Salisil Serbuk Kotak 3645 0 0 0 0
39 Betametason krim 0,1 % tube 19950 0 0 0 0
40 Bisoprolol Tab 5 mg tablet 4800 0 0 0 0
41 Captoril tablet 25 mg tablet 5000 5000 10000 0 0
42 Captoril tablet 12,5 mg tablet 56000 500 500 0 0
43 Calcium Lactate tablet 27000 0 0 0 0
44 Carbamazepin tablet 200 mg tablet 1600 0 0 0 0
45 Chlorexol Suspensi botol 0 0 0 0 0
46 Ciprofloxacin 500 mg tablet 187900 0 0 0 0
47 Clindamisin Kap 300 mg kapsul 1000 0 0 0 0
48 Clinoma tablet 0 0 0 0 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0 0 0 0 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0 0 0 0 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 3000 0 0 0 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0 0 0 0 0
53 Codein Tablet 10 g tablet 0 0 0 0 0
54 Dasabion tablet 0 0 0 0 0
55 Deksametazon tablet 0,5 mg tablet 358500 0 0 0 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0 0 0 0 0
57 Desoksimetason Krim 0,25% tube 184 0 0 0 0
58 DHP tablet 0 0 0 0 0
59 Diazepam Lar Rektal 5 mg/2,5 ml botol 120 0 0 0 0
60 Diazepam Lar Rektal 10 mg/2,5 ml botol 120 0 0 0 0
61 Diazepam injeksi 5 mg/ml ampul 0 0 0 0 0
62 Diazepam tablet 2 mg tablet 0 0 0 0 0
63 Diazepam tablet 5 mg tablet 0 0 0 0 0
64 Dietilkarbamazin 10 mg tablet 0 0 0 0 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 1350 0 0 0 0
66 Digoksin tablet 0,25 mg tablet 20000 0 0 0 0
67 Diltiazem Tab tablet 7500 0 0 0 0
68 Domperidom Tab 10 mg tablet 2900 0 0 0 0
69 Domperidon suspensi 5 mg/5 ml botol 0 0 0 0 0
70 Dulcolax Supp adult 10 mg supp 1150 0 0 0 0
71 Dulcolax Supp infant 5 mg supp 1810 0 0 0 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 1220 0 0 0 0
73 Eritromisin Kapsul 250 mg kapsul 3500 0 0 0 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 1360 0 0 0 0
75 Etil Klorida Spray botol 171 0 0 0 0
76 Farsifen plus tablet 0 0 0 0 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0 0 0 0 0
78 Fenobarbital tablet 30 mg tablet 0 0 0 0 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 8850 0 0 0 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 27000 0 0 0 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0 0 0 0 0
82 Furosemide tablet 40 mg tablet 6400 0 0 0 0
83 Floxifar 500 mg kaplet 0 0 0 0 0
84 Fasiprim Suspensi botol 0 0 0 0 0
85 Garam Oralit I serbuk kombinasi sachet 51600 0 800 0 0
86 Gentamisin Inj ampul 0 0 0 0 0
87 Gentamisin Salep Mata tube 1009 0 0 0 0
88 Gentamisin Tetes Mata botol 1208 0 0 0 0
89 Gentamisin Salep 0, 1 % tube 0 0 0 0 0
90 Gentian Violet larutan 1 % botol 0 0 0 0 0
91 Glibenclamide tablet 5 mg tablet 58500 0 0 0 0
92 Gliseril Guaikolat tablet 100 mg tablet 165500 0 0 0 0
93 Glukosa larutan infus 5 % tablet 20040 0 0 0 0
94 Griseofulvin tablet 125 mg, Micronized tablet 86000 0 0 0 0
95 Gula Alami Granul botol 0 0 0 0 0
96 Haloperidol Tablet 0,5 mg tablet 15100 0 0 0 0
97 Haloperidol Tablet 1,5 mg tablet 10800 0 0 0 0
98 Haloperidol Tablet 5 mg tablet 2600 0 0 0 0
99 Haloperidol injeksi ampul 12 0 0 0 0
100 Hexymer 2 mg tablet 0 0 0 0 0
101 Hidroklorotiazida tablet 25 mg tablet 4000 0 0 0 0
102 Hidrokortison krim 2,5 % tube 3848 0 0 0 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 260 0 0 0 0
104 Hufagesic 500 mg tablet 0 0 0 0 0
105 Hufamycetin Suspensi botol 0 0 0 0 0
106 Ibuprofen sirup 100 mg botol 0 0 0 0 0
107 Ibuprofen tablet 200 mg tablet 12300 0 0 0 0
108 Ibuprofen tablet 400 mg tablet 5000 200 5200 0 0
109 Ichtiyol 15 g tube 1609 0 0 0 0
110 Ifidex 0,5 mg tablet 0 0 0 0 0
111 Ifitamol tablet 0 0 0 0 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 2500 0 0 0 0
113 Kalsium Glukonas injeksi ampul 168 0 72 0 0
114 Ketokenazole Kriem 2 % tube 3600 0 0 0 0
115 Ketokenazole Tab 200 mg tablet 22000 0 0 0 0
116 Kloramfenikol kapsul 500 mg kapsul 0 0 0 0 0
117 Kloramfenikol Suspensi 125 mg/ml botol 710 0 0 0 0
118 Kloramfenikol tetes telinga 3 % botol 293 0 0 0 0
119 Kloramfenikol Salep Mata tube 5000 0 0 0 0
120 Kloramfenikol Tetes Mata 0,5% botol 105 0 0 0 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 117200 0 0 0 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 300000 0 0 0 0
123 Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0 0 0 0 0
Kotrimoksazol Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 8850 0 0 0 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0 0 0 0 0
125 Lanzoprazole kapsul 30 mg kapsul 840 0 0 0 0
264 Latibet 5 mg tablet 0 0 0 0 0
126 Lidokain injeksi 2 % ampul 50100 0 0 0 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 47860 0 0 0 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0 0 0 0 0
129 Lokev kapsul 0 0 0 0 0
130 Loperamide Tablet tablet 125500 0 0 0 0
131 Loratadine Tab 10 mg tablet 30190 0 0 0 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 805 0 20 0 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 50 0 6 0 0
134 MDT MB Anak blister 0 12 12 0 0
135 MDT MB Dewasa blister 24 365 137 0 0
136 MDT PB Anak blister 0 5 5 0 0
137 MDT PB Dewasa blister 0 0 0 0 0
138 Maagel Suspensi botol 0 0 0 0 0
139 Mefamesis Sirup botol 0 0 0 0 0
140 Meloxicam 15 mg tablet 6000 0 0 0 0
141 Meloxicam 7,5 mg tablet 0 0 0 0 0
142 Methampyron 500 mg tablet 85000 0 0 0 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 143000 0 0 0 0

144 Metformin HCL tablet 500 mg tablet 77500 0 0 0 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 3700 0 0 0 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0 0 0 0 0
147 Metilprednisolone kotak 100 tablet 59000 0 0 0 0
148 Metoklopramide Inj 5 mg/ml ampul 650 0 0 0 0
149 Metoklopramide Tab 5 mg tablet 23500 0 0 0 0
150 Metoklopramide Drop botol 1400 0 0 0 0
151 Metronidazole tablet 250 mg tablet 0 0 0 0 0
152 Metronidazole tablet 500 mg tablet 11500 0 0 0 0
153 Miconazole Krim 2 % tube 7564 0 0 0 0
267 Milorin Tablet tablet 0 0 0 0 0
154 Multi Vitamin + Lysin botol 6912 0 0 0 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 6350 0 0 0 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0 0 0 0 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 57400 0 0 0 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi
Multi Vitamin
Ext +untuk Ibu Hamil mengandung Kotak 50 kaplet 79000 0 0 0 0
Curcumae
Vitamin untuk
Liver Ibu
Ext Hamil
(Hepatoprotektor)
mengandung
ferrous gluconate 250 mg, manganase sulf 0,2
159 vit Acopper
2000 IU, Tiamin HNO3 1,3 mg, Riboklovin tablet 0 0 0 0 0
mg, sulf 0,25 mg, vit C 50 mg, folid acid
1,3 mg, piridoksin HCl(OMEGAVIT)
0,85 mg, sianokobalamin
160 1 mg, vit B12 7,5 mcg tablet 62900 0 0 0 0
2 mcg, micotinamid 10 mg, kalsium laktose 350
161 Natrium
mg, Diklofenat
ferrous fumarat tab 25 mg
29 mg, potassium iodida tablet 97500 0 0 0 0
162 0,1 mg, asam folat 0,39 mcg
Natrium Diklofenat tab 50 mg (PRENASE) tablet 83500 0 0 0 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 36180 0 0 0 0
164 New Antides Kotak 21100 0 0 0 0
165 Nifedifine Tab 10 mg tablet 5500 0 0 0 0
166 Nistatin tablet salut 500.000 IU / g tablet 3900 0 0 0 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4100 0 0 0 0
168 OAT Kategori Anak paket 3 0 0 0 0
169 OAT Kategori I & III paket 0 150 148 0 0
170 OAT Kategori II paket 0 20 20 0 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 16050 0 0 0 0
Pectin
172 Obat Anti Malaria (OAM) tablet 927 0 855 0 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0 0 0 0 0
174 Obat Batuk Pilek Anak Bayi botol 5181 0 0 0 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0 0 0 0 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0 0 0 0 0
177 Oksitetrasiklin salep kulit 3 % tube 0 0 0 0 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 13100 0 0 0 0
179 Omeprazole Kap 20 mg kapsul 13710 0 0 0 0
180 Parasetamol Tab 100 mg tablet 0 0 0 0 0
181 Parasetamol Tab 500 mg tablet 50000 39600 64000 0 0
182 Parasetamol Drops botol 0 0 0 0 0
183 Parasetamol sirup 120 mg / 5 ml botol 15760 0 0 0 0
184 Parasetamol + Ibuprofen + Cafein tablet 65400 0 0 0 0
185 Phenylbutason tablet 0 0 0 0 0
186 Piracetam inj 1 g/5 ml ampul 140 0 0 0 0
187 Piracetam tab 800 mg tablet 5500 0 0 0 0
188 Pirantel tablet score ( base ) 125 mg tablet 23000 0 0 0 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 29300 0 0 0 0
190 Piroxicam Tab 20 mg tablet 151000 0 0 0 0
191 Prednison Tablet 5 mg tablet 30000 0 26000 0 0
192 Primakuin tablet 15 mg tablet 0 0 0 0 0
193 Prokain Penicillin injeksi ampul 0 0 0 0 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0 0 0 0 0
195 Propiltiourasil tablet 100 mg tablet 27000 0 0 0 0
196 Provinas 200 mg kotak 0 0 0 0 0
197 Provinas 400 mg kotak 0 0 0 0 0
198 Ramolit kotak 4 0 0 0 0
199 Ranitidin tablet 340400 0 0 0 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0 0 0 0 0
201 Ratrim Forte kaplet 0 0 0 0 0
202 RDT buah 0 0 0 0 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 94800 0 0 0 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 43500 0 0 0 0
205 Ringer Laktat Larutan infus botol 27880 0 0 0 0
206 Risperidon 1 mg tablet 0 0 0 0 0
207 Risperidon 2 mg tablet 900 0 0 0 0
208 Salbutamol 2 mg tablet 0 0 0 0 0
209 Salbutamol 4 mg tablet 100000 3000 3000 0 0
210 Salbutamol Sirup botol 520 0 0 0 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0 0 0 0 0
endap 4 %
212 Scopma kotak 0 0 0 0 0
213 Sefiksim kapsul 100 mg kapsul 99000 0 0 0 0
214 Sefiksim sir 100 mg/5 ml botol 0 0 0 0 0
215 Sefotaxime Inj 1 g ampul 1200 0 0 0 0
216 Seftriakson Inj 1 g ampul 2920 0 0 0 0
217 Selmetor 4 mg kotak 0 0 0 0 0
218 Selmatic 20 mg tablet 0 0 0 0 0
219 Selferro tablet 0 0 0 0 0
220 Selpyron tablet 0 0 0 0 0
221 Sepadroksil Kap 500 mg kapsul 0 6300 6300 0 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0 0 0 0 0
223 Setirizin 10 mg kapsul 28000 0 0 0 0
224 Setirizin Sirup 5 mg/ 5 ml botol 1730 0 0 0 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0 0 0 0 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 27100 0 0 0 0
227 Sikzonoat injeksi kaleng 415 0 0 0 0
228 Simvastatin tabet 10 mg tablet 8040 0 0 0 0
229 Simvastatin tabet 20 mg tablet 6450 0 0 0 0
230 Succus Liquiritae + Ammonium Chlorida + botol 4328 - 0 0 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0 - 0 0 0
232 Selescardio 5 mg tablet 0 - 0 0 0
233 Selespurin 100 mg tablet 0 - 0 0 0
234 Seleskin 500 mg kaplet 0 - 0 0 0
235 Tablet Tambah Darah tablet 154100 - 0 0 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0 - 0 0 0
237 Tetrasiklin kapsul 250 mg kapsul 0 - 0 0 0
238 Tetrasiklin kapsul 500 mg kapsul 99500 - 0 0 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0 0 0 0 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0 0 0 0 0
241 Tramadol Inj 50 mg/ml ampul 0 0 0 0 0
242 Tramadol tab 50 mg tablet 0 0 0 0 0
243 Tramofal tablet 0 0 0 0 0
244 Triheksifenidil tablet 2 mg tablet 25500 0 0 0 0
245 Vaksin Rabies ampul 0 0 0 0 0
246 Vaksin BCG ampul 0 0 0 0 0
247 Vaksin Campak ampul 0 0 0 0 0
248 Vaksin Hepatitis B ampul 0 0 0 0 0
249 Vaksin Polio ampul 0 0 0 0 0
250 Vaksin DT ampul 0 0 0 0 0
251 Vaksin TD ampul 0 0 0 0 0
252 Vaksin DPT - Hb - Hib ampul 0 0 0 0 0
253 Vesperum Sirup botol 0 0 0 0 0
254 Vitamin B kompleks tablet tablet 11000 0 0 0 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 13500 0 0 0 0
256 Zinc 20 mg tablet dispersibel tablet 17000 0 0 0 0
257 Zinc pro Sirup 60 ml botol 1374 0 0 0 0
259 Hufadexon 0,5 mg tablet 0 0 0 0 0
260 Eltazon 5 mg tablet Rp - 0 0 0 0
261 Floxifar 500 mg tablet 0 0 0 0 0
262 Selvim 10 mg tablet 0 0 0 0 0
263 Obat Batuk Dewasa botol 8500 0 0 0 0
265 Kemoren 50 mg tablet 0 0 0 0 0
266 Rhemafar 4 mg tablet 0 0 0 0 0
268 Roverton tablet 0 0 0 0 0
269 Vitacaps kapsul 0 0 0 0 0

