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    This document is a report of drug usage, request forms, and receipts (LPLPPO) for the Health Department of Kab. Inhu District. It provides information on the inventory of 88 different drugs including the starting balance, receipts for the month of January, usage in January, and ending balance for each drug. The report is from the Puskesmas Pangkalan Kasai health center to track drug supplies and plan future orders.

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    This document is a report of drug usage, request forms, and receipts (LPLPPO) for the Health Department of Kab. Inhu District. It provides information on the inventory of 88 different drugs including the starting balance, receipts for the month of January, usage in January, and ending balance for each drug. The report is from the Puskesmas Pangkalan Kasai health center to track drug supplies and plan future orders.

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    © All Rights Reserved
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    16 views564 pages

    Jzjsks

    Uploaded by

    Sinti Ce
    This document is a report of drug usage, request forms, and receipts (LPLPPO) for the Health Department of Kab. Inhu District. It provides information on the inventory of 88 different drugs including the starting balance, receipts for the month of January, usage in January, and ending balance for each drug. The report is from the Puskesmas Pangkalan Kasai health center to track drug supplies and plan future orders.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    of 564

    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT

    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN Januari Januari
    A OBAT GENERIK PKD
    Acdat salep tube - 10 6 4
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl 5 1 4
    4 ALKOHOL 70 % 1000 ml btl - 1 1 -
    5 Alopurinol tab 100 mg tablet 975 439 536
    6 Alopurinol tab 300 mg tablet 586 42 544
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet 120 8 112
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet - 100 100
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet - -
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 638 1,020 1,503 155
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 24
    28 Antimigren: ergotamin tartrat 1mg +kofein 50mg tablet - -
    Antihemoroid kombinasi Bismut Subgalat 150mg
    29 Heksaklorofen 2,5mg Lidokain 10mg Seng Oksida supp 2 2
    120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 898 1,500 2,034 364
    35 Asam Folat tab 1 mg tablet 346 10 336
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 40 30 10
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet - -
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 44 4 40
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 90 17 73
    54 Bisoprolol tablet 5 mg tablet - 200 10 190
    55 Bronsolvan 150 mg tablet 190 20 170
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet 483 500 145 838
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul 780 1,000 280 1,500
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 14 48 51 11
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul 210 80 130
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 690 110 580
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet 41 41
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 25 20 3 42
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 25 24 23 26
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 634 40 594
    88 Cotrimoksazol suspensi 60ml botol 50 50 27 73
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet 2,995 1,000 2,525 1,470
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet 194 194 -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul - -
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 29 28 1
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 190 22 168
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 390 390
    114 Garam oralit untuk 200 ml air sachet 60 36 24
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - -
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet 540 160 380
    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 52 24 34 42
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 14 2 12
    136 Ibuprofen tablet 200 mg tablet 1,358 2,720 3,499 579
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - -
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 218 4 214
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet 526 526
    150 Ketokenazole krim 2 % 10 gr tube 17 20 37
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 406 14 392
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 mg S vial - -
    158 Lidokain injeksi 2% / 2ml ampul - 36 36 -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - -
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 206 500 76 630
    167 Metilergometrin 0,125 mg tablet 222 222
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 544 106 438
    171 Metoklopramide 5mg tablet - -
    172 Metoklopramide 10mg tablet 691 357 334
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet - -
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 9 24 33
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500ml botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet 374 166 208
    184 Nifedipin 20 mg ( Adalat Oros ) tablet 157 157 -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul 117 240 277 80
    191 Ondansentron 4mg tablet - -
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol 30 175 168 37
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol 19 19
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - -
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet - -
    209 Pirantel syrup 125mg / 5ml botol 21 3 18
    210 Pitomenadion (Vit-K) 10mg tablet 703 29 674
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - 5 4 1
    216 Povidon Iodida 10% 300ml botol - 1 1 -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 321 500 118 703
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet - 200 200
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 244 1,200 1,194 250
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet - -
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps - -
    237 Salbutamol serb inh 200 mcg/kaps tablet - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules) botol - -
    239 Salep 2-4 pot 25 1 24
    240 Serum Anti Tetanus ampul - 1 1 -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet 42 432 474
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup) botol 12 25 37 -
    252 Supramox Drops 20 ml botol - -
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet 320 800 1,120 -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 1,226 222 1,004
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - 15 15 -
    20,239 17,136
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet 356 1000 944 412
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet 680 680
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    16 Cough En Plus btl - -
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    23 Faxiden gel tube - 10 10 -
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl 20 30 20 30
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube 9 9
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - 10 3 7
    30 Genolon krim tube - -
    Guaifenisin 100mg tablet 405 400 396 409
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube - 10 10
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 166 900 637 429
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk - 400 322 78
    41 Intibrox tablet 872 1400 1225 1,047
    42 Intibrox Syr botol 37 28 9
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 25 48 8 65
    51 Nalget Kaptab tablet - 1000 286 714
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml - -
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 23 5 18
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 222 6 216
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp - 10 10
    Pyreksin 160mg tablet/supp - 10 10
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - 30 30 -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet - 150 66 84
    74 Proneuron tablet 332 240 92
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 35 6 29
    77 Quantidex tablet tablet 35 600 635
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - 1 1 -
    89 Stick Glukosa botol - -
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 25 2 23
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    3,453 5,227
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Ambroxol 30 mg tablet - -
    3 Amlodipin tablet 424 160 264
    4 Antalgin tablet 500 mg tablet 350 350
    5 Antasida DOEN I tablet kunyah tablet - -
    6 Antimigren ergotamin tablet - -
    7 Antihemoroid kombinasi Bismut Subgalat 150mg H supp - -
    8 Asam ascorbat (vit C) 50 mg tablet - -
    9 Asam Mefenamat kaplet 500 mg kaplet - -
    10 Asiklovir krim 5% tube - -
    11 Asiklovir tab 200 mg tablet 988 988
    12 Asiklovir tab 400 mg tablet 435 435
    13 Arimed / Meloxicam 15 mg tablet - -
    14 Becefort syr btl - -
    15 Becefort tablet - -
    16 Betametason Cream tube - -
    17 Bioplacenton tube - 3 3 -
    18 Bisolvon Extra Syrup btl - -
    19 Bisoprolol 5mg tablet - -
    20 Captopril tablet 12,5 mg tablet 505 328 177
    21 Captopril 25 mg tablet - -
    22 Cefadroksil kap 500 mg kapsul - -
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    24 Cefixime 100 mg tablet - -
    25 Ciprofloxacin 500 mg kapsul - -
    26 Clindamicyn 300 mg kapsul - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet 4,800 2,900 1,900
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,444 100 1,344
    29 Copper T ktk - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - -
    31 Diaform tablet - -
    32 Dimenhidrinat tab tablet - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - -
    35 Fg Troches tablet - -
    36 Flukonazol tab 150 mg kapsul 30 30
    37 Fituno tablet - -
    38 Gentian Violet botol - -
    39 Glibenclamide 5 mg tablet 418 400 818
    40 Gliseril Guaikolat 100 mg tablet - -
    41 Griseovulvin tablet 125 mg tablet 1,184 60 1,124
    42 Hemaforf tablet - 500 10 490
    43 Hidrokortison krim 2,5% tube - -
    44 Holicos ( Ambroxol ) syrup btl - -
    45 Hustab tablet - -
    46 Ibuprofen tablet 400 mg tablet - -
    47 Isotic Neolyson Tetes Mata btl - -
    48 Isotic Clearens Tetes Mata btl - -
    49 Kasa 4m x 15cm roll - -
    50 Levofloxacin 500 mg tablet 60 60
    51 Lidokain injeksi ampul - -
    52 Livron B Plek tablet - -
    53 Loperamid 2mg tablet 1,064 477 587
    54 Metaneuron tablet - -
    55 Metilergometrin tablet 256 256
    56 Metilprednisolon 4mg tablet - -
    57 Mucohexin tablet - -
    58 Natrium Diklofenat 25mg tablet - -
    59 Natrium Diklofenat 50 mg tablet - -
    60 Natrium Klorida larutan infus 0.9% steril 500ml botol - -
    61 Neurovit - E kaplet - -
    62 Nistatin tab 100.000 iu tab vaginal 152 28 124
    63 Nodiar tablet - -
    64 Noza tablet - -
    65 OBH Indo Plus syrup botol - -
    66 Oxfezin syrup botol - -
    67 Oksitetrasiklin salep kulit 3% tube 88 24 64
    68 Oksitetrasiklin inj ampul - -
    69 Omeprazol kapsul 20 mg kapsul - -
    70 Parasetamol syrup 120mg / 5ml botol - -
    71 Pehavral tablet - -
    72 Piroxicam 20 mg tablet 368 368
    73 Pehacort / Prednison 5mg tablet - -
    74 Pyridoksin (vit.B6) tablet - -
    75 Propanolol 40mg tablet - -
    76 Propituracil 100 mg tablet - -
    77 Prolysin Plus syrup botol - -
    78 Pularex Attalpugit 600 mg tablet - -
    79 Ranitidine inj tablet - -
    80 Ranitidin 150mg tablet - -
    81 Ringer Laktat larutan infus 500ml botol - -
    82 Salbutamol syr botol - -
    83 Salbutamol 2 mg tablet 500 137 363
    84 Salbutamol 4mg (sebagai sulfat) tablet 790 20 770
    85 Sanbe Kids syrup botol - -
    86 Sagestam Cream tube - -
    87 Scabimite Cream tube 1 10 11
    88 Simvastatin 10 mg tablet - -
    89 Tab Fe tablet 995 240 515 720
    90 Tramadol Tablet 200 200
    91 Tryhexilpenidil tablet 310 110 200
    92 Zinc Disperibel tablet - -
    93 Oxycan btl - -
    94 cimetidin tab 200 mg tablet - -
    95 Alat Suntik 3 cc pcs - -
    96 Mikrodiol ktk - -
    15,362 11,643
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 39,054 34,006

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - 100 100 -
    5 Alat suntik sekali pakai 2,5 ml pcs - -
    2 Alat suntik sekali pakai 3 ml pcs - 72 72 -
    3 Alat suntik sekali pakai 5 ml pcs - -
    4 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs - 400 400 -
    Blood Lahat pcs - -
    7 Blood Transfusion Set pcs - -
    8 Catgut/benang bedah no. 3/0 pcs - -
    9 Catgut/benang bedah no.2/0 pcs - -
    Examination Lower Glove ( M ) pcs - 200 200 -
    Examination Lower Glove ( L ) pcs - 300 300 -
    10 Folley Catheter no 16W pcs - -
    11 Folley Catheter no 18W pcs - -
    12 Folley Catheter no 20W pcs - -
    13 Handscoon no 7 pcs - -
    14 Handscoon no 7,5 pcs - -
    15 Handscoon no 8 pcs - -
    Hcg (Tes Pack) pcs 19 19
    16 Hidrogen Peroksida 3% btl - -
    17 I.V Catheter no.18 pcs - -
    18 I.V Catheter no.20 pcs - -
    19 I.V Catheter no.22 pcs - -
    20 I.V Catheter no.24 pcs - -
    21 Infusion set anak set -
    22 Infusion set dewasa set - -
    24 kapas pembalut berlemak 500 mg Bks - -
    23 Kapas pembalut 500 gram Bks - -
    25 Kapas pembalut/absorben 250 gram Bks - 1 1 -
    26 Kasa Hidrofil 16x16 16 pcs/ktk - -
    28 Kasa Hidrofil 40 x 40 pcs - -
    29 Kasa Hidrofil 4 x 15 cm roll - -
    30 Kasa Hidrofil 4 x 3 cm roll - -
    27 Kasa Hidrofil 4 x 5 cm roll - -
    34 Kasa Pembalut 2 x 80 cm Rol - -
    31 Kasa Pembalut Elastis 3 Inchi Rol - -
    32 Kasa Pembalut Elastis 4 Inchi Rol - -
    33 Kasa hidrofil ukuran 36 x 80cm Rol - -
    35 Lysol btl - 2 2 -
    36 Masker ear lopp pcs - 300 300 -
    37 Masker Tie On pcs - 150 150 -
    38 Oxycan btl - -
    39 Pembalut elastis 10 cm x 4.55m pcs - -
    40 Pembalut elastis 7.5 cm x 4.55m pcs - -
    41 Pembalut Gips 6 Inchi Rol - -
    42 Plester 5 yard x 2 inch Rol - -
    44 Semillas Non Woven Medical Tape (5 x 100cm) roll - -
    46 Semillas Non Woven Medical Tape (10 x 100cm) roll - -
    43 Semillas Non Woven Medical Tape (5 x 500cm) roll - -
    45 Semillas Non Woven Medical Tape (10 x 500cm) roll - -
    48 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    47 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    49 Stomach Tube pcs - -
    50 Surgical Blades No. 10 pcs - -
    51 Surgical Blades No. 11 pcs - -
    52 Surgical Blades No. 13 pcs - -
    53 Surgical Blades No. 21 ( Bisturi ) pcs - -
    54 Surgical Blades No. 23 pcs - -
    Surgical Steril Powder Glove (M) pcs - 8 8 -
    55 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    56 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    57 Urine bag pcs - -
    58 Umbilical Cord Klem Steril Nylon pcs - -
    59 wing nedle No.21 pcs - -
    60 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 19 19
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 39,073 34,025

    Pangkalan Kasai, 25 Januari 2018


    Mengetahui, Penanggung Jawab
    Kepala UPT Pusksemas Pangkalan Kasai APOTEK
    drg. DWIYANA SYAHPUTRI SINTICE, Amd.Farm
    NIP. 197507232008012007
    N PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    : APOTEK

    Ket
    exp.date jan
    2018
    exp.date jan
    2018
    25 Januari 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALKE
    PER 25 JANUARI 2018

    SKPD: DINAS KESEHATAN KAB. INHU UNIT KERJA


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    Saldo Hasil Penyesuaian Saldo


    SATUAN HARGA
    No. Nama Obat Cek Fisik 25 Saldo Awal
    KEMASAN Penerimaan Pengeluaran SATUAN
    Januari
    Januari Januari
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    1 Acdat salep tube 4 10 6 - 6,030
    2 Albendazol suspensi 200 mg/5 ml btl - - - - 350
    3 Albendazol tab 400 mg tablet - - - - 2,575
    4 Alkohol 70 % 100 ml btl 4 - 1 5 27,305
    5 ALKOHOL 70 % 1000 ml btl - 1 1 - 88
    6 Alopurinol tab 100 mg tablet 536 - 439 975 215
    7 Alopurinol tab 300 mg tablet 544 - 42 586 180
    8 Alprazolam 0,5 mg tab tablet - - - - 233
    9 Alprazolam 1 mg tab tablet 112 - 8 120 348
    10 Ambroxol sirup btl - - - - 2,598
    11 Ambroxol tablet 30 mg tablet - - - - 131
    12 Aminofilin tab 200 mg tablet 100 100 - - 82
    13 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    14 Amitriptilin tab 25 mg tablet - - - - 117
    15 Amlodipin 5 mg tab tablet - - - - 192
    16 Amlodipin 10 mg tab tablet - - - - 341
    17 Amoksisilin kapsul 250 mg kapsul - - - - 210
    18 Amoksisilin kapsul 500 mg kapsul 155 1,020 1,503 638 270
    19 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    20 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    21 Ampisilin 500 mg kap kapsul - - - - 400
    22 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    23 Antalgin tablet 500 mg tablet - - - - 116
    24 Antalgin inj ampul - - - - 1,400
    25 Antasida DOEN I tablet kunyah tablet - - - - 74
    26 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    27 Anti bakteri salep komb tube - - - - 2,641
    28 Antifungi DOEN komb salep pot 24 - - 24 2,001
    29 Antimigren: ergotamin tartrat 1mg +kofein 50m tablet - - - - 142
    30 Antihemoroid kombinasi Bismut Subgalat 150m supp 2 - - 2 3,200
    31 Antithrom Jelly tube - - - - 35,200
    32 Aqua pro injeksi steril vial - - - - 2,100
    33 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    34 Artesunate injeksi vial/ktk - - - - 38,999
    35 Asam askorbat ( vit c ) tablet 50 mg tablet 364 1,500 2,034 898 100
    36 Asam Folat tab 1 mg tablet 336 - 10 346 50
    37 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    38 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    39 Asam Traneksamat Injeksi ampul - - - - 2,535
    40 Asetosal tab 100 mg tablet - - - - 122
    41 Asetosal tab 500 mg tablet - - - - 170
    42 Asiklovir krim 5% tube - - - - 2,260
    43 Asiklovir tab 200 mg tablet - - - - 239
    44 Asiklovir tab 400 mg tablet - - - - 345
    45 Asering tablet - - - -
    46 Atropin sulfat injeksi ampul - - - - 1,300
    47 Atropin sulfat tab 0,5 mg tablet - - - - 77
    48 Bedak Salisil Serbuk 2 % bks 10 - 30 40 1,250
    49 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    50 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    51 Besi II Sulfat 200 mg + as.Folat 0,25 mg tablet tablet - - - - 43
    52 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    53 Betametason krim 0,1% tube 40 - 4 44 1,520
    54 Bexicom tab kapsul - - - - 1,650
    55 Bisacodyl 5mg tablet 73 - 17 90 306
    56 Bisoprolol tablet 5 mg tablet 190 200 10 - 669
    57 Bronsolvan 150 mg tablet 170 - 20 190 250
    58 Budenosid resp - - - - 8,900
    59 Captopril tablet 12,5 mg tablet - - - - 62
    60 Captopril tablet 25 mg tablet - - - - 89
    61 Captopril tablet 50 mg tablet 838 500 145 483 141
    62 Carbamazepin 200 mg tablet - - - - 257
    63 Cefadroksil kap 500 mg kapsul 1,500 1,000 280 780 519
    64 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 11 48 51 14 5,064
    65 Cefaleksin kap 500 mg kapsul - - - - 1,100
    66 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    67 Cefixime kap 100 mg kapsul 130 - 80 210 869
    68 Cefotaxim 0,5 gr inj vial - - - - 5,247
    69 Cefotaxim 1 gr inj vial - - - - 3,150
    70 Ceftriaxon injeksi 1 g vial - - - - 3,500
    71 Cetrizine tab 10 mg tablet - - - - 145
    72 Ciprofloxacin infs btl 100 ml - - - - 59,800
    73 Ciprofloxacin 500 mg kapsul 580 - 110 690 260
    74 Cimetidin 200 mg tablet - - - - 120
    75 Clindamycin 150 mg kap tablet - - - - 379
    76 Clindamycin 300 mg kap tablet - - - - 570
    77 Clobazam tab 10 mg tablet 41 - - 41 900
    78 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 53
    79 Chloramfenikol 250 mg kaplet - - - - 262
    80 Chloramfenikol suspensi 125mg / 60ml (Mefami botol 42 20 3 25 3,865
    81 Chloramphenicol Suspensi botol - - - - 3,978
    82 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    83 Chloramfenikol salep mata 1% / 5ml tube 26 24 23 25 1,600
    84 Chloroquin 150 mg tablet - - - - 89
    85 Chlorpromazin tablet 100 mg tablet - - - - 153
    86 Chlorpromazin tablet 25 mg tablet - - - - 71
    87 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    88 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    89 Cotrimoksazol DOEN II (Pediatrik) tablet 594 - 40 634 75
    90 Cotrimoksazol suspensi 60ml botol 73 50 27 50 2,222
    91 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    92 Deksametason tablet 0,5 mg tablet 1,470 1,000 2,525 2,995 64
    93 Diaform tablet - - - - -
    94 Diazepam 2 mg tab tablet - - - - 45
    95 Diazepam injeksi ampul - - - - 4,389
    96 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - - - - 1,107
    97 Digoksin tablet 0,25 mg tablet - - 194 194 100
    98 Diltiazem tab 30 mg tablet - - - - 134
    99 Dimenhidrinat tab tablet - - - - 104
    100 Doksisiklin 100 mg kap tablet - - - - 285
    101 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    102 Domperidone 10 mg tab tablet - - - - 170
    HABIS PAKAI (OBAT & ALKES )
    NUARI 2018

    : APOTEK

    Jumlah Pengeluaran Harga Perolehan


    Ket
    Januari 2018 (Rp) Terakhir

    9 (8x6 ) 10 ( 8x4 ) 11

    36,180 24,120
    - -
    - -
    27,305 109,220
    88 -
    94,166 114,972
    7,560 97,920
    - -
    2,784 38,976
    - -
    - -
    - 8,200
    - -
    - -
    - -
    - -
    - -
    405,810 41,850
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 48,025
    - -
    - 6,400
    - -
    - -
    - -
    - -
    203,400 36,400
    500 16,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    37,500 12,500
    - -
    - -
    - -
    - -
    6,080 60,800
    - -
    5,202 22,338
    6,690 127,110
    5,000 42,500
    - -
    - -
    - -
    20,445 118,158
    - -
    145,320 778,500
    258,264 55,704
    - -
    - -
    69,520 112,970
    - -
    - -
    - -
    - -
    - -
    28,600 150,800
    - -
    - -
    - -
    - 36,900
    - -
    - -
    11,595 162,330
    - -
    - -
    36,800 41,600
    - -
    - -
    - -
    - -
    - -
    3,000 44,550
    59,994 162,206
    - -
    161,600 94,080
    - -
    - -
    - -
    - -
    exp.date jan
    19,400 -
    2018
    - -
    - -
    - -
    - -
    - -
    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA : APOTEK


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN Februari Februari
    A OBAT GENERIK PKD
    Acdat salep tube 4 4 -
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl 4 3 1
    4 ALKOHOL 70 % 1000 ml btl - 2 2 -
    5 Alopurinol tab 100 mg tablet 536 536
    6 Alopurinol tab 300 mg tablet 544 90 454
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet 112 26 86
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet 100 10 90
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet - -
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 155 3,700 1,878 1,977
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 24
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp 2 2
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 364 1,500 1,541 323
    35 Asam Folat tab 1 mg tablet 336 336
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 10 100 33 77
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 40 9 31
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 73 16 57
    54 Bisoprolol tablet 5 mg tablet 190 20 170
    55 Bronsolvan 150 mg tablet 170 28 142
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet 838 200 257 781
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul 1,500 390 1,110
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 11 11
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul 130 110 20
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 580 220 360
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet 41 18 23
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 42 6 36
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 26 13 13
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 594 90 504
    88 Cotrimoksazol suspensi 60ml botol 73 25 71 27
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet 1,470 2,000 2,442 1,028
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul - 8 3 5
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 1
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 168 14 154
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 390 54 336
    114 Garam oralit untuk 200 ml air sachet 24 7 17
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - 14 14
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet 380 105 275
    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 42 33 9
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 12 64 74 2
    136 Ibuprofen tablet 200 mg tablet 579 3,700 3,589 690
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - -
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 214 20 194
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet 526 206 320
    150 Ketokenazole krim 2 % 10 gr tube 37 1 36
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 392 40 352
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - 60 60 -
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 630 600 350 880
    167 Metilergometrin 0,125 mg tablet 222 222
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 438 500 166 772
    171 Metoklopramide 5mg tablet - -
    172 Metoklopramide 10mg tablet 334 400 440 294
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet - 800 90 710
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 33 24 9
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet 208 195 13
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul 80 150 140 90
    191 Ondansentron 4mg tablet - -
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol 37 140 129 48
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol 19 6 13
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - -
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet - 100 100
    209 Pirantel syrup 125mg / 5ml botol 18 6 12
    210 Pitomenadion (Vit-K) 10mg tablet 674 52 622
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol 1 1 -
    216 Povidon Iodida 10% 300ml botol - 1 1 -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 703 85 618
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 200 200
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 250 2,000 608 1,642
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - 1 1 -
    234 Salbutamol 2mg (sebagai sulfat) tablet - -
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps - -
    237 Salbutamol serb inh 200 mcg/kaps tablet - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 24 6 18
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet 474 300 287 487
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - 9 9 -
    252 Supramox Drops 20 ml botol - -
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 1,004 47 957
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    17,136 19,388
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet 412 1400 975 837
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet 680 1000 195 1,485
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    16 Cough En Plus btl - 50 13 37
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol - 16 5 11
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    23 Faxiden gel tube - 10 2 8
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl 30 6 24
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube 9 9
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube 7 20 11 16
    30 Genolon krim tube - -
    Guaifenisin 100mg tablet 409 600 413 596
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 10 2 8
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 429 900 1016 313
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk 78 500 218 360
    41 Intibrox tablet 1,047 1000 526 1,521
    42 Intibrox Syr botol 9 50 28 31
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet - 500 395 105
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 65 9 56
    51 Nalget Kaptab tablet 714 900 884 730
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml - -
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 18 4 14
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 216 216
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 10 10
    Pyreksin 160mg tablet/supp 10 10
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 84 150 84 150
    74 Proneuron tablet 92 600 311 381
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 29 2 27
    77 Quantidex tablet tablet 635 166 469
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - 2 2 -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - 1 1 -
    89 Stick Glukosa botol - 2 2 -
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 23 12 11
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    5,227 7,646
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Ambroxol 30 mg tablet - -
    3 Amlodipin tablet 264 120 33 351
    4 Antalgin tablet 500 mg tablet 350 10 340
    5 Antasida DOEN I tablet kunyah tablet - -
    6 Antimigren ergotamin tablet - 200 31 169
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    8 Asam ascorbat (vit C) 50 mg tablet - -
    9 Asam Mefenamat kaplet 500 mg kaplet - -
    10 Asiklovir krim 5% tube - -
    11 Asiklovir tab 200 mg tablet 988 988
    12 Asiklovir tab 400 mg tablet 435 104 331
    13 Arimed / Meloxicam 15 mg tablet - -
    14 Becefort syr btl - -
    15 Becefort tablet - 100 10 90
    16 Betametason Cream tube - -
    17 Bioplacenton tube - -
    18 Bisolvon Extra Syrup btl - -
    19 Bisoprolol 5mg tablet - -
    20 Captopril tablet 12,5 mg tablet 177 177
    21 Captopril 25 mg tablet - -
    22 Cefadroksil kap 500 mg kapsul - -
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    24 Cefixime 100 mg tablet - -
    25 Ciprofloxacin 500 mg kapsul - -
    26 Clindamicyn 300 mg kapsul - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet 1,900 3,000 2,500 2,400
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,344 50 1,294
    29 Copper T ktk - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - -
    31 Diaform tablet - -
    32 Dimenhidrinat tab tablet - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - -
    35 Fg Troches tablet - -
    36 Flukonazol tab 150 mg kapsul 30 30
    37 Fituno tablet - -
    38 Gentian Violet botol - -
    39 Glibenclamide 5 mg tablet 818 818
    40 Gliseril Guaikolat 100 mg tablet - -
    41 Griseovulvin tablet 125 mg tablet 1,124 62 1,062
    42 Hemaforf tablet 490 490
    43 Hidrokortison krim 2,5% tube - -
    44 Holicos ( Ambroxol ) syrup btl - -
    45 Hustab tablet - -
    46 Ibuprofen tablet 400 mg tablet - -
    47 Isotic Neolyson Tetes Mata btl - -
    48 Isotic Clearens Tetes Mata btl - -
    49 Kasa 4m x 15cm roll - -
    50 Levofloxacin 500 mg tablet 60 10 50
    51 Lidokain injeksi ampul - -
    52 Livron B Plek tablet - -
    53 Loperamid 2mg tablet 587 164 423
    54 Metaneuron tablet - -
    55 Metilergometrin tablet 256 75 181
    56 Metilprednisolon 4mg tablet - -
    57 Mucohexin tablet - -
    58 Natrium Diklofenat 25mg tablet - -
    59 Natrium Diklofenat 50 mg tablet - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    61 Neurovit - E kaplet - -
    62 Nistatin tab 100.000 iu tab vaginal 124 25 99
    63 Nodiar tablet - -
    64 Noza tablet - -
    65 OBH Indo Plus syrup botol - -
    66 Oxfezin syrup botol - -
    67 Oksitetrasiklin salep kulit 3% tube 64 25 39
    68 Oksitetrasiklin inj ampul - -
    69 Omeprazol kapsul 20 mg kapsul - -
    70 Parasetamol syrup 120mg / 5ml botol - -
    71 Pehavral tablet - -
    72 Piroxicam 20 mg tablet 368 368
    73 Pehacort / Prednison 5mg tablet - -
    74 Pyridoksin (vit.B6) tablet - -
    75 Propanolol 40mg tablet - -
    76 Propituracil 100 mg tablet - -
    77 Prolysin Plus syrup botol - -
    78 Pularex Attalpugit 600 mg tablet - -
    79 Ranitidine inj tablet - -
    80 Ranitidin 150mg tablet - -
    81 Ringer Laktat larutan infus 500ml botol - -
    82 Salbutamol syr botol - -
    83 Salbutamol 2 mg tablet 363 108 255
    84 Salbutamol 4mg (sebagai sulfat) tablet 770 770
    85 Sanbe Kids syrup botol - -
    86 Sagestam Cream tube - -
    87 Scabimite Cream tube 11 1 10
    88 Simvastatin 10 mg tablet - -
    89 Tab Fe tablet 720 20 700
    90 Tramadol Tablet 200 200
    91 Tryhexilpenidil tablet 200 50 150
    92 Zinc Disperibel tablet - -
    93 Oxycan btl - -
    94 cimetidin tab 200 mg tablet - -
    95 Alat Suntik 3 cc pcs - -
    96 Mikrodiol ktk - -
    11,643 11,785
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 34,006 38,819

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - 300 300 -
    5 Alat suntik sekali pakai 2,5 ml pcs - -
    2 Alat suntik sekali pakai 3 ml pcs - -
    3 Alat suntik sekali pakai 5 ml pcs - -
    4 Alat suntik sekali pakai 10 ml pcs - 10 10 -
    6 Alkohol Swab CHG 0,5 % pcs - 600 200 400
    Blood Lahat pcs - -
    7 Blood Transfusion Set pcs - -
    8 Catgut/benang bedah no. 3/0 pcs - -
    9 Catgut/benang bedah no.2/0 pcs - -
    Examination Lower Glove ( M ) pcs - 50 50 -
    Examination Lower Glove ( L ) pcs - -
    10 Folley Catheter no 16W pcs - -
    11 Folley Catheter no 18W pcs - -
    12 Folley Catheter no 20W pcs - -
    13 Handscoon no 7 pcs - 190 90 100
    14 Handscoon no 7,5 pcs - 25 25 -
    15 Handscoon no 8 pcs - -
    Hcg (Tes Pack) pcs 19 19
    16 Hidrogen Peroksida 3% btl - -
    17 I.V Catheter no.18 pcs - -
    18 I.V Catheter no.20 pcs - -
    19 I.V Catheter no.22 pcs - -
    20 I.V Catheter no.24 pcs - -
    21 Infusion set anak set - -
    22 Infusion set dewasa set - -
    24 kapas pembalut berlemak 500 mg Bks - -
    23 Kapas pembalut 500 gram Bks - -
    25 Kapas pembalut/absorben 250 gram Bks - -
    26 Kasa Hidrofil 16x16 16 pcs/ktk - 10 10
    28 Kasa Hidrofil 40 x 40 pcs - -
    29 Kasa Hidrofil 4 x 15 cm roll - -
    30 Kasa Hidrofil 4 x 3 cm roll - -
    27 Kasa Hidrofil 4 x 5 cm roll - -
    34 Kasa Pembalut 2 x 80 cm Rol - 25 15 10
    31 Kasa Pembalut Elastis 3 Inchi Rol - -
    32 Kasa Pembalut Elastis 4 Inchi Rol - -
    33 Kasa hidrofil ukuran 36 x 80cm Rol - -
    35 Lysol btl - 2 2 -
    36 Masker ear lopp pcs - 500 400 100
    37 Masker Tie On pcs - -
    38 Oxycan btl - -
    39 Pembalut elastis 10 cm x 4.55m pcs - -
    40 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 -
    41 Pembalut Gips 6 Inchi Rol - -
    42 Plester 5 yard x 2 inch Rol - -
    44 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    46 Semillas Non Woven Medical Tape (10 x 100c roll - -
    43 Semillas Non Woven Medical Tape (5 x 500cm roll - -
    45 Semillas Non Woven Medical Tape (10 x 500c roll - 1 1
    48 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    47 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    49 Stomach Tube pcs - -
    50 Surgical Blades No. 10 pcs - -
    51 Surgical Blades No. 11 pcs - 2 2 -
    52 Surgical Blades No. 13 pcs - -
    53 Surgical Blades No. 21 ( Bisturi ) pcs - -
    54 Surgical Blades No. 23 pcs - -
    Surgical Steril Powder Glove (S) pcs - 45 45 -
    Surgical Steril Powder Glove (M) pcs - 25 25 -
    Surgical Steril Powder Glove (L) pcs - -
    55 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    56 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    57 Urine bag pcs - -
    58 Umbilical Cord Klem Steril Nylon pcs - -
    59 wing nedle No.21 pcs - -
    60 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 19 640
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 34,025 39,459

    Pangkalan Kasai, 25 Februari 2018


    Mengetahui, Penanggung Jawab
    Kepala UPT Pusksemas Pangkalan Kasai APOTEK

    drg. DWIYANA SYAHPUTRI SINTICE, Amd.Farm


    NIP. 197507232008012007
    N PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    : APOTEK

    Ket
    25 Februari 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALKES
    PER 25 FEBRUARI 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Saldo Hasil Penyesuaian Saldo


    SATUAN HARGA
    No. Nama Obat Cek Fisik 25 Saldo Awal
    KEMASAN Penerimaan Pengeluaran SATUAN
    Februari
    Februari Februari
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    Acdat salep tube - - 4 4
    1 Albendazol suspensi 200 mg/5 ml btl - - - - 4,041
    2 Albendazol tab 400 mg tablet - - - - 350
    3 Alkohol 70 % 100 ml btl 1 - 3 4 2,575
    4 ALKOHOL 70 % 1000 ml btl - 2 2 - 27,305
    5 Alopurinol tab 100 mg tablet 536 - - 536 88
    6 Alopurinol tab 300 mg tablet 454 - 90 544 215
    7 Alprazolam 0,5 mg tab tablet - - - - 180
    8 Alprazolam 1 mg tab tablet 86 - 26 112 233
    9 Ambroxol sirup btl - - - - 2,598
    10 Ambroxol tablet 30 mg tablet - - - - 131
    11 Aminofilin tab 200 mg tablet 90 - 10 100 82
    12 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    13 Amitriptilin tab 25 mg tablet - - - - 117
    14 Amlodipin 5 mg tab tablet - - - - 192
    15 Amlodipin 10 mg tab tablet - - - - 341
    16 Amoksisilin kapsul 250 mg kapsul - - - - 210
    17 Amoksisilin kapsul 500 mg kapsul 1,977 3,700 1,878 155 270
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    19 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    20 Ampisilin 500 mg kap kapsul - - - - 400
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    22 Antalgin tablet 500 mg tablet - - - - 116
    23 Antalgin inj ampul - - - - 1,400
    24 Antasida DOEN I tablet kunyah tablet - - - - 74
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    26 Anti bakteri salep komb tube - - - - 2,641
    27 Antifungi DOEN komb salep pot 24 - - 24 2,001
    28 Antimigren: ergotamin tartrat 1mg +kofe tablet - - - - 142
    29 Antihemoroid kombinasi Bismut Subgala supp 2 - - 2 3,200
    30 Antithrom Jelly tube - - - - 35,200
    31 Aqua pro injeksi steril vial - - - - 2,100
    32 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    33 Artesunate injeksi vial/ktk - - - - 38,999
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 323 1,500 1,541 364 100
    35 Asam Folat tab 1 mg tablet 336 - - 336 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    37 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    38 Asam Traneksamat Injeksi ampul - - - - 2,535
    39 Asetosal tab 100 mg tablet - - - - 122
    40 Asetosal tab 500 mg tablet - - - - 170
    41 Asiklovir krim 5% tube - - - - 2,260
    42 Asiklovir tab 200 mg tablet - - - - 239
    43 Asiklovir tab 400 mg tablet - - - - 345
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - - 1,300
    46 Atropin sulfat tab 0,5 mg tablet - - - - 77
    47 Bedak Salisil Serbuk 2 % bks 77 100 33 10 1,250
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg t tablet - - - - 43
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    52 Betametason krim 0,1% tube 31 - 9 40 1,520
    53 Bexicom tab kapsul - - - - 1,650
    Bisacodyl 5mg tablet 57 - 16 73 306
    54 Bisoprolol tablet 5 mg tablet 170 - 20 190 669
    55 Bronsolvan 150 mg tablet 142 - 28 170 250
    56 Budenosid resp - - - - 8,900
    57 Captopril tablet 12,5 mg tablet - - - - 62
    58 Captopril tablet 25 mg tablet - - - - 89
    59 Captopril tablet 50 mg tablet 781 200 257 838 141
    60 Carbamazepin 200 mg tablet - - - - 257
    61 Cefadroksil kap 500 mg kapsul 1,110 - 390 1,500 519
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 11 - - 11 5,064
    63 Cefaleksin kap 500 mg kapsul - - - - 1,100
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    65 Cefixime kap 100 mg kapsul 20 - 110 130 869
    66 Cefotaxim 0,5 gr inj vial - - - - 5,247
    67 Cefotaxim 1 gr inj vial - - - - 3,150
    68 Ceftriaxon injeksi 1 g vial - - - - 3,500
    69 Cetrizine tab 10 mg tablet - - - - 145
    70 Ciprofloxacin infs btl 100 ml - - - - 59,800
    71 Ciprofloxacin 500 mg kapsul 360 - 220 580 260
    72 Cimetidin 200 mg tablet - - - - 120
    73 Clindamycin 150 mg kap tablet - - - - 379
    74 Clindamycin 300 mg kap tablet - - - - 570
    75 Clobazam tab 10 mg tablet 23 - 18 41 900
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 53
    77 Chloramfenikol 250 mg kaplet - - - - 262
    78 Chloramfenikol suspensi 125mg / 60ml (M botol 36 - 6 42 3,865
    79 Chloramphenicol Suspensi botol - - - - 3,978
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    81 Chloramfenikol salep mata 1% / 5ml tube 13 - 13 26 1,600
    82 Chloroquin 150 mg tablet - - - - 89
    83 Chlorpromazin tablet 100 mg tablet - - - - 153
    84 Chlorpromazin tablet 25 mg tablet - - - - 71
    85 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 504 - 90 594 75
    88 Cotrimoksazol suspensi 60ml botol 27 25 71 73 2,222
    89 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    90 Deksametason tablet 0,5 mg tablet 1,028 2,000 2,442 1,470 64
    91 Diaform tablet - - - - -
    92 Diazepam 2 mg tab tablet - - - - 45
    93 Diazepam injeksi ampul - - - - 4,389
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl ampul - - - - 1,107
    95 Digoksin tablet 0,25 mg tablet - - - - 100
    96 Diltiazem tab 30 mg tablet - - - - 134
    97 Dimenhidrinat tab tablet - - - - 104
    98 Doksisiklin 100 mg kap tablet - - - - 285
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    100 Domperidone 10 mg tab tablet - - - - 170
    101 Domperidone drop 5mg / ml botol - - - - 16,350
    102 Ekstrak beladon 10 mg tab tablet - - - - 33
    103 Epinefrin injeksi ampul - - - - 8,505
    104 Erytromicyn 250 mg kapsul 5 8 3 - 497
    105 Erythromisin 500 mg kap kapsul - - - - 976
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 - - 1 7,893
    107 Fenilbutason tab 200 mg tablet 750 - - 750 102
    108 Ferosulfat tab tablet - - - - 21
    109 Flukonazol tab 150 mg kapsul - - - - 23,100
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - - 1,920
    111 Furosemid tablet, 40 mg tablet 154 - 14 168 94
    112 Fucilex Krim / Natrium Fucilat tube 7 - - 7 6,555
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - 54 390 50
    114 Garam oralit untuk 200 ml air sachet 17 - 7 24 303
    115 Geriavita kapsul - - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - - 1,469
    117 Gentamisin sulfat tetes mata 0,3 % btl 14 14 - - 3,353
    118 Gentamisin injeksi ampul - - - - 3,569
    119 Gentian Violet larutan 1 % btl 10 ml - - - - 945
    120 Glibenklamida tablet 5 mg tablet - - - - 58
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - - 5,985
    123 Glukosa larutan infus 40 % steril amp - - - - 2,577
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - - 5,460
    125 Grafula-DHA tablet - - - - 2,200
    126 Griseovulvin tablet 125 mg tablet - - - - 230
    127 Haloperidol 0,5 mg tablet - - - - 100
    128 Haloperidol 1,5 mg tablet 275 - 105 380 61
    129 Haloperidol 5 mg tablet - - - - 72
    130 Hemafort tablet - - - - -
    131 Hidrokortison krim 2,5% tube 9 - 33 42 2,798
    132 Hufabetamin Syrup btl - - - - 5,900
    133 Hustab tablet - - - - -
    134 Hustadin Syrup btl - - - - 16,500
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 2 64 74 12 4,724
    136 Ibuprofen tablet 200 mg tablet 690 3,700 3,589 579 116
    137 Ibuprofen tablet 400 mg tablet - - - - 153
    138 Ika Neurom Injeksi ampul - - - - 5,445
    139 Imunvit Plus Kap kaplet - - - - 6,500
    140 Intibrox (Ambroksol) tablet - - - - 203
    141 Intibrox (Ambroksol) Syrup botol - - - - 6,200
    142 Isoniazid tab 100 mg tablet - - - - 68
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 194 - 20 214 93
    144 KA EN 1 B botol - - - - 9,000
    145 KA EN 3 A botol - - - - 10,000
    146 KA EN 3 B botol - - - - 10,000
    147 KA EN MG 3 botol - - - - 9,625
    148 Kalium Diklofenak 50 mg tablet - - - - 743
    149 Kalsium Laktat 500 mg tablet 320 - 206 526 73
    150 Ketokenazole krim 2 % 10 gr tube 36 - 1 37 2,569
    151 Ketokenazole krim 2 % 15 gr tube - - - - 4,930
    152 Ketokonazol 200 mg tablet 352 - 40 392 310
    153 Ketorolac inj 10 mg ampul - - - - 1,697
    154 Ketorolac inj 30 mg ampul - - - - 2,539
    155 Klonidin 0,15 mg tablet 300 - - 300 214
    156 Kodein tablet 10 mg tablet - - - - 525
    157 Kombines : Ipratropium bromida inhalasi vial - - - - 879
    158 Lidokain injeksi 2% / 2ml ampul - - - - 879
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - 60 60 - 1,431
    160 Levofloksasin 500 mg tablet - - - - 554
    161 Loratidin 10 mg tablet - - - - 162
    162 Loperamid 2mg tablet - - - - 92
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - - 3,500
    164 Mebendazol Syrup 100mg / 5ml botol - - - - 3,711
    165 Mebendazol 100mg tablet - - - - 239
    166 Megatic Emulgel tube - - - - 11,500
    Metformin HCL 50 mg kapsul 880 600 350 630 99
    167 Metilergometrin 0,125 mg tablet 222 - - 222 127
    168 Metilergometrin injeksi ampul - - - - 2,750
    169 Metilprednisolon injeksi 500 mg vial - - - - 92,990
    170 Metilprednisolon 4mg tablet 772 500 166 438 210
    171 Metoklopramide 5mg tablet - - - - 108
    172 Metoklopramide 10mg tablet 294 400 440 334 105
    173 Metronidazol 250mg tablet - - - - 113
    174 Metronidazol 500mg tablet 710 800 90 - 164
    175 Mikrodiol ktk - - - - -
    176 Mikonazol krim 2% tube 9 - 24 33 3,000
    177 Momethasone furoat krim 0,1 % tube - - - - 17,820
    178 Mulsanol Drop btl - - - - 18,500
    179 Natrium Diklofenat 25mg tablet - - - - 141
    180 Natrium Diklofenat 50mg tablet - - - - 185
    181 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    182 Nevirapin 200mg tablet - - - - 2,940
    183 Nifedipin 10mg tablet 13 - 195 208 110
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - - 2,999
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - - 672
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - - 504
    187 Ofloxacin 400 mg tablet - - - - 680
    188 Oksitetrasiklin HCl salep mata 1% tube - - - - 1,600
    189 Oksitetrasiklin salep kulit 3% tube - - - - 1,606
    190 Omeprazol kapsul 20 mg kapsul 90 150 140 80 216
    191 Ondansentron 4mg tablet - - - - 180
    192 Oksitosin injeksi ampul - - - - 1,900
    193 Ostine kapsul - - - - 375
    194 Otsu-KCL 7,46% ampul - - - - 297
    195 Papaverin 40mg tablet - - - - 122
    196 Parasetamol 500mg tablet - - - - 84
    197 Parasetamol drops botol - - - - 5,460
    198 Parasetamol syrup 120mg / 5ml botol 48 140 129 37 1,496
    199 Penoksimetil Penisilin 500mg tablet - - - - 535
    200 Penolgliserol tetes telinga 10% / 5ml botol 13 - 6 19 1,058
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - - - - 24,150
    202 Permetrin krim 5% (Scabicid) tube - - - - 11,475
    203 Pethidin injeksi ampul - - - - 1,523
    204 Phenobarbital 30mg tablet - - - - 31
    205 Phenobarbital injeksi 50mg/ml ampul - - - - 1,890
    206 Piracetam injeksi 3g / 15ml ampul - - - - 4,200
    207 Piracetam 800mg tablet - - - - 321
    208 Pirantel Score (base ) 125mg tablet 100 100 - - 308
    209 Pirantel syrup 125mg / 5ml botol 12 - 6 18 8,728
    210 Pitomenadion (Vit-K) 10mg tablet 622 - 52 674 666
    211 Pitomenadion inj. 2mg ampul - - - - 3,582
    212 Poncodryl (DMP) syr botol - - - - 25,300
    213 Pitomenadion inj. 10mg ampul - - - - 3,582
    214 Povidon Iodida 10% 30ml botol - - - - 2,250
    215 Povidon Iodida 10% 60ml botol - - 1 1 6,298
    216 Povidon Iodida 10% 300ml botol - 1 1 - 14,771
    217 Povidon Iodida 10% 1000ml botol - - - - 38,594
    218 Pravastatin 20mg tablet - - - - 2,400
    219 Prednison 5mg tablet 618 - 85 703 119
    220 Primakuin 15mg tablet - - - - 205
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - - 7,549
    222 Propanolol HCl 10mg tablet - - - - 79
    223 Propanolol 40mg tablet 200 - - 200 110
    224 Propiltiourasil 100mg tablet - - - - 335
    225 Quinine tablet - - - - 704
    226 Ramipril 5mg tablet - - - - 600
    227 Ranitidin inj 25mg / 2ml ampul - - - - 1,190
    228 Ranitidin 150mg tablet 1,642 2,000 608 250 126
    229 Reserpin 0,10mg tablet - - - - 85
    230 Reserpin 0,25 mg tablet - - - - 109
    231 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    232 Risperidon 2mg tablet - - - - 1,038
    233 Rivanol larutan 0,1% botol - 1 1 - 2,283
    234 Salbutamol 2mg (sebagai sulfat) tablet - - - - 62
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - - 85
    236 Salbutamol serbuk inh 200mcg/caps+rotah caps - - - - 11,550
    237 Salbutamol serb inh 200 mcg/kaps tablet - - - - 452
    238 Salbutamol cairan inh 0,1% (Ventolin Neb botol - - - - 6,930
    239 Salep 2-4 pot 18 - 6 24 2,100
    240 Serum Anti Tetanus ampul - - - - 126,000
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - - 1,131
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - - 60
    243 Simvastatin 10mg tablet - - - - 174
    Simvastatin 20mg tablet 487 300 287 474 239
    244 Spiramisin 500mg tablet - - - - 1,574
    245 Stesolid inj ampul - - - - 17,604
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - - 17,604
    248 Streptomisin injeksi 1 g/ml vial - - - - 3,832
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - - 3,387
    250 Sulfatdoksin 500mg tablet - - - - 544
    251 Sukralfat suspensi 500mg/5ml (Ulsafate S botol - 9 9 - 13,850
    252 Supramox Drops 20 ml botol - - - - 21,300
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - - 30,800
    254 Tetrasiklin 250mg kapsul - - - - 154
    255 Tetrasiklin 500mg kapsul - - - - 312
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - - 700
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - - 37
    258 Tramadol 50mg kapsul - - - - 192
    259 Tuzalos kaplet - - - - -
    260 Vitamin B6 tablet - - - - 47
    261 Vitamin B Kompleks tablet - - - - 110
    262 Vitaplex drop botol - - - - 26,400
    263 Zinc Disperibel tablet 957 - 47 1,004 497
    264 Zink drop 10mg / 5ml botol - - - - 12,840
    265 Zirkum Kid syrup 20mg / 5ml botol - - - - 7,770
    19,388 17,136
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet 837 1,400 975 412 348
    3 Antithrom tube - - - - 35,200
    4 Arimed 15 mg tablet - - - - 1,617
    5 Asifit tablet - - - -
    6 Asonfen tab tablet 1,485 1,000 195 680 140
    7 Amobiotic Drop btl - - - - 23,100
    8 Becefort tab kotak/100 tablet - - - - 1,500
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - - 1,670
    11 Bisolvon Ekstra Sirup botol 60 ml - - - - 32,625
    12 Brochifar tablet - - - - 478
    13 Bromifar tablet - - - - 225
    14 Burnazin tube - - - -
    15 Caltrax btl - - - - 27,500
    16 Cough En Plus btl 37 50 13 - 23,000
    17 Dasabion tablet - - - - 979
    18 Dehaf sachet - - - - 9,167
    19 Dumin Rectal 250 mg supp - - - - 16,280
    20 Dumin Rectal 125 mg supp - - - - 11,660
    Donexan Syrup Botol 11 16 5 - 27,500
    21 Erlamycetine Ear Drop botol 10 ml - - - - 4,840
    22 Erya Forte 500 mg kapsul kapsul - - - - 231
    23 Faxiden gel tube 8 10 2 - 12,000
    24 Fludane kapsul kapsul - - - - 735
    25 Fludane Plus tablet - - - - 880
    26 Flutop C Syrup btl 24 - 6 30 10,000
    27 Fituno kapsul - - - - 1,210
    28 Fucilex/ natrium fucilat criem tube 9 - - 9 6,555
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    Genalten (Gentamicyn) cream tube 16 20 11 7
    30 Genolon krim tube - - - - 26,400
    Guaifenisin 100mg tablet 596 600 413 409 127
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - - 2,167
    33 Hico Gel tube 8 - 2 10 25,000
    34 Hidrogen Peroksida 3% btl 1 liter - - - - 39,000
    35 Holicos Syrup Botol 60 ml - - - - 32,625
    36 Hufabetamin Syrup btl - - - - 5,900
    37 Hustadin Syr btl - - - - 16,500
    38 Hustab tablet 313 900 1,016 429 300
    39 Ika Neurom Injeksi ampul - - - - 5,445
    40 Imunvit Plus Kap Kaplet - - - - 3,325
    Intunal Forte 100 tablet/ktk 360 500 218 78
    41 Intibrox tablet 1,521 1,000 526 1,047 203
    42 Intibrox Syr botol 31 50 28 9 6,200
    43 Isotic Clearens Botol - - - - 9,000
    44 Isotic Neolyson Botol - - - - 28,750
    45 Jovial Sachet sachet - - - - 4,180
    46 Livron B. Plex Ds 10x10 tab - - - - 250
    Maltiron Plus Tablet 105 500 395 - 1,169
    47 Metaflu tablet - - - - 220
    48 Metamizol 500mg tablet - - - - 12,833
    49 Mucohexin tab tablet - - - - 506
    50 Mulsanol Syrup botol 60 ml 56 - 9 65 9,000
    51 Nalget Kaptab tablet 730 900 884 714 400
    52 Natavit Soft Cut kapsul - - - - 3,017
    53 Neocenta Gel tube - - - - 20,000
    54 Neo diaform ktk - - - - 140
    55 Neurovit-e dus 6x10 tab - - - - 1,027
    56 Neurodial kaplet 211 - - 211 1,260
    57 Nodiar tablet - - - - 1,210
    58 Noza tablet - - - - 891
    59 Novakal syrup btl - - - - 9,498
    60 OBH Indo Plus botol 100 ml - - - - 12,100
    61 OBH Inti Syr botol 100 ml - - - - -
    OBH Intrasal Syr botol 14 - 4 18 12,000
    62 Osteor plus kaplet - - - - 6,325
    63 Ostine Kapsul kapsul 216 - - 216 3,750
    64 Ondansetron tablet - - - - 495
    65 Oxfezin Syrup botol 100 ml - - - - 56,100
    66 Panstonal Forte 500 mg tablet - - - - 297
    67 Poncodryl DMP Syrup btl - - - - 25,300
    68 Ponflu tablet - - - - 715
    69 Pehavral tablet - - - - 693
    70 Pehacort tablet - - - - 145
    Pyreksin 60mg tablet/supp 10 - - 10
    Pyreksin 160mg tablet/supp 10 - - 10
    71 Prenase tab tablet - - - - 86,350
    72 Procalma Soft Kapsul 30 kap/ktk - - - - 3,850
    73 Prolysin Syrup Plus botol 100 ml - - - - 30,800
    Prombus tablet 150 150 84 84
    74 Proneuron tablet 381 600 311 92 1,100
    75 Pularex Attalpulgit 600 mg tablet - - - - 210
    76 Quantidex Syr botol 27 - 2 29 10,000
    77 Quantidex tablet tablet 469 - 166 635 850
    78 Reagen Golongan Darah Anti A 10ml botol - - - - 100,000
    79 Reagen Golongan Darah Anti B 10ml botol - 2 2 - 100,000
    80 Reagen Golongan Darah Anti D 10ml botol - - - - 125,000
    81 Sagestam Cream tube - - - - 13,090
    82 Sanbe Kids botol 200 ml - - - - 38,500
    83 Sanvita B sirup btl - - - - 11,550
    84 Scabimite cream 10 mg tube - - - - 77,000
    85 Serum Anti Bisa Ular amp - - - - 473,000
    86 Supramox drops 20 ml btl - - - - 21,300
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    88 Stick Asam Urat botol - 1 1 - 6,800
    89 Stick Glukosa botol - 2 2 - 5,600
    90 Stik Kolesterol botol - - - - 28,000
    91 Supramox Drops 20 ml botol 11 - 12 23 21,300
    92 Tuzalos kap kapsul - - - - 781
    93 Vitaplex drop btl - - - - 26,400
    7,646 5,227
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - - - - 270
    2 Ambroxol 30 mg tablet - - - - -
    3 Amlodipin tablet 351 120 33 264
    4 Antalgin tablet 500 mg tablet 340 - 10 350
    5 Antasida DOEN I tablet kunyah tablet - - - - 74
    6 Antimigren ergotamin 169 200 31 - -
    7 Antihemoroid kombinasi Bismut Subgala supp - - - - 3,685
    8 Asam ascorbat (vit C) 50 mg tablet - - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet - - - - 209
    10 Asiklovir krim 5% tube - - - - 2,260
    11 Asiklovir tab 200 mg tablet 988 - - 988 239
    12 Asiklovir tab 400 mg tablet 331 - 104 435 345
    13 Arimed / Meloxicam 15 mg tablet - - - - 8,085
    14 Becefort syr btl - - - - 17,000
    15 Becefort tablet 90 100 10 - 1,500
    16 Betametason Cream tube - - - - -
    17 Bioplacenton tube - - - - -
    18 Bisolvon Extra Syrup btl - - - - 32,625
    19 Bisoprolol 5mg tablet - - - - -
    20 Captopril tablet 12,5 mg tablet 177 - - 177 62
    21 Captopril 25 mg tablet - - - - -
    22 Cefadroksil kap 500 mg kapsul - - - - 519
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - - 5,064
    24 Cefixime 100 mg tablet - - - - -
    25 Ciprofloxacin 500 mg kapsul - - - - 513
    26 Clindamicyn 300 mg kapsul - - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet 2,400 3,000 2,500 1,900 77
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,294 - 50 1,344 145
    29 Copper T ktk - - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - - 979
    31 Diaform tablet - - - - 140
    32 Dimenhidrinat tab tablet - - - - 95
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - - 2,970
    34 Erlamycetin Ear Drop Tetes Telinga btl - - - - 4,840
    35 Fg Troches tablet - - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30 23,100
    37 Fituno tablet - - - - 4,033
    38 Gentian Violet botol - - - - -
    39 Glibenclamide 5 mg tablet 818 - - 818 -
    40 Gliseril Guaikolat 100 mg tablet - - - - -
    41 Griseovulvin tablet 125 mg tablet 1,062 - 62 1,124 230
    42 Hemaforf tablet 490 - - 490 850
    43 Hidrokortison krim 2,5% tube - - - - 2,399
    44 Holicos ( Ambroxol ) syrup btl - - - - 23,100
    45 Hustab tablet - - - - 300
    46 Ibuprofen tablet 400 mg tablet - - - - 153
    47 Isotic Neolyson Tetes Mata btl - - - - 28,750
    48 Isotic Clearens Tetes Mata btl - - - - 10,750
    49 Kasa 4m x 15cm roll - - - - -
    50 Levofloxacin 500 mg tablet 50 - 10 60 -
    51 Lidokain injeksi ampul - - - - -
    52 Livron B Plek tablet - - - - 250
    53 Loperamid 2mg tablet 423 - 164 587 92
    54 Metaneuron tablet - - - - 1,283
    55 Metilergometrin tablet 181 - 75 256 -
    56 Metilprednisolon 4mg tablet - - - - 210
    57 Mucohexin tablet - - - - 506
    58 Natrium Diklofenat 25mg tablet - - - - 141
    59 Natrium Diklofenat 50 mg tablet - - - - -
    60 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    61 Neurovit - E kaplet - - - - 1,027
    62 Nistatin tab 100.000 iu tab vaginal 99 - 25 124 -
    63 Nodiar tablet - - - - 1,210
    64 Noza tablet - - - - 891
    65 OBH Indo Plus syrup botol - - - - 12,100
    66 Oxfezin syrup botol - - - - 56,100
    67 Oksitetrasiklin salep kulit 3% tube 39 - 25 64 2,200
    68 Oksitetrasiklin inj ampul - - - - 5,500
    69 Omeprazol kapsul 20 mg kapsul - - - - 216
    70 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    71 Pehavral tablet - - - - 693
    72 Piroxicam 20 mg tablet 368 - - 368 119
    73 Pehacort / Prednison 5mg tablet - - - - 145
    74 Pyridoksin (vit.B6) tablet - - - - -
    75 Propanolol 40mg tablet - - - - 114
    76 Propituracil 100 mg tablet - - - - -
    77 Prolysin Plus syrup botol - - - - 30,800
    78 Pularex Attalpugit 600 mg tablet - - - - 210
    79 Ranitidine inj tablet - - - - -
    80 Ranitidin 150mg tablet - - - - 108
    81 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    82 Salbutamol syr botol - - - - -
    83 Salbutamol 2 mg tablet 255 - 108 363 -
    84 Salbutamol 4mg (sebagai sulfat) tablet 770 - - 770 85
    85 Sanbe Kids syrup botol - - - - 38,500
    86 Sagestam Cream tube - - - - 13,090
    87 Scabimite Cream tube 10 - 1 11 77,000
    88 Simvastatin 10 mg tablet - - - - -
    89 Tab Fe tablet 700 - 20 720 -
    90 Tramadol Tablet 200 - - 200 -
    91 Tryhexilpenidil tablet 150 - 50 200 44
    92 Zinc Disperibel tablet - - - - 497
    93 Oxycan btl - - - - -
    94 cimetidin tab 200 mg tablet - - - - 113
    95 Alat Suntik 3 cc pcs - - - - 4,400
    96 Mikrodiol ktk - - - - -
    11,785 11,643
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - - 390,000
    2 Etil klorida btl - - - - 125,000
    3 Eugenol Cairan btl - - - - 17,500
    4 Glass Ionomer btl - - - - 395,000
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - - 242,000
    6 Klorfenol kamfer menthol(CHKM) btl - - - - 55,000
    7 Mummifying pasta btl - - - - 176,000
    8 Semen seng fosfat set - - - - 93,500
    9 Temporary stoping fletcher set - - - - 34,000
    - -
    SISA OBAT DALAM RUPIAH 38,819 34,006