270 Devitalisasi Pasta ( Non arsen ) Buah 35 0 0 0 0

271 Eugenol cairan set 100 0 0 0 0

272 Glass Ionomer Cement ART sett 40 0 0 0 0

273 Kalsium Hidroksida Pasta set 40 0 0 0 0


274 Klorfenol kamfer Menthol ( CHKM ) sachet 40 0 0 0 0
275 Mummyfying Pasta sachet 40 0 0 0 0
276 Semen seng Fosfat serbuk dan cairan pasang 0 0 0 0 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0 0 0 0 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 4364 0 0 0 0
279 Lisol , mengandung Kresol tersabun 50 % botol 235 0 0 0 0
280 Povidon Iodida larutan 10 %, 30 ml botol 2469 0 0 0 0
281 Povidon Iodida larutan 10 %, 60 ml botol 2897 0 0 0 0
282 Povidon Iodida larutan 10 %, 100 ml botol 1732 0 0 0 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 200 0 0 0 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 1150 0 0 0 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 3050 0 0 0 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 1500 0 0 0 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 4700 0 0 0 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 11600 0 0 0 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 4300 0 0 0 0
290 Syringe 1 cc buah 0 0 0 0 0
291 Syringe 3 cc dus 2286 0 0 0 0
292 Syringe 5 cc dus 225 0 0 0 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 232 0 0 0 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 246 0 0 0 0
295 Catgut Chromic piece 4000 0 0 0 0
296 Safeglove PF No. 7 Pasang 2500 0 0 0 0
297 Safeglove PF No. 7,5 Pasang 2000 0 0 0 0
298 Safeglove PP No. 7 Pasang 0 0 0 0 0
299 Safeglove PP No. 7,5 Pasang 1450 0 0 0 0
300 Safety Box buah 0 0 0 0 0
301 Examination Gloves size L Box 56 0 0 0 0
302 Examination Gloves size M Box 231 0 0 0 0
303 Examination Gloves size S Box 148 0 0 0 0
304 Examination Gloves size XS Box 295 0 0 0 0
305 Kapas pembalut / Absorben 250 gram roll 2000 0 0 0 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8900 0 0 0 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 495 0 0 0 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 12450 0 0 0 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 9950 0 0 0 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000 0 0 0 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 4638 0 0 0 0
312 Kapas Berlemak DRC 500 gr Rol 280 0 0 0 0
313 Larutan Reagen Ziohl Nelson (ZN) 40 0 8 0 0
314 Urocare Folley Catheter 2 way no.18 Box 2000 0 0 0 0
315 Urocare Folley Catheter 2 way no.20 Box 0 0 0 0 0
316 UltraOne Test Hamil Buah 4000 0 0 0 0
317 Urine Bag Sterile Buah 3950 0 0 0 0
318 Oxyflow Nasal Oxygen Anak Buah 544 0 0 0 0
319 Oxyflow Nasal Oxygen Bayi Buah 50 0 0 0 0
320 Oxyflow Nasal Oxygen Dewasa Buah 500 0 0 0 0
321 Alkohol swab Box 102 0 0 0 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 187 0 0 0 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 184 0 0 0 0
324 Face Mask Ear Loop Dus 916 0 0 0 0
325 Face Mask Ties On Dus 800 0 0 0 0
326 Infus set Anak set 950 0 0 0 0
327 Infuset Dewasa set 650 0 0 0 0
328 Plester 5 yards x 2 inch roll 2231 0 0 0 0
329 Rapid Test HIV-AIDS Set / Kantong 0 0 0 0 0
330 Benecheck plus Glucose Test Strip 50's Box 60 0 0 0 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 80 0 0 0 0
332 Benecheck plus Uric Test Strip 50's Box 60 0 0 0 0
333 Umbilical cord klem steril Nylon piece 564 0 0 0 0
334 Wing Needle set 0 0 0 0 0
335 Pembalut Gibs Rol 4 0 0 0 0
336 Rivanol 300 cc botol 761 0 0 0 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 60 0 0 0 0
338 Ranitidin 150 mg Kotak 0 0 0 0 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340
341
342

5,616,451

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato
dr. Syahrawanty S. Abbas
Nip. 19780901 200802 2 001
LUASI PENGGUNAAN OBAT
IWULAN III TAHUN 2017

EMAKAIAN OBAT PUSKESMAS Pemakaian RAWAT INAP

Pemakaian
RAWAT
2014 2015 2016 2017 TOTAL BS 2012 2013 2014 2015 2016 2017 TOTAL JALAN

9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 150 150 0 0 0 0 0 0 0 0 150
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10000 10000 0 0 0 0 0 0 2500 2500 7500
0 0 0 1250 1250 0 0 0 0 0 0 700 700 550
0 0 0 0 2000 2000 0 0 0 0 0 0 2000 0
0 0 0 270 270 0 0 0 0 0 0 160 160 110
0 0 0 24 24 0 0 0 0 0 0 0 0 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 80500 0 80500 0 0 0 0 0 31000 0 31000 49500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3000 3000 0 0 0 0 0 0 1800 1800 1200
0 0 0 2800 2800 0 0 0 0 0 0 1850 1850 950
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 50 40 0 0 0 0 0 0 40 10