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - 300 300 - 826
    2 Alat suntik sekali pakai 2,5 ml pcs - - - - 826
    3 Alat suntik sekali pakai 3 ml pcs - - - - 826
    4 Alat suntik sekali pakai 5 ml pcs - - - - 953
    5 Alat suntik sekali pakai 10 ml pcs - 10 10 - 1,175
    6 Alkohol Swab CHG 0,5 % pcs 400 600 200 - 197
    7 Blood Lahat pcs - - - - 153
    8 Blood Transfusion Set pcs - - - - 4,572
    9 Catgut/benang bedah no. 3/0 pcs - - - - 22,500
    10 Catgut/benang bedah no.2/0 pcs - - - - 22,500
    11 Examination Lower Glove ( M ) pcs - 50 50 - 464
    12 Examination Lower Glove ( L ) pcs - - - - 464
    13 Folley Catheter no 16W pcs - - - - 8,000
    14 Folley Catheter no 18W pcs - - - - 8,000
    15 Folley Catheter no 20W pcs - - - - 8,000
    16 Handscoon no 7 pcs 100 190 90 - 1,300
    17 Handscoon no 7,5 pcs - 25 25 - 1,300
    18 Handscoon no 8 pcs - - - - 1,300
    19 Hcg (Tes Pack) pcs 19 - - 19 1,495
    20 Hidrogen Peroksida 3% btl - - - - 39,000
    21 I.V Catheter no.18 pcs - - - - 8,085
    22 I.V Catheter no.20 pcs - - - - 8,085
    23 I.V Catheter no.22 pcs - - - - 8,085
    24 I.V Catheter no.24 pcs - - - - 8,085
    25 Infusion set anak set - - - - 4,445
    26 Infusion set dewasa set - - - - 4,064
    27 kapas pembalut berlemak 500 mg Bks - - - - 34,000
    28 Kapas pembalut 500 gram Bks - - - - 34,000
    29 Kapas pembalut/absorben 250 gram Bks - - - - 24,000
    30 Kasa Hidrofil 16x16 16 pcs/ktk 10 10 - - 7,900
    31 Kasa Hidrofil 40 x 40 pcs - - - - 1,800
    32 Kasa Hidrofil 4 x 15 cm roll - - - - 3,800
    33 Kasa Hidrofil 4 x 3 cm roll - - - - 800
    34 Kasa Hidrofil 4 x 5 cm roll - - - - 1,100
    35 Kasa Pembalut 2 x 80 cm Rol 10 25 15 - 9,400
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - - 16,000
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - - 25,000
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - - 1,100
    39 Lysol btl - 2 2 - 52,070
    40 Masker ear lopp pcs 100 500 400 - 439
    41 Masker Tie On pcs - - - - 439
    42 Oxycan btl - - - - -
    43 Pembalut elastis 10 cm x 4.55m pcs - - - - 33,000
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 - 27,830
    45 Pembalut Gips 6 Inchi Rol - - - - 60,500
    46 Plester 5 yard x 2 inch Rol - - - - 30,000
    47 Semillas Non Woven Medical Tape (5 x 1 roll - - - - 3,850
    48 Semillas Non Woven Medical Tape (10 x roll - - - - 7,315
    49 Semillas Non Woven Medical Tape (5 x 5 roll - - - - 21,753
    50 Semillas Non Woven Medical Tape (10 x roll 1 1 - - 30,030
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - - 15,000
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - - 15,000
    53 Stomach Tube pcs - - - - 10,010
    54 Surgical Blades No. 10 pcs - - - - 3,000
    55 Surgical Blades No. 11 pcs - 2 2 - 3,000
    56 Surgical Blades No. 13 pcs - - - - 3,000
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - - -
    58 Surgical Blades No. 23 pcs - - - - 3,000
    Surgical Steril Powder Glove (S) pcs - 45 45 - 4,320
    Surgical Steril Powder Glove (M) pcs - 25 25 - 4,320
    Surgical Steril Powder Glove (L) pcs - - - - 4,320
    59 Transparent IV Dressing ( anak ) 4,4 x 4, pcs - - - - 2,021
    60 Transparent IV Dressing ( Dewasa) 6 x 7 pcs - - - - 2,224
    61 Urine bag pcs - - - - 3,810
    62 Umbilical Cord Klem Steril Nylon pcs - - - - 1,270
    63 wing nedle No.21 pcs - - - - 6,059
    64 wing nedle No.23 pcs - - - - 6,059
    SISA ALKES DALAM RUPIAH 640 19
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 39,459 34,025

    Pa
    Mengetahui,
    Kepala UPT Pusksemas Pangkalan Kasai

    drg. DWIYANA SYAHPUTRI


    NIP. 197507232008012007
    G HABIS PAKAI (OBAT & ALKES )
    BRUARI 2018

    UNIT KERJA : APOTEK

    Jumlah
    Harga
    Pengeluaran
    Perolehan Ket
    Februari 2018
    Terakhir
    (Rp)

    9 (8x6 ) 10 ( 8x4 ) 11

    - -
    - -
    7,725 2,575
    54,610 -
    - 47,168
    19,305 97,383
    - -
    6,058 20,038
    - -
    - -
    820 7,380
    - -
    - -
    - -
    - -
    - -
    507,060 533,790
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 48,025
    - -
    - 6,400
    - -
    - -
    - -
    - -
    154,100 32,300
    - 16,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    41,250 96,250
    - -
    - -
    - -
    - -
    13,680 47,120
    - -
    4,896 17,442
    13,380 113,730
    7,000 35,500
    - -
    - -
    - -
    36,237 110,121
    - -
    202,410 576,090
    - 55,704
    - -
    - -
    95,590 17,380
    - -
    - -
    - -
    - -
    - -
    57,200 93,600
    - -
    - -
    - -
    16,200 20,700
    - -
    - -
    23,190 139,140
    - -
    - -
    20,800 20,800
    - -
    - -
    - -
    - -
    - -
    6,750 37,800
    157,762 59,994
    - -
    156,288 65,792
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    1,491 2,485
    - -
    - 7,893
    - 76,500
    - -
    - -
    - -
    1,316 14,476
    - 45,885
    - -
    2,700 16,800
    2,121 5,151
    - -
    - -
    - 46,942
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    6,405 16,775
    - -
    - -
    92,334 25,182
    - -
    - -
    - -
    349,576 9,448
    416,324 80,040
    - -
    - -
    - -
    - -
    - -
    - -
    1,860 18,042
    - -
    - -
    - -
    - -
    - -
    15,038 23,360
    2,569 92,484
    - -
    12,400 109,120
    - -
    - -
    - 64,200
    - -
    - -
    - -
    85,860 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    34,650 87,120
    - 28,205
    - -
    - -
    34,860 162,120
    - -
    46,200 30,870
    - -
    14,760 116,440
    - -
    72,000 27,000
    - -
    - -
    - -
    - -
    - -
    - -
    21,450 1,430
    - -
    - -
    - -
    - -
    - -
    - -
    30,240 19,440
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    192,984 71,808
    - -
    6,348 13,754
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 30,800
    52,368 104,736
    34,632 414,252
    - -
    - -
    - -
    - -
    6,298 -
    14,771 -
    - -
    - -
    10,115 73,542
    - -
    - -
    - -
    - 22,000
    - -
    - -
    - -
    - -
    76,608 206,892
    - -
    - -
    - -
    - -
    2,283 -
    - -
    - -
    - -
    - -
    - -
    12,600 37,800
    - -
    - -
    - -
    - -
    68,593 116,393
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    124,650 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    23,359 475,629
    - -
    - -
    5,014,036

    - -
    339,300 291,276
    - -
    - -
    - -
    27,300 207,900
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    299,000 851,000
    - -
    - -
    - -
    - -
    137,500 302,500
    - -
    - -
    24,000 96,000
    - -
    - -
    60,000 240,000
    - -
    - 58,995
    - -

    - -
    52,451 75,692
    - -
    - -
    50,000 200,000
    - -
    - -
    - -
    - -
    304,800 93,900
    - -
    - -

    106,778 308,763
    173,600 192,200
    - -
    - -
    - -
    - -
    461,755 122,745
    - -
    - -
    - -
    81,000 504,000
    353,600 292,000
    - -
    - -
    - -
    - -
    - 265,860
    - -
    - -
    - -
    - -
    - -
    48,000 168,000
    - -
    - 810,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -

    - -
    - -
    - -

    342,100 419,100
    - -
    20,000 270,000
    141,100 398,650
    - -
    200,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    6,800 -
    11,200 -
    - -
    255,600 234,300
    - -
    - -
    6,402,881

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 236,132
    35,880 114,195
    - -
    - -
    15,000 135,000
    - -
    - -
    - -
    - -
    - 10,974
    - -
    - -
    - -
    - -
    - -
    - -
    191,667 184,000
    7,250 187,630
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 693,000
    - -
    - -
    - -
    - -
    14,260 244,260
    - 416,500
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    15,088 38,916
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    55,000 85,800
    - -
    - -
    - -
    - -
    - 43,792
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 65,450
    - -
    - -
    77,000 770,000
    - -
    - -
    - -
    2,200 6,600
    - -
    - -
    - -
    - -
    - -
    413,345 3,232,249

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    413,345 14,649,166

    247,650 -
    - -
    - -
    - -
    11,750 -
    39,360 78,720
    - -
    - -
    - -
    - -
    23,210 -
    - -
    - -
    - -
    - -
    117,000 130,000
    32,500 -
    - -
    - 28,405
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 79,000
    - -
    - -
    - -
    - -
    141,000 94,000
    - -
    - -
    - -
    104,140 -
    175,560 43,890
    - -
    - -
    - -
    55,660 -
    - -
    - -
    - -
    - -
    - -
    - 30,030
    - -
    - -
    - -
    - -
    6,000 -
    - -
    - -
    - -
    194,400 -
    108,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    484,045
    15,133,211

    Pangkalan Kasai, 25 Februari 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA : APOTEK


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN Maret Maret
    A OBAT GENERIK PKD
    Acdat salep tube - -
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl 1 1 2 -
    4 ALKOHOL 70 % 1000 ml btl - -
    5 Alopurinol tab 100 mg tablet 536 536
    6 Alopurinol tab 300 mg tablet 454 12 442
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet 86 86
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet 90 90
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet - 330 110 220
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 1,977 1,435 542
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 24
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp 2 2
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 323 1,400 1,572 151
    35 Asam Folat tab 1 mg tablet 336 30 306
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 77 23 54
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 31 28 10 49
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 57 9 48
    54 Bisoprolol tablet 5 mg tablet 170 170
    55 Bronsolvan 150 mg tablet 142 142
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet 781 500 944 337
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul 1,110 240 870
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 11 52 57 6
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul 20 20
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 360 130 230
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet 23 6 17
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 36 3 33
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 13 12 1
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 504 54 450
    88 Cotrimoksazol suspensi 60ml botol 27 27
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet 1,028 4,000 2,315 2,713
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul 5 5
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 1
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 154 15 139
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 336
    114 Garam oralit untuk 200 ml air sachet 17 100 17 100
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl 14 1 13
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet 275 90 185
    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 9 48 24 33
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 2 64 15 51
    136 Ibuprofen tablet 200 mg tablet 690 4,000 3,230 1,460
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - -
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 194 194
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet 320 270 50
    150 Ketokenazole krim 2 % 10 gr tube 36 36
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 352 352
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - 60 60
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 880 341 539
    167 Metilergometrin 0,125 mg tablet 222 51 171
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 772 196 576
    171 Metoklopramide 5mg tablet - -
    172 Metoklopramide 10mg tablet 294 285 9
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 710 710
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 9 24 17 16
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet 13 13
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul 90 300 144 246
    191 Ondansentron 4mg tablet - 120 24 96
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol 48 81 123 6
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol 13 2 11
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - 2 2
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 100 29 71
    209 Pirantel syrup 125mg / 5ml botol 12 1 11
    210 Pitomenadion (Vit-K) 10mg tablet 622 18 604
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - 3 3 -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 618 146 472
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 200 200
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 1,642 500 1,247 895
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet - -
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps - -
    237 Salbutamol serb inh 200 mcg/kaps tablet - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 18 6 12
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet 487 73 414
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 957 167 790
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    19,388 17,502
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet 837 500 800 537
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet 1,485 577 908
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    16 Cough En Plus btl 37 4 33
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 11 5 6
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    23 Faxiden gel tube 8 2 6
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl 24 5 19
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube 9 9 -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube 16 16 -
    30 Genolon krim tube - -
    Guaifenisin 100mg tablet 596 435 161
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 8 2 6
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 313 600 382 531
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk 360 200 68 492
    41 Intibrox tablet 1,521 400 801 1,120
    42 Intibrox Syr botol 31 27 4
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 105 500 431 174
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 56 8 48
    51 Nalget Kaptab tablet 730 670 60
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml - -
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 14 7 7
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 216 12 204
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 10 6 4
    Pyreksin 160mg tablet/supp 10 10 -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 150 150
    74 Proneuron tablet 381 200 478 103
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 27 3 24
    77 Quantidex tablet tablet 469 109 360
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - 2 2 -
    89 Stick Glukosa botol - 2 2 -
    90 Stik Kolesterol botol - 2 2 -
    91 Supramox Drops 20 ml botol 11 9 2
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    7,646 5,170
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Ambroxol 30 mg tablet - -
    3 Amlodipin tablet 351 351 -
    4 Antalgin tablet 500 mg tablet 340 340
    5 Antasida DOEN I tablet kunyah tablet - -
    6 Antimigren ergotamin tablet 169 169
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    8 Asam ascorbat (vit C) 50 mg tablet - -
    9 Asam Mefenamat kaplet 500 mg kaplet - -
    10 Asiklovir krim 5% tube - -
    11 Asiklovir tab 200 mg tablet 988 94 894
    12 Asiklovir tab 400 mg tablet 331 50 281
    13 Arimed / Meloxicam 15 mg tablet - -
    14 Becefort syr btl - -
    15 Becefort tablet 90 90
    16 Betametason Cream tube - -
    17 Bioplacenton tube - -
    18 Bisolvon Extra Syrup btl - -
    19 Bisoprolol 5mg tablet - -
    20 Captopril tablet 12,5 mg tablet 177 177 -
    21 Captopril 25 mg tablet - -
    22 Cefadroksil kap 500 mg kapsul - -
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    24 Cefixime 100 mg tablet - -
    25 Ciprofloxacin 500 mg kapsul - -
    26 Clindamicyn 300 mg kapsul - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet 2,400 1,800 600
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,294 164 1,130
    29 Copper T ktk - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - -
    31 Diaform tablet - -
    32 Dimenhidrinat tab tablet - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - -
    35 Fg Troches tablet - -
    36 Flukonazol tab 150 mg kapsul 30 30
    37 Fituno tablet - -
    38 Gentian Violet botol - -
    39 Glibenclamide 5 mg tablet 818 818
    40 Gliseril Guaikolat 100 mg tablet - -
    41 Griseovulvin tablet 125 mg tablet 1,062 35 1,027
    42 Hemaforf tablet 490 490
    43 Hidrokortison krim 2,5% tube - -
    44 Holicos ( Ambroxol ) syrup btl - -
    45 Hustab tablet - -
    46 Ibuprofen tablet 400 mg tablet - -
    47 Isotic Neolyson Tetes Mata btl - -
    48 Isotic Clearens Tetes Mata btl - -
    49 Kasa 4m x 15cm roll - -
    50 Levofloxacin 500 mg tablet 50 50
    51 Lidokain injeksi ampul - -
    52 Livron B Plek tablet - -
    53 Loperamid 2mg tablet 423 228 195
    54 Metaneuron tablet - -
    55 Metilergometrin tablet 181 181
    56 Metilprednisolon 4mg tablet - -
    57 Mucohexin tablet - -
    58 Natrium Diklofenat 25mg tablet - -
    59 Natrium Diklofenat 50 mg tablet - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    61 Neurovit - E kaplet - -
    62 Nistatin tab 100.000 iu tab vaginal 99 99
    63 Nodiar tablet - -
    64 Noza tablet - -
    65 OBH Indo Plus syrup botol - -
    66 Oxfezin syrup botol - -
    67 Oksitetrasiklin salep kulit 3% tube 39 25 13 51
    68 Oksitetrasiklin inj ampul - -
    69 Omeprazol kapsul 20 mg kapsul - -
    70 Parasetamol syrup 120mg / 5ml botol - -
    71 Pehavral tablet - -
    72 Piroxicam 20 mg tablet 368 368
    73 Pehacort / Prednison 5mg tablet - -
    74 Pyridoksin (vit.B6) tablet - -
    75 Propanolol 40mg tablet - -
    76 Propituracil 100 mg tablet - -
    77 Prolysin Plus syrup botol - -
    78 Pularex Attalpugit 600 mg tablet - -
    79 Ranitidine inj tablet - -
    80 Ranitidin 150mg tablet - -
    81 Ringer Laktat larutan infus 500ml botol - -
    82 Salbutamol syr botol - -
    83 Salbutamol 2 mg tablet 255 60 195
    84 Salbutamol 4mg (sebagai sulfat) tablet 770 770
    85 Sanbe Kids syrup botol - -
    86 Sagestam Cream tube - -
    87 Scabimite Cream tube 10 2 8
    88 Simvastatin 10 mg tablet - -
    89 Tab Fe tablet 700 320 380
    90 Tramadol Tablet 200 200
    91 Tryhexilpenidil tablet 150 150
    92 Zinc Disperibel tablet - -
    93 Oxycan btl - -
    94 cimetidin tab 200 mg tablet - -
    95 Alat Suntik 3 cc pcs - -
    96 Mikrodiol ktk - -
    11,785 8,516
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 38,819 31,188

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - -
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - -
    4 Alat suntik sekali pakai 5 ml pcs - -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs 400 100 100 400
    7 Blood Lahat pcs - 300 300 -
    8 Blood Transfusion Set pcs - -
    9 Catgut/benang bedah no. 3/0 pcs - -
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs - 100 100 -
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 100 100
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs 19 2 17
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs - -
    22 I.V Catheter no.20 pcs - -
    23 I.V Catheter no.22 pcs - -
    24 I.V Catheter no.24 pcs - 2 1 1
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks - -
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 10 2 8
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol 10 10
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - 1 1 -
    40 Masker ear lopp pcs 100 200 300 -
    41 Masker Tie On pcs - 200 200 -
    42 Oxycan btl - 2 2 -
    43 Pembalut elastis 10 cm x 4.55m pcs - 2 2 -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - -
    50 Semillas Non Woven Medical Tape (10 x 500c roll 1 1
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - -
    55 Surgical Blades No. 11 pcs - -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs - -
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 640 537
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 39,459 31,725

    Pangkalan Kasai, 25 Maret 2018


    Mengetahui, Penanggung Jawab
    Kepala UPT Pusksemas Pangkalan Kasai APOTEK

    drg. DWIYANA SYAHPUTRI SINTICE, Amd.Farm


    NIP. 197507232008012007
    N PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    : APOTEK