0 0 0 150100 150100 0 0 0 0 0 0 90000 90000 60100


0 0 0 1725 1725 0 0 0 0 0 0 1050 1050 675

0 0 340 0 340 0 0 0 0 0 230 0 230 110

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 120 120 0 0 0 0 0 0 0 0 120
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 11500 11500 0 0 0 0 0 0 5000 5000 6500
0 0 0 28000 28000 0 0 0 0 0 0 5500 5500 22500
0 0 20 300 320 0 0 0 0 0 0 300 300 20
0 0 0 400 400 0 0 0 0 0 0 400 400 0
0 0 0 0 200 125 0 0 0 0 0 0 125 75
0 0 0 1500 1500 0 0 0 0 0 0 0 0 1500
0 0 0 3250 3250 0 0 0 0 0 0 0 0 3250
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 600 0 600 0 0 0 0 0 240 0 240 360
0 0 0 160 160 0 0 0 0 0 0 100 100 60
0 0 0 1032 1032 0 0 0 0 0 0 660 660 372
0 0 3075 0 3075 0 0 0 0 0 200 0 200 2875
0 0 0 4800 4800 0 0 0 0 0 0 3200 3200 1600
0 0 0 0 10000 6500 0 0 0 0 0 0 6500 3500
0 0 0 31600 32100 0 0 0 0 0 0 15600 15600 16500
0 0 0 9500 9500 0 0 0 0 0 0 3500 3500 6000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 6000 6000 0 0 0 0 0 0 1000 1000 5000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1000 0 1000 0 0 0 0 0 0 0 0 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 65100 65100 0 0 0 0 0 0 41300 41300 23800
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 140 140 0 0 0 0 0 0 50 50 90
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 15 15 0 0 0 0 0 0 10 10 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1350 1350 0 0 0 0 0 0 510 510 840
0 0 0 1000 1000 0 0 0 0 0 0 0 0 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2900 2900 0 0 0 0 0 0 1900 1900 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 150 0 150 0 0 0 0 0 100 0 100 50
0 0 192 0 192 0 0 0 0 0 60 0 60 132
0 0 0 360 360 0 0 0 0 0 0 200 200 160
0 0 0 500 500 0 0 0 0 0 0 500 500 0
0 0 0 140 140 0 0 0 0 0 0 100 100 40
0 0 0 87 87 0 0 0 0 0 0 34 34 53
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3390 3390 0 0 0 0 0 0 1650 1650 1740
0 0 8000 1000 9000 0 0 0 0 0 2000 0 2000 7000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1400 1400 0 0 0 0 0 0 600 600 800
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 800 0 0 0 0 0 0 0 0 800
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 250 250 0 0 0 0 0 0 144 144 106
0 0 0 216 216 0 0 0 0 0 0 120 120 96
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 9000 9000 0 0 0 0 0 0 3500 3500 5500
0 0 0 9900 9900 0 0 0 0 0 0 2000 2000 7900
0 240 0 0 240 0 0 0 0 200 0 0 200 40
0 0 0 9000 9000 0 0 0 0 0 0 2000 2000 7000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 700 0 700 0 0 0 0 0 700 0 700 0
0 0 3100 0 3100 0 0 0 0 0 1300 0 1300 1800
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3500 3500 0 0 0 0 0 0 2500 2500 1000
0 0 1176 0 1176 0 0 0 0 0 624 0 624 552
0 0 17 0 17 0 0 0 0 0 7 0 7 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 11800 11800 0 0 0 0 0 0 3800 3800 8000
0 0 0 0 5200 2200 0 0 0 0 0 0 2200 3000
0 0 0 150 150 0 0 0 0 0 0 48 48 102
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2000 2000 0 0 0 0 0 0 1000 1000 1000
0 0 0 0 72 0 0 0 0 0 0 0 0 72
0 0 0 575 575 0 0 0 0 0 0 125 125 450
0 0 0 2500 2500 0 0 0 0 0 0 500 500 2000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 50 50 0 0 0 0 0 0 0 0 50
0 0 0 203 203 0 0 0 0 0 0 97 97 106
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 105 105 0 0 0 0 0 0 75 75 30
0 0 0 41600 41600 0 0 0 0 0 0 11000 11000 30600
0 0 0 38800 38800 0 0 0 0 0 0 24800 24800 14000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 950 950 0 0 0 0 0 0 0 0 950
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 840 840 0 0 0 0 0 0 600 600 240
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 460 0 460 0 0 0 0 0 0 0 0 460
0 0 460 0 460 0 0 0 0 0 150 0 150 310
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 11100 0 11100 0 0 0 0 0 2000 0 2000 9100
0 0 190 3000 3190 0 0 0 0 0 80 1000 1080 2110
0 0 0 160 180 20 0 0 0 0 0 72 92 88
0 0 0 0 6 6 0 0 0 0 0 0 6 0
0 0 0 0 12 12 0 0 0 0 0 0 12 0
0 0 0 0 137 11 0 0 0 0 0 0 11 126
0 0 0 0 5 5 0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 6000 6000 0 0 0 0 0 0 2700 2700 3300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 7500 7500 0 0 0 0 0 0 1000 1000 6500

0 0 0 82000 82000 0 0 0 0 0 0 67000 67000 15000

0 0 0 7000 7000 0 0 0 0 0 0 1000 1000 6000

0 0 1700 500 2200 0 0 0 0 0 600 300 900 1300


0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 24000 24000 0 0 0 0 0 0 10500 10500 13500
0 0 0 570 570 0 0 0 0 0 0 520 520 50
0 0 0 9500 9500 0 0 0 0 0 0 2000 2000 7500
0 0 0 310 310 0 0 0 0 0 0 150 150 160
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 8500 8500 0 0 0 0 0 0 500 500 8000
0 0 624 0 624 0 0 0 0 0 264 0 264 360
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 4320 4320 0 0 0 0 0 0 2232 2232 2088
0 0 0 1542 1542 0 0 0 0 0 0 1042 1042 500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 26100 26100 0 0 0 0 0 0 15500 15500 10600
0 0 0 7000 7000 0 0 0 0 0 0 0 0 7000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 25500 25500 0 0 0 0 0 0 11000 11000 14500
0 0 0 9000 9000 0 0 0 0 0 0 1000 1000 8000
0 0 0 15000 15000 0 0 0 0 0 0 6500 6500 8500
0 0 1000 0 1000 0 0 0 0 0 640 0 640 360
0 0 0 1000 1000 0 0 0 0 0 0 1000 1000 0
0 0 0 5500 5500 0 0 0 0 0 0 2000 2000 3500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 100 100 0 0 0 0 0 0 100 100 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 148 67 0 0 0 0 0 0 67 81
0 0 0 0 20 3 0 0 0 0 0 0 3 17
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 855 0 0 0 0 0 0 0 0 855
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3648 3648 0 0 0 0 0 0 1728 1728 1920
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2600 0 2600 0 0 0 0 0 1100 0 1100 1500
0 0 0 7200 7200 0 0 0 0 0 0 3900 3900 3300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 64000 22500 0 0 0 0 0 0 22500 41500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 3860 3860 0 0 0 0 0 0 2110 2110 1750
0 0 0 30500 30500 0 0 0 0 0 0 12000 12000 18500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 110 110 0 0 0 0 0 0 100 100 10
0 0 0 2100 2100 0 0 0 0 0 0 1350 1350 750
0 0 0 3000 3000 0 0 0 0 0 0 2500 2500 500
0 0 0 5800 5800 0 0 0 0 0 0 3300 3300 2500
0 0 0 9600 9600 0 0 0 0 0 0 1600 1600 8000
0 0 0 0 26000 11000 0 0 0 0 0 0 11000 15000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 5000 5000 0 0 0 0 0 0 2000 2000 3000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4 0 4 0 0 0 0 0 4 0 4 0
0 0 5400 0 5400 0 0 0 0 0 0 0 0 5400
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 8400 0 8400 0 0 0 0 0 6050 0 6050 2350
0 0 0 9300 9300 0 0 0 0 0 0 6300 6300 3000
0 0 3460 0 3460 0 0 0 0 0 2100 0 2100 1360
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 900 900 0 0 0 0 0 0 0 0 900
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 3000 2000 0 0 0 0 0 0 2000 1000
0 0 0 520 520 0 0 0 0 0 0 373 373 147
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 27400 27400 0 0 0 0 0 0 10800 10800 16600
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1200 1200 0 0 0 0 0 0 1050 1050 150
0 0 0 40 40 0 0 0 0 0 0 20 20 20
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 6300 4000 0 0 0 0 0 0 4000 2300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 12750 12750 0 0 0 0 0 0 9000 9000 3750
0 0 0 1140 1140 0 0 0 0 0 0 660 660 480
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1700 0 1700 0 0 0 0 0 400 0 400 1300
0 0 0 60 60 0 0 0 0 0 0 30 30 30
0 0 0 8040 8040 0 0 0 0 0 0 3990 3990 4050
0 0 0 6450 6450 0 0 0 0 0 0 3500 3500 2950
0 0 0 360 360 0 0 0 0 0 0 168 168 192
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 36400 36400 0 0 0 0 0 0 22400 22400 14000
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10000 10000 0 0 0 0 0 0 10000 10000 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2900 2900 0 0 0 0 0 0 1000 1000 1900
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 11000 11000 0 0 0 0 0 0 6500 6500 4500
0 0 0 13500 13500 0 0 0 0 0 0 5000 5000 8500
0 0 0 13500 13500 0 0 0 0 0 0 10000 10000 3500
0 0 0 408 408 0 0 0 0 0 0 0 0 408
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 8500 8500 0 0 0 0 0 0 5000 5000 3500
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 240 0 240 0 0 0 0 0 96 0 96 144


0 0 0 104 104 0 0 0 0 0 0 65 65 39
0 0 166 0 166 0 0 0 0 0 0 0 0 166
0 0 801 0 801 0 0 0 0 0 369 0 369 432
0 0 74 0 74 0 0 0 0 0 24 0 24 50
0 0 200 0 200 0 0 0 0 0 100 0 100 100
0 0 0 1150 1150 0 0 0 0 0 0 600 600 550
0 450 0 150 600 0 0 0 0 350 0 0 350 250
0 0 0 950 950 0 0 0 0 0 0 700 700 250
0 0 0 1000 1000 0 0 0 0 0 0 300 300 700
0 0 0 4300 4300 0 0 0 0 0 0 1500 1500 2800
0 0 0 2500 2500 0 0 0 0 0 0 1200 1200 1300
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 147 0 147 0 0 0 0 0 96 0 96 51
0 26 0 0 26 0 0 0 0 17 0 0 17 9
0 0 15 2 17 0 0 0 0 0 0 0 0 17
0 0 12 3 15 0 0 0 0 0 0 0 0 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 700 700 0 0 0 0 0 0 200 200 500
0 0 0 2000 2000 0 0 0 0 0 0 800 800 1200
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1450 1450 0 0 0 0 0 0 850 850 600
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 50 50 0 0 0 0 0 0 41 41 9
0 0 0 165 165 0 0 0 0 0 0 100 100 65
0 0 0 117 117 0 0 0 0 0 0 64 64 53
0 0 0 10 10 0 0 0 0 0 0 10 10 0
0 0 0 10 10 0 0 0 0 0 0 0 0 10
0 0 0 900 900 0 0 0 0 0 0 200 200 700
0 0 310 0 310 0 0 0 0 0 120 0 120 190
0 0 900 0 900 0 0 0 0 0 600 0 600 300
0 0 0 1400 1400 0 0 0 0 0 0 600 600 800
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1168 1168 0 0 0 0 0 0 643 643 525
0 0 50 0 50 0 0 0 0 0 32 0 32 18
0 0 0 0 8 8 0 0 0 0 0 0 8 0
0 0 0 210 210 0 0 0 0 0 0 50 50 160
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1100 1100 0 0 0 0 0 0 450 450 650
0 0 125 0 125 0 0 0 0 0 30 0 30 95
0 0 44 75 119 0 0 0 0 0 0 70 70 49
0 0 30 0 30 0 0 0 0 0 30 0 30 0
0 0 0 280 280 0 0 0 0 0 0 170 170 110
0 0 0 66 66 0 0 0 0 0 0 35 35 31
0 0 0 20 20 0 0 0 0 0 0 4 4 16
0 0 0 21 21 0 0 0 0 0 0 7 7 14
0 0 116 0 116 0 0 0 0 0 76 0 76 40
0 0 0 210 210 0 0 0 0 0 0 125 125 85
0 600 0 0 600 0 0 0 0 ### 0 0 #VALUE! #VALUE!
0 0 600 27 627 0 0 0 0 0 600 16 616 11
0 0 231 50 281 0 0 0 0 0 156 20 176 105
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 60 60 0 0 0 0 0 0 39 39 21
0 0 0 80 80 0 0 0 0 0 0 55 55 25
0 0 0 60 60 0 0 0 0 0 0 37 37 23
0 0 0 17 17 0 0 0 0 0 0 10 10 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 24 0 24 0 0 0 0 0 0 0 0 24
0 60 0 0 60 0 0 0 0 46 0 0 46 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0

575,547

Kepala Bidang Pelayanan dan SDK Kepala Seksi Kefarmasian, A


Dinas Kesehatan Dinas Kesehat
Kabupaten Pohuwato Kabupaten Pohu

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
SISA STOK Ket.

23 24
1500
0
0
45000
6650
0
0
786
0
0
0
0
676800
0
22200
12900
0
0

402700
650

1140

0
0
208
0
0
0
24500
21448
1080
4400
0
78900
65750
1170
3278
1820
2613
16875
0
0
24400
17500
1600
0
181900
1000
0
0
0
2000
0
0
0
293400
0
44
0
120
105
0
0
0
0
0
19000
7500
0
0
1000
1618
860
3000
1220
84
0
0
0
5460
18000
0
5000
0
0
50800
0
759
992
0
0
49500
155600
19800
77000
0
14400
7700
2600
12
0
500
2672
243
0
0
0
500
0
1459
0
0
500
96
3025
19500
0
660
90
5000
0
75600
261200
0
7900
0
0
0
49640
47400
0
0
114400
27000
625
44
0
252
0
0
0
0
0
0
77500

61000

70500

1500
0
35000
80
14000
1090
0
3000
6940
0
2592
4808
0
31300
72000
0
37400
88500
68500
35180
20100
0
3900
4000
3
2
0
16050
72
0
1533
0
0
0
10500
6510
0
25600
0
11900
34900
0
30
3400
20000
23500
141400
4000
0
0
0
22000
0
0
0
335000
0
0
0
86400
34200
24420
0
0
0
100000
0
0
0
71600
0
0
2880
0
0
0
0
0
0
15250
590
0
25400
355
0
0
3968
0
0
0
0
117700
0
0
89500
0
0
0
0
0
22600
0
0
0
0
0
0
0
0
0
0
0
3500
966
0
0
0
0
0
0
0
0
0

35

100

40

40
40
40
0
0

4124
131
2303
2096
1658
0
0
2450
550
3700
7300
1800
0
2139
199
215
231
4000
1800
0
0
0
0
6
66
31
285
1990
8000
185
11550
8550
9000
3470
230
32
1790
0
2900
3825
425
20
220
36
167
163
800
590
350
23
1950
0
0
0
0
547
0
4
737
0
0
0
0
0

4,956,869

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato
EVALUASI PE
TRIWULAN

PEMAKAIAN

Stock Obat
No Nama Obat Kemasan Awal Masuk
BS 2012 2013

1 2 3 5 5 6 7 8
1 Albendazol Tab 400 mg tablet 1500 0 0 0 0
2 Albendazole Suspensi botol 0 0 0 0 0
3 Alofar 100 mg tablet 0 0 0 0 0
4 Allopurinol tablet 100 mg tablet 45000 0 0 0 0
5 Ambroxol Syr 15 mg/ml botol 6650 0 0 0 0
6 Ambroxol Tablet tablet 0 0 0 0 0
7 Ambroxol Drop botol 0 0 0 0 0
8 Aminofilin injeksi 24 mg/ml ampul 786 0 0 0 0
9 Aminofilin tablet 200 mg tablet 0 0 0 0 0
10 Amitriptilin Tablet salut 25 mg (HCL) tablet 0 0 0 0 0
11 Amlodipin 5mg tablet 0 0 0 0 0
12 Amlodipin 10 mg tablet 0 0 0 0 0
13 Amoksisilin Kaplet 500 mg tablet 676800 0 0 0 0
14 Amoksisilin Kapsul 250 mg kapsul 0 0 0 0 0
15 Amoksisilin Sirup kering 125 mg/5 ml botol 22200 0 0 0 0
16 Amoksisilin Sirup Forte 250 mg/5ml botol 12900 0 0 0 0
17 AmpicillinDoen
Antasida inj II Suspensi, kombinasi : ampul 0 0 0 0 0
18 botol 0 0 0 0 0
Aluminium
Antasida DoenHidroksida 200 mg
I tablet kunyah, kombinasi :
19 tablet 402700 0 0 0 0
Aluminium
Anti bakteri DoenHidroksida 200 mg
salep kombinasi :
20 Basitrasin 500 IU/g + tube 650 0 0 0 0
Polimiksin 10.000
Anti Hemoroid IU/g
Doen kombinasi :
21 supp 1140 0 0 0 0
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 tablet 0 0 0 0 0
mgParkinson Doen tablet kombinasi
Anti
23 karbidopa tablet 0 0 0 0 0
Antifungi Doen
25mgkombinasi
+ levodi :
24 tube 208 0 0 0 0
25 Asam benzoat 6 % + Asam Salisilat 3 %
Artesunate Injeksi ampul 0 0 0 0 0
26 Asam Asetilsalisilat tablet 100 mg (asetosal) tablet 0 0 0 0 0
27 Asam Asetilsalisilat tablet 500 mg (asetosal) tablet 0 0 0 0 0
28 Asam askorbat (vitamin C) tablet 50 mg tablet 24500 0 0 0 0
29 Asam Mefenamat 500 mg box 21448 0 0 0 0
30 Asam Traneksamat Injeksi ampul 1080 0 0 0 0
31 Asering Larutan botol 4400 0 0 0 0
32 Asiklovir Krim 5 % tube 0 0 0 0 0
33 Asiklovir Tab 200 mg tablet 78900 0 0 0 0
34 Asiklovir Tab 400 mg tablet 65750 0 0 0 0
35 Atropin Injeksi 0,25mg/ml ampul 1170 0 0 0 0
36 Aqua Pro injeksi steril, bebas pirogen vial 3278 0 0 0 0
37 Azitromisin tablet 1820 0 0 0 0
38 Bedak Salisil Serbuk Kotak 2613 0 0 0 0
39 Betametason krim 0,1 % tube 16875 0 0 0 0
40 Bisoprolol Tab 5 mg tablet 0 0 0 0 0
41 Captoril tablet 25 mg tablet 0 0 0 0 0
42 Captoril tablet 12,5 mg tablet 24400 0 0 0 0
43 Calcium Lactate tablet 17500 0 0 0 0
44 Carbamazepin tablet 200 mg tablet 1600 0 0 0 0
45 Chlorexol Suspensi botol 0 0 0 0 0
46 Ciprofloxacin 500 mg tablet 181900 0 0 0 0
47 Clindamisin Kap 300 mg kapsul 1000 0 0 0 0
48 Clinoma tablet 0 0 0 0 0
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ampul 0 0 0 0 0
50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ampul 0 0 0 0 0
51 Clorpromazin tablet salut 100 mg (HCL) tablet 2000 0 0 0 0
52 Clorpromazin tablet salut 25 mg (HCL) tablet 0 0 0 0 0
53 Codein Tablet 10 g tablet 0 0 0 0 0
54 Dasabion tablet 0 0 0 0 0
55 Deksametazon tablet 0,5 mg tablet 293400 0 0 0 0
56 Deksametazon injeksi I.V . 5 mg/ ml box / 100 ampul 0 0 0 0 0
57 Desoksimetason Krim 0,25% tube 44 0 0 0 0
58 DHP tablet 0 0 0 0 0
59 Diazepam Lar Rektal 5 mg/2,5 ml botol 120 0 0 0 0
60 Diazepam Lar Rektal 10 mg/2,5 ml botol 105 0 0 0 0
61 Diazepam injeksi 5 mg/ml ampul 0 0 0 0 0
62 Diazepam tablet 2 mg tablet 0 0 0 0 0
63 Diazepam tablet 5 mg tablet 0 0 0 0 0
64 Dietilkarbamazin 10 mg tablet 0 0 0 0 0
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ampul 0 0 0 0 0
66 Digoksin tablet 0,25 mg tablet 19000 0 0 0 0
67 Diltiazem Tab tablet 7500 0 0 0 0
68 Domperidom Tab 10 mg tablet 0 0 0 0 0
69 Domperidon suspensi 5 mg/5 ml botol 0 0 0 0 0
70 Dulcolax Supp adult 10 mg supp 1000 0 0 0 0
71 Dulcolax Supp infant 5 mg supp 1618 0 0 0 0
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) ampul 860 0 0 0 0
73 Eritromisin Kapsul 250 mg kapsul 3000 0 0 0 0
74 Eritromisin Sirup 200 mg/ 5 ml botol 1220 0 0 0 0
75 Etil Klorida Spray botol 84 0 0 0 0
76 Farsifen plus tablet 0 0 0 0 0
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul 0 0 0 0 0
78 Fenobarbital tablet 30 mg tablet 0 0 0 0 0
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml ampul 5460 0 0 0 0
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg tablet 18000 0 0 0 0
81 Furosemide inj i.v/i.m 10 mg/ml ampul 0 0 0 0 0
82 Furosemide tablet 40 mg tablet 5000 0 0 0 0
83 Floxifar 500 mg kaplet 0 0 0 0 0
84 Fasiprim Suspensi botol 0 0 0 0 0
85 Garam Oralit I serbuk kombinasi sachet 50800 0 0 0 0
86 Gentamisin Inj ampul 0 0 0 0 0
87 Gentamisin Salep Mata tube 759 0 0 0 0
88 Gentamisin Tetes Mata botol 992 0 0 0 0
89 Gentamisin Salep 0, 1 % tube 0 0 0 0 0
90 Gentian Violet larutan 1 % botol 0 0 0 0 0
91 Glibenclamide tablet 5 mg tablet 49500 0 0 0 0
92 Gliseril Guaikolat tablet 100 mg tablet 155600 0 0 0 0
93 Glukosa larutan infus 5 % tablet 19800 0 0 0 0
94 Griseofulvin tablet 125 mg, Micronized tablet 77000 0 0 0 0
95 Gula Alami Granul botol 0 0 0 0 0
96 Haloperidol Tablet 0,5 mg tablet 14400 0 0 0 0
97 Haloperidol Tablet 1,5 mg tablet 7700 0 0 0 0
98 Haloperidol Tablet 5 mg tablet 2600 0 0 0 0
99 Haloperidol injeksi ampul 12 0 0 0 0
100 Hexymer 2 mg tablet 0 0 0 0 0
101 Hidroklorotiazida tablet 25 mg tablet 500 0 0 0 0
102 Hidrokortison krim 2,5 % tube 2672 0 0 0 0
103 Hidrogen Peroksida cairan 3% (H2O2) botol 243 0 0 0 0
104 Hufagesic 500 mg tablet 0 0 0 0 0
105 Hufamycetin Suspensi botol 0 0 0 0 0
106 Ibuprofen sirup 100 mg botol 0 0 0 0 0
107 Ibuprofen tablet 200 mg tablet 500 0 0 0 0
108 Ibuprofen tablet 400 mg tablet 0 0 0 0 0
109 Ichtiyol 15 g tube 1459 0 0 0 0
110 Ifidex 0,5 mg tablet 0 0 0 0 0
111 Ifitamol tablet 0 0 0 0 0
112 Isosorbid Dinitrat tablet sublingual 5 mg tablet 500 0 0 0 0
113 Kalsium Glukonas injeksi ampul 96 0 0 0 0
114 Ketokenazole Kriem 2 % tube 3025 0 0 0 0
115 Ketokenazole Tab 200 mg tablet 19500 0 0 0 0
116 Kloramfenikol kapsul 500 mg kapsul 0 0 0 0 0
117 Kloramfenikol Suspensi 125 mg/ml botol 660 0 0 0 0
118 Kloramfenikol tetes telinga 3 % botol 90 0 0 0 0
119 Kloramfenikol Salep Mata tube 5000 0 0 0 0
120 Kloramfenikol Tetes Mata 0,5% botol 0 0 0 0 0
121 Klorfeniramina Maleat (CTM) tablet 4 mg tablet 75600 0 0 0 0
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg tablet 261200 0 0 0 0
123 Kotrimoksazol DOEN II (/pediatrik)120 mg: tablet 0 0 0 0 0
Kotrimoksazol Suspensi 5 ml, kombinasi
124 Sulfametoksazol 200 mg botol 7900 0 0 0 0
+Larutan
Trimetoprim 40 mg
258 Ka En 1 B botol 0 0 0 0 0
125 Lanzoprazole kapsul 30 mg kapsul 0 0 0 0 0
264 Latibet 5 mg tablet 0 0 0 0 0
126 Lidokain injeksi 2 % ampul 49640 0 0 0 0
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 ampul 47400 0 0 0 0
00.000 - 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ampul 0 0 0 0 0
129 Lokev kapsul 0 0 0 0 0
130 Loperamide Tablet tablet 114400 0 0 0 0
131 Loratadine Tab 10 mg tablet 27000 0 0 0 0
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ampul 625 0 0 0 0
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ampul 44 0 0 0 0
134 MDT MB Anak blister 0 0 0 0 0
135 MDT MB Dewasa blister 252 0 0 0 0
136 MDT PB Anak blister 0 0 0 0 0
137 MDT PB Dewasa blister 0 0 0 0 0
138 Maagel Suspensi botol 0 0 0 0 0
139 Mefamesis Sirup botol 0 0 0 0 0
140 Meloxicam 15 mg tablet 0 0 0 0 0
141 Meloxicam 7,5 mg tablet 0 0 0 0 0
142 Methampyron 500 mg tablet 77500 0 0 0 0