    Ket
    25 Maret 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALKE
    PER 25 MARET 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil HARGA
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran SATUAN
    Maret Maret
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    Acdat salep tube - - - -
    1 Albendazol suspensi 200 mg/5 ml btl - - - - 4,041
    2 Albendazol tab 400 mg tablet - - - - 350
    3 Alkohol 70 % 100 ml btl - 1 2 1 2,575
    4 ALKOHOL 70 % 1000 ml btl - - - - 27,305
    5 Alopurinol tab 100 mg tablet 536 - - 536 88
    6 Alopurinol tab 300 mg tablet 442 - 12 454 215
    7 Alprazolam 0,5 mg tab tablet - - - - 180
    8 Alprazolam 1 mg tab tablet 86 - - 86 233
    9 Ambroxol sirup btl - - - - 2,598
    10 Ambroxol tablet 30 mg tablet - - - - 131
    11 Aminofilin tab 200 mg tablet 90 - - 90 82
    12 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    13 Amitriptilin tab 25 mg tablet - - - - 117
    14 Amlodipin 5 mg tab tablet - - - - 192
    15 Amlodipin 10 mg tab tablet 220 330 110 - 341
    16 Amoksisilin kapsul 250 mg kapsul - - - - 210
    17 Amoksisilin kapsul 500 mg kapsul 542 - 1,435 1,977 270
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    19 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    20 Ampisilin 500 mg kap kapsul - - - - 400
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    22 Antalgin tablet 500 mg tablet - - - - 116
    23 Antalgin inj ampul - - - - 1,400
    24 Antasida DOEN I tablet kunyah tablet - - - - 74
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    26 Anti bakteri salep komb tube - - - - 2,641
    27 Antifungi DOEN komb salep pot 24 - - 24 2,001
    28 Antimigren: ergotamin tartrat 1mg +kofe tablet - - - - 142
    29 Antihemoroid kombinasi Bismut Subgala supp 2 - - 2 3,200
    30 Antithrom Jelly tube - - - - 35,200
    31 Aqua pro injeksi steril vial - - - - 2,100
    32 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    33 Artesunate injeksi vial/ktk - - - - 38,999
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 151 1,400 1,572 323 100
    35 Asam Folat tab 1 mg tablet 306 - 30 336 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    37 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    38 Asam Traneksamat Injeksi ampul - - - - 2,535
    39 Asetosal tab 100 mg tablet - - - - 122
    40 Asetosal tab 500 mg tablet - - - - 170
    41 Asiklovir krim 5% tube - - - - 2,260
    42 Asiklovir tab 200 mg tablet - - - - 239
    43 Asiklovir tab 400 mg tablet - - - - 345
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - - 1,300
    46 Atropin sulfat tab 0,5 mg tablet - - - - 77
    47 Bedak Salisil Serbuk 2 % bks 54 - 23 77 1,250
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg t tablet - - - - 43
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    52 Betametason krim 0,1% tube 49 28 10 31 1,520
    53 Bexicom tab kapsul - - - - 1,650
    Bisacodyl 5mg tablet 48 - 9 57 306
    54 Bisoprolol tablet 5 mg tablet 170 - - 170 669
    55 Bronsolvan 150 mg tablet 142 - - 142 250
    56 Budenosid resp - - - - 8,900
    57 Captopril tablet 12,5 mg tablet - - - - 62
    58 Captopril tablet 25 mg tablet - - - - 89
    59 Captopril tablet 50 mg tablet 337 500 944 781 141
    60 Carbamazepin 200 mg tablet - - - - 257
    61 Cefadroksil kap 500 mg kapsul 870 - 240 1,110 519
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 6 52 57 11 5,064
    63 Cefaleksin kap 500 mg kapsul - - - - 1,100
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    65 Cefixime kap 100 mg kapsul 20 - - 20 869
    66 Cefotaxim 0,5 gr inj vial - - - - 5,247
    67 Cefotaxim 1 gr inj vial - - - - 3,150
    68 Ceftriaxon injeksi 1 g vial - - - - 3,500
    69 Cetrizine tab 10 mg tablet - - - - 145
    70 Ciprofloxacin infs btl 100 ml - - - - 59,800
    71 Ciprofloxacin 500 mg kapsul 230 - 130 360 260
    72 Cimetidin 200 mg tablet - - - - 120
    73 Clindamycin 150 mg kap tablet - - - - 379
    74 Clindamycin 300 mg kap tablet - - - - 570
    75 Clobazam tab 10 mg tablet 17 - 6 23 900
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 53
    77 Chloramfenikol 250 mg kaplet - - - - 262
    78 Chloramfenikol suspensi 125mg / 60ml (M botol 33 - 3 36 3,865
    79 Chloramphenicol Suspensi botol - - - - 3,978
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    81 Chloramfenikol salep mata 1% / 5ml tube 1 - 12 13 1,600
    82 Chloroquin 150 mg tablet - - - - 89
    83 Chlorpromazin tablet 100 mg tablet - - - - 153
    84 Chlorpromazin tablet 25 mg tablet - - - - 71
    85 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 450 - 54 504 75
    88 Cotrimoksazol suspensi 60ml botol 27 - - 27 2,222
    89 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    90 Deksametason tablet 0,5 mg tablet 2,713 4,000 2,315 1,028 64
    91 Diaform tablet - - - - -
    92 Diazepam 2 mg tab tablet - - - - 45
    93 Diazepam injeksi ampul - - - - 4,389
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl ampul - - - - 1,107
    95 Digoksin tablet 0,25 mg tablet - - - - 100
    96 Diltiazem tab 30 mg tablet - - - - 134
    97 Dimenhidrinat tab tablet - - - - 104
    98 Doksisiklin 100 mg kap tablet - - - - 285
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    100 Domperidone 10 mg tab tablet - - - - 170
    101 Domperidone drop 5mg / ml botol - - - - 16,350
    102 Ekstrak beladon 10 mg tab tablet - - - - 33
    103 Epinefrin injeksi ampul - - - - 8,505
    104 Erytromicyn 250 mg kapsul 5 - - 5 497
    105 Erythromisin 500 mg kap kapsul - - - - 976
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 - - 1 7,893
    107 Fenilbutason tab 200 mg tablet 750 - - 750 102
    108 Ferosulfat tab tablet - - - - 21
    109 Flukonazol tab 150 mg kapsul - - - - 23,100
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - - 1,920
    111 Furosemid tablet, 40 mg tablet 139 - 15 154 94
    112 Fucilex Krim / Natrium Fucilat tube 7 - - 7 6,555
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336 50
    114 Garam oralit untuk 200 ml air sachet 100 100 17 17 303
    115 Geriavita kapsul - - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - - 1,469
    117 Gentamisin sulfat tetes mata 0,3 % btl 13 - 1 14 3,353
    118 Gentamisin injeksi ampul - - - - 3,569
    119 Gentian Violet larutan 1 % btl 10 ml - - - - 945
    120 Glibenklamida tablet 5 mg tablet - - - - 58
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - - 5,985
    123 Glukosa larutan infus 40 % steril amp - - - - 2,577
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - - 5,460
    125 Grafula-DHA tablet - - - - 2,200
    126 Griseovulvin tablet 125 mg tablet - - - - 230
    127 Haloperidol 0,5 mg tablet - - - - 100
    128 Haloperidol 1,5 mg tablet 185 - 90 275 61
    129 Haloperidol 5 mg tablet - - - - 72
    130 Hemafort tablet - - - - -
    131 Hidrokortison krim 2,5% tube 33 48 24 9 2,798
    132 Hufabetamin Syrup btl - - - - 5,900
    133 Hustab tablet - - - - -
    134 Hustadin Syrup btl - - - - 16,500
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 64 15 2 4,724
    136 Ibuprofen tablet 200 mg tablet 1,460 4,000 3,230 690 116
    137 Ibuprofen tablet 400 mg tablet - - - - 153
    138 Ika Neurom Injeksi ampul - - - - 5,445
    139 Imunvit Plus Kap kaplet - - - - 6,500
    140 Intibrox (Ambroksol) tablet - - - - 203
    141 Intibrox (Ambroksol) Syrup botol - - - - 6,200
    142 Isoniazid tab 100 mg tablet - - - - 68
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 194 - - 194 93
    144 KA EN 1 B botol - - - - 9,000
    145 KA EN 3 A botol - - - - 10,000
    146 KA EN 3 B botol - - - - 10,000
    147 KA EN MG 3 botol - - - - 9,625
    148 Kalium Diklofenak 50 mg tablet - - - - 743
    149 Kalsium Laktat 500 mg tablet 50 - 270 320 73
    150 Ketokenazole krim 2 % 10 gr tube 36 - - 36 2,569
    151 Ketokenazole krim 2 % 15 gr tube - - - - 4,930
    152 Ketokonazol 200 mg tablet 352 - - 352 310
    153 Ketorolac inj 10 mg ampul - - - - 1,697
    154 Ketorolac inj 30 mg ampul - - - - 2,539
    155 Klonidin 0,15 mg tablet 300 - - 300 214
    156 Kodein tablet 10 mg tablet - - - - 525
    157 Kombines : Ipratropium bromida inhalasi vial - - - - 879
    158 Lidokain injeksi 2% / 2ml ampul - - - - 879
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 60 60 - - 1,431
    160 Levofloksasin 500 mg tablet - - - - 554
    161 Loratidin 10 mg tablet - - - - 162
    162 Loperamid 2mg tablet - - - - 92
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - - 3,500
    164 Mebendazol Syrup 100mg / 5ml botol - - - - 3,711
    165 Mebendazol 100mg tablet - - - - 239
    166 Megatic Emulgel tube - - - - 11,500
    Metformin HCL 50 mg kapsul 539 - 341 880 99
    167 Metilergometrin 0,125 mg tablet 171 - 51 222 127
    168 Metilergometrin injeksi ampul - - - - 2,750
    169 Metilprednisolon injeksi 500 mg vial - - - - 92,990
    170 Metilprednisolon 4mg tablet 576 - 196 772 210
    171 Metoklopramide 5mg tablet - - - - 108
    172 Metoklopramide 10mg tablet 9 - 285 294 105
    173 Metronidazol 250mg tablet - - - - 113
    174 Metronidazol 500mg tablet 710 - - 710 164
    175 Mikrodiol ktk - - - - -
    176 Mikonazol krim 2% tube 16 24 17 9 3,000
    177 Momethasone furoat krim 0,1 % tube - - - - 17,820
    178 Mulsanol Drop btl - - - - 18,500
    179 Natrium Diklofenat 25mg tablet - - - - 141
    180 Natrium Diklofenat 50mg tablet - - - - 185
    181 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    182 Nevirapin 200mg tablet - - - - 2,940
    183 Nifedipin 10mg tablet 13 - - 13 110
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - - 2,999
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - - 672
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - - 504
    187 Ofloxacin 400 mg tablet - - - - 680
    188 Oksitetrasiklin HCl salep mata 1% tube - - - - 1,600
    189 Oksitetrasiklin salep kulit 3% tube - - - - 1,606
    190 Omeprazol kapsul 20 mg kapsul 246 300 144 90 216
    191 Ondansentron 4mg tablet 96 120 24 - 180
    192 Oksitosin injeksi ampul - - - - 1,900
    193 Ostine kapsul - - - - 375
    194 Otsu-KCL 7,46% ampul - - - - 297
    195 Papaverin 40mg tablet - - - - 122
    196 Parasetamol 500mg tablet - - - - 84
    197 Parasetamol drops botol - - - - 5,460
    198 Parasetamol syrup 120mg / 5ml botol 6 81 123 48 1,496
    199 Penoksimetil Penisilin 500mg tablet - - - - 535
    200 Penolgliserol tetes telinga 10% / 5ml botol 11 - 2 13 1,058
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 2 2 - - 24,150
    202 Permetrin krim 5% (Scabicid) tube - - - - 11,475
    203 Pethidin injeksi ampul - - - - 1,523
    204 Phenobarbital 30mg tablet - - - - 31
    205 Phenobarbital injeksi 50mg/ml ampul - - - - 1,890
    206 Piracetam injeksi 3g / 15ml ampul - - - - 4,200
    207 Piracetam 800mg tablet - - - - 321
    208 Pirantel Score (base ) 125mg tablet 71 - 29 100 308
    209 Pirantel syrup 125mg / 5ml botol 11 - 1 12 8,728
    210 Pitomenadion (Vit-K) 10mg tablet 604 - 18 622 666
    211 Pitomenadion inj. 2mg ampul - - - - 3,582
    212 Poncodryl (DMP) syr botol - - - - 25,300
    213 Pitomenadion inj. 10mg ampul - - - - 3,582
    214 Povidon Iodida 10% 30ml botol - - - - 2,250
    215 Povidon Iodida 10% 60ml botol - 3 3 - 6,298
    216 Povidon Iodida 10% 300ml botol - - - - 14,771
    217 Povidon Iodida 10% 1000ml botol - - - - 38,594
    218 Pravastatin 20mg tablet - - - - 2,400
    219 Prednison 5mg tablet 472 - 146 618 119
    220 Primakuin 15mg tablet - - - - 205
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - - 7,549
    222 Propanolol HCl 10mg tablet - - - - 79
    223 Propanolol 40mg tablet 200 - - 200 110
    224 Propiltiourasil 100mg tablet - - - - 335
    225 Quinine tablet - - - - 704
    226 Ramipril 5mg tablet - - - - 600
    227 Ranitidin inj 25mg / 2ml ampul - - - - 1,190
    228 Ranitidin 150mg tablet 895 500 1,247 1,642 126
    229 Reserpin 0,10mg tablet - - - - 85
    230 Reserpin 0,25 mg tablet - - - - 109
    231 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    232 Risperidon 2mg tablet - - - - 1,038
    233 Rivanol larutan 0,1% botol - - - - 2,283
    234 Salbutamol 2mg (sebagai sulfat) tablet - - - - 62
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - - 85
    236 Salbutamol serbuk inh 200mcg/caps+rotah caps - - - - 11,550
    237 Salbutamol serb inh 200 mcg/kaps tablet - - - - 452
    238 Salbutamol cairan inh 0,1% (Ventolin Neb botol - - - - 6,930
    239 Salep 2-4 pot 12 - 6 18 2,100
    240 Serum Anti Tetanus ampul - - - - 126,000
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - - 1,131
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - - 60
    243 Simvastatin 10mg tablet - - - - 174
    Simvastatin 20mg tablet 414 - 73 487 239
    244 Spiramisin 500mg tablet - - - - 1,574
    245 Stesolid inj ampul - - - - 17,604
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - - 17,604
    248 Streptomisin injeksi 1 g/ml vial - - - - 3,832
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - - 3,387
    250 Sulfatdoksin 500mg tablet - - - - 544
    251 Sukralfat suspensi 500mg/5ml (Ulsafate S botol - - - - 13,850
    252 Supramox Drops 20 ml botol - - - - 21,300
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - - 30,800
    254 Tetrasiklin 250mg kapsul - - - - 154
    255 Tetrasiklin 500mg kapsul - - - - 312
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - - 700
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - - 37
    258 Tramadol 50mg kapsul - - - - 192
    259 Tuzalos kaplet - - - - -
    260 Vitamin B6 tablet - - - - 47
    261 Vitamin B Kompleks tablet - - - - 110
    262 Vitaplex drop botol - - - - 26,400
    263 Zinc Disperibel tablet 790 - 167 957 497
    264 Zink drop 10mg / 5ml botol - - - - 12,840
    265 Zirkum Kid syrup 20mg / 5ml botol - - - - 7,770
    17,502 19,388
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet 537 500 800 837 348
    3 Antithrom tube - - - - 35,200
    4 Arimed 15 mg tablet - - - - 1,617
    5 Asifit tablet - - - -
    6 Asonfen tab tablet 908 - 577 1,485 140
    7 Amobiotic Drop btl - - - - 23,100
    8 Becefort tab kotak/100 tablet - - - - 1,500
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - - 1,670
    11 Bisolvon Ekstra Sirup botol 60 ml - - - - 32,625
    12 Brochifar tablet - - - - 478
    13 Bromifar tablet - - - - 225
    14 Burnazin tube - - - -
    15 Caltrax btl - - - - 27,500
    16 Cough En Plus btl 33 - 4 37 23,000
    17 Dasabion tablet - - - - 979
    18 Dehaf sachet - - - - 9,167
    19 Dumin Rectal 250 mg supp - - - - 16,280
    20 Dumin Rectal 125 mg supp - - - - 11,660
    Donexan Syrup Botol 6 - 5 11 27,500
    21 Erlamycetine Ear Drop botol 10 ml - - - - 4,840
    22 Erya Forte 500 mg kapsul kapsul - - - - 231
    23 Faxiden gel tube 6 - 2 8 12,000
    24 Fludane kapsul kapsul - - - - 735
    25 Fludane Plus tablet - - - - 880
    26 Flutop C Syrup btl 19 - 5 24 10,000
    27 Fituno kapsul - - - - 1,210
    28 Fucilex/ natrium fucilat criem tube - - 9 9 6,555
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    Genalten (Gentamicyn) cream tube - - 16 16
    30 Genolon krim tube - - - - 26,400
    Guaifenisin 100mg tablet 161 - 435 596 127
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - - 2,167
    33 Hico Gel tube 6 - 2 8 25,000
    34 Hidrogen Peroksida 3% btl 1 liter - - - - 39,000
    35 Holicos Syrup Botol 60 ml - - - - 32,625
    36 Hufabetamin Syrup btl - - - - 5,900
    37 Hustadin Syr btl - - - - 16,500
    38 Hustab tablet 531 600 382 313 300
    39 Ika Neurom Injeksi ampul - - - - 5,445
    40 Imunvit Plus Kap Kaplet - - - - 3,325
    Intunal Forte 100 tablet/ktk 492 200 68 360
    41 Intibrox tablet 1,120 400 801 1,521 203
    42 Intibrox Syr botol 4 - 27 31 6,200
    43 Isotic Clearens Botol - - - - 9,000
    44 Isotic Neolyson Botol - - - - 28,750
    45 Jovial Sachet sachet - - - - 4,180
    46 Livron B. Plex Ds 10x10 tab - - - - 250
    Maltiron Plus Tablet 174 500 431 105 1,169
    47 Metaflu tablet - - - - 220
    48 Metamizol 500mg tablet - - - - 12,833
    49 Mucohexin tab tablet - - - - 506
    50 Mulsanol Syrup botol 60 ml 48 - 8 56 9,000
    51 Nalget Kaptab tablet 60 - 670 730 400
    52 Natavit Soft Cut kapsul - - - - 3,017
    53 Neocenta Gel tube - - - - 20,000
    54 Neo diaform ktk - - - - 140
    55 Neurovit-e dus 6x10 tab - - - - 1,027
    56 Neurodial kaplet 211 - - 211 1,260
    57 Nodiar tablet - - - - 1,210
    58 Noza tablet - - - - 891
    59 Novakal syrup btl - - - - 9,498
    60 OBH Indo Plus botol 100 ml - - - - 12,100
    61 OBH Inti Syr botol 100 ml - - - - -
    OBH Intrasal Syr botol 7 - 7 14 12,000
    62 Osteor plus kaplet - - - - 6,325
    63 Ostine Kapsul kapsul 204 - 12 216 3,750
    64 Ondansetron tablet - - - - 495
    65 Oxfezin Syrup botol 100 ml - - - - 56,100
    66 Panstonal Forte 500 mg tablet - - - - 297
    67 Poncodryl DMP Syrup btl - - - - 25,300
    68 Ponflu tablet - - - - 715
    69 Pehavral tablet - - - - 693
    70 Pehacort tablet - - - - 145
    Pyreksin 60mg tablet/supp 4 - 6 10
    Pyreksin 160mg tablet/supp - - 10 10
    71 Prenase tab tablet - - - - 86,350
    72 Procalma Soft Kapsul 30 kap/ktk - - - - 3,850
    73 Prolysin Syrup Plus botol 100 ml - - - - 30,800
    Prombus tablet 150 - - 150
    74 Proneuron tablet 103 200 478 381 1,100
    75 Pularex Attalpulgit 600 mg tablet - - - - 210
    76 Quantidex Syr botol 24 - 3 27 10,000
    77 Quantidex tablet tablet 360 - 109 469 850
    78 Reagen Golongan Darah Anti A 10ml botol - - - - 100,000
    79 Reagen Golongan Darah Anti B 10ml botol - - - - 100,000
    80 Reagen Golongan Darah Anti D 10ml botol - - - - 125,000
    81 Sagestam Cream tube - - - - 13,090
    82 Sanbe Kids botol 200 ml - - - - 38,500
    83 Sanvita B sirup btl - - - - 11,550
    84 Scabimite cream 10 mg tube - - - - 77,000
    85 Serum Anti Bisa Ular amp - - - - 473,000
    86 Supramox drops 20 ml btl - - - - 21,300
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    88 Stick Asam Urat botol - 2 2 - 6,800
    89 Stick Glukosa botol - 2 2 - 5,600
    90 Stik Kolesterol botol - 2 2 - 28,000
    91 Supramox Drops 20 ml botol 2 - 9 11 21,300
    92 Tuzalos kap kapsul - - - - 781
    93 Vitaplex drop btl - - - - 26,400
    5,170 7,646
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - - - - 270
    2 Ambroxol 30 mg tablet - - - - -
    3 Amlodipin tablet - - 351 351
    4 Antalgin tablet 500 mg tablet 340 - - 340
    5 Antasida DOEN I tablet kunyah tablet - - - - 74
    6 Antimigren ergotamin 169 - - 169 -
    7 Antihemoroid kombinasi Bismut Subgala supp - - - - 3,685
    8 Asam ascorbat (vit C) 50 mg tablet - - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet - - - - 209
    10 Asiklovir krim 5% tube - - - - 2,260
    11 Asiklovir tab 200 mg tablet 894 - 94 988 239
    12 Asiklovir tab 400 mg tablet 281 - 50 331 345
    13 Arimed / Meloxicam 15 mg tablet - - - - 8,085
    14 Becefort syr btl - - - - 17,000
    15 Becefort tablet 90 - - 90 1,500
    16 Betametason Cream tube - - - - -
    17 Bioplacenton tube - - - - -
    18 Bisolvon Extra Syrup btl - - - - 32,625
    19 Bisoprolol 5mg tablet - - - - -
    20 Captopril tablet 12,5 mg tablet - - 177 177 62
    21 Captopril 25 mg tablet - - - - -
    22 Cefadroksil kap 500 mg kapsul - - - - 519
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - - 5,064
    24 Cefixime 100 mg tablet - - - - -
    25 Ciprofloxacin 500 mg kapsul - - - - 513
    26 Clindamicyn 300 mg kapsul - - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet 600 - 1,800 2,400 77
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,130 - 164 1,294 145
    29 Copper T ktk - - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - - 979
    31 Diaform tablet - - - - 140
    32 Dimenhidrinat tab tablet - - - - 95
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - - 2,970
    34 Erlamycetin Ear Drop Tetes Telinga btl - - - - 4,840
    35 Fg Troches tablet - - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30 23,100
    37 Fituno tablet - - - - 4,033
    38 Gentian Violet botol - - - - -
    39 Glibenclamide 5 mg tablet 818 - - 818 -
    40 Gliseril Guaikolat 100 mg tablet - - - - -
    41 Griseovulvin tablet 125 mg tablet 1,027 - 35 1,062 230
    42 Hemaforf tablet 490 - - 490 850
    43 Hidrokortison krim 2,5% tube - - - - 2,399
    44 Holicos ( Ambroxol ) syrup btl - - - - 23,100
    45 Hustab tablet - - - - 300
    46 Ibuprofen tablet 400 mg tablet - - - - 153
    47 Isotic Neolyson Tetes Mata btl - - - - 28,750
    48 Isotic Clearens Tetes Mata btl - - - - 10,750
    49 Kasa 4m x 15cm roll - - - - -
    50 Levofloxacin 500 mg tablet 50 - - 50 -
    51 Lidokain injeksi ampul - - - - -
    52 Livron B Plek tablet - - - - 250
    53 Loperamid 2mg tablet 195 - 228 423 92
    54 Metaneuron tablet - - - - 1,283
    55 Metilergometrin tablet 181 - - 181 -
    56 Metilprednisolon 4mg tablet - - - - 210
    57 Mucohexin tablet - - - - 506
    58 Natrium Diklofenat 25mg tablet - - - - 141
    59 Natrium Diklofenat 50 mg tablet - - - - -
    60 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    61 Neurovit - E kaplet - - - - 1,027
    62 Nistatin tab 100.000 iu tab vaginal 99 - - 99 -
    63 Nodiar tablet - - - - 1,210
    64 Noza tablet - - - - 891
    65 OBH Indo Plus syrup botol - - - - 12,100
    66 Oxfezin syrup botol - - - - 56,100
    67 Oksitetrasiklin salep kulit 3% tube 51 25 13 39 2,200
    68 Oksitetrasiklin inj ampul - - - - 5,500
    69 Omeprazol kapsul 20 mg kapsul - - - - 216
    70 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    71 Pehavral tablet - - - - 693
    72 Piroxicam 20 mg tablet 368 - - 368 119
    73 Pehacort / Prednison 5mg tablet - - - - 145
    74 Pyridoksin (vit.B6) tablet - - - - -
    75 Propanolol 40mg tablet - - - - 114
    76 Propituracil 100 mg tablet - - - - -
    77 Prolysin Plus syrup botol - - - - 30,800
    78 Pularex Attalpugit 600 mg tablet - - - - 210
    79 Ranitidine inj tablet - - - - -
    80 Ranitidin 150mg tablet - - - - 108
    81 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    82 Salbutamol syr botol - - - - -
    83 Salbutamol 2 mg tablet 195 - 60 255 -
    84 Salbutamol 4mg (sebagai sulfat) tablet 770 - - 770 85
    85 Sanbe Kids syrup botol - - - - 38,500
    86 Sagestam Cream tube - - - - 13,090
    87 Scabimite Cream tube 8 - 2 10 77,000
    88 Simvastatin 10 mg tablet - - - - -
    89 Tab Fe tablet 380 - 320 700 -
    90 Tramadol Tablet 200 - - 200 -
    91 Tryhexilpenidil tablet 150 - - 150 44
    92 Zinc Disperibel tablet - - - - 497
    93 Oxycan btl - - - - -
    94 cimetidin tab 200 mg tablet - - - - 113
    95 Alat Suntik 3 cc pcs - - - - 4,400
    96 Mikrodiol ktk - - - - -
    8,516 11,785
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - - 390,000
    2 Etil klorida btl - - - - 125,000
    3 Eugenol Cairan btl - - - - 17,500
    4 Glass Ionomer btl - - - - 395,000
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - - 242,000
    6 Klorfenol kamfer menthol(CHKM) btl - - - - 55,000
    7 Mummifying pasta btl - - - - 176,000
    8 Semen seng fosfat set - - - - 93,500
    9 Temporary stoping fletcher set - - - - 34,000
    - -
    SISA OBAT DALAM RUPIAH 31,188 38,819

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - - - - 826
    2 Alat suntik sekali pakai 2,5 ml pcs - - - - 826
    3 Alat suntik sekali pakai 3 ml pcs - - - - 826
    4 Alat suntik sekali pakai 5 ml pcs - - - - 953
    5 Alat suntik sekali pakai 10 ml pcs - - - - 1,175
    6 Alkohol Swab CHG 0,5 % pcs 400 100 100 400 197
    7 Blood Lahat pcs - 300 300 - 153
    8 Blood Transfusion Set pcs - - - - 4,572
    9 Catgut/benang bedah no. 3/0 pcs - - - - 22,500
    10 Catgut/benang bedah no.2/0 pcs - - - - 22,500
    11 Examination Lower Glove ( M ) pcs - - - - 464
    12 Examination Lower Glove ( L ) pcs - 100 100 - 464
    13 Folley Catheter no 16W pcs - - - - 8,000
    14 Folley Catheter no 18W pcs - - - - 8,000
    15 Folley Catheter no 20W pcs - - - - 8,000
    16 Handscoon no 7 pcs 100 - - 100 1,300
    17 Handscoon no 7,5 pcs - - - - 1,300
    18 Handscoon no 8 pcs - - - - 1,300
    19 Hcg (Tes Pack) pcs 17 - 2 19 1,495
    20 Hidrogen Peroksida 3% btl - - - - 39,000
    21 I.V Catheter no.18 pcs - - - - 8,085
    22 I.V Catheter no.20 pcs - - - - 8,085
    23 I.V Catheter no.22 pcs - - - - 8,085
    24 I.V Catheter no.24 pcs 1 2 1 - 8,085
    25 Infusion set anak set - - - - 4,445
    26 Infusion set dewasa set - - - - 4,064
    27 kapas pembalut berlemak 500 mg Bks - - - - 34,000
    28 Kapas pembalut 500 gram Bks - - - - 34,000
    29 Kapas pembalut/absorben 250 gram Bks - - - - 24,000
    30 Kasa Hidrofil 16x16 16 pcs/ktk 8 - 2 10 7,900
    31 Kasa Hidrofil 40 x 40 pcs - - - - 1,800
    32 Kasa Hidrofil 4 x 15 cm roll - - - - 3,800
    33 Kasa Hidrofil 4 x 3 cm roll - - - - 800
    34 Kasa Hidrofil 4 x 5 cm roll - - - - 1,100
    35 Kasa Pembalut 2 x 80 cm Rol 10 - - 10 9,400
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - - 16,000
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - - 25,000
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - - 1,100
    39 Lysol btl - 1 1 - 52,070
    40 Masker ear lopp pcs - 200 300 100 439
    41 Masker Tie On pcs - 200 200 - 439
    42 Oxycan btl - 2 2 - -
    43 Pembalut elastis 10 cm x 4.55m pcs - 2 2 - 33,000
    44 Pembalut elastis 7.5 cm x 4.55m pcs - - - - 27,830
    45 Pembalut Gips 6 Inchi Rol - - - - 60,500
    46 Plester 5 yard x 2 inch Rol - - - - 30,000
    47 Semillas Non Woven Medical Tape (5 x 1 roll - - - - 3,850
    48 Semillas Non Woven Medical Tape (10 x roll - - - - 7,315
    49 Semillas Non Woven Medical Tape (5 x 5 roll - - - - 21,753
    50 Semillas Non Woven Medical Tape (10 x roll 1 - - 1 30,030
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - - 15,000
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - - 15,000
    53 Stomach Tube pcs - - - - 10,010
    54 Surgical Blades No. 10 pcs - - - - 3,000
    55 Surgical Blades No. 11 pcs - - - - 3,000
    56 Surgical Blades No. 13 pcs - - - - 3,000
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - - -
    58 Surgical Blades No. 23 pcs - - - - 3,000
    Surgical Steril Powder Glove (S) pcs - - - - 4,320
    Surgical Steril Powder Glove (M) pcs - - - - 4,320
    Surgical Steril Powder Glove (L) pcs - - - - 4,320
    59 Transparent IV Dressing ( anak ) 4,4 x 4, pcs - - - - 2,021
    60 Transparent IV Dressing ( Dewasa) 6 x 7 pcs - - - - 2,224
    61 Urine bag pcs - - - - 3,810
    62 Umbilical Cord Klem Steril Nylon pcs - - - - 1,270
    63 wing nedle No.21 pcs - - - - 6,059
    64 wing nedle No.23 pcs - - - - 6,059
    SISA ALKES DALAM RUPIAH 537 640
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 31,725 39,459

    Mengetahui,
    Kepala UPT Pusksemas Pangkalan Kasai

    drg. DWIYANA SYAHPUTRI


    NIP. 197507232008012007
    G HABIS PAKAI (OBAT & ALKES )
    MARET 2018

    UNIT KERJA : APOTEK

    Jumlah Pengeluaran Harga Perolehan


    Ket
    Maret 2018 (Rp) Terakhir

    9 (8x6 ) 10 ( 8x4 ) 11

    - -
    - -
    - -
    5,150 -
    - -
    - 47,168
    2,574 94,809
    - -
    - 20,038
    - -
    - -
    - 7,380
    - -
    - -
    - -
    37,510 75,020
    - -
    387,450 146,340
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 48,025
    - -
    - 6,400
    - -
    - -
    - -
    - -
    157,200 15,100
    1,500 15,300
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    28,750 67,500
    - -
    - -
    - -
    - -
    15,200 74,480
    - -
    2,754 14,688
    - 113,730
    - 35,500
    - -
    - -
    - -
    133,104 47,517
    - -
    124,560 451,530
    288,648 30,384
    - -
    - -
    - 17,380
    - -
    - -
    - -
    - -
    - -
    33,800 59,800
    - -
    - -
    - -
    5,400 15,300
    - -
    - -
    11,595 127,545
    - -
    - -
    19,200 1,600
    - -
    - -
    - -
    - -
    - -
    4,050 33,750
    - 59,994
    - -
    148,160 173,632
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 2,485
    - -
    - 7,893
    - 76,500
    - -
    - -
    - -
    1,410 13,066
    - 45,885
    - -
    - 16,800
    5,151 30,300
    - -
    - -
    3,353 43,589
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    5,490 11,285
    - -
    - -
    67,152 92,334
    - -
    - -
    - -
    70,860 240,924
    374,680 169,360
    - -
    - -
    - -
    - -
    - -
    - -
    - 18,042
    - -
    - -
    - -
    - -
    - -
    19,710 3,650
    - 92,484
    - -
    - 109,120
    - -
    - -
    - 64,200
    - -
    - -
    - -
    - 85,860
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    33,759 53,361
    6,480 21,726
    - -
    - -
    41,160 120,960
    - -
    29,925 945
    - -
    - 116,440
    - -
    51,000 48,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 1,430
    - -
    - -
    - -
    - -
    - -
    - -
    31,104 53,136
    4,320 17,280
    - -
    - -
    - -
    - -
    - -
    - -
    184,008 8,976
    - -
    2,116 11,638
    - 48,300
    - -
    - -
    - -
    - -
    - -
    - -
    8,932 21,868
    8,728 96,008
    11,988 402,264
    - -
    - -
    - -
    - -
    18,894 -
    - -
    - -
    - -
    17,374 56,168
    - -
    - -
    - -
    - 22,000
    - -
    - -
    - -
    - -
    157,122 112,770
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    12,600 25,200
    - -
    - -
    - -
    - -
    17,447 98,946
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    82,999 392,630
    - -
    - -
    4,653,733

    - -
    278,400 186,876
    - -
    - -
    - -
    80,780 127,120
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    92,000 759,000
    - -
    - -
    - -
    - -
    137,500 165,000
    - -
    - -
    24,000 72,000
    - -
    - -
    50,000 190,000
    - -
    58,995 -
    - -

    - -
    55,245 20,447
    - -
    - -
    50,000 150,000
    - -
    - -
    - -
    - -
    114,600 159,300
    - -
    - -

    162,603 227,360
    167,400 24,800
    - -
    - -
    - -
    - -
    503,839 203,406
    - -
    - -
    - -
    72,000 432,000
    268,000 24,000
    - -
    - -
    - -
    - -
    - 265,860
    - -
    - -
    - -
    - -
    - -
    84,000 84,000
    - -
    45,000 765,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -

    - -
    - -
    - -

    525,800 113,300
    - -
    30,000 240,000
    92,650 306,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    13,600 -
    11,200 -
    56,000 -
    191,700 42,600
    - -
    - -
    4,558,069

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    22,466 213,666
    17,250 96,945
    - -
    - -
    - 135,000
    - -
    - -
    - -
    - -
    10,974 -
    - -
    - -
    - -
    - -
    - -
    - -
    138,000 46,000
    23,780 163,850
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 693,000
    - -
    - -
    - -
    - -
    8,050 236,210
    - 416,500
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    20,976 17,940
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    28,600 112,200
    - -
    - -
    - -
    - -
    - 43,792
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 65,450
    - -
    - -
    154,000 616,000
    - -
    - -
    - -
    - 6,600
    - -
    - -
    - -
    - -
    - -
    424,096 2,863,153