Methampyron + Vit B1, Vit B6, Vit B12


143 (Omegesic) tablet 61000 0 0 0 0

144 Metformin HCL tablet 500 mg tablet 70500 0 0 0 0

145 Metilergometrin Maleat Inj 0,200 mg-1 ml ampul 1500 0 0 0 0


146 Metilergometrin Maleat tablet salut 0,125 mg tablet 0 0 0 0 0
147 Metilprednisolone kotak 100 tablet 35000 0 0 0 0
148 Metoklopramide Inj 5 mg/ml ampul 80 0 0 0 0
149 Metoklopramide Tab 5 mg tablet 14000 0 0 0 0
150 Metoklopramide Drop botol 1090 0 0 0 0
151 Metronidazole tablet 250 mg tablet 0 0 0 0 0
152 Metronidazole tablet 500 mg tablet 3000 0 0 0 0
153 Miconazole Krim 2 % tube 6940 0 0 0 0
267 Milorin Tablet tablet 0 0 0 0 0
154 Multi Vitamin + Lysin botol 2592 0 0 0 0
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 botol 4808 0 0 0 0
Biotin + DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat kapsul 0 0 0 0 0
157 Multivitamin + Vitamin C Dosis Tinggi tablet 31300 0 0 0 0
Multivitamin Dosis Tinggi + Gingseng Ext + :
158 Multi
Multi Vitamin
Ext +untuk Ibu Hamil mengandung Kotak 50 kaplet 72000 0 0 0 0
Curcumae
Vitamin untuk
Liver Ibu
Ext Hamil
(Hepatoprotektor)
mengandung
ferrous gluconate 250 mg, manganase sulf 0,2
159 vit Acopper
2000 IU, Tiamin HNO3 1,3 mg, Riboklovin tablet 0 0 0 0 0
mg, sulf 0,25 mg, vit C 50 mg, folid acid
1,3 mg, piridoksin HCl(OMEGAVIT)
0,85 mg, sianokobalamin
160 1 mg, vit B12 7,5 mcg tablet 37400 0 0 0 0
2 mcg, micotinamid 10 mg, kalsium laktose 350
161 Natrium
mg, Diklofenat
ferrous fumarat tab 25 mg
29 mg, potassium iodida tablet 88500 0 0 0 0
162 0,1 mg, asam folat 0,39 mcg
Natrium Diklofenat tab 50 mg (PRENASE) tablet 68500 0 0 0 0
163 Natrium Kloridal (NaCl) larutan infus 0,9 % botol 35180 0 0 0 0
164 New Antides Kotak 20100 0 0 0 0
165 Nifedifine Tab 10 mg tablet 0 0 0 0 0
166 Nistatin tablet salut 500.000 IU / g tablet 3900 0 0 0 0
167 Nistatin Vaginal tablet 100.000 IU / g tablet 4000 0 0 0 0
168 OAT Kategori Anak paket 3 0 0 0 0
169 OAT Kategori I & III paket 2 0 0 0 0
170 OAT Kategori II paket 0 0 0 0 0
Obat Anti Diare yang Mengandung Kaolin +
171 botol 16050 0 0 0 0
Pectin
172 Obat Anti Malaria (OAM) tablet 72 0 0 0 0
173 Obat Batuk Hitam ( O.B.H ) Cairan botol 0 0 0 0 0
174 Obat Batuk Pilek Anak Bayi botol 1533 0 0 0 0
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ampul 0 0 0 0 0
ml
176 Oksitetrasiklin HCL salep mata 1 % tube 0 0 0 0 0
177 Oksitetrasiklin salep kulit 3 % tube 0 0 0 0 0
178 Oksitosin Injeksi 10 IU / ml - 1 ml ampul 10500 0 0 0 0
179 Omeprazole Kap 20 mg kapsul 6510 0 0 0 0
180 Parasetamol Tab 100 mg tablet 0 0 0 0 0
181 Parasetamol Tab 500 mg tablet 25600 0 0 0 0
182 Parasetamol Drops botol 0 0 0 0 0
183 Parasetamol sirup 120 mg / 5 ml botol 11900 0 0 0 0
184 Parasetamol + Ibuprofen + Cafein tablet 34900 0 0 0 0
185 Phenylbutason tablet 0 0 0 0 0
186 Piracetam inj 1 g/5 ml ampul 30 0 0 0 0
187 Piracetam tab 800 mg tablet 3400 0 0 0 0
188 Pirantel tablet score ( base ) 125 mg tablet 20000 0 0 0 0
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) tablet 23500 0 0 0 0
190 Piroxicam Tab 20 mg tablet 141400 0 0 0 0
191 Prednison Tablet 5 mg tablet 4000 0 0 0 0
192 Primakuin tablet 15 mg tablet 0 0 0 0 0
193 Prokain Penicillin injeksi ampul 0 0 0 0 0
194 Propanolol tablet 40 mg ( HCL ) tablet 0 0 0 0 0
195 Propiltiourasil tablet 100 mg tablet 22000 0 0 0 0
196 Provinas 200 mg kotak 0 0 0 0 0
197 Provinas 400 mg kotak 0 0 0 0 0
198 Ramolit kotak 0 0 0 0 0
199 Ranitidin tablet 335000 0 0 0 0
200 Ranitidin Inj 25 mg / 25 ml kotak 0 0 0 0 0
201 Ratrim Forte kaplet 0 0 0 0 0
202 RDT buah 0 0 0 0 0
203 Retinol (vitamin A) 100.000 IU kapsul lunak kapsul 86400 0 0 0 0
204 Retinol (vitamin A) 200.000 IU kapsul lunak kapsul 34200 0 0 0 0
205 Ringer Laktat Larutan infus botol 24420 0 0 0 0
206 Risperidon 1 mg tablet 0 0 0 0 0
207 Risperidon 2 mg tablet 0 0 0 0 0
208 Salbutamol 2 mg tablet 0 0 0 0 0
209 Salbutamol 4 mg tablet 100000 0 0 0 0
210 Salbutamol Sirup botol 0 0 0 0 0
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang pot 0 0 0 0 0
endap 4 %
212 Scopma kotak 0 0 0 0 0
213 Sefiksim kapsul 100 mg kapsul 71600 0 0 0 0
214 Sefiksim sir 100 mg/5 ml botol 0 0 0 0 0
215 Sefotaxime Inj 1 g ampul 0 0 0 0 0
216 Seftriakson Inj 1 g ampul 2880 0 0 0 0
217 Selmetor 4 mg kotak 0 0 0 0 0
218 Selmatic 20 mg tablet 0 0 0 0 0
219 Selferro tablet 0 0 0 0 0
220 Selpyron tablet 0 0 0 0 0
221 Sepadroksil Kap 500 mg kapsul 0 0 0 0 0
222 Sepadroksil sirup Kering 125 mg / ml botol 0 0 0 0 0
223 Setirizin 10 mg kapsul 15250 0 0 0 0
224 Setirizin Sirup 5 mg/ 5 ml botol 590 0 0 0 0
225 Sianokobalamin ( Vit B 12 ) Tablet tablet 0 0 0 0 0
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg ampul 25400 0 0 0 0
227 Sikzonoat injeksi kaleng 355 0 0 0 0
228 Simvastatin tabet 10 mg tablet 0 0 0 0 0
229 Simvastatin tabet 20 mg tablet 0 0 0 0 0
230 Succus Liquiritae + Ammonium Chlorida + botol 3968 - 0 0 0
Ammonium Anisi Spir Sirup
231 Solinfec Cream tube 0 - 0 0 0
232 Selescardio 5 mg tablet 0 - 0 0 0
233 Selespurin 100 mg tablet 0 - 0 0 0
234 Seleskin 500 mg kaplet 0 - 0 0 0
235 Tablet Tambah Darah tablet 117700 - 0 0 0
236 Teofilin Tablet SR 300 mg / Rethpyl kotak 0 - 0 0 0
237 Tetrasiklin kapsul 250 mg kapsul 0 - 0 0 0
238 Tetrasiklin kapsul 500 mg kapsul 89500 - 0 0 0
Tiamin (Vitamin B1) tablet 50 mg
239 tablet 0 0 0 0 0
(HCL/Nitrat)
240 Tiamin (Vitamin B1) injeksi 100 mg/ml ampul 0 0 0 0 0
241 Tramadol Inj 50 mg/ml ampul 0 0 0 0 0
242 Tramadol tab 50 mg tablet 0 0 0 0 0
243 Tramofal tablet 0 0 0 0 0
244 Triheksifenidil tablet 2 mg tablet 22600 0 0 0 0
245 Vaksin Rabies ampul 0 0 0 0 0
246 Vaksin BCG ampul 0 0 0 0 0
247 Vaksin Campak ampul 0 0 0 0 0
248 Vaksin Hepatitis B ampul 0 0 0 0 0
249 Vaksin Polio ampul 0 0 0 0 0
250 Vaksin DT ampul 0 0 0 0 0
251 Vaksin TD ampul 0 0 0 0 0
252 Vaksin DPT - Hb - Hib ampul 0 0 0 0 0
253 Vesperum Sirup botol 0 0 0 0 0
254 Vitamin B kompleks tablet tablet 0 0 0 0 0
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) tablet 0 0 0 0 0
256 Zinc 20 mg tablet dispersibel tablet 3500 0 0 0 0
257 Zinc pro Sirup 60 ml botol 966 0 0 0 0
259 Hufadexon 0,5 mg tablet 0 0 0 0 0
260 Eltazon 5 mg tablet Rp - 0 0 0 0
261 Floxifar 500 mg tablet 0 0 0 0 0
262 Selvim 10 mg tablet 0 0 0 0 0
263 Obat Batuk Dewasa botol 0 0 0 0 0
265 Kemoren 50 mg tablet 0 0 0 0 0
266 Rhemafar 4 mg tablet 0 0 0 0 0
268 Roverton tablet 0 0 0 0 0
269 Vitacaps kapsul 0 0 0 0 0