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    424,096 12,074,955

    - -
    - -
    - -
    - -
    - -
    19,680 78,720
    45,900 -
    - -
    - -
    - -
    - -
    46,420 -
    - -
    - -
    - -
    - 130,000
    - -
    - -
    2,990 25,415
    - -
    - -
    - -
    - -
    8,085 8,085
    - -
    - -
    - -
    - -
    - -
    15,800 63,200
    - -
    - -
    - -
    - -
    - 94,000
    - -
    - -
    - -
    52,070 -
    131,670 -
    87,780 -
    - -
    66,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    - 30,030
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    429,450
    12,504,405

    Pangkalan Kasai, 25 Maret 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN April April
    A OBAT GENERIK PKD
    Acdat salep tube - -
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl - -
    4 ALKOHOL 70 % 1000 ml btl - 1 1 -
    5 Alopurinol tab 100 mg tablet 536 536
    6 Alopurinol tab 300 mg tablet 442 20 422
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet 86 6 80
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet 90 90
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet 220 390 610 -
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 542 2,000 1,520 1,022
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 24
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp 2 2
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 151 1,800 1,830 121
    35 Asam Folat tab 1 mg tablet 306 306
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 54 25 29
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 49 88 53 84
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 48 48
    54 Bisoprolol tablet 5 mg tablet 170 170
    55 Bronsolvan 150 mg tablet 142 142
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet 337 67 270
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul 870 646 224
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 6 72 63 15
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul 20 20
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 230 500 330 400
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet 17 17
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - 2,000 361 1,639
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 33 6 27
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 1 1
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 450 171 279
    88 Cotrimoksazol suspensi 60ml botol 27 27
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet 2,713 1,000 2,032 1,681
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul 5 5
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 1
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 139 21 118
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 336
    114 Garam oralit untuk 200 ml air sachet 100 100
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl 13 2 11
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet 185 185
    129 Haloperidol 5 mg tablet - 500 50 450
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 33 24 34 23
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 51
    136 Ibuprofen tablet 200 mg tablet 1,460 1,300 2,660 100
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - 50 14 36
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 194 200 194 200
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet 50 500 150 400
    150 Ketokenazole krim 2 % 10 gr tube 36 6 30
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 352 10 342
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - 16 16 -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 60 60
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 539 500 410 629
    167 Metilergometrin 0,125 mg tablet 171 171
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 576 300 394 482
    171 Metoklopramide 5mg tablet - 300 180 120
    172 Metoklopramide 10mg tablet 9 500 133 376
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 710 40 670
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 16 24 22 18
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet 13 13
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul 246 330 160 416
    191 Ondansentron 4mg tablet 96 96
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol 6 70 76 -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol 11 2 9
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 2 4 2 4
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 71 71
    209 Pirantel syrup 125mg / 5ml botol 11 4 7
    210 Pitomenadion (Vit-K) 10mg tablet 604 59 545
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - 2 2 -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 472 500 192 780
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 200 200
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 895 1,000 431 1,464
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet - -
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps - 11 9 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - 128 128
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 12 3 9
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet 414 152 262
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 300 300
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 790 265 525
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    17,502 18,478
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet 537 700 1140 97
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet 908 500 1238 170
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    16 Cough En Plus btl 33 3 30
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 6 3 3
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    23 Faxiden gel tube 6 20 1 25
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl 19 12 7
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - 20 14 6
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube 14 14
    Guaifenisin 100mg tablet 161 1500 400 1,261
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 6 18 1 23
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 531 900 875 556
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk 492 400 236 656
    41 Intibrox tablet 1,120 1500 1227 1,393
    42 Intibrox Syr botol 4 4
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 174 1000 469 705
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 48 13 35
    51 Nalget Kaptab tablet 60 1300 795 565
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml - -
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 7 3 4
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 204 12 192
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 150 6 144
    74 Proneuron tablet 103 600 485 218
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 24 24
    77 Quantidex tablet tablet 360 70 290
    78 Reagen Golongan Darah Anti A 10ml botol - 2 2 -
    79 Reagen Golongan Darah Anti B 10ml botol - 2 2 -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - 3 1 2
    89 Stick Glukosa botol - 6 4 2
    90 Stik Kolesterol botol - 7 7 -
    91 Supramox Drops 20 ml botol 2 24 6 20
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    5,170 6,661
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Ambroxol 30 mg tablet - -
    3 Amlodipin tablet - -
    4 Antalgin tablet 500 mg tablet 340 340
    5 Antasida DOEN I tablet kunyah tablet - -
    6 Antimigren ergotamin tablet 169 40 129
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    8 Asam ascorbat (vit C) 50 mg tablet - -
    9 Asam Mefenamat kaplet 500 mg kaplet - 1,000 424 576
    10 Asiklovir krim 5% tube - 25 25
    11 Asiklovir tab 200 mg tablet 894 894
    12 Asiklovir tab 400 mg tablet 281 10 271
    13 Arimed / Meloxicam 15 mg tablet - -
    14 Becefort syr btl - -
    15 Becefort tablet 90 90
    16 Betametason Cream tube - -
    17 Bioplacenton tube - -
    18 Bisolvon Extra Syrup btl - -
    19 Bisoprolol 5mg tablet - -
    20 Captopril tablet 12,5 mg tablet - -
    21 Captopril 25 mg tablet - -
    22 Cefadroksil kap 500 mg kapsul - 300 300
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    24 Cefixime 100 mg tablet - -
    25 Ciprofloxacin 500 mg kapsul - -
    26 Clindamicyn 300 mg kapsul - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet 600 600 -
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,130 20 1,110
    29 Copper T ktk - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - -
    31 Diaform tablet - -
    32 Dimenhidrinat tab tablet - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - 10 2 8
    35 Fg Troches tablet - -
    36 Flukonazol tab 150 mg kapsul 30 30
    37 Fituno tablet - -
    38 Gentian Violet botol - -
    39 Glibenclamide 5 mg tablet 818 365 453
    40 Gliseril Guaikolat 100 mg tablet - -
    41 Griseovulvin tablet 125 mg tablet 1,027 22 1,005
    42 Hemaforf tablet 490 10 480
    43 Hidrokortison krim 2,5% tube - -
    44 Holicos ( Ambroxol ) syrup btl - -
    45 Hustab tablet - -
    46 Ibuprofen tablet 400 mg tablet - 400 311 89
    47 Isotic Neolyson Tetes Mata btl - -
    48 Isotic Clearens Tetes Mata btl - -
    49 Kasa 4m x 15cm roll - -
    50 Levofloxacin 500 mg tablet 50 20 30
    51 Lidokain injeksi ampul - -
    52 Livron B Plek tablet - -
    53 Loperamid 2mg tablet 195 300 205 290
    54 Metaneuron tablet - -
    55 Metilergometrin tablet 181 30 151
    56 Metilprednisolon 4mg tablet - -
    57 Mucohexin tablet - -
    58 Natrium Diklofenat 25mg tablet - -
    59 Natrium Diklofenat 50 mg tablet - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    61 Neurovit - E kaplet - -
    62 Nistatin tab 100.000 iu tab vaginal 99 13 86
    63 Nodiar tablet - -
    64 Noza tablet - -
    65 OBH Indo Plus syrup botol - -
    66 Oxfezin syrup botol - -
    67 Oksitetrasiklin salep kulit 3% tube 51 24 23 52
    68 Oksitetrasiklin inj ampul - -
    69 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet 1,300 681 619
    70 Parasetamol syrup 120mg / 5ml botol - -
    71 Pehavral tablet - -
    72 Piroxicam 20 mg tablet 368 368
    73 Pehacort / Prednison 5mg tablet - -
    74 Pyridoksin (vit.B6) tablet - -
    75 Propanolol 40mg tablet - -
    76 Propituracil 100 mg tablet - -
    77 Prolysin Plus syrup botol - -
    78 Pularex Attalpugit 600 mg tablet - -
    79 Ranitidine inj tablet - -
    80 Ranitidin 150mg tablet - -
    81 Ringer Laktat larutan infus 500ml botol - -
    82 Salbutamol syr botol - -
    83 Salbutamol 2 mg tablet 195 200 124 271
    84 Salbutamol 4mg (sebagai sulfat) tablet 770 26 744
    85 Sanbe Kids syrup botol - -
    86 Sagestam Cream tube - -
    87 Scabimite Cream tube 8 7 1
    88 Simvastatin 10 mg tablet - 90 23 67
    89 Tab Fe tablet 380 380 -
    90 Tramadol Tablet 200 200
    91 Tryhexilpenidil tablet 150 150
    Vitamin B. Kompleks tablet 500 500
    92 Zinc Disperibel tablet - -
    93 Oxycan btl - -
    94 cimetidin tab 200 mg tablet - -
    95 Alat Suntik 3 cc pcs - -
    96 Mikrodiol ktk - -
    8,516 9,329
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 31,188 34,468

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - -
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - 100 100 -
    4 Alat suntik sekali pakai 5 ml pcs - 30 30 -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs 400 300 400 300
    7 Blood Lahat pcs - 300 300 -
    8 Blood Transfusion Set pcs - -
    9 Catgut/benang bedah no. 3/0 pcs - -
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs - 50 50 -
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 100 100
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs 17 17
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs - -
    22 I.V Catheter no.20 pcs - -
    23 I.V Catheter no.22 pcs - -
    24 I.V Catheter no.24 pcs 1 1
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks - -
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 8 3 5
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol 10 1 11 -
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - -
    41 Masker Tie On pcs - 225 225 -
    42 Oxycan btl - -
    43 Pembalut elastis 10 cm x 4.55m pcs - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - -
    50 Semillas Non Woven Medical Tape (10 x 500c roll 1 1
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - 1 1 -
    55 Surgical Blades No. 11 pcs - 16 16 -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs - -
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 537 424
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 31,725 34,892

    Pangkalan Kasai, 25 April 2018


    Mengetahui, Penanggung Jawab
    Kepala UPT Pusksemas Pangkalan Kasai APOTEK

    drg. DWIYANA SYAHPUTRI SINTICE, Amd.Farm


    NIP. 197507232008012007
    N PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    : APOTEK

    Ket
    exp.date
    25 April 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALKE
    PER 25 APRIL 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil HARGA
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran SATUAN
    April April
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    Acdat salep tube - - - -
    1 Albendazol suspensi 200 mg/5 ml btl - - - - 4,041
    2 Albendazol tab 400 mg tablet - - - - 350
    3 Alkohol 70 % 100 ml btl - - - - 2,575
    4 ALKOHOL 70 % 1000 ml btl - 1 1 - 27,305
    5 Alopurinol tab 100 mg tablet 536 - - 536 88
    6 Alopurinol tab 300 mg tablet 422 - 20 442 215
    7 Alprazolam 0,5 mg tab tablet - - - - 180
    8 Alprazolam 1 mg tab tablet 80 - 6 86 233
    9 Ambroxol sirup btl - - - - 2,598
    10 Ambroxol tablet 30 mg tablet - - - - 131
    11 Aminofilin tab 200 mg tablet 90 - - 90 82
    12 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    13 Amitriptilin tab 25 mg tablet - - - - 117
    14 Amlodipin 5 mg tab tablet - - - - 192
    15 Amlodipin 10 mg tab tablet - 390 610 220 341
    16 Amoksisilin kapsul 250 mg kapsul - - - - 210
    17 Amoksisilin kapsul 500 mg kapsul 1,022 2,000 1,520 542 270
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    19 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    20 Ampisilin 500 mg kap kapsul - - - - 400
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    22 Antalgin tablet 500 mg tablet - - - - 116
    23 Antalgin inj ampul - - - - 1,400
    24 Antasida DOEN I tablet kunyah tablet - - - - 74
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    26 Anti bakteri salep komb tube - - - - 2,641
    27 Antifungi DOEN komb salep pot 24 - - 24 2,001
    28 Antimigren: ergotamin tartrat 1mg +kofe tablet - - - - 142
    29 Antihemoroid kombinasi Bismut Subgala supp 2 - - 2 3,200
    30 Antithrom Jelly tube - - - - 35,200
    31 Aqua pro injeksi steril vial - - - - 2,100
    32 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    33 Artesunate injeksi vial/ktk - - - - 38,999
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 121 1,800 1,830 151 100
    35 Asam Folat tab 1 mg tablet 306 - - 306 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    37 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    38 Asam Traneksamat Injeksi ampul - - - - 2,535
    39 Asetosal tab 100 mg tablet - - - - 122
    40 Asetosal tab 500 mg tablet - - - - 170
    41 Asiklovir krim 5% tube - - - - 2,260
    42 Asiklovir tab 200 mg tablet - - - - 239
    43 Asiklovir tab 400 mg tablet - - - - 345
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - - 1,300
    46 Atropin sulfat tab 0,5 mg tablet - - - - 77
    47 Bedak Salisil Serbuk 2 % bks 29 - 25 54 1,250
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg t tablet - - - - 43
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    52 Betametason krim 0,1% tube 84 88 53 49 1,520
    53 Bexicom tab kapsul - - - - 1,650
    Bisacodyl 5mg tablet 48 - - 48 306
    54 Bisoprolol tablet 5 mg tablet 170 - - 170 669
    55 Bronsolvan 150 mg tablet 142 - - 142 250
    56 Budenosid resp - - - - 8,900
    57 Captopril tablet 12,5 mg tablet - - - - 62
    58 Captopril tablet 25 mg tablet - - - - 89
    59 Captopril tablet 50 mg tablet 270 - 67 337 141
    60 Carbamazepin 200 mg tablet - - - - 257
    61 Cefadroksil kap 500 mg kapsul 224 - 646 870 519
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 72 63 6 5,064
    63 Cefaleksin kap 500 mg kapsul - - - - 1,100
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    65 Cefixime kap 100 mg kapsul 20 - - 20 869
    66 Cefotaxim 0,5 gr inj vial - - - - 5,247
    67 Cefotaxim 1 gr inj vial - - - - 3,150
    68 Ceftriaxon injeksi 1 g vial - - - - 3,500
    69 Cetrizine tab 10 mg tablet - - - - 145
    70 Ciprofloxacin infs btl 100 ml - - - - 59,800
    71 Ciprofloxacin 500 mg kapsul 400 500 330 230 260
    72 Cimetidin 200 mg tablet - - - - 120
    73 Clindamycin 150 mg kap tablet - - - - 379
    74 Clindamycin 300 mg kap tablet - - - - 570
    75 Clobazam tab 10 mg tablet 17 - - 17 900
    76 Chlorpheniramine maleat (CTM) 4 mg tablet 1,639 2,000 361 - 53
    77 Chloramfenikol 250 mg kaplet - - - - 262
    78 Chloramfenikol suspensi 125mg / 60ml (M botol 27 - 6 33 3,865
    79 Chloramphenicol Suspensi botol - - - - 3,978
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    81 Chloramfenikol salep mata 1% / 5ml tube 1 - - 1 1,600
    82 Chloroquin 150 mg tablet - - - - 89
    83 Chlorpromazin tablet 100 mg tablet - - - - 153
    84 Chlorpromazin tablet 25 mg tablet - - - - 71
    85 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 279 - 171 450 75
    88 Cotrimoksazol suspensi 60ml botol 27 - - 27 2,222
    89 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    90 Deksametason tablet 0,5 mg tablet 1,681 1,000 2,032 2,713 64
    91 Diaform tablet - - - - -
    92 Diazepam 2 mg tab tablet - - - - 45
    93 Diazepam injeksi ampul - - - - 4,389
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl ampul - - - - 1,107
    95 Digoksin tablet 0,25 mg tablet - - - - 100
    96 Diltiazem tab 30 mg tablet - - - - 134
    97 Dimenhidrinat tab tablet - - - - 104
    98 Doksisiklin 100 mg kap tablet - - - - 285
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    100 Domperidone 10 mg tab tablet - - - - 170
    101 Domperidone drop 5mg / ml botol - - - - 16,350
    102 Ekstrak beladon 10 mg tab tablet - - - - 33
    103 Epinefrin injeksi ampul - - - - 8,505
    104 Erytromicyn 250 mg kapsul 5 - - 5 497
    105 Erythromisin 500 mg kap kapsul - - - - 976
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 - - 1 7,893
    107 Fenilbutason tab 200 mg tablet 750 - - 750 102
    108 Ferosulfat tab tablet - - - - 21
    109 Flukonazol tab 150 mg kapsul - - - - 23,100
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - - 1,920
    111 Furosemid tablet, 40 mg tablet 118 - 21 139 94
    112 Fucilex Krim / Natrium Fucilat tube 7 - - 7 6,555
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336 50
    114 Garam oralit untuk 200 ml air sachet 100 - - 100 303
    115 Geriavita kapsul - - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - - 1,469
    117 Gentamisin sulfat tetes mata 0,3 % btl 11 - 2 13 3,353
    118 Gentamisin injeksi ampul - - - - 3,569
    119 Gentian Violet larutan 1 % btl 10 ml - - - - 945
    120 Glibenklamida tablet 5 mg tablet - - - - 58
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - - 5,985
    123 Glukosa larutan infus 40 % steril amp - - - - 2,577
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - - 5,460
    125 Grafula-DHA tablet - - - - 2,200
    126 Griseovulvin tablet 125 mg tablet - - - - 230
    127 Haloperidol 0,5 mg tablet - - - - 100
    128 Haloperidol 1,5 mg tablet 185 - - 185 61
    129 Haloperidol 5 mg tablet 450 500 50 - 72
    130 Hemafort tablet - - - - -
    131 Hidrokortison krim 2,5% tube 23 24 34 33 2,798
    132 Hufabetamin Syrup btl - - - - 5,900
    133 Hustab tablet - - - - -
    134 Hustadin Syrup btl - - - - 16,500
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 - - 51 4,724
    136 Ibuprofen tablet 200 mg tablet 100 1,300 2,660 1,460 116
    137 Ibuprofen tablet 400 mg tablet - - - - 153
    138 Ika Neurom Injeksi ampul - - - - 5,445
    139 Imunvit Plus Kap kaplet - - - - 6,500
    140 Intibrox (Ambroksol) tablet - - - - 203
    141 Intibrox (Ambroksol) Syrup botol 36 50 14 - 6,200
    142 Isoniazid tab 100 mg tablet - - - - 68
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 200 200 194 194 93
    144 KA EN 1 B botol - - - - 9,000
    145 KA EN 3 A botol - - - - 10,000
    146 KA EN 3 B botol - - - - 10,000
    147 KA EN MG 3 botol - - - - 9,625
    148 Kalium Diklofenak 50 mg tablet - - - - 743
    149 Kalsium Laktat 500 mg tablet 400 500 150 50 73
    150 Ketokenazole krim 2 % 10 gr tube 30 - 6 36 2,569
    151 Ketokenazole krim 2 % 15 gr tube - - - - 4,930
    152 Ketokonazol 200 mg tablet 342 - 10 352 310
    153 Ketorolac inj 10 mg ampul - - - - 1,697
    154 Ketorolac inj 30 mg ampul - - - - 2,539
    155 Klonidin 0,15 mg tablet 300 - - 300 214
    156 Kodein tablet 10 mg tablet - - - - 525
    157 Kombines : Ipratropium bromida inhalasi vial - - - - 879
    158 Lidokain injeksi 2% / 2ml ampul - 16 16 - 879
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 60 - - 60 1,431
    160 Levofloksasin 500 mg tablet - - - - 554
    161 Loratidin 10 mg tablet - - - - 162
    162 Loperamid 2mg tablet - - - - 92
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - - 3,500
    164 Mebendazol Syrup 100mg / 5ml botol - - - - 3,711
    165 Mebendazol 100mg tablet - - - - 239
    166 Megatic Emulgel tube - - - - 11,500
    Metformin HCL 50 mg kapsul 629 500 410 539 99
    167 Metilergometrin 0,125 mg tablet 171 - - 171 127
    168 Metilergometrin injeksi ampul - - - - 2,750
    169 Metilprednisolon injeksi 500 mg vial - - - - 92,990
    170 Metilprednisolon 4mg tablet 482 300 394 576 210
    171 Metoklopramide 5mg tablet 120 300 180 - 108
    172 Metoklopramide 10mg tablet 376 500 133 9 105
    173 Metronidazol 250mg tablet - - - - 113
    174 Metronidazol 500mg tablet 670 - 40 710 164
    175 Mikrodiol ktk - - - - -
    176 Mikonazol krim 2% tube 18 24 22 16 3,000
    177 Momethasone furoat krim 0,1 % tube - - - - 17,820
    178 Mulsanol Drop btl - - - - 18,500
    179 Natrium Diklofenat 25mg tablet - - - - 141
    180 Natrium Diklofenat 50mg tablet - - - - 185
    181 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    182 Nevirapin 200mg tablet - - - - 2,940
    183 Nifedipin 10mg tablet 13 - - 13 110
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - - 2,999
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - - 672
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - - 504
    187 Ofloxacin 400 mg tablet - - - - 680
    188 Oksitetrasiklin HCl salep mata 1% tube - - - - 1,600
    189 Oksitetrasiklin salep kulit 3% tube - - - - 1,606
    190 Omeprazol kapsul 20 mg kapsul 416 330 160 246 216
    191 Ondansentron 4mg tablet 96 - - 96 180
    192 Oksitosin injeksi ampul - - - - 1,900
    193 Ostine kapsul - - - - 375
    194 Otsu-KCL 7,46% ampul - - - - 297
    195 Papaverin 40mg tablet - - - - 122
    196 Parasetamol 500mg tablet - - - - 84
    197 Parasetamol drops botol - - - - 5,460
    198 Parasetamol syrup 120mg / 5ml botol - 70 76 6 1,496
    199 Penoksimetil Penisilin 500mg tablet - - - - 535
    200 Penolgliserol tetes telinga 10% / 5ml botol 9 - 2 11 1,058
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 4 2 2 24,150
    202 Permetrin krim 5% (Scabicid) tube - - - - 11,475
    203 Pethidin injeksi ampul - - - - 1,523
    204 Phenobarbital 30mg tablet - - - - 31
    205 Phenobarbital injeksi 50mg/ml ampul - - - - 1,890
    206 Piracetam injeksi 3g / 15ml ampul - - - - 4,200
    207 Piracetam 800mg tablet - - - - 321
    208 Pirantel Score (base ) 125mg tablet 71 - - 71 308
    209 Pirantel syrup 125mg / 5ml botol 7 - 4 11 8,728
    210 Pitomenadion (Vit-K) 10mg tablet 545 - 59 604 666
    211 Pitomenadion inj. 2mg ampul - - - - 3,582
    212 Poncodryl (DMP) syr botol - - - - 25,300
    213 Pitomenadion inj. 10mg ampul - - - - 3,582
    214 Povidon Iodida 10% 30ml botol - - - - 2,250
    215 Povidon Iodida 10% 60ml botol - 2 2 - 6,298
    216 Povidon Iodida 10% 300ml botol - - - - 14,771
    217 Povidon Iodida 10% 1000ml botol - - - - 38,594
    218 Pravastatin 20mg tablet - - - - 2,400
    219 Prednison 5mg tablet 780 500 192 472 119
    220 Primakuin 15mg tablet - - - - 205
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - - 7,549
    222 Propanolol HCl 10mg tablet - - - - 79
    223 Propanolol 40mg tablet 200 - - 200 110
    224 Propiltiourasil 100mg tablet - - - - 335
    225 Quinine tablet - - - - 704
    226 Ramipril 5mg tablet - - - - 600
    227 Ranitidin inj 25mg / 2ml ampul - - - - 1,190
    228 Ranitidin 150mg tablet 1,464 1,000 431 895 126
    229 Reserpin 0,10mg tablet - - - - 85
    230 Reserpin 0,25 mg tablet - - - - 109
    231 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    232 Risperidon 2mg tablet - - - - 1,038
    233 Rivanol larutan 0,1% botol - - - - 2,283
    234 Salbutamol 2mg (sebagai sulfat) tablet - - - - 62
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - - 85
    236 Salbutamol serbuk inh 200mcg/caps+rotah caps 2 11 9 - 11,550
    237 Salbutamol serb inh 200 mcg/kaps tablet 128 128 - - 452
    238 Salbutamol cairan inh 0,1% (Ventolin Neb botol - - - - 6,930
    239 Salep 2-4 pot 9 - 3 12 2,100
    240 Serum Anti Tetanus ampul - - - - 126,000
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - - 1,131
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - - 60
    243 Simvastatin 10mg tablet - - - - 174
    Simvastatin 20mg tablet 262 - 152 414 239
    244 Spiramisin 500mg tablet - - - - 1,574
    245 Stesolid inj ampul - - - - 17,604
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - - 17,604
    248 Streptomisin injeksi 1 g/ml vial - - - - 3,832
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - - 3,387
    250 Sulfatdoksin 500mg tablet - - - - 544
    251 Sukralfat suspensi 500mg/5ml (Ulsafate S botol - - - - 13,850
    252 Supramox Drops 20 ml botol - - - - 21,300
    Tablet Fe tab isi 100 300 300 - -
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - - 30,800
    254 Tetrasiklin 250mg kapsul - - - - 154
    255 Tetrasiklin 500mg kapsul - - - - 312
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - - 700
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - - 37
    258 Tramadol 50mg kapsul - - - - 192
    259 Tuzalos kaplet - - - - -
    260 Vitamin B6 tablet - - - - 47
    261 Vitamin B Kompleks tablet - - - - 110
    262 Vitaplex drop botol - - - - 26,400
    263 Zinc Disperibel tablet 525 - 265 790 497
    264 Zink drop 10mg / 5ml botol - - - - 12,840
    265 Zirkum Kid syrup 20mg / 5ml botol - - - - 7,770
    18,478 17,502
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet 97 700 1,140 537 348
    3 Antithrom tube - - - - 35,200
    4 Arimed 15 mg tablet - - - - 1,617
    5 Asifit tablet - - - -
    6 Asonfen tab tablet 170 500 1,238 908 140
    7 Amobiotic Drop btl - - - - 23,100
    8 Becefort tab kotak/100 tablet - - - - 1,500
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - - 1,670
    11 Bisolvon Ekstra Sirup botol 60 ml - - - - 32,625
    12 Brochifar tablet - - - - 478
    13 Bromifar tablet - - - - 225
    14 Burnazin tube - - - -
    15 Caltrax btl - - - - 27,500
    16 Cough En Plus btl 30 - 3 33 23,000
    17 Dasabion tablet - - - - 979
    18 Dehaf sachet - - - - 9,167
    19 Dumin Rectal 250 mg supp - - - - 16,280
    20 Dumin Rectal 125 mg supp - - - - 11,660
    Donexan Syrup Botol 3 - 3 6 27,500
    21 Erlamycetine Ear Drop botol 10 ml - - - - 4,840
    22 Erya Forte 500 mg kapsul kapsul - - - - 231
    23 Faxiden gel tube 25 20 1 6 12,000
    24 Fludane kapsul kapsul - - - - 735
    25 Fludane Plus tablet - - - - 880
    26 Flutop C Syrup btl 7 - 12 19 10,000
    27 Fituno kapsul - - - - 1,210
    28 Fucilex/ natrium fucilat criem tube - - - - 6,555
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    Genalten (Gentamicyn) cream tube 6 20 14 -
    30 Genolon krim tube - - - - 26,400
    Geonit (gentamisin salep mata) tube 14 14 - -
    Guaifenisin 100mg tablet 1,261 1,500 400 161 127
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - - 2,167
    33 Hico Gel tube 23 18 1 6 25,000
    34 Hidrogen Peroksida 3% btl 1 liter - - - - 39,000
    35 Holicos Syrup Botol 60 ml - - - - 32,625
    36 Hufabetamin Syrup btl - - - - 5,900
    37 Hustadin Syr btl - - - - 16,500
    38 Hustab tablet 556 900 875 531 300
    39 Ika Neurom Injeksi ampul - - - - 5,445
    40 Imunvit Plus Kap Kaplet - - - - 3,325
    Intunal Forte 100 tablet/ktk 656 400 236 492
    41 Intibrox tablet 1,393 1,500 1,227 1,120 203
    42 Intibrox Syr botol 4 - - 4 6,200
    43 Isotic Clearens Botol - - - - 9,000
    44 Isotic Neolyson Botol - - - - 28,750
    45 Jovial Sachet sachet - - - - 4,180
    46 Livron B. Plex Ds 10x10 tab - - - - 250
    Maltiron Plus Tablet 705 1,000 469 174 1,169
    47 Metaflu tablet - - - - 220
    48 Metamizol 500mg tablet - - - - 12,833
    49 Mucohexin tab tablet - - - - 506
    50 Mulsanol Syrup botol 60 ml 35 - 13 48 9,000
    51 Nalget Kaptab tablet 565 1,300 795 60 400
    52 Natavit Soft Cut kapsul - - - - 3,017
    53 Neocenta Gel tube - - - - 20,000
    54 Neo diaform ktk - - - - 140
    55 Neurovit-e dus 6x10 tab - - - - 1,027
    56 Neurodial kaplet 211 - - 211 1,260
    57 Nodiar tablet - - - - 1,210
    58 Noza tablet - - - - 891
    59 Novakal syrup btl - - - - 9,498
    60 OBH Indo Plus botol 100 ml - - - - 12,100
    61 OBH Inti Syr botol 100 ml - - - - -
    OBH Intrasal Syr botol 4 - 3 7 12,000
    62 Osteor plus kaplet - - - - 6,325
    63 Ostine Kapsul kapsul 192 - 12 204 3,750
    64 Ondansetron tablet - - - - 495
    65 Oxfezin Syrup botol 100 ml - - - - 56,100
    66 Panstonal Forte 500 mg tablet - - - - 297
    67 Poncodryl DMP Syrup btl - - - - 25,300
    68 Ponflu tablet - - - - 715
    69 Pehavral tablet - - - - 693
    70 Pehacort tablet - - - - 145
    Pyreksin 60mg tablet/supp 4 - - 4
    Pyreksin 160mg tablet/supp - - - -
    71 Prenase tab tablet - - - - 86,350
    72 Procalma Soft Kapsul 30 kap/ktk - - - - 3,850
    73 Prolysin Syrup Plus botol 100 ml - - - - 30,800
    Prombus tablet 144 - 6 150
    74 Proneuron tablet 218 600 485 103 1,100
    75 Pularex Attalpulgit 600 mg tablet - - - - 210
    76 Quantidex Syr botol 24 - - 24 10,000
    77 Quantidex tablet tablet 290 - 70 360 850
    78 Reagen Golongan Darah Anti A 10ml botol - 2 2 - 100,000
    79 Reagen Golongan Darah Anti B 10ml botol - 2 2 - 100,000
    80 Reagen Golongan Darah Anti D 10ml botol - - - - 125,000
    81 Sagestam Cream tube - - - - 13,090
    82 Sanbe Kids botol 200 ml - - - - 38,500
    83 Sanvita B sirup btl - - - - 11,550
    84 Scabimite cream 10 mg tube - - - - 77,000
    85 Serum Anti Bisa Ular amp - - - - 473,000
    86 Supramox drops 20 ml btl - - - - 21,300
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    88 Stick Asam Urat botol 2 3 1 - 6,800
    89 Stick Glukosa botol 2 6 4 - 5,600
    90 Stik Kolesterol botol - 7 7 - 28,000
    91 Supramox Drops 20 ml botol 20 24 6 2 21,300
    92 Tuzalos kap kapsul - - - - 781
    93 Vitaplex drop btl - - - - 26,400
    6,661 5,170
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - - - - 270
    2 Ambroxol 30 mg tablet - - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet 340 - - 340
    5 Antasida DOEN I tablet kunyah tablet - - - - 74
    6 Antimigren ergotamin 129 - 40 169 -
    7 Antihemoroid kombinasi Bismut Subgala supp - - - - 3,685
    8 Asam ascorbat (vit C) 50 mg tablet - - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 576 1,000 424 - 209
    10 Asiklovir krim 5% tube 25 25 - - 2,260
    11 Asiklovir tab 200 mg tablet 894 - - 894 239
    12 Asiklovir tab 400 mg tablet 271 - 10 281 345
    13 Arimed / Meloxicam 15 mg tablet - - - - 8,085
    14 Becefort syr btl - - - - 17,000
    15 Becefort tablet 90 - - 90 1,500
    16 Betametason Cream tube - - - - -
    17 Bioplacenton tube - - - - -
    18 Bisolvon Extra Syrup btl - - - - 32,625
    19 Bisoprolol 5mg tablet - - - - -
    20 Captopril tablet 12,5 mg tablet - - - - 62
    21 Captopril 25 mg tablet - - - - -
    22 Cefadroksil kap 500 mg kapsul 300 300 - - 519
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - - 5,064
    24 Cefixime 100 mg tablet - - - - -
    25 Ciprofloxacin 500 mg kapsul - - - - 513
    26 Clindamicyn 300 mg kapsul - - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - 600 600 77
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,110 - 20 1,130 145
    29 Copper T ktk - - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - - 979
    31 Diaform tablet - - - - 140
    32 Dimenhidrinat tab tablet - - - - 95
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - - 2,970
    34 Erlamycetin Ear Drop Tetes Telinga btl 8 10 2 - 4,840
    35 Fg Troches tablet - - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30 23,100
    37 Fituno tablet - - - - 4,033
    38 Gentian Violet botol - - - - -
    39 Glibenclamide 5 mg tablet 453 - 365 818 -
    40 Gliseril Guaikolat 100 mg tablet - - - - -
    41 Griseovulvin tablet 125 mg tablet 1,005 - 22 1,027 230
    42 Hemaforf tablet 480 - 10 490 850
    43 Hidrokortison krim 2,5% tube - - - - 2,399
    44 Holicos ( Ambroxol ) syrup btl - - - - 23,100
    45 Hustab tablet - - - - 300
    46 Ibuprofen tablet 400 mg tablet 89 400 311 - 153
    47 Isotic Neolyson Tetes Mata btl - - - - 28,750
    48 Isotic Clearens Tetes Mata btl - - - - 10,750
    49 Kasa 4m x 15cm roll - - - - -
    50 Levofloxacin 500 mg tablet 30 - 20 50 -
    51 Lidokain injeksi ampul - - - - -
    52 Livron B Plek tablet - - - - 250
    53 Loperamid 2mg tablet 290 300 205 195 92
    54 Metaneuron tablet - - - - 1,283
    55 Metilergometrin tablet 151 - 30 181 -
    56 Metilprednisolon 4mg tablet - - - - 210
    57 Mucohexin tablet - - - - 506
    58 Natrium Diklofenat 25mg tablet - - - - 141
    59 Natrium Diklofenat 50 mg tablet - - - - -
    60 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    61 Neurovit - E kaplet - - - - 1,027
    62 Nistatin tab 100.000 iu tab vaginal 86 - 13 99 -
    63 Nodiar tablet - - - - 1,210
    64 Noza tablet - - - - 891
    65 OBH Indo Plus syrup botol - - - - 12,100
    66 Oxfezin syrup botol - - - - 56,100
    67 Oksitetrasiklin salep kulit 3% tube 52 24 23 51 2,200
    68 Oksitetrasiklin inj ampul - - - - 5,500
    69 Omeprazol kapsul 20 mg kapsul - - - - 216
    Paracetamol tab 500 mg tablet 619 1,300 681 -
    70 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    71 Pehavral tablet - - - - 693
    72 Piroxicam 20 mg tablet 368 - - 368 119
    73 Pehacort / Prednison 5mg tablet - - - - 145
    74 Pyridoksin (vit.B6) tablet - - - - -
    75 Propanolol 40mg tablet - - - - 114
    76 Propituracil 100 mg tablet - - - - -
    77 Prolysin Plus syrup botol - - - - 30,800
    78 Pularex Attalpugit 600 mg tablet - - - - 210
    79 Ranitidine inj tablet - - - - -
    80 Ranitidin 150mg tablet - - - - 108
    81 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    82 Salbutamol syr botol - - - - -
    83 Salbutamol 2 mg tablet 271 200 124 195 -
    84 Salbutamol 4mg (sebagai sulfat) tablet 744 - 26 770 85
    85 Sanbe Kids syrup botol - - - - 38,500
    86 Sagestam Cream tube - - - - 13,090
    87 Scabimite Cream tube 1 - 7 8 77,000
    88 Simvastatin 10 mg tablet 67 90 23 - -
    89 Tab Fe tablet - - 380 380 -
    90 Tramadol Tablet 200 - - 200 -
    91 Tryhexilpenidil tablet 150 - - 150 44
    Vitamin B. Kompleks tablet 500 500 - -
    92 Zinc Disperibel tablet - - - - 497
    93 Oxycan btl - - - - -
    94 cimetidin tab 200 mg tablet - - - - 113
    95 Alat Suntik 3 cc pcs - - - - 4,400
    96 Mikrodiol ktk - - - - -
    9,329 8,516
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - - 390,000
    2 Etil klorida btl - - - - 125,000
    3 Eugenol Cairan btl - - - - 17,500
    4 Glass Ionomer btl - - - - 395,000
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - - 242,000
    6 Klorfenol kamfer menthol(CHKM) btl - - - - 55,000
    7 Mummifying pasta btl - - - - 176,000
    8 Semen seng fosfat set - - - - 93,500
    9 Temporary stoping fletcher set - - - - 34,000
    - -
    SISA OBAT DALAM RUPIAH 34,468 31,188