270 Devitalisasi Pasta ( Non arsen ) Buah 35 0 0 0 0

271 Eugenol cairan set 100 0 0 0 0

272 Glass Ionomer Cement ART sett 40 0 0 0 0

273 Kalsium Hidroksida Pasta set 40 0 0 0 0


274 Klorfenol kamfer Menthol ( CHKM ) sachet 40 0 0 0 0
275 Mummyfying Pasta sachet 40 0 0 0 0
276 Semen seng Fosfat serbuk dan cairan pasang 0 0 0 0 0
Temporary Stopping Fletcher serbuk dan
277 cairan pasang 0 0 0 0 0

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter botol 4124 0 0 0 0
279 Lisol , mengandung Kresol tersabun 50 % botol 131 0 0 0 0
280 Povidon Iodida larutan 10 %, 30 ml botol 2303 0 0 0 0
281 Povidon Iodida larutan 10 %, 60 ml botol 2096 0 0 0 0
282 Povidon Iodida larutan 10 %, 100 ml botol 1658 0 0 0 0
283 Steracath I.V Catheter no. 18 G x 1 1/4 Buah 0 0 0 0 0
284 Steracath I.V Catheter no. 20 G x 1 1/4 Buah 0 0 0 0 0
285 Steracath I.V Catheter no. 22 G x 1 1/4 Buah 2450 0 0 0 0
286 Steracath I.V Catheter no. 24 G x 1 1/4 Buah 550 0 0 0 0
287 Auto Disable/Destruct Syringe (ADS) 0,05 ml buah 3700 0 0 0 0
288 Auto Disable/Destruct Syringe (ADS) 0,5 ml buah 7300 0 0 0 0
289 Auto Disable/Destruct Syringe (ADS) 5 ml buah 1800 0 0 0 0
290 Syringe 1 cc buah 0 0 0 0 0
291 Syringe 3 cc dus 2139 0 0 0 0
292 Syringe 5 cc dus 199 0 0 0 0
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm Box/24 215 0 0 0 0
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm Box/24 231 0 0 0 0
295 Catgut Chromic piece 4000 0 0 0 0
296 Safeglove PF No. 7 Pasang 1800 0 0 0 0
297 Safeglove PF No. 7,5 Pasang 0 0 0 0 0
298 Safeglove PP No. 7 Pasang 0 0 0 0 0
299 Safeglove PP No. 7,5 Pasang 0 0 0 0 0
300 Safety Box buah 0 0 0 0 0
301 Examination Gloves size L Box 6 0 0 0 0
302 Examination Gloves size M Box 66 0 0 0 0
303 Examination Gloves size S Box 31 0 0 0 0
304 Examination Gloves size XS Box 285 0 0 0 0
305 Kapas pembalut / Absorben 250 gram roll 1990 0 0 0 0
306 Kasa Kompres DRC 40cm / 40cm Steril Rol 8000 0 0 0 0
307 Kasa Pembalut DRC 2 m x 80 cm Rol 185 0 0 0 0
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm Rol 11550 0 0 0 0
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm Rol 8550 0 0 0 0
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm Rol 9000 0 0 0 0
311 Kasa Hydrofil Steril 16 x 16 cm Dus 3470 0 0 0 0
312 Kapas Berlemak DRC 500 gr Rol 230 0 0 0 0
313 Larutan Reagen Ziohl Nelson (ZN) 32 0 0 0 0
314 Urocare Folley Catheter 2 way no.18 Box 1790 0 0 0 0
315 Urocare Folley Catheter 2 way no.20 Box 0 0 0 0 0
316 UltraOne Test Hamil Buah 2900 0 0 0 0
317 Urine Bag Sterile Buah 3825 0 0 0 0
318 Oxyflow Nasal Oxygen Anak Buah 425 0 0 0 0
319 Oxyflow Nasal Oxygen Bayi Buah 20 0 0 0 0
320 Oxyflow Nasal Oxygen Dewasa Buah 220 0 0 0 0
321 Alkohol swab Box 36 0 0 0 0
322 Silk 2/0 + jarum 1/2 GT 35 mm box 167 0 0 0 0
323 Silk 3/0 + jarum 1/2 GT 35 mm box 163 0 0 0 0
324 Face Mask Ear Loop Dus 800 0 0 0 0
325 Face Mask Ties On Dus 590 0 0 0 0
326 Infus set Anak set 350 0 0 0 0
327 Infuset Dewasa set 23 0 0 0 0
328 Plester 5 yards x 2 inch roll 1950 0 0 0 0
329 Rapid Test HIV-AIDS Set / Kantong 0 0 0 0 0
330 Benecheck plus Glucose Test Strip 50's Box 0 0 0 0 0
331 Benecheck plus Total Cholestrol Test Strip 50's Box 0 0 0 0 0
332 Benecheck plus Uric Test Strip 50's Box 0 0 0 0 0
333 Umbilical cord klem steril Nylon piece 547 0 0 0 0
334 Wing Needle set 0 0 0 0 0
335 Pembalut Gibs Rol 4 0 0 0 0
336 Rivanol 300 cc botol 737 0 0 0 0
337 Kassa Hydrophil ukuran 40 x 80 cm roll 0 0 0 0 0
338 Ranitidin 150 mg Kotak 0 0 0 0 0
339 Larutan Reagen Ziohl Nelson (ZN) Paket
340
341
342

4,589,438

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato
dr. Syahrawanty S. Abbas
Nip. 19780901 200802 2 001
LUASI PENGGUNAAN OBAT
IWULAN IV TAHUN 2017

EMAKAIAN OBAT PUSKESMAS Pemakaian RAWAT INAP

Pemakaian
RAWAT
2014 2015 2016 2017 TOTAL BS 2012 2013 2014 2015 2016 2017 TOTAL JALAN

9 10 11 12 13 14 15 16 17 18 19 20 21 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
0

Kepala Bidang Pelayanan dan SDK Kepala Seksi Kefarmasian, A


Dinas Kesehatan Dinas Kesehat
Kabupaten Pohuwato Kabupaten Pohu

Yusran Mohamad, SKM.


Nip. 19800509 200604 1 019
SISA STOK Ket.

23 24
1500
0
0
45000
6650
0
0
786
0
0
0
0
676800
0
22200
12900
0
0

402700
650

1140

0
0
208
0
0
0
24500
21448
1080
4400
0
78900
65750
1170
3278
1820
2613
16875
0
0
24400
17500
1600
0
181900
1000
0
0
0
2000
0
0
0
293400
0
44
0
120
105
0
0
0
0
0
19000
7500
0
0
1000
1618
860
3000
1220
84
0
0
0
5460
18000
0
5000
0
0
50800
0
759
992
0
0
49500
155600
19800
77000
0
14400
7700
2600
12
0
500
2672
243
0
0
0
500
0
1459
0
0
500
96
3025
19500
0
660
90
5000
0
75600
261200
0
7900
0
0
0
49640
47400
0
0
114400
27000
625
44
0
252
0
0
0
0
0
0
77500

61000

70500

1500
0
35000
80
14000
1090
0
3000
6940
0
2592
4808
0
31300
72000
0
37400
88500
68500
35180
20100
0
3900
4000
3
2
0
16050
72
0
1533
0
0
0
10500
6510
0
25600
0
11900
34900
0
30
3400
20000
23500
141400
4000
0
0
0
22000
0
0
0
335000
0
0
0
86400
34200
24420
0
0
0
100000
0
0
0
71600
0
0
2880
0
0
0
0
0
0
15250
590
0
25400
355
0
0
3968
0
0
0
0
117700
0
0
89500
0
0
0
0
0
22600
0
0
0
0
0
0
0
0
0
0
0
3500
966
0
0
0
0
0
0
0
0
0

35

100

40

40
40
40
0
0

4124
131
2303
2096
1658
0
0
2450
550
3700
7300
1800
0
2139
199
215
231
4000
1800
0
0
0
0
6
66
31
285
1990
8000
185
11550
8550
9000
3470
230
32
1790
0
2900
3825
425
20
220
36
167
163
800
590
350
23
1950
0
0
0
0
547
0
4
737
0
0
0
0
0

4,956,869

Kepala Seksi Kefarmasian, Alkes dan PKRT


Dinas Kesehatan
Kabupaten Pohuwato
7,030,000
639,091
95,864
734,955
6,295,045
No Nama Obat Kelas Terapi

1 2
1 Albendazol Tab 400 mg ANTHELMINTICS
2 Albendazole Suspensi ANTHELMINTICS
3 Alofar 100 mg ANTI GOUT
4 Allopurinol tablet 100 mg ANTI GOUT
5 Ambroxol Syr 15 mg/ml MUKOLITIK, EKSPEKTORAN
6 Ambroxol Tablet MUKOLITIK, EKSPEKTORAN
7 Ambroxol Drop MUKOLITIK, EKSPEKTORAN
8 Aminofilin injeksi 24 mg/ml BRONKODILATOR
9 Aminofilin tablet 200 mg BRONKODILATOR
10 Amitriptilin Tablet salut 25 mg (HCL) BRONKODILATOR
11 Amlodipin 5mg ANTI HIPERTENSI (CCB)
12 Amlodipin 10 mg ANTI HIPERTENSI (CCB)
13 Amoksisilin Kaplet 500 mg ANTIBIOTIK
14 Amoksisilin Kapsul 250 mg ANTIBIOTIK
15 Amoksisilin Sirup kering 125 mg/5 ml ANTIBIOTIK
16 Amoksisilin Sirup Forte 250 mg/5ml ANTIBIOTIK
17 Ampicillin inj ANTIBIOTIK
Antasida Doen II Suspensi, kombinasi :
18 ULKUS PEPTIKUM
Aluminium Hidroksida 200 mg
Antasida Doen I tablet kunyah, kombinasi :
19 Aluminium Hidroksida 200 mg ULKUS PEPTIKUM

Anti bakteri Doen salep kombinasi :


20 Basitrasin 500 IU/g + ANTIBIOTIK
Polimiksin 10.000 IU/g
Anti Hemoroid Doen kombinasi :
21 ANTI HEMOROID
Bismuth Subgalat 150 mg + Heksaklorofen
2,5 mg
Anti Migren : Ergotamin Tartat 1 mg + Kofein
22 50 ANTI MIGREN
mg
Anti Parkinson Doen tablet kombinasi
23 karbidopa ANTI PARKINSON
25mg + levodi
Antifungi Doen kombinasi :
24 ANTI FUNGI
Asam benzoat 6 % + Asam Salisilat 3 %
25 Artesunate Injeksi ANTI MALARIA

26 Asam Asetilsalisilat tablet 100 mg (asetosal) NSAID

27 Asam Asetilsalisilat tablet 500 mg (asetosal) NSAID


28 Asam askorbat (vitamin C) tablet 50 mg VITAMIN
29 Asam Mefenamat 500 mg ANALGETIK
30 Asam Traneksamat Injeksi ANTIFIBRINOLITIK
31 Asering Larutan IVFD
32 Asiklovir Krim 5 % ANTI VIRUS
33 Asiklovir Tab 200 mg ANTI VIRUS
34 Asiklovir Tab 400 mg ANTI VIRUS
35 Atropin Injeksi 0,25mg/ml MYDRIATIC
36 Aqua Pro injeksi steril, bebas pirogen
37 Azitromisin ANTIBIOTIK
38 Bedak Salisil Serbuk KERATOLITIK
39 Betametason krim 0,1 % KORTIKOSTEROID
40 Bisoprolol Tab 5 mg ANTIARITMIA
ANTI HIPERTENSI (ACE
41 Captoril tablet 25 mg Inhibitor)
ANTI HIPERTENSI (ACE
42 Captoril tablet 12,5 mg Inhibitor)
43 Calcium Lactate VITAMIN DAN MINERAL
44 Carbamazepin tablet 200 mg ANTIKONVULSAN
45 Chlorexol Suspensi ANTI MIKROBA
46 Ciprofloxacin 500 mg ANTIBIOTIK
47 Clindamisin Kap 300 mg ANTIBIOTIK
48 Clinoma ANTIBIOTIK
49 Clorpromazin injeksi i.m 25 mg/ml (HCL) ANTIPSIKOTIK

50 Clorpromazin injeksi i.m 5 mg/ml - 2 ml (HCL) ANTIPSIKOTIK

51 Clorpromazin tablet salut 100 mg (HCL) ANTIPSIKOTIK


52 Clorpromazin tablet salut 25 mg (HCL) ANTIPSIKOTIK
53 Codein Tablet 10 g ANTITUSIF
54 Dasabion VITAMIN DAN MINERAL
55 Deksametazon tablet 0,5 mg ANTIINFLAMASI
56 Deksametazon injeksi I.V . 5 mg/ ml ANTIINFLAMASI
57 Desoksimetason Krim 0,25% ANTIINFLAMASI
58 DHP ANTITUSIF
59 Diazepam Lar Rektal 5 mg/2,5 ml PSIKOTROPIK
60 Diazepam Lar Rektal 10 mg/2,5 ml PSIKOTROPIK
61 Diazepam injeksi 5 mg/ml PSIKOTROPIK
62 Diazepam tablet 10 mg PSIKOTROPIK
63 Diazepam tablet 5 mg PSIKOTROPIK
64 Dietilkarbamazin 10 mg ANTI EPILEPSI
65 Difenhidramin Injeksi i.m 10 mg/ml ( HCL ) ANTIHISTAMIN
66 Digoksin tablet 0,25 mg GLIKOSIDA JANTUNG
ANTIHIPERTENSI (Antagonis
67 Diltiazem Tab Kalsium)
68 Domperidom Tab 10 mg ANTIEMETIK
69 Domperidon suspensi 5 mg/5 ml ANTIEMETIK
70 Dulcolax Supp adult 10 mg LAKSATIF
71 Dulcolax Supp infant 5 mg LAKSATIF
Epinefrin (Adrenalin) Injeksi 0,1 % (sebagai
72 HCL) VASODILATOR

73 Eritromisin Kapsul 250 mg ANTIBIOTIK


74 Eritromisin Sirup 200 mg/ 5 ml ANTIBIOTIK
75 Etil Klorida Spray ANASTESI TOPIKAL
76 Farsifen plus ANALGETIK
77 Fenobarbital injeksi i.m / i.v 50 mg/ml ANTI KONVULSAN
78 Fenobarbital tablet 30 mg ANTI KONVULSAN
79 Fitomenadion (Vitamin K) injeksi 2 mg/ml VITAMIN
Fitomenadion (Vitamin K) tablet salut gula 10
80 mg VITAMIN

81 Furosemide inj i.v/i.m 10 mg/ml DIURETIK


82 Furosemide tablet 40 mg DIURETIK
83 Floxifar 500 mg ANTIBIOTIK
84 Fasiprim Suspensi ANTIBIOTIK
85 Garam Oralit I serbuk kombinasi ELEKTROLIT
86 Gentamisin Inj ANTIBIOTIK
87 Gentamisin Salep Mata ANTIBIOTIK
88 Gentamisin Tetes Mata ANTIBIOTIK
89 Gentamisin Salep 0, 1 % ANTIBIOTIK
90 Gentian Violet larutan 1 % ANTI FUNGI
91 Glibenclamide tablet 5 mg ANTI DIABETES
92 Gliseril Guaikolat tablet 100 mg EKSPEKTORAN
93 Glukosa larutan infus 5 % IVFD
94 Griseofulvin tablet 125 mg, Micronized ANTI JAMUR
95 Gula Alami Granul
96 Haloperidol Tablet 0,5 mg ANTIPSIKOTIK
97 Haloperidol Tablet 1,5 mg ANTIPSIKOTIK
98 Haloperidol Tablet 5 mg ANTIPSIKOTIK
99 Haloperidol injeksi ANTIPSIKOTIK
100 Hexymer 2 mg ANTI PARKINSON
101 Hidroklorotiazida tablet 25 mg ANTI HIPERTENSI
102 Hidrokortison krim 2,5 % KORTIKOSTEROID
103 Hidrogen Peroksida cairan 3% (H2O2) DESINFEKTAN
104 Hufagesic 500 mg ANTIPIRETIK
105 Hufamycetin Suspensi ANTIPIRETIK
106 Ibuprofen sirup 100 mg ANALGETIK, ANTIPIRETIK
107 Ibuprofen tablet 200 mg ANALGETIK, ANTIPIRETIK
108 Ibuprofen tablet 400 mg ANALGETIK, ANTIPIRETIK
109 Ichtiyol 15 g ANTISEPTIK
110 Ifidex 0,5 mg REUMATOID ARTRITIS
111 Ifitamol ANTIPIRETIK
112 Isosorbid Dinitrat tablet sublingual 5 mg ANTIANGINA
113 Kalsium Glukonas injeksi HIPOKALSEMIA
114 Ketokenazole Kriem 2 % ANTIFUNGI
115 Ketokenazole Tab 200 mg ANTIFUNGI
116 Kloramfenikol kapsul 500 mg ANTIBIOTIK
117 Kloramfenikol Suspensi 125 mg/ml ANTIBIOTIK
118 Kloramfenikol tetes telinga 3 % ANTIBIOTIK
119 Kloramfenikol Salep Mata ANTIBIOTIK
120 Kloramfenikol Tetes Mata 0,5% ANTIBIOTIK
121 Klorfeniramina Maleat (CTM) tablet 4 mg ANTIHISTAMIN
122 Kotrimoksazol DOEN 1 (dewasa) 480 mg ANTIBIOTIK
123 Kotrimoksazol DOEN II ( pediatrik)120 mg ANTIBIOTIK
Kotrimoksazol Suspensi / 5 ml, kombinasi :
124 Sulfametoksazol 200 mg ANTIBIOTIK
+ Trimetoprim 40 mg
258 Larutan Ka En 1 B IVFD
125 Lanzoprazole kapsul 30 mg DISPEPSIA
264 Latibet 5 mg ANTIDIABETES
126 Lidokain injeksi 2 % ANESTESI
Lidokain injeksi 2 % ( HCL ) + Epinefrin 1 :
127 00.000 ANESTESI LOKAL
- 2 ml
128 Lidokain + Epinefrin Injeksi (Pehacain) ANESTESI LOKAL
129 Lokev ULKUS LAMBUNG
130 Loperamide Tablet ANTIDIARE
131 Loratadine Tab 10 mg ANTIHISTAMIN
132 Magnesium Sulfat Inj ( IV ) 20 % - 25 ml ANTIDISRITMIA
133 Magnesium Sulfat Inj ( IV ) 40 % - 25 ml ANTIDISRITMIA
134 MDT MB Anak MULTI BASILER/LEPRA BASAH
135 MDT MB Dewasa MULTI BASILER/LEPRA BASAH

136 MDT PB Anak PAUSI BASILER/ LEPRA KERING

137 MDT PB Dewasa PAUSI BASILER/ LEPRA KERING

138 Maagel Suspensi GASTRITIS


139 Mefamesis Sirup ANTIEMETIK
140 Meloxicam 15 mg ANTI INFLAMASI
141 Meloxicam 7,5 mg ANTI INFLAMASI
142 Methampyron 500 mg ANALGETIK
Methampyron + Vit B1, Vit B6, Vit B12
143 (Omegesic) ANALGETIK

144 Metformin HCL tablet 500 mg ANTI DIABETES


145 Metilergometrin Maleat Inj 0,200 mg-1 ml RELAKSAN UTERUS

146 Metilergometrin Maleat tablet salut 0,125 mg RELAKSAN UTERUS

147 Metilprednisolone ANTI INFLAMASI


148 Metoklopramide Inj 5 mg/ml ANTIEMETIK
149 Metoklopramide Tab 5 mg ANTIEMETIK
150 Metoklopramide Drop ANTIEMETIK
151 Metronidazole tablet 250 mg ANTI BAKTERI
152 Metronidazole tablet 500 mg ANTI BAKTERI
153 Miconazole Krim 2 % ANTI FUNGI
267 Milorin Tablet ANTIBIOTIK
154 Multi Vitamin + Lysin VITAMIN, MINERAL
Multi Vitamin Sirup + Curcuma + Lysin HCl +
155 Biotin VITAMIN, MINERAL
+ DHA/EPA + Beta Karoten
156 Multivitamin Anti Anemia + Asam Folat VITAMIN, MINERAL
157 Multivitamin + Vitamin C Dosis Tinggi VITAMIN, MINERAL
Multivitamin Dosis Tinggi + Gingseng Ext +
158 Curcumae VITAMIN, MINERAL
Ext + Liver Ext (Hepatoprotektor)

Multi Vitamin untuk Ibu Hamil mengandung :


ferrous gluconate 250 mg, manganase sulf 0,2
159 mg, copper VITAMIN, MINERAL
sulf 0,25 mg, vit C 50 mg, folid acid
1 mg, vit B12 7,5 mcg (OMEGAVIT)
Multi Vitamin untuk Ibu Hamil mengandung
vit A 2000 IU, Tiamin HNO3 1,3 mg, Riboklovin
1,3 mg, piridoksin HCl 0,85 mg, sianokobalamin
160 2 mcg, micotinamid 10 mg, kalsium laktose 350 VITAMIN, MINERAL
mg, ferrous fumarat 29 mg, potassium iodida
0,1 mg, asam folat 0,39 mcg
(PRENASE)/VITALAMIN

161 Natrium Diklofenat tab 25 mg ANALGETIK, ANTI INFLAMASI


162 Natrium Diklofenat tab 50 mg ANALGETIK, ANTI INFLAMASI
163 Natrium Kloridal (NaCl) larutan infus 0,9 % IVFD
164 New Antides ANTI DIARE
165 Nifedifine Tab 10 mg ANTI HIPERTENSI
166 Nistatin tablet salut 500.000 IU / g ANTI JAMUR
167 Nistatin Vaginal tablet 100.000 IU / g ANTI JAMUR
168 OAT Kategori Anak ANTI TB
169 OAT Kategori I & III ANTI TB
170 OAT Kategori II ANTI TB
Obat Anti Diare yang Mengandung Kaolin +
171 Pectin ANTI DIARE