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - - - - 826
    2 Alat suntik sekali pakai 2,5 ml pcs - - - - 826
    3 Alat suntik sekali pakai 3 ml pcs - 100 100 - 826
    4 Alat suntik sekali pakai 5 ml pcs - 30 30 - 953
    5 Alat suntik sekali pakai 10 ml pcs - - - - 1,175
    6 Alkohol Swab CHG 0,5 % pcs 300 300 400 400 197
    7 Blood Lahat pcs - 300 300 - 153
    8 Blood Transfusion Set pcs - - - - 4,572
    9 Catgut/benang bedah no. 3/0 pcs - - - - 22,500
    10 Catgut/benang bedah no.2/0 pcs - - - - 22,500
    11 Examination Lower Glove ( M ) pcs - - - - 464
    12 Examination Lower Glove ( L ) pcs - 50 50 - 464
    13 Folley Catheter no 16W pcs - - - - 8,000
    14 Folley Catheter no 18W pcs - - - - 8,000
    15 Folley Catheter no 20W pcs - - - - 8,000
    16 Handscoon no 7 pcs 100 - - 100 1,300
    17 Handscoon no 7,5 pcs - - - - 1,300
    18 Handscoon no 8 pcs - - - - 1,300
    19 Hcg (Tes Pack) pcs 17 - - 17 1,495
    20 Hidrogen Peroksida 3% btl - - - - 39,000
    21 I.V Catheter no.18 pcs - - - - 8,085
    22 I.V Catheter no.20 pcs - - - - 8,085
    23 I.V Catheter no.22 pcs - - - - 8,085
    24 I.V Catheter no.24 pcs 1 - - 1 8,085
    25 Infusion set anak set - - - - 4,445
    26 Infusion set dewasa set - - - - 4,064
    27 kapas pembalut berlemak 500 mg Bks - - - - 34,000
    28 Kapas pembalut 500 gram Bks - - - - 34,000
    29 Kapas pembalut/absorben 250 gram Bks - - - - 24,000
    30 Kasa Hidrofil 16x16 16 pcs/ktk 5 - 3 8 7,900
    31 Kasa Hidrofil 40 x 40 pcs - - - - 1,800
    32 Kasa Hidrofil 4 x 15 cm roll - - - - 3,800
    33 Kasa Hidrofil 4 x 3 cm roll - - - - 800
    34 Kasa Hidrofil 4 x 5 cm roll - - - - 1,100
    35 Kasa Pembalut 2 x 80 cm Rol - 1 11 10 9,400
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - - 16,000
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - - 25,000
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - - 1,100
    39 Lysol btl - - - - 52,070
    40 Masker ear lopp pcs - - - - 439
    41 Masker Tie On pcs - 225 225 - 439
    42 Oxycan btl - - - - -
    43 Pembalut elastis 10 cm x 4.55m pcs - - - - 33,000
    44 Pembalut elastis 7.5 cm x 4.55m pcs - - - - 27,830
    45 Pembalut Gips 6 Inchi Rol - - - - 60,500
    46 Plester 5 yard x 2 inch Rol - - - - 30,000
    47 Semillas Non Woven Medical Tape (5 x 1 roll - - - - 3,850
    48 Semillas Non Woven Medical Tape (10 x roll - - - - 7,315
    49 Semillas Non Woven Medical Tape (5 x 5 roll - - - - 21,753
    50 Semillas Non Woven Medical Tape (10 x roll 1 - - 1 30,030
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - - 15,000
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - - 15,000
    53 Stomach Tube pcs - - - - 10,010
    54 Surgical Blades No. 10 pcs - 1 1 - 3,000
    55 Surgical Blades No. 11 pcs - 16 16 - 3,000
    56 Surgical Blades No. 13 pcs - - - - 3,000
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - - -
    58 Surgical Blades No. 23 pcs - - - - 3,000
    Surgical Steril Powder Glove (S) pcs - - - - 4,320
    Surgical Steril Powder Glove (M) pcs - - - - 4,320
    Surgical Steril Powder Glove (L) pcs - - - - 4,320
    59 Transparent IV Dressing ( anak ) 4,4 x 4, pcs - - - - 2,021
    60 Transparent IV Dressing ( Dewasa) 6 x 7 pcs - - - - 2,224
    61 Urine bag pcs - - - - 3,810
    62 Umbilical Cord Klem Steril Nylon pcs - - - - 1,270
    63 wing nedle No.21 pcs - - - - 6,059
    64 wing nedle No.23 pcs - - - - 6,059
    SISA ALKES DALAM RUPIAH 424 537
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 34,892 31,725

    Mengetahui,
    Kepala UPT Pusksemas Pangkalan Kasai

    ASISWANDI. Amd. Kep. SKM


    NIP. 19700317 198912 1 001
    G HABIS PAKAI (OBAT & ALKES )
    APRIL 2018

    UNIT KERJA : APOTEK

    Jumlah Pengeluaran Harga Perolehan


    Ket
    April 2018 (Rp) Terakhir

    9 (8x6 ) 10 ( 8x4 ) 11

    - -
    - -
    - -
    - -
    27,305 -
    - 47,168
    4,290 90,519
    - -
    1,398 18,640
    - -
    - -
    - 7,380
    - -
    - -
    - -
    208,010 -
    - -
    410,400 275,940
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 48,025
    - -
    - 6,400
    - -
    - -
    - -
    - -
    183,000 12,100
    - 15,300
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    31,250 36,250
    - -
    - -
    - -
    - -
    80,560 127,680
    - -
    - 14,688
    - 113,730
    - 35,500
    - -
    - -
    - -
    9,447 38,070
    - -
    335,274 116,256
    319,032 75,960
    - -
    - -
    - 17,380
    - -
    - -
    - -
    - -
    - -
    85,800 104,000
    - -
    - -
    - -
    - 15,300
    19,133 86,867
    - -
    23,190 104,355
    - -
    - -
    - 1,600
    - -
    - -
    - -
    - -
    - -
    12,825 20,925
    - 59,994
    - -
    130,048 107,584
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 2,485
    - -
    - 7,893
    - 76,500
    - -
    - -
    - -
    1,974 11,092
    - 45,885
    - -
    - 16,800
    - 30,300
    - -
    - -
    6,706 36,883
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 11,285
    3,600 32,400
    - -
    95,132 64,354
    - -
    - -
    - -
    - 240,924
    308,560 11,600
    - -
    - -
    - -
    - -
    86,800 223,200
    - -
    18,042 18,600
    - -
    - -
    - -
    - -
    - -
    10,950 29,200
    15,414 77,070
    - -
    3,100 106,020
    - -
    - -
    - 64,200
    - -
    - -
    14,064 -
    - 85,860
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    40,590 62,271
    - 21,726
    - -
    - -
    82,740 101,220
    19,440 12,960
    13,965 39,480
    - -
    6,560 109,880
    - -
    66,000 54,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 1,430
    - -
    - -
    - -
    - -
    - -
    - -
    34,560 89,856
    - 17,280
    - -
    - -
    - -
    - -
    - -
    - -
    113,696 -
    - -
    2,116 9,522
    48,300 96,600
    - -
    - -
    - -
    - -
    - -
    - -
    - 21,868
    34,912 61,096
    39,294 362,970
    - -
    - -
    - -
    - -
    12,596 -
    - -
    - -
    - -
    22,848 92,820
    - -
    - -
    - -
    - 22,000
    - -
    - -
    - -
    - -
    54,306 184,464
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    103,950 23,100
    - 57,856
    - -
    6,300 18,900
    - -
    - -
    - -
    - -
    36,328 62,618
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    131,705 260,925
    - -
    - -
    4,575,004

    - -
    396,720 33,756
    - -
    - -
    - -
    173,320 23,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    69,000 690,000
    - -
    - -
    - -
    - -
    82,500 82,500
    - -
    - -
    12,000 300,000
    - -
    - -
    120,000 70,000
    - -
    - -
    - -

    - -
    - -
    50,800 160,147
    - -
    - -
    25,000 575,000
    - -
    - -
    - -
    - -
    262,500 166,800
    - -
    - -

    249,081 282,779
    - 24,800
    - -
    - -
    - -
    - -
    548,261 824,145
    - -
    - -
    - -
    117,000 315,000
    318,000 226,000
    - -
    - -
    - -
    - -
    - 265,860
    - -
    - -
    - -
    - -
    - -
    36,000 48,000
    - -
    45,000 720,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -

    - -
    - -
    - -

    533,500 239,800
    - -
    - 240,000
    59,500 246,500
    200,000 -
    200,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    6,800 13,600
    22,400 11,200
    196,000 -
    127,800 426,000
    - -
    - -
    5,985,687

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    88,616 120,384
    - 56,500
    - 213,666
    3,450 93,495
    - -
    - -
    - 135,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 155,700
    - -
    - -
    - -
    - -
    46,000 -
    2,900 160,950
    - -
    - -
    - -
    - -
    - -
    9,680 38,720
    - -
    - 693,000
    - -
    - -
    - -
    - -
    5,060 231,150
    8,500 408,000
    - -
    - -
    - -
    47,583 13,617
    - -
    - -
    - -
    - -
    - -
    - -
    18,860 26,680
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    50,600 114,400
    - -
    - -
    - -
    - -
    - -
    - 43,792
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    2,210 63,240
    - -
    - -
    539,000 77,000
    - -
    - -
    - -
    - 6,600
    - -
    - -
    - -
    - -
    - -
    - -
    822,459 2,651,894

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    822,459 13,212,585

    - -
    - -
    82,550 -
    28,575 -
    - -
    78,720 59,040
    45,900 -
    - -
    - -
    - -
    - -
    23,210 -
    - -
    - -
    - -
    - 130,000
    - -
    - -
    - 25,415
    - -
    - -
    - -
    - -
    - 8,085
    - -
    - -
    - -
    - -
    - -
    23,700 39,500
    - -
    - -
    - -
    - -
    103,400 -
    - -
    - -
    - -
    - -
    - -
    98,753 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 30,030
    - -
    - -
    - -
    3,000 -
    48,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    292,070
    13,504,655

    Pangkalan Kasai, 25 April 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Pengeluaran
    No. Nama Obat Saldo Awal Penerimaan Mei Saldo Akhir
    KEMASAN Mei
    A OBAT GENERIK PKD
    Acdat salep tube - 40 8 32
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl - 1 1 -
    4 ALKOHOL 70 % 1000 ml btl - -
    5 Alopurinol tab 100 mg tablet 536 72 464
    6 Alopurinol tab 300 mg tablet 422 31 391
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet 80 200 186 94
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet 90 90
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet - 450 340 110
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 1,022 2,000 1,490 1,532
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 24
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp 2 2
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - 6 6 -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 121 1,000 703 418
    35 Asam Folat tab 1 mg tablet 306 80 226
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 29 20 9
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 84 25 13 96
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 48 8 40
    54 Bisoprolol tablet 5 mg tablet 170 170
    55 Bronsolvan 150 mg tablet 142 10 132
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet 270 270
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul 224 80 144
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 15
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul 20 20 -
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 400 400
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet 17 17
    76 Chlorpheniramine maleat (CTM) 4 mg tablet 1,639 1,000 1,551 1,088
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 27 3 24
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 1 1
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 279 81 198
    88 Cotrimoksazol suspensi 60ml botol 27 27
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet 1,681 600 1,295 986
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul 5 5
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 1
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 118 38 80
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 336
    114 Garam oralit untuk 200 ml air sachet 100 35 65
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl 11 3 8
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - 500 500
    128 Haloperidol 1,5 mg tablet 185 500 185 500
    129 Haloperidol 5 mg tablet 450 310 140
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 23 24 12 35
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 51
    136 Ibuprofen tablet 200 mg tablet 100 200 300 -
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol 36 36
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 200 200
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet 400 80 320
    150 Ketokenazole krim 2 % 10 gr tube 30 7 23
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 342 72 270
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - 10 10 -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 60 60
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 629 390 239
    167 Metilergometrin 0,125 mg tablet 171 50 121
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 482 327 155
    171 Metoklopramide 5mg tablet 120 92 28
    172 Metoklopramide 10mg tablet 376 179 197
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 670 33 637
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 18 24 25 17
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet 13 13
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul 416 194 222
    191 Ondansentron 4mg tablet 96 36 60
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol - -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol 9 3 6
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 4
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 71 14 57
    209 Pirantel syrup 125mg / 5ml botol 7 1 6
    210 Pitomenadion (Vit-K) 10mg tablet 545 16 529
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - -
    216 Povidon Iodida 10% 300ml botol - 2 2 -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 780 121 659
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 200 10 190
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 1,464 1,000 1,428 1,036
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - 1 1
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet - -
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 2
    237 Salbutamol serb inh 200 mcg/kaps tablet 128 16 112
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 9 3 6
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet 262 121 141
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 500 381 119
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 525 500 593 432
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    18,178 15,676
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet 97 1600 517 1,180
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet 170 170
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    16 Cough En Plus btl 30 30
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 3 2 1
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    Etadexa tab 2000 485 1,515
    23 Faxiden gel tube 25 20 2 43
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl 7 2 5
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube 6 6 -
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube 14 14
    Guaifenisin 100mg tablet 1,261 285 976
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 23 1 22
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 556 600 448 708
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk 656 296 360
    41 Intibrox tablet 1,393 968 425
    42 Intibrox Syr botol 4 50 37 17
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 705 500 365 840
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 35 13 22
    51 Nalget Kaptab tablet 565 1200 361 1,404
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml - -
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 4 4
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 192 6 186
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 144 144
    74 Proneuron tablet 218 600 510 308
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 24 9 15
    77 Quantidex tablet tablet 290 130 160
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol 2 2
    89 Stick Glukosa botol 2 2
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 20 8 12
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    6,661 8,780
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - -
    Amoxicillin syr btl - 70 58 12
    2 Ambroxol 30 mg tablet - -
    3 Amlodipin tablet - -
    4 Antalgin tablet 500 mg tablet 340 40 300
    5 Antasida DOEN I tablet kunyah tablet - -
    6 Antimigren ergotamin tablet 129 7 122
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    8 Asam ascorbat (vit C) 50 mg tablet - -
    9 Asam Mefenamat kaplet 500 mg kaplet 576 576
    10 Asiklovir krim 5% tube 25 3 22
    11 Asiklovir tab 200 mg tablet 894 894
    12 Asiklovir tab 400 mg tablet 271 46 225
    13 Arimed / Meloxicam 15 mg tablet - -
    14 Becefort syr btl - -
    15 Becefort tablet 90 90
    16 Betametason Cream tube - -
    17 Bioplacenton tube - -
    18 Bisolvon Extra Syrup btl - -
    19 Bisoprolol 5mg tablet - -
    20 Captopril tablet 12,5 mg tablet - -
    21 Captopril 25 mg tablet - -
    22 Cefadroksil kap 500 mg kapsul 300 300
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    24 Cefixime 100 mg tablet - 100 40 60
    Chlorpromazin Hcl 100 mg tablet - 500 80 420
    25 Ciprofloxacin 500 mg kapsul - -
    26 Clindamicyn 300 mg kapsul - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 1,110 150 960
    29 Copper T ktk - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - -
    31 Diaform tablet - -
    32 Dimenhidrinat tab tablet - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    34 Erlamycetin Ear Drop Tetes Telinga btl 8 3 5
    35 Fg Troches tablet - -
    36 Flukonazol tab 150 mg kapsul 30 30
    37 Fituno tablet - -
    38 Gentian Violet botol - 5 5 -
    39 Glibenclamide 5 mg tablet 453 150 303
    40 Gliseril Guaikolat 100 mg tablet - 100 65 35
    41 Griseovulvin tablet 125 mg tablet 1,005 50 955
    42 Hemaforf tablet 480 100 28 552
    43 Hidrokortison krim 2,5% tube - -
    44 Holicos ( Ambroxol ) syrup btl - -
    45 Hustab tablet - -
    46 Ibuprofen tablet 400 mg tablet 89 89
    47 Isotic Neolyson Tetes Mata btl - -
    48 Isotic Clearens Tetes Mata btl - -
    49 Kasa 4m x 15cm roll - -
    50 Levofloxacin 500 mg tablet 30 20 10
    51 Lidokain injeksi ampul - -
    52 Livron B Plek tablet - -
    53 Loperamid 2mg tablet 290 93 197
    54 Metaneuron tablet - -
    55 Metilergometrin tablet 151 151
    56 Metilprednisolon 4mg tablet - -
    57 Mucohexin tablet - -
    58 Natrium Diklofenat 25mg tablet - -
    59 Natrium Diklofenat 50 mg tablet - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    61 Neurovit - E kaplet - -
    62 Nistatin tab 100.000 iu tab vaginal 86 9 77
    63 Nodiar tablet - -
    64 Noza tablet - -
    65 OBH Indo Plus syrup botol - -
    66 Oxfezin syrup botol - -
    67 Oksitetrasiklin salep kulit 3% tube 52 25 42 35
    68 Oksitetrasiklin inj ampul - -
    69 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet - 3,000 1,862 1,138
    70 Parasetamol syrup 120mg / 5ml botol - 40 40 -
    71 Pehavral tablet - 500 10 490
    72 Piroxicam 20 mg tablet 368 368
    73 Pehacort / Prednison 5mg tablet - -
    74 Pyridoksin (vit.B6) tablet - -
    75 Propanolol 40mg tablet - -
    76 Propituracil 100 mg tablet - -
    77 Prolysin Plus syrup botol - -
    78 Pularex Attalpugit 600 mg tablet - -
    79 Ranitidine inj tablet - -
    80 Ranitidin 150mg tablet - -
    81 Ringer Laktat larutan infus 500ml botol - -
    82 Salbutamol syr botol - -
    83 Salbutamol 2 mg tablet 271 204 67
    84 Salbutamol 4mg (sebagai sulfat) tablet 744 744
    85 Sanbe Kids syrup botol - -
    86 Sagestam Cream tube - -
    87 Scabimite Cream tube 1 1
    88 Simvastatin 10 mg tablet 67 60 7
    89 Tab Fe tablet - 150 30 120
    90 Tramadol Tablet 200 200
    91 Tryhexilpenidil tablet 150 150
    Vitamin B. Kompleks tablet 500 500 -
    92 Zinc Disperibel tablet - -
    93 Oxycan btl - -
    94 cimetidin tab 200 mg tablet - -
    95 Alat Suntik 3 cc pcs - -
    96 Mikrodiol ktk - -
    8,710 9,705
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 33,549 34,161

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - -
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - -
    4 Alat suntik sekali pakai 5 ml pcs - -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs 300 100 400 -
    7 Blood Lahat pcs - 100 100 -
    8 Blood Transfusion Set pcs - -
    9 Catgut/benang bedah no. 3/0 pcs - -
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs - 100 50 50
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 100 100
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs 17 1 16
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs - -
    22 I.V Catheter no.20 pcs - -
    23 I.V Catheter no.22 pcs - -
    24 I.V Catheter no.24 pcs 1 1
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks - 3 3 -
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 5 9 12 2
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - 10 10 -
    35 Kasa Pembalut 2 x 80 cm Rol - 25 25 -
    36 Kasa Pembalut Elastis 3 Inchi Rol - 2 2 -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - 450 450 -
    41 Masker Tie On pcs - 100 100 -
    42 Oxycan btl - -
    Pharmafix (10cm x 500cm) pcs 3 3 -
    43 Pembalut elastis 10 cm x 4.55m pcs - 4 4 -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - 4 4 -
    50 Semillas Non Woven Medical Tape (10 x 500c roll 1 1 2 -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - -
    55 Surgical Blades No. 11 pcs - -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - 56 56 -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs - -
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 424 169
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 33,973 34,330

    Pangkalan Kasai, 25 Mei 2018


    Mengetahui, Penanggung Jawab
    Kepala UPT Pusksemas Pangkalan Kasai APOTEK
    ASISWANDI. Amd. Kep. SKM SINTICE, Amd.Farm
    NIP. 19700317 198912 1 001
    N PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    : APOTEK

    Ket
    exp.date
    185 tab
    exp.date
    525 tab
    25 Mei 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALKES
    PER 25 MEI 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil HARGA
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran SATUAN
    Mei Mei
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    Acdat salep tube 32 40 8 - 6,030
    1 Albendazol suspensi 200 mg/5 ml btl - - - - 4,041
    2 Albendazol tab 400 mg tablet - - - - 350
    3 Alkohol 70 % 100 ml btl - 1 1 - 2,575
    4 ALKOHOL 70 % 1000 ml btl - - - - 27,305
    5 Alopurinol tab 100 mg tablet 464 - 72 536 88
    6 Alopurinol tab 300 mg tablet 391 - 31 422 215
    7 Alprazolam 0,5 mg tab tablet - - - - 180
    8 Alprazolam 1 mg tab tablet 94 200 186 80 233
    9 Ambroxol sirup btl - - - - 2,598
    10 Ambroxol tablet 30 mg tablet - - - - 131
    11 Aminofilin tab 200 mg tablet 90 - - 90 82
    12 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    13 Amitriptilin tab 25 mg tablet - - - - 117
    14 Amlodipin 5 mg tab tablet - - - - 192
    15 Amlodipin 10 mg tab tablet 110 450 340 - 341
    16 Amoksisilin kapsul 250 mg kapsul - - - - 210
    17 Amoksisilin kapsul 500 mg kapsul 1,532 2,000 1,490 1,022 270
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    19 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    20 Ampisilin 500 mg kap kapsul - - - - 400
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    22 Antalgin tablet 500 mg tablet - - - - 116
    23 Antalgin inj ampul - - - - 1,400
    24 Antasida DOEN I tablet kunyah tablet - - - - 74
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    26 Anti bakteri salep komb tube - - - - 2,641
    27 Antifungi DOEN komb salep pot 24 - - 24 2,001
    28 Antimigren: ergotamin tartrat 1mg +kofe tablet - - - - 142
    29 Antihemoroid kombinasi Bismut Subgala supp 2 - - 2 3,200
    30 Antithrom Jelly tube - - - - 35,200
    31 Aqua pro injeksi steril vial - 6 6 - 2,100
    32 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    33 Artesunate injeksi vial/ktk - - - - 38,999
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 418 1,000 703 121 100
    35 Asam Folat tab 1 mg tablet 226 - 80 306 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    37 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    38 Asam Traneksamat Injeksi ampul - - - - 2,535
    39 Asetosal tab 100 mg tablet - - - - 122
    40 Asetosal tab 500 mg tablet - - - - 170
    41 Asiklovir krim 5% tube - - - - 2,260
    42 Asiklovir tab 200 mg tablet - - - - 239
    43 Asiklovir tab 400 mg tablet - - - - 345
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - - 1,300
    46 Atropin sulfat tab 0,5 mg tablet - - - - 77
    47 Bedak Salisil Serbuk 2 % bks 9 - 20 29 1,250
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg t tablet - - - - 43
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    52 Betametason krim 0,1% tube 96 25 13 84 1,520
    53 Bexicom tab kapsul - - - - 1,650
    Bisacodyl 5mg tablet 40 - 8 48 306
    54 Bisoprolol tablet 5 mg tablet 170 - - 170 669
    55 Bronsolvan 150 mg tablet 132 - 10 142 250
    56 Budenosid resp - - - - 8,900
    57 Captopril tablet 12,5 mg tablet - - - - 62
    58 Captopril tablet 25 mg tablet - - - - 89
    59 Captopril tablet 50 mg tablet 270 - - 270 141
    60 Carbamazepin 200 mg tablet - - - - 257
    61 Cefadroksil kap 500 mg kapsul 144 - 80 224 519
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 - - 15 5,064
    63 Cefaleksin kap 500 mg kapsul - - - - 1,100
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    65 Cefixime kap 100 mg kapsul - - 20 20 869
    66 Cefotaxim 0,5 gr inj vial - - - - 5,247
    67 Cefotaxim 1 gr inj vial - - - - 3,150
    68 Ceftriaxon injeksi 1 g vial - - - - 3,500
    69 Cetrizine tab 10 mg tablet - - - - 145
    70 Ciprofloxacin infs btl 100 ml - - - - 59,800
    71 Ciprofloxacin 500 mg kapsul 400 - - 400 260
    72 Cimetidin 200 mg tablet - - - - 120
    73 Clindamycin 150 mg kap tablet - - - - 379
    74 Clindamycin 300 mg kap tablet - - - - 570
    75 Clobazam tab 10 mg tablet 17 - - 17 900
    76 Chlorpheniramine maleat (CTM) 4 mg tablet 1,088 1,000 1,551 1,639 53
    77 Chloramfenikol 250 mg kaplet - - - - 262
    78 Chloramfenikol suspensi 125mg / 60ml (M botol 24 - 3 27 3,865
    79 Chloramphenicol Suspensi botol - - - - 3,978
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    81 Chloramfenikol salep mata 1% / 5ml tube 1 - - 1 1,600
    82 Chloroquin 150 mg tablet - - - - 89
    83 Chlorpromazin tablet 100 mg tablet - - - - 153
    84 Chlorpromazin tablet 25 mg tablet - - - - 71
    85 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 198 - 81 279 75
    88 Cotrimoksazol suspensi 60ml botol 27 - - 27 2,222
    89 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    90 Deksametason tablet 0,5 mg tablet 986 600 1,295 1,681 64
    91 Diaform tablet - - - - -
    92 Diazepam 2 mg tab tablet - - - - 45
    93 Diazepam injeksi ampul - - - - 4,389
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl ampul - - - - 1,107
    95 Digoksin tablet 0,25 mg tablet - - - - 100
    96 Diltiazem tab 30 mg tablet - - - - 134
    97 Dimenhidrinat tab tablet - - - - 104
    98 Doksisiklin 100 mg kap tablet - - - - 285
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    100 Domperidone 10 mg tab tablet - - - - 170
    101 Domperidone drop 5mg / ml botol - - - - 16,350
    102 Ekstrak beladon 10 mg tab tablet - - - - 33
    103 Epinefrin injeksi ampul - - - - 8,505
    104 Erytromicyn 250 mg kapsul 5 - - 5 497
    105 Erythromisin 500 mg kap kapsul - - - - 976
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 - - 1 7,893
    107 Fenilbutason tab 200 mg tablet 750 - - 750 102
    108 Ferosulfat tab tablet - - - - 21
    109 Flukonazol tab 150 mg kapsul - - - - 23,100
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - - 1,920
    111 Furosemid tablet, 40 mg tablet 80 - 38 118 94
    112 Fucilex Krim / Natrium Fucilat tube 7 - - 7 6,555
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336 50
    114 Garam oralit untuk 200 ml air sachet 65 - 35 100 303
    115 Geriavita kapsul - - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - - 1,469
    117 Gentamisin sulfat tetes mata 0,3 % btl 8 - 3 11 3,353
    118 Gentamisin injeksi ampul - - - - 3,569
    119 Gentian Violet larutan 1 % btl 10 ml - - - - 945
    120 Glibenklamida tablet 5 mg tablet - - - - 58
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - - 5,985
    123 Glukosa larutan infus 40 % steril amp - - - - 2,577
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - - 5,460
    125 Grafula-DHA tablet - - - - 2,200
    126 Griseovulvin tablet 125 mg tablet - - - - 230
    127 Haloperidol 0,5 mg tablet 500 500 - - 100
    128 Haloperidol 1,5 mg tablet 500 500 185 185 61
    129 Haloperidol 5 mg tablet 140 - 310 450 72
    130 Hemafort tablet - - - - -
    131 Hidrokortison krim 2,5% tube 35 24 12 23 2,798
    132 Hufabetamin Syrup btl - - - - 5,900
    133 Hustab tablet - - - - -
    134 Hustadin Syrup btl - - - - 16,500
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 - - 51 4,724
    136 Ibuprofen tablet 200 mg tablet - 200 300 100 116
    137 Ibuprofen tablet 400 mg tablet - - - - 153
    138 Ika Neurom Injeksi ampul - - - - 5,445
    139 Imunvit Plus Kap kaplet - - - - 6,500
    140 Intibrox (Ambroksol) tablet - - - - 203
    141 Intibrox (Ambroksol) Syrup botol 36 - - 36 6,200
    142 Isoniazid tab 100 mg tablet - - - - 68
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 200 - - 200 93
    144 KA EN 1 B botol - - - - 9,000
    145 KA EN 3 A botol - - - - 10,000
    146 KA EN 3 B botol - - - - 10,000
    147 KA EN MG 3 botol - - - - 9,625
    148 Kalium Diklofenak 50 mg tablet - - - - 743
    149 Kalsium Laktat 500 mg tablet 320 - 80 400 73
    150 Ketokenazole krim 2 % 10 gr tube 23 - 7 30 2,569
    151 Ketokenazole krim 2 % 15 gr tube - - - - 4,930
    152 Ketokonazol 200 mg tablet 270 - 72 342 310
    153 Ketorolac inj 10 mg ampul - - - - 1,697
    154 Ketorolac inj 30 mg ampul - - - - 2,539
    155 Klonidin 0,15 mg tablet 300 - - 300 214
    156 Kodein tablet 10 mg tablet - - - - 525
    157 Kombines : Ipratropium bromida inhalasi vial - - - - 879
    158 Lidokain injeksi 2% / 2ml ampul - 10 10 - 879
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 60 - - 60 1,431
    160 Levofloksasin 500 mg tablet - - - - 554
    161 Loratidin 10 mg tablet - - - - 162
    162 Loperamid 2mg tablet - - - - 92
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - - 3,500
    164 Mebendazol Syrup 100mg / 5ml botol - - - - 3,711
    165 Mebendazol 100mg tablet - - - - 239
    166 Megatic Emulgel tube - - - - 11,500
    Metformin HCL 50 mg kapsul 239 - 390 629 99
    167 Metilergometrin 0,125 mg tablet 121 - 50 171 127
    168 Metilergometrin injeksi ampul - - - - 2,750
    169 Metilprednisolon injeksi 500 mg vial - - - - 92,990
    170 Metilprednisolon 4mg tablet 155 - 327 482 210
    171 Metoklopramide 5mg tablet 28 - 92 120 108
    172 Metoklopramide 10mg tablet 197 - 179 376 105
    173 Metronidazol 250mg tablet - - - - 113
    174 Metronidazol 500mg tablet 637 - 33 670 164
    175 Mikrodiol ktk - - - - -
    176 Mikonazol krim 2% tube 17 24 25 18 3,000
    177 Momethasone furoat krim 0,1 % tube - - - - 17,820
    178 Mulsanol Drop btl - - - - 18,500
    179 Natrium Diklofenat 25mg tablet - - - - 141
    180 Natrium Diklofenat 50mg tablet - - - - 185
    181 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    182 Nevirapin 200mg tablet - - - - 2,940
    183 Nifedipin 10mg tablet 13 - - 13 110
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - - 2,999
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - - 672
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - - 504
    187 Ofloxacin 400 mg tablet - - - - 680
    188 Oksitetrasiklin HCl salep mata 1% tube - - - - 1,600
    189 Oksitetrasiklin salep kulit 3% tube - - - - 1,606
    190 Omeprazol kapsul 20 mg kapsul 222 - 194 416 216
    191 Ondansentron 4mg tablet 60 - 36 96 180
    192 Oksitosin injeksi ampul - - - - 1,900
    193 Ostine kapsul - - - - 375
    194 Otsu-KCL 7,46% ampul - - - - 297
    195 Papaverin 40mg tablet - - - - 122
    196 Parasetamol 500mg tablet - - - - 84
    197 Parasetamol drops botol - - - - 5,460
    198 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    199 Penoksimetil Penisilin 500mg tablet - - - - 535
    200 Penolgliserol tetes telinga 10% / 5ml botol 6 - 3 9 1,058
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 - - 4 24,150
    202 Permetrin krim 5% (Scabicid) tube - - - - 11,475
    203 Pethidin injeksi ampul - - - - 1,523
    204 Phenobarbital 30mg tablet - - - - 31
    205 Phenobarbital injeksi 50mg/ml ampul - - - - 1,890
    206 Piracetam injeksi 3g / 15ml ampul - - - - 4,200
    207 Piracetam 800mg tablet - - - - 321
    208 Pirantel Score (base ) 125mg tablet 57 - 14 71 308
    209 Pirantel syrup 125mg / 5ml botol 6 - 1 7 8,728
    210 Pitomenadion (Vit-K) 10mg tablet 529 - 16 545 666
    211 Pitomenadion inj. 2mg ampul - - - - 3,582
    212 Poncodryl (DMP) syr botol - - - - 25,300
    213 Pitomenadion inj. 10mg ampul - - - - 3,582
    214 Povidon Iodida 10% 30ml botol - - - - 2,250
    215 Povidon Iodida 10% 60ml botol - - - - 6,298
    216 Povidon Iodida 10% 300ml botol - 2 2 - 14,771
    217 Povidon Iodida 10% 1000ml botol - - - - 38,594
    218 Pravastatin 20mg tablet - - - - 2,400
    219 Prednison 5mg tablet 659 - 121 780 119
    220 Primakuin 15mg tablet - - - - 205
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - - 7,549
    222 Propanolol HCl 10mg tablet - - - - 79
    223 Propanolol 40mg tablet 190 - 10 200 110
    224 Propiltiourasil 100mg tablet - - - - 335
    225 Quinine tablet - - - - 704
    226 Ramipril 5mg tablet - - - - 600
    227 Ranitidin inj 25mg / 2ml ampul - - - - 1,190
    228 Ranitidin 150mg tablet 1,036 1,000 1,428 1,464 126
    229 Reserpin 0,10mg tablet - - - - 85
    230 Reserpin 0,25 mg tablet - - - - 109
    231 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    232 Risperidon 2mg tablet 1 1 - - 1,038
    233 Rivanol larutan 0,1% botol - - - - 2,283
    234 Salbutamol 2mg (sebagai sulfat) tablet - - - - 62
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - - 85
    236 Salbutamol serbuk inh 200mcg/caps+rotah caps 2 - - 2 11,550
    237 Salbutamol serb inh 200 mcg/kaps tablet 112 - 16 128 452
    238 Salbutamol cairan inh 0,1% (Ventolin Neb botol - - - - 6,930
    239 Salep 2-4 pot 6 - 3 9 2,100
    240 Serum Anti Tetanus ampul - - - - 126,000
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - - 1,131
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - - 60
    243 Simvastatin 10mg tablet - - - - 174
    Simvastatin 20mg tablet 141 - 121 262 239
    244 Spiramisin 500mg tablet - - - - 1,574
    245 Stesolid inj ampul - - - - 17,604
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - - 17,604
    248 Streptomisin injeksi 1 g/ml vial - - - - 3,832
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - - 3,387
    250 Sulfatdoksin 500mg tablet - - - - 544
    251 Sukralfat suspensi 500mg/5ml (Ulsafate S botol - - - - 13,850
    252 Supramox Drops 20 ml botol - - - - 21,300
    Tablet Fe tab isi 100 119 500 381 - 370
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - - 30,800
    254 Tetrasiklin 250mg kapsul - - - - 154
    255 Tetrasiklin 500mg kapsul - - - - 312
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - - 700
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - - 37
    258 Tramadol 50mg kapsul - - - - 192
    259 Tuzalos kaplet - - - - -
    260 Vitamin B6 tablet - - - - 47
    261 Vitamin B Kompleks tablet - - - - 110
    262 Vitaplex drop botol - - - - 26,400
    263 Zinc Disperibel tablet 432 500 593 525 497
    264 Zink drop 10mg / 5ml botol - - - - 12,840
    265 Zirkum Kid syrup 20mg / 5ml botol - - - - 7,770
    15,676 18,178
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet 1,180 1,600 517 97 348
    3 Antithrom tube - - - - 35,200
    4 Arimed 15 mg tablet - - - - 1,617
    5 Asifit tablet - - - -
    6 Asonfen tab tablet 170 - - 170 140
    7 Amobiotic Drop btl - - - - 23,100
    8 Becefort tab kotak/100 tablet - - - - 1,500
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - - 1,670
    11 Bisolvon Ekstra Sirup botol 60 ml - - - - 32,625
    12 Brochifar tablet - - - - 478
    13 Bromifar tablet - - - - 225
    14 Burnazin tube - - - -
    15 Caltrax btl - - - - 27,500
    16 Cough En Plus btl 30 - - 30 23,000
    17 Dasabion tablet - - - - 979
    18 Dehaf sachet - - - - 9,167
    19 Dumin Rectal 250 mg supp - - - - 16,280
    20 Dumin Rectal 125 mg supp - - - - 11,660
    Donexan Syrup Botol 1 - 2 3 27,500
    21 Erlamycetine Ear Drop botol 10 ml - - - - 4,840
    22 Erya Forte 500 mg kapsul kapsul - - - - 231
    Etadexa tab 1,515 2,000 485 - 126
    23 Faxiden gel tube 43 20 2 25 12,000
    24 Fludane kapsul kapsul - - - - 735
    25 Fludane Plus tablet - - - - 880
    26 Flutop C Syrup btl 5 - 2 7 10,000
    27 Fituno kapsul - - - - 1,210
    28 Fucilex/ natrium fucilat criem tube - - - - 6,555
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    Genalten (Gentamicyn) cream tube - - 6 6
    30 Genolon krim tube - - - - 26,400
    Geonit (gentamisin salep mata) tube 14 - - 14
    Guaifenisin 100mg tablet 976 - 285 1,261 127
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - - 2,167
    33 Hico Gel tube 22 - 1 23 25,000
    34 Hidrogen Peroksida 3% btl 1 liter - - - - 39,000
    35 Holicos Syrup Botol 60 ml - - - - 32,625
    36 Hufabetamin Syrup btl - - - - 5,900
    37 Hustadin Syr btl - - - - 16,500
    38 Hustab tablet 708 600 448 556 300
    39 Ika Neurom Injeksi ampul - - - - 5,445
    40 Imunvit Plus Kap Kaplet - - - - 3,325
    Intunal Forte 100 tablet/ktk 360 - 296 656
    41 Intibrox tablet 425 - 968 1,393 203
    42 Intibrox Syr botol 17 50 37 4 6,200
    43 Isotic Clearens Botol - - - - 9,000
    44 Isotic Neolyson Botol - - - - 28,750
    45 Jovial Sachet sachet - - - - 4,180
    46 Livron B. Plex Ds 10x10 tab - - - - 250
    Maltiron Plus Tablet 840 500 365 705 1,169
    47 Metaflu tablet - - - - 220
    48 Metamizol 500mg tablet - - - - 12,833
    49 Mucohexin tab tablet - - - - 506
    50 Mulsanol Syrup botol 60 ml 22 - 13 35 9,000
    51 Nalget Kaptab tablet 1,404 1,200 361 565 400
    52 Natavit Soft Cut kapsul - - - - 3,017
    53 Neocenta Gel tube - - - - 20,000
    54 Neo diaform ktk - - - - 140
    55 Neurovit-e dus 6x10 tab - - - - 1,027
    56 Neurodial kaplet 211 - - 211 1,260
    57 Nodiar tablet - - - - 1,210
    58 Noza tablet - - - - 891
    59 Novakal syrup btl - - - - 9,498
    60 OBH Indo Plus botol 100 ml - - - - 12,100
    61 OBH Inti Syr botol 100 ml - - - - -
    OBH Intrasal Syr botol 4 - - 4 12,000
    62 Osteor plus kaplet - - - - 6,325
    63 Ostine Kapsul kapsul 186 - 6 192 3,750
    64 Ondansetron tablet - - - - 495
    65 Oxfezin Syrup botol 100 ml - - - - 56,100
    66 Panstonal Forte 500 mg tablet - - - - 297
    67 Poncodryl DMP Syrup btl - - - - 25,300
    68 Ponflu tablet - - - - 715
    69 Pehavral tablet - - - - 693
    70 Pehacort tablet - - - - 145
    Pyreksin 60mg tablet/supp 4 - - 4
    Pyreksin 160mg tablet/supp - - - -
    71 Prenase tab tablet - - - - 86,350
    72 Procalma Soft Kapsul 30 kap/ktk - - - - 3,850
    73 Prolysin Syrup Plus botol 100 ml - - - - 30,800
    Prombus tablet 144 - - 144
    74 Proneuron tablet 308 600 510 218 1,100
    75 Pularex Attalpulgit 600 mg tablet - - - - 210
    76 Quantidex Syr botol 15 - 9 24 10,000
    77 Quantidex tablet tablet 160 - 130 290 850
    78 Reagen Golongan Darah Anti A 10ml botol - - - - 100,000
    79 Reagen Golongan Darah Anti B 10ml botol - - - - 100,000
    80 Reagen Golongan Darah Anti D 10ml botol - - - - 125,000
    81 Sagestam Cream tube - - - - 13,090
    82 Sanbe Kids botol 200 ml - - - - 38,500
    83 Sanvita B sirup btl - - - - 11,550
    84 Scabimite cream 10 mg tube - - - - 77,000
    85 Serum Anti Bisa Ular amp - - - - 473,000
    86 Supramox drops 20 ml btl - - - - 21,300
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    88 Stick Asam Urat botol 2 - - 2 6,800
    89 Stick Glukosa botol 2 - - 2 5,600
    90 Stik Kolesterol botol - - - - 28,000
    91 Supramox Drops 20 ml botol 12 - 8 20 21,300
    92 Tuzalos kap kapsul - - - - 781
    93 Vitaplex drop btl - - - - 26,400
    8,780 6,661
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - - - - 270
    Amoxicillin syr btl 12 70 58 - 1,920
    2 Ambroxol 30 mg tablet - - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet 300 - 40 340
    5 Antasida DOEN I tablet kunyah tablet - - - - 74
    6 Antimigren ergotamin 122 - 7 129 -
    7 Antihemoroid kombinasi Bismut Subgala supp - - - - 3,685
    8 Asam ascorbat (vit C) 50 mg tablet - - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 576 - - 576 209
    10 Asiklovir krim 5% tube 22 - 3 25 2,260
    11 Asiklovir tab 200 mg tablet 894 - - 894 239
    12 Asiklovir tab 400 mg tablet 225 - 46 271 345
    13 Arimed / Meloxicam 15 mg tablet - - - - 8,085
    14 Becefort syr btl - - - - 17,000
    15 Becefort tablet 90 - - 90 1,500
    16 Betametason Cream tube - - - - -
    17 Bioplacenton tube - - - - -
    18 Bisolvon Extra Syrup btl - - - - 32,625
    19 Bisoprolol 5mg tablet - - - - -
    20 Captopril tablet 12,5 mg tablet - - - - 62
    21 Captopril 25 mg tablet - - - - -
    22 Cefadroksil kap 500 mg kapsul 300 - - 300 519
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - - 5,064
    24 Cefixime 100 mg tablet 60 100 40 - -
    Chlorpromazin Hcl 100 mg tablet 420 500 80 - 148
    25 Ciprofloxacin 500 mg kapsul - - - - 513
    26 Clindamicyn 300 mg kapsul - - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 77
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 960 - 150 1,110 145
    29 Copper T ktk - - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - - 979
    31 Diaform tablet - - - - 140
    32 Dimenhidrinat tab tablet - - - - 95
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - - 2,970
    34 Erlamycetin Ear Drop Tetes Telinga btl 5 - 3 8 4,840
    35 Fg Troches tablet - - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30 23,100
    37 Fituno tablet - - - - 4,033
    38 Gentian Violet botol - 5 5 - -
    39 Glibenclamide 5 mg tablet 303 - 150 453 -
    40 Gliseril Guaikolat 100 mg tablet 35 100 65 - -
    41 Griseovulvin tablet 125 mg tablet 955 - 50 1,005 230
    42 Hemaforf tablet 552 100 28 480 850
    43 Hidrokortison krim 2,5% tube - - - - 2,399
    44 Holicos ( Ambroxol ) syrup btl - - - - 23,100
    45 Hustab tablet - - - - 300
    46 Ibuprofen tablet 400 mg tablet 89 - - 89 153
    47 Isotic Neolyson Tetes Mata btl - - - - 28,750
    48 Isotic Clearens Tetes Mata btl - - - - 10,750
    49 Kasa 4m x 15cm roll - - - - -
    50 Levofloxacin 500 mg tablet 10 - 20 30 -
    51 Lidokain injeksi ampul - - - - -
    52 Livron B Plek tablet - - - - 250
    53 Loperamid 2mg tablet 197 - 93 290 92
    54 Metaneuron tablet - - - - 1,283
    55 Metilergometrin tablet 151 - - 151 -
    56 Metilprednisolon 4mg tablet - - - - 210
    57 Mucohexin tablet - - - - 506
    58 Natrium Diklofenat 25mg tablet - - - - 141
    59 Natrium Diklofenat 50 mg tablet - - - - -
    60 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    61 Neurovit - E kaplet - - - - 1,027
    62 Nistatin tab 100.000 iu tab vaginal 77 - 9 86 -
    63 Nodiar tablet - - - - 1,210
    64 Noza tablet - - - - 891
    65 OBH Indo Plus syrup botol - - - - 12,100
    66 Oxfezin syrup botol - - - - 56,100
    67 Oksitetrasiklin salep kulit 3% tube 35 25 42 52 2,200
    68 Oksitetrasiklin inj ampul - - - - 5,500
    69 Omeprazol kapsul 20 mg kapsul - - - - 216
    Paracetamol tab 500 mg tablet 1,138 3,000 1,862 - 510
    70 Parasetamol syrup 120mg / 5ml botol - 40 40 - 1,496
    71 Pehavral tablet 490 500 10 - 693
    72 Piroxicam 20 mg tablet 368 - - 368 119
    73 Pehacort / Prednison 5mg tablet - - - - 145
    74 Pyridoksin (vit.B6) tablet - - - - -
    75 Propanolol 40mg tablet - - - - 114
    76 Propituracil 100 mg tablet - - - - -
    77 Prolysin Plus syrup botol - - - - 30,800
    78 Pularex Attalpugit 600 mg tablet - - - - 210
    79 Ranitidine inj tablet - - - - -
    80 Ranitidin 150mg tablet - - - - 108
    81 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    82 Salbutamol syr botol - - - - -
    83 Salbutamol 2 mg tablet 67 - 204 271 -
    84 Salbutamol 4mg (sebagai sulfat) tablet 744 - - 744 85
    85 Sanbe Kids syrup botol - - - - 38,500
    86 Sagestam Cream tube - - - - 13,090
    87 Scabimite Cream tube 1 - - 1 77,000
    88 Simvastatin 10 mg tablet 7 - 60 67 -
    89 Tab Fe tablet 120 150 30 - -
    90 Tramadol Tablet 200 - - 200 -
    91 Tryhexilpenidil tablet 150 - - 150 44
    Vitamin B. Kompleks tablet - - 500 500
    92 Zinc Disperibel tablet - - - - 497
    93 Oxycan btl - - - - -
    94 cimetidin tab 200 mg tablet - - - - 113
    95 Alat Suntik 3 cc pcs - - - - 4,400
    96 Mikrodiol ktk - - - - -
    9,705 8,710
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - - 390,000
    2 Etil klorida btl - - - - 125,000
    3 Eugenol Cairan btl - - - - 17,500
    4 Glass Ionomer btl - - - - 395,000
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - - 242,000
    6 Klorfenol kamfer menthol(CHKM) btl - - - - 55,000
    7 Mummifying pasta btl - - - - 176,000
    8 Semen seng fosfat set - - - - 93,500
    9 Temporary stoping fletcher set - - - - 34,000
    - -
    SISA OBAT DALAM RUPIAH 34,161 33,549