172 Obat Anti Malaria (OAM) ANTI MALARIA


173 Obat Batuk Hitam ( O.B.H ) Cairan EKSPEKTORAN
174 Obat Batuk Pilek Anak Bayi EKSPEKTORAN
Oksitetrasiklin HCL injeksi i.m 50 mg/ml- 10
175 ml ANTIBIOTIK

176 Oksitetrasiklin HCL salep mata 1 % ANTIBIOTIK


177 Oksitetrasiklin salep kulit 3 % ANTIBIOTIK
178 Oksitosin Injeksi 10 IU / ml - 1 ml RELAKSAN UTERUS
179 Omeprazole Kap 20 mg DISPEPSIA
180 Parasetamol Tab 100 mg ANTIPIRETIK
181 Parasetamol Tab 500 mg ANTIPIRETIK
182 Parasetamol Drops ANTIPIRETIK
183 Parasetamol sirup 120 mg / 5 ml ANTIPIRETIK
184 Parasetamol + Ibuprofen tab ANALGETIK, ANTIPIRETIK
185 Phenylbutason ANTIINFLAMASI NONSTEROID
186 Piracetam inj 1 g/5 ml NEUROTROPIK
187 Piracetam tab 800 mg NEUROTROPIK
188 Pirantel tablet score ( base ) 125 mg ANTHELMINTICS
189 Piridoksin ( Vit B 6 ) tablet 10 mg ( HCL ) VITAMIN
190 Piroxicam Tab 20 mg NSAID
191 Prednison Tablet 5 mg KORTIKOSTEROID
192 Primakuin tablet 15 mg ANTI MALARIA
193 Prokain Penicillin injeksi ANTIBIOTIK
194 Propanolol tablet 40 mg ( HCL ) ANTI HIPERTENSI
195 Propiltiourasil tablet 100 mg ANTI HIPERTIROID
196 Provinas 200 mg ANALGETIK
197 Provinas 400 mg ANALGETIK
198 Ramolit MINERAL
199 Ranitidin GASTRITIS
200 Ranitidin Inj 25 mg / 25 ml GASTRITIS
201 Ratrim Forte ANTIBIOTIK
202 RDT ANTI MALARIA
203 Retinol (vitamin A) 100.000 IU kapsul lunak VITAMIN
204 Retinol (vitamin A) 200.000 IU kapsul lunak VITAMIN
205 Ringer Laktat Larutan infus IVFD
206 Risperidon 1 mg ANTIPSIKOTIK
207 Risperidon 2 mg ANTIPSIKOTIK
208 Salbutamol 2 mg BRONKODILATOR
209 Salbutamol 4 mg BRONKODILATOR
210 Salbutamol Sirup BRONKODILATOR
Salep 2-4 Kombinasi : Asam Salisilat 2 % +
211 Belerang KORTIKOSTEROID
endap 4 %
212 Scopma ANTIPASMODIK
213 Sefiksim kapsul 100 mg ANTIBIOTIK
214 Sefiksim sir 100 mg/5 ml ANTIBIOTIK
215 Sefotaxime Inj 1 g ANTIBIOTIK
216 Seftriakson Inj 1 g ANTIBIOTIK
217 Selmetor 4 mg ANTIHISTAMIN
218 Selmatic 20 mg ANTI INFLAMASI
219 Selferro VITAMIN
220 Selpyron ANALGETIK
221 Sepadroksil Kap 500 mg ANTIBIOTIK
222 Sepadroksil sirup Kering 125 mg / ml ANTIBIOTIK
223 Setirizin 10 mg ANTIHISTAMIN
224 Setirizin Sirup 5 mg/ 5 ml ANTIHISTAMIN
225 Sianokobalamin ( Vit B 12 ) Tablet VITAMIN
226 Sianokobalamin ( Vit B 12 ) Injeksi 500 mcg VITAMIN
227 Sikzonoat injeksi ANTIPSIKOTIK
228 Simvastatin tabet 10 mg ANTI KOLESTEROL
229 Simvastatin tabet 20 mg ANTI KOLESTEROL
Succus Liquiritae + Ammonium Chlorida +
230 Ammonium EKSPEKTORAN
Anisi Spir Sirup
231 Solinfec Cream ANTI JAMUR
232 Selescardio 5 mg ANTIHIPERTENSI
233 Selespurin 100 mg HIPERURISEMIA
234 Seleskin 500 mg ANALGETIK
235 Tablet Tambah Darah VITAMIN
236 Teofilin Tablet SR 300 mg / Rethpyl ANTIASMA
237 Tetrasiklin kapsul 250 mg ANTIBIOTIK
238 Tetrasiklin kapsul 500 mg ANTIBIOTIK
Tiamin (Vitamin B1) tablet 50 mg
239 (HCL/Nitrat) VITAMIN

240 Tiamin (Vitamin B1) injeksi 100 mg/ml VITAMIN


241 Tramadol Inj 50 mg/ml ANALGETIK
242 Tramadol tab 50 mg ANALGETIK
243 Tramofal ANALGETIK
244 Triheksifenidil tablet 2 mg ANTI PARKINSON
245 Vaksin Rabies ANTIVIRUS
246 Vaksin BCG ANTIVIRUS
247 Vaksin Campak ANTIVIRUS
248 Vaksin Hepatitis B ANTIVIRUS
249 Vaksin Polio ANTIVIRUS
250 Vaksin DT ANTIVIRUS
251 Vaksin TD ANTIVIRUS
252 Vaksin DPT - Hb - Hib ANTIVIRUS
253 Vesperum Sirup ANTIEMETIK
254 Vitamin B kompleks tablet VITAMIN
255 Vitamin B1, Vit B6, Vit B12 (Omeneuron) VITAMIN
256 Zinc 20 mg tablet dispersibel MINERAL
257 Zinc pro Sirup 60 ml MINERAL
259 Hufadexon 0,5 mg ANTI INFLAMASI
260 Eltazon 5 mg ANTI INFLAMASI
261 Floxifar 500 mg ANTIBIOTIK
262 Selvim 10 mg ANTI KOLESTEROL
263 Obat Batuk Dewasa ANTITUSIF
265 Kemoren 50 mg ANALGETIK, ANTI INFLAMASI
266 Rhemafar 4 mg ANTI INFLAMASI
268 Roverton MUKOLITIK, EKSPEKTORAN
269 Vitacaps VITAMIN
270 Devitalisasi Pasta ( Non arsen ) PREPARAT MULUT DAN GIGI
271 Eugenol cairan PREPARAT MULUT DAN GIGI
272 Glass Ionomer Cement ART PREPARAT MULUT DAN GIGI
273 Kalsium Hidroksida Pasta PREPARAT MULUT DAN GIGI
274 Klorfenol kamfer Menthol ( CHKM ) PREPARAT MULUT DAN GIGI
275 Caviton PREPARAT MULUT DAN GIGI
276 Semen seng Fosfat serbuk dan cairan PREPARAT MULUT DAN GIGI
Temporary Stopping Fletcher serbuk dan
277 cairan PREPARAT MULUT DAN GIGI

BAHAN MEDIS HABIS PAKAI


278 Alkohol 70 %, 1 Liter
279 Lisol , mengandung Kresol tersabun 50 %
280 Povidon Iodida larutan 10 %, 30 ml
281 Povidon Iodida larutan 10 %, 60 ml
282 Povidon Iodida larutan 10 %, 300 ml
283 Steracath I.V Catheter no. 18 G x 1 1/4
284 Steracath I.V Catheter no. 20 G x 1 1/4
285 Steracath I.V Catheter no. 22 G x 1 1/4
286 Steracath I.V Catheter no. 24 G x 1 1/4

287 Auto Disable/Destruct Syringe (ADS) 0,05 ml

288 Auto Disable/Destruct Syringe (ADS) 0,5 ml


289 Auto Disable/Destruct Syringe (ADS) 5 ml
290 Syringe 1 cc
291 Syringe 3 cc
292 Syringe 5 cc
293 Catgut Plain 2/0 + Jarum 1/2 GT 35 mm
294 Catgut Plain 3/0 + Jarum 1/2 GT 35 mm
295 Catgut Chromic/chirurgic gloves, sise 8.0
296 Safeglove PF No. 7
297 Safeglove PF No. 7,5
298 Safeglove PP No. 7
299 Safeglove PP No. 7,5
300 Safety Box
301 Examination Gloves size L
302 Examination Gloves size M
303 Examination Gloves size S
304 Examination Gloves size XS
305 Kapas pembalut / Absorben 250 gram
306 Kasa Kompres DRC 40cm / 40cm Steril
307 Kasa Pembalut DRC 2 m x 80 cm
308 Kasa Pembalut Hidrofil DRC 4 m x 10 cm
309 Kasa Pembalut Hidrofil DRC 4 m x 5 cm
310 Kasa Pembalut Hidrofil DRC 40 cm x 40 cm
311 Kasa Hydrofil Steril 16 x 16 cm
312 Kapas Berlemak DRC 500 gr
313 Larutan Reagen Ziohl Nelson (ZN)
314 Urocare Folley Catheter 2 way no.18
315 Urocare Folley Catheter 2 way no.20
316 UltraOne Test Hamil
317 Urine Bag Sterile
318 Oxyflow Nasal Oxygen Anak
319 Oxyflow Nasal Oxygen Bayi
320 Oxyflow Nasal Oxygen Dewasa
321 Alkohol swab
322 Silk 2/0 + jarum 1/2 GT 35 mm
323 Silk 3/0 + jarum 1/2 GT 35 mm
324 Face Mask Ear Loop
325 Face Mask Ties On
326 Infus set Anak
327 Infuset Dewasa
328 Plester 5 yards x 2 inch
329 Rapid Test HIV-AIDS
330 Benecheck plus Glucose Test Strip 50's

331 Benecheck plus Total Cholestrol Test Strip 50's

332 Benecheck plus Uric Test Strip 50's


333 Umbilical cord klem steril Nylon
334 Wing Needle
335 Pembalut Gibs
336 Rivanol 300 cc
337 Kassa Hydrophil ukuran 40 x 80 cm
338 Ranitidin 150 mg
339 Larutan Reagen Ziohl Nelson (ZN)
340 AXIMED Nonwoven Fixation/ 5 cm x 10 m
341 Metokloperamide sirup 5 mg(LEXAPRAM)
342 Onemed Blood Lancet (JAYAMAS)
343 Prednison tabled 5 mg
344 Povidon Iodine 300 cc
345 Povidon Iodine 300 ml
346 Pirantel syirup
347 Sterile latex Surgical Gloves Size 7,5
348 Plester Bulat Non Woven
349 Folic Acid/Asam Folat
350 Griseofulvin
351 Examinatin Gloves, Size XL
352 Sterile latex Surgical Gloves Size 7
353 Doksisiklin tablet 100 mg

Mengetahui,
Kepala Dinas Kesehatan
Kabupaten Pohuwato

dr. Syahrawanty S. Abbas


Nip. 19780901 200802 2 001

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