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - - - - 826
    2 Alat suntik sekali pakai 2,5 ml pcs - - - - 826
    3 Alat suntik sekali pakai 3 ml pcs - - - - 826
    4 Alat suntik sekali pakai 5 ml pcs - - - - 953
    5 Alat suntik sekali pakai 10 ml pcs - - - - 1,175
    6 Alkohol Swab CHG 0,5 % pcs - 100 400 300 197
    7 Blood Lahat pcs - 100 100 - 153
    8 Blood Transfusion Set pcs - - - - 4,572
    9 Catgut/benang bedah no. 3/0 pcs - - - - 22,500
    10 Catgut/benang bedah no.2/0 pcs - - - - 22,500
    11 Examination Lower Glove ( M ) pcs - - - - 464
    12 Examination Lower Glove ( L ) pcs 50 100 50 - 464
    13 Folley Catheter no 16W pcs - - - - 8,000
    14 Folley Catheter no 18W pcs - - - - 8,000
    15 Folley Catheter no 20W pcs - - - - 8,000
    16 Handscoon no 7 pcs 100 - - 100 1,300
    17 Handscoon no 7,5 pcs - - - - 1,300
    18 Handscoon no 8 pcs - - - - 1,300
    19 Hcg (Tes Pack) pcs 16 - 1 17 1,495
    20 Hidrogen Peroksida 3% btl - - - - 39,000
    21 I.V Catheter no.18 pcs - - - - 8,085
    22 I.V Catheter no.20 pcs - - - - 8,085
    23 I.V Catheter no.22 pcs - - - - 8,085
    24 I.V Catheter no.24 pcs 1 - - 1 8,085
    25 Infusion set anak set - - - - 4,445
    26 Infusion set dewasa set - - - - 4,064
    27 kapas pembalut berlemak 500 mg Bks - 3 3 - 34,000
    28 Kapas pembalut 500 gram Bks - - - - 34,000
    29 Kapas pembalut/absorben 250 gram Bks - - - - 24,000
    30 Kasa Hidrofil 16x16 16 pcs/ktk 2 9 12 5 7,900
    31 Kasa Hidrofil 40 x 40 pcs - - - - 1,800
    32 Kasa Hidrofil 4 x 15 cm roll - - - - 3,800
    33 Kasa Hidrofil 4 x 3 cm roll - - - - 800
    34 Kasa Hidrofil 4 x 5 cm roll - 10 10 - 1,100
    35 Kasa Pembalut 2 x 80 cm Rol - 25 25 - 9,400
    36 Kasa Pembalut Elastis 3 Inchi Rol - 2 2 - 16,000
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - - 25,000
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - - 1,100
    39 Lysol btl - - - - 52,070
    40 Masker ear lopp pcs - 450 450 - 439
    41 Masker Tie On pcs - 100 100 - 439
    42 Oxycan btl - - - - -
    Pharmafix (10cm x 500cm) pcs - 3 3 - 51,305
    43 Pembalut elastis 10 cm x 4.55m pcs - 4 4 - 33,000
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 - 27,830
    45 Pembalut Gips 6 Inchi Rol - - - - 60,500
    46 Plester 5 yard x 2 inch Rol - - - - 30,000
    47 Semillas Non Woven Medical Tape (5 x 1 roll - - - - 3,850
    48 Semillas Non Woven Medical Tape (10 x roll - - - - 7,315
    49 Semillas Non Woven Medical Tape (5 x 5 roll - 4 4 - 21,753
    50 Semillas Non Woven Medical Tape (10 x roll - 1 2 1 30,030
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - - 15,000
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - - 15,000
    53 Stomach Tube pcs - - - - 10,010
    54 Surgical Blades No. 10 pcs - - - - 3,000
    55 Surgical Blades No. 11 pcs - - - - 3,000
    56 Surgical Blades No. 13 pcs - - - - 3,000
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - - -
    58 Surgical Blades No. 23 pcs - - - - 3,000
    Surgical Steril Powder Glove (S) pcs - 56 56 - 4,320
    Surgical Steril Powder Glove (M) pcs - - - - 4,320
    Surgical Steril Powder Glove (L) pcs - - - - 4,320
    59 Transparent IV Dressing ( anak ) 4,4 x 4, pcs - - - - 2,021
    60 Transparent IV Dressing ( Dewasa) 6 x 7 pcs - - - - 2,224
    61 Urine bag pcs - - - - 3,810
    62 Umbilical Cord Klem Steril Nylon pcs - - - - 1,270
    63 wing nedle No.21 pcs - - - - 6,059
    64 wing nedle No.23 pcs - - - - 6,059
    SISA ALKES DALAM RUPIAH 169 424
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 34,330 33,973

    Pang
    Mengetahui,
    Kepala UPT Pusksemas Pangkalan Kasai

    ASISWANDI. Amd. Kep. SKM


    NIP. 19700317 198912 1 001
    NG HABIS PAKAI (OBAT & ALKES )
    25 MEI 2018

    UNIT KERJA : APOTEK

    Jumlah
    Harga Perolehan
    Pengeluaran Ket
    Terakhir
    Mei 2018 (Rp)

    9 (8x6 ) 10 ( 8x4 ) 11

    48,240 192,960
    - -
    - -
    2,575 -
    - -
    6,336 40,832
    6,650 83,870
    - -
    43,338 21,902
    - -
    - -
    - 7,380
    - -
    - -
    - -
    115,940 37,510
    - -
    402,300 413,640
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 48,025
    - -
    - 6,400
    - -
    12,600 -
    - -
    - -
    70,300 41,800
    4,000 11,300
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    25,000 11,250
    - -
    - -
    - -
    - -
    19,760 145,920
    - -
    2,448 12,240
    - 113,730
    2,500 33,000
    - -
    - -
    - -
    - 38,070
    - -
    41,520 74,736
    - 75,960
    - -
    - -
    17,380 -
    - -
    - -
    - -
    - -
    - -
    - 104,000
    - -
    - -
    - -
    - 15,300
    82,203 57,664
    - -
    11,595 92,760
    - -
    - -
    - 1,600
    - -
    - -
    - -
    - -
    - -
    6,075 14,850
    - 59,994
    - -
    82,880 63,104
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 2,485
    - -
    - 7,893
    - 76,500
    - -
    - -
    - -
    3,572 7,520
    - 45,885
    - -
    - 16,800
    10,605 19,695
    - -
    - -
    10,059 26,824
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 50,000
    exp.date
    11,285 30,500
    185 tab
    22,320 10,080
    - -
    33,576 97,930
    - -
    - -
    - -
    - 240,924
    34,800 -
    - -
    - -
    - -
    - -
    - 223,200
    - -
    - 18,600
    - -
    - -
    - -
    - -
    - -
    5,840 23,360
    17,983 59,087
    - -
    22,320 83,700
    - -
    - -
    - 64,200
    - -
    - -
    8,790 -
    - 85,860
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    38,610 23,661
    6,353 15,373
    - -
    - -
    68,670 32,550
    9,936 3,024
    18,795 20,685
    - -
    5,412 104,468
    - -
    75,000 51,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 1,430
    - -
    - -
    - -
    - -
    - -
    - -
    41,904 47,952
    6,480 10,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    3,174 6,348
    - 96,600
    - -
    - -
    - -
    - -
    - -
    - -
    4,312 17,556
    8,728 52,368
    10,656 352,314
    - -
    - -
    - -
    - -
    - -
    29,542 -
    - -
    - -
    14,399 78,421
    - -
    - -
    - -
    1,100 20,900
    - -
    - -
    - -
    - -
    179,928 130,536
    - -
    - -
    - -
    - 1,038
    - -
    - -
    - -
    - 23,100
    7,232 50,624
    - -
    6,300 12,600
    - -
    - -
    - -
    - -
    28,919 33,699
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    140,970 44,030
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    294,721 214,704
    - -
    - -
    4,263,661

    - -
    179,916 410,640
    - -
    - -
    - -
    - 23,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 690,000
    - -
    - -
    - -
    - -
    55,000 27,500
    - -
    - -
    61,110 190,890
    24,000 516,000
    - -
    - -
    20,000 50,000
    - -
    - -
    - -

    - -
    - -
    36,195 123,952
    - -
    - -
    25,000 550,000
    - -
    - -
    - -
    - -
    134,400 212,400
    - -
    - -

    196,504 86,275
    229,400 105,400
    - -
    - -
    - -
    - -
    426,685 981,960
    - -
    - -
    - -
    117,000 198,000
    144,400 561,600
    - -
    - -
    - -
    - -
    - 265,860
    - -
    - -
    - -
    - -
    - -
    - 48,000
    - -
    22,500 697,500
    - -
    - -
    - -
    - -
    - -
    - -
    - -

    - -
    - -
    - -

    561,000 338,800
    - -
    90,000 150,000
    110,500 136,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 13,600
    - 11,200
    - -
    170,400 255,600
    - -
    - -
    6,644,977

    - -
    111,360 23,040
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 120,384
    6,780 49,720
    - 213,666
    15,870 77,625
    - -
    - -
    - 135,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 155,700
    - -
    - -
    11,840 62,160
    - -
    - -
    - -
    21,750 139,200
    - -
    - -
    - -
    - -
    - -
    14,520 24,200
    - -
    - 693,000
    - -
    - -
    - -
    - -
    11,500 219,650
    23,800 469,200
    - -
    - -
    - -
    - 13,617
    - -
    - -
    - -
    - -
    - -
    - -
    8,556 18,124
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    92,400 77,000
    - -
    - -
    949,620 580,380
    59,840 -
    6,930 339,570
    - 43,792
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 63,240
    - -
    - -
    - 77,000
    - -
    - -
    - -
    - 6,600
    - -
    - -
    - -
    - -
    - -
    - -
    1,334,766 3,601,868

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    1,334,766 14,510,506

    - -
    - -
    - -
    - -
    - -
    78,720 -
    15,300 -
    - -
    - -
    - -
    - -
    23,210 23,210
    - -
    - -
    - -
    - 130,000
    - -
    - -
    1,495 23,920
    - -
    - -
    - -
    - -
    - 8,085
    - -
    - -
    102,000 -
    - -
    - -
    94,800 15,800
    - -
    - -
    - -
    11,000 -
    235,000 -
    32,000 -
    - -
    - -
    - -
    197,505 -
    43,890 -
    - -
    153,915 -
    132,000 -
    55,660 -
    - -
    - -
    - -
    - -
    87,012 -
    60,060 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    241,920 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    201,015
    14,711,521

    Pangkalan Kasai,25 Mei 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN Juni Juni
    A OBAT GENERIK PKD
    Acdat salep tube 32 6 26
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl - -
    4 ALKOHOL 70 % 1000 ml btl - 1 1 -
    5 Alopurinol tab 100 mg tablet 464 10 454
    6 Alopurinol tab 300 mg tablet 391 41 350
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet 94 94
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet 90 90
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet 110 300 270 140
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 1,532 830 702
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 24
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp 2 2
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - 5 5 -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 418 900 640 678
    35 Asam Folat tab 1 mg tablet 226 20 206
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 9 38 16 31
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 96 9 87
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 40 40
    54 Bisoprolol tablet 5 mg tablet 170 170 -
    55 Bronsolvan 150 mg tablet 132 6 126
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet 270 270
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul 144 100 44
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 15
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul - -
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 400 400
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet 17 17
    76 Chlorpheniramine maleat (CTM) 4 mg tablet 1,088 495 593
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 24 1 23
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 1 1
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 198 13 185
    88 Cotrimoksazol suspensi 60ml botol 27 27
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet 986 2,000 1,223 1,763
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul 5 5
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 1
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 80 17 63
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 336
    114 Garam oralit untuk 200 ml air sachet 65 65
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl 8 4 4
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet 500 50 450
    128 Haloperidol 1,5 mg tablet 500 140 360
    129 Haloperidol 5 mg tablet 140 140 -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 35 23 12
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 51
    136 Ibuprofen tablet 200 mg tablet - -
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol 36 36
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 200 2 198
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet 320 70 250
    150 Ketokenazole krim 2 % 10 gr tube 23 23
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 270 20 250
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 60 50 70 40
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 239 1,000 85 1,154
    167 Metilergometrin 0,125 mg tablet 121 8 113
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 155 500 188 467
    171 Metoklopramide 5mg tablet 28 28
    172 Metoklopramide 10mg tablet 197 60 137
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 637 637
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 17 17
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet 13 13
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul 222 124 98
    191 Ondansentron 4mg tablet 60 50 10
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol - -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol 6 1 5
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 4
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 57 3 54
    209 Pirantel syrup 125mg / 5ml botol 6 6
    210 Pitomenadion (Vit-K) 10mg tablet 529 26 503
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 659 248 411
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 190 190
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 1,036 600 1,636
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet 1 1 1 1
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet - -
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 2
    237 Salbutamol serb inh 200 mcg/kaps tablet 112 62 50
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 6 3 3
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet 141 75 66
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 119 2,000 199 1,920
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 432 15 417
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    15,676 17,531
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet 1,180 407 773
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet 170 170
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 - 5000 5,000
    16 Cough En Plus btl 30 9 21
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 1 1
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    Etadexa tab 1,515 201 1,314
    23 Faxiden gel tube 43 3 40
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl 5 5
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - -
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube 14 2 12
    Guaifenisin 100mg tablet 976 262 714
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 22 3 19
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 708 421 287
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk 360 300 260 400
    41 Intibrox tablet 425 1000 450 975
    42 Intibrox Syr botol 17 8 9
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 840 91 749
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 22 9 13
    51 Nalget Kaptab tablet 1,404 500 827 1,077
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml - -
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 4 2 2
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 186 12 174
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 144 144
    74 Proneuron tablet 308 144 164
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 15 2 13
    77 Quantidex tablet tablet 160 77 83
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol 2 1 3 -
    89 Stick Glukosa botol 2 1 3 -
    90 Stik Kolesterol botol - 1 1 -
    91 Supramox Drops 20 ml botol 12 7 5
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    8,780 12,379
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Amoxicillin syr btl 12 12
    3 Ambroxol 30 mg tablet - -
    4 Amlodipin tablet - -
    5 Antalgin tablet 500 mg tablet 300 70 230
    6 Antasida DOEN I tablet kunyah tablet - -
    7 Antimigren ergotamin tablet 122 10 112
    8 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    9 Asam ascorbat (vit C) 50 mg tablet - -
    10 Asam Mefenamat kaplet 500 mg kaplet 576 576
    11 Asiklovir krim 5% tube 22 5 17
    12 Asiklovir tab 200 mg tablet 894 894
    13 Asiklovir tab 400 mg tablet 225 20 205
    14 Arimed / Meloxicam 15 mg tablet - -
    15 Becefort syr btl - -
    16 Becefort tablet 90 90
    17 Betametason Cream tube - -
    18 Bioplacenton tube - -
    19 Bisolvon Extra Syrup btl - -
    20 Bisoprolol 5mg tablet - -
    21 Captopril tablet 12,5 mg tablet - -
    22 Captopril 25 mg tablet - -
    23 Cefadroksil kap 500 mg kapsul 300 300
    24 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    Chlorpromazin Hcl 100 mg tablet 60 60
    25 Cefixime 100 mg tablet 60 20 40
    26 Ciprofloxacin 500 mg kapsul - -
    27 Clindamicyn 300 mg kapsul - -
    28 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    29 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 960 60 900
    30 Copper T ktk - -
    31 Dasabion (Anti Anemic + Vitamin ) tablet - -
    32 Diaform tablet - -
    33 Dimenhidrinat tab tablet - -
    34 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    35 Erlamycetin Ear Drop Tetes Telinga btl 5 5
    36 Fg Troches tablet - -
    37 Flukonazol tab 150 mg kapsul 30 30
    38 Fituno tablet - -
    39 Gentian Violet botol - -
    40 Glibenclamide 5 mg tablet 303 40 263
    41 Gliseril Guaikolat 100 mg tablet 35 35
    42 Griseovulvin tablet 125 mg tablet 955 60 895
    43 Hemaforf tablet 552 120 432
    44 Hidrokortison krim 2,5% tube - -
    45 Holicos ( Ambroxol ) syrup btl - -
    46 Hustab tablet - -
    47 Ibuprofen tablet 400 mg tablet 89 89
    48 Isotic Neolyson Tetes Mata btl - -
    49 Isotic Clearens Tetes Mata btl - -
    50 Kasa 4m x 15cm roll - -
    51 Levofloxacin 500 mg tablet 10 10
    52 Lidokain injeksi ampul - -
    53 Livron B Plek tablet - -
    54 Loperamid 2mg tablet 197 300 262 235
    55 Metaneuron tablet - -
    56 Metilergometrin tablet 151 151
    57 Metilprednisolon 4mg tablet - -
    58 Mucohexin tablet - -
    59 Natrium Diklofenat 25mg tablet - -
    60 Natrium Diklofenat 50 mg tablet - -
    61 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    62 Neurovit - E kaplet - -
    63 Nistatin tab 100.000 iu tab vaginal 77 12 65
    64 Nodiar tablet - -
    65 Noza tablet - -
    66 OBH Indo Plus syrup botol - -
    67 Oxfezin syrup botol - -
    68 Oksitetrasiklin salep kulit 3% tube 35 17 18
    69 Oksitetrasiklin inj ampul - -
    70 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet 1,138 200 1,308 30
    71 Parasetamol syrup 120mg / 5ml botol - -
    72 Pehavral tablet 490 30 460
    73 Piroxicam 20 mg tablet 368 368
    74 Pehacort / Prednison 5mg tablet - -
    75 Pyridoksin (vit.B6) tablet - -
    76 Propanolol 40mg tablet - -
    77 Propituracil 100 mg tablet - -
    78 Prolysin Plus syrup botol - -
    79 Pularex Attalpugit 600 mg tablet - -
    80 Ranitidine inj tablet - -
    81 Ranitidin 150mg tablet - -
    82 Ringer Laktat larutan infus 500ml botol - -
    83 Salbutamol syr botol - -
    84 Salbutamol 2 mg tablet 67 64 3
    85 Salbutamol 4mg (sebagai sulfat) tablet 744 744
    86 Sanbe Kids syrup botol - -
    87 Sagestam Cream tube - -
    88 Scabimite Cream tube 1 1
    89 Simvastatin 10 mg tablet 7 7
    90 Tab Fe tablet 120 120
    91 Tramadol Tablet 200 200 -
    92 Tryhexilpenidil tablet 150 150
    Vitamin B. Kompleks tablet - -
    93 Zinc Disperibel tablet - -
    94 Oxycan btl - -
    95 cimetidin tab 200 mg tablet - -
    96 Alat Suntik 3 cc pcs - -
    Mikrodiol ktk - -
    9,345 7,547
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 33,801 37,457

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - -
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - -
    4 Alat suntik sekali pakai 5 ml pcs - -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs - 100 100 -
    7 Blood Lahat pcs - -
    8 Blood Transfusion Set pcs - 100 100 -
    9 Catgut/benang bedah no. 3/0 pcs - -
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs 50 50
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 100 100
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs 16 16
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs - -
    22 I.V Catheter no.20 pcs - -
    23 I.V Catheter no.22 pcs - -
    24 I.V Catheter no.24 pcs 1 1
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks - 1 1 -
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 2 2 2 2
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol - -
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - -
    41 Masker Tie On pcs - -
    42 Oxycan btl - -
    Pharmafix (10cm x 500cm) pcs - -
    43 Pembalut elastis 10 cm x 4.55m pcs - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 1 1 -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - -
    50 Semillas Non Woven Medical Tape (10 x 500c roll - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - 2 2 -
    55 Surgical Blades No. 11 pcs - -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs - -
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 169 169
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 33,970 37,626

    Pangkalan Kasai, 25 Juni 2018


    Mengetahui, Penanggung Jawab
    Plt. Kepala UPTD Pusksemas APOTEK
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM. SINTICE, Amd.Farm


    N PERMINTAAN DAN PENERIMAAN OBAT
    PLPPO)

    : APOTEK

    Ket
    EXP.DATE 170
    TAB
    exp.date 140 tab
    100 tab exp
    date
    exp.date 200
    tab
    25 Juni 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALKE
    PER 25 JUNI 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil HARGA
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran SATUAN
    Juni Juni
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    Acdat salep tube 26 - 6 32
    1 Albendazol suspensi 200 mg/5 ml btl - - - - 4,041
    2 Albendazol tab 400 mg tablet - - - - 350
    3 Alkohol 70 % 100 ml btl - - - - 2,575
    4 ALKOHOL 70 % 1000 ml btl - 1 1 - 27,305
    5 Alopurinol tab 100 mg tablet 454 - 10 464 88
    6 Alopurinol tab 300 mg tablet 350 - 41 391 215
    7 Alprazolam 0,5 mg tab tablet - - - - 180
    8 Alprazolam 1 mg tab tablet 94 - - 94 233
    9 Ambroxol sirup btl - - - - 2,598
    10 Ambroxol tablet 30 mg tablet - - - - 131
    11 Aminofilin tab 200 mg tablet 90 - - 90 82
    12 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    13 Amitriptilin tab 25 mg tablet - - - - 117
    14 Amlodipin 5 mg tab tablet - - - - 192
    15 Amlodipin 10 mg tab tablet 140 300 270 110 341
    16 Amoksisilin kapsul 250 mg kapsul - - - - 210
    17 Amoksisilin kapsul 500 mg kapsul 702 - 830 1,532 270
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    19 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    20 Ampisilin 500 mg kap kapsul - - - - 400
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    22 Antalgin tablet 500 mg tablet - - - - 116
    23 Antalgin inj ampul - - - - 1,400
    24 Antasida DOEN I tablet kunyah tablet - - - - 74
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    26 Anti bakteri salep komb tube - - - - 2,641
    27 Antifungi DOEN komb salep pot 24 - - 24 2,001
    28 Antimigren: ergotamin tartrat 1mg +kofe tablet - - - - 142
    29 Antihemoroid kombinasi Bismut Subgala supp 2 - - 2 3,200
    30 Antithrom Jelly tube - - - - 35,200
    31 Aqua pro injeksi steril vial - 5 5 - 2,100
    32 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    33 Artesunate injeksi vial/ktk - - - - 38,999
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 678 900 640 418 100
    35 Asam Folat tab 1 mg tablet 206 - 20 226 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    37 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    38 Asam Traneksamat Injeksi ampul - - - - 2,535
    39 Asetosal tab 100 mg tablet - - - - 122
    40 Asetosal tab 500 mg tablet - - - - 170
    41 Asiklovir krim 5% tube - - - - 2,260
    42 Asiklovir tab 200 mg tablet - - - - 239
    43 Asiklovir tab 400 mg tablet - - - - 345
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - - 1,300
    46 Atropin sulfat tab 0,5 mg tablet - - - - 77
    47 Bedak Salisil Serbuk 2 % bks 31 38 16 9 1,250
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg t tablet - - - - 43
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    52 Betametason krim 0,1% tube 87 - 9 96 1,520
    53 Bexicom tab kapsul - - - - 1,650
    Bisacodyl 5mg tablet 40 - - 40 306
    54 Bisoprolol tablet 5 mg tablet - - 170 170 669
    55 Bronsolvan 150 mg tablet 126 - 6 132 250
    56 Budenosid resp - - - - 8,900
    57 Captopril tablet 12,5 mg tablet - - - - 62
    58 Captopril tablet 25 mg tablet - - - - 89
    59 Captopril tablet 50 mg tablet 270 - - 270 141
    60 Carbamazepin 200 mg tablet - - - - 257
    61 Cefadroksil kap 500 mg kapsul 44 - 100 144 519
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 - - 15 5,064
    63 Cefaleksin kap 500 mg kapsul - - - - 1,100
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    65 Cefixime kap 100 mg kapsul - - - - 869
    66 Cefotaxim 0,5 gr inj vial - - - - 5,247
    67 Cefotaxim 1 gr inj vial - - - - 3,150
    68 Ceftriaxon injeksi 1 g vial - - - - 3,500
    69 Cetrizine tab 10 mg tablet - - - - 145
    70 Ciprofloxacin infs btl 100 ml - - - - 59,800
    71 Ciprofloxacin 500 mg kapsul 400 - - 400 260
    72 Cimetidin 200 mg tablet - - - - 120
    73 Clindamycin 150 mg kap tablet - - - - 379
    74 Clindamycin 300 mg kap tablet - - - - 570
    75 Clobazam tab 10 mg tablet 17 - - 17 900
    76 Chlorpheniramine maleat (CTM) 4 mg tablet 593 - 495 1,088 53
    77 Chloramfenikol 250 mg kaplet - - - - 262
    78 Chloramfenikol suspensi 125mg / 60ml (M botol 23 - 1 24 3,865
    79 Chloramphenicol Suspensi botol - - - - 3,978
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    81 Chloramfenikol salep mata 1% / 5ml tube 1 - - 1 1,600
    82 Chloroquin 150 mg tablet - - - - 89
    83 Chlorpromazin tablet 100 mg tablet - - - - 153
    84 Chlorpromazin tablet 25 mg tablet - - - - 71
    85 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 185 - 13 198 75
    88 Cotrimoksazol suspensi 60ml botol 27 - - 27 2,222
    89 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    90 Deksametason tablet 0,5 mg tablet 1,763 2,000 1,223 986 64
    91 Diaform tablet - - - - -
    92 Diazepam 2 mg tab tablet - - - - 45
    93 Diazepam injeksi ampul - - - - 4,389
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl ampul - - - - 1,107
    95 Digoksin tablet 0,25 mg tablet - - - - 100
    96 Diltiazem tab 30 mg tablet - - - - 134
    97 Dimenhidrinat tab tablet - - - - 104
    98 Doksisiklin 100 mg kap tablet - - - - 285
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    100 Domperidone 10 mg tab tablet - - - - 170
    101 Domperidone drop 5mg / ml botol - - - - 16,350
    102 Ekstrak beladon 10 mg tab tablet - - - - 33
    103 Epinefrin injeksi ampul - - - - 8,505
    104 Erytromicyn 250 mg kapsul 5 - - 5 497
    105 Erythromisin 500 mg kap kapsul - - - - 976
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 - - 1 7,893
    107 Fenilbutason tab 200 mg tablet 750 - - 750 102
    108 Ferosulfat tab tablet - - - - 21
    109 Flukonazol tab 150 mg kapsul - - - - 23,100
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - - 1,920
    111 Furosemid tablet, 40 mg tablet 63 - 17 80 94
    112 Fucilex Krim / Natrium Fucilat tube 7 - - 7 6,555
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336 50
    114 Garam oralit untuk 200 ml air sachet 65 - - 65 303
    115 Geriavita kapsul - - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - - 1,469
    117 Gentamisin sulfat tetes mata 0,3 % btl 4 - 4 8 3,353
    118 Gentamisin injeksi ampul - - - - 3,569
    119 Gentian Violet larutan 1 % btl 10 ml - - - - 945
    120 Glibenklamida tablet 5 mg tablet - - - - 58
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - - 5,985
    123 Glukosa larutan infus 40 % steril amp - - - - 2,577
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - - 5,460
    125 Grafula-DHA tablet - - - - 2,200
    126 Griseovulvin tablet 125 mg tablet - - - - 230
    127 Haloperidol 0,5 mg tablet 450 - 50 500 100
    128 Haloperidol 1,5 mg tablet 360 - 140 500 61
    129 Haloperidol 5 mg tablet - - 140 140 72
    130 Hemafort tablet - - - - -
    131 Hidrokortison krim 2,5% tube 12 - 23 35 2,798
    132 Hufabetamin Syrup btl - - - - 5,900
    133 Hustab tablet - - - - -
    134 Hustadin Syrup btl - - - - 16,500
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 - - 51 4,724
    136 Ibuprofen tablet 200 mg tablet - - - - 116
    137 Ibuprofen tablet 400 mg tablet - - - - 153
    138 Ika Neurom Injeksi ampul - - - - 5,445
    139 Imunvit Plus Kap kaplet - - - - 6,500
    140 Intibrox (Ambroksol) tablet - - - - 203
    141 Intibrox (Ambroksol) Syrup botol 36 - - 36 6,200
    142 Isoniazid tab 100 mg tablet - - - - 68
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 198 - 2 200 93
    144 KA EN 1 B botol - - - - 9,000
    145 KA EN 3 A botol - - - - 10,000
    146 KA EN 3 B botol - - - - 10,000
    147 KA EN MG 3 botol - - - - 9,625
    148 Kalium Diklofenak 50 mg tablet - - - - 743
    149 Kalsium Laktat 500 mg tablet 250 - 70 320 73
    150 Ketokenazole krim 2 % 10 gr tube 23 - - 23 2,569
    151 Ketokenazole krim 2 % 15 gr tube - - - - 4,930
    152 Ketokonazol 200 mg tablet 250 - 20 270 310
    153 Ketorolac inj 10 mg ampul - - - - 1,697
    154 Ketorolac inj 30 mg ampul - - - - 2,539
    155 Klonidin 0,15 mg tablet 300 - - 300 214
    156 Kodein tablet 10 mg tablet - - - - 525
    157 Kombines : Ipratropium bromida inhalasi vial - - - - 879
    158 Lidokain injeksi 2% / 2ml ampul - - - - 879
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 40 50 70 60 1,431
    160 Levofloksasin 500 mg tablet - - - - 554
    161 Loratidin 10 mg tablet - - - - 162
    162 Loperamid 2mg tablet - - - - 92
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - - 3,500
    164 Mebendazol Syrup 100mg / 5ml botol - - - - 3,711
    165 Mebendazol 100mg tablet - - - - 239
    166 Megatic Emulgel tube - - - - 11,500
    Metformin HCL 50 mg kapsul 1,154 1,000 85 239 99
    167 Metilergometrin 0,125 mg tablet 113 - 8 121 127
    168 Metilergometrin injeksi ampul - - - - 2,750
    169 Metilprednisolon injeksi 500 mg vial - - - - 92,990
    170 Metilprednisolon 4mg tablet 467 500 188 155 210
    171 Metoklopramide 5mg tablet 28 - - 28 108
    172 Metoklopramide 10mg tablet 137 - 60 197 105
    173 Metronidazol 250mg tablet - - - - 113
    174 Metronidazol 500mg tablet 637 - - 637 164
    175 Mikrodiol ktk - - - - -
    176 Mikonazol krim 2% tube 17 - - 17 3,000
    177 Momethasone furoat krim 0,1 % tube - - - - 17,820
    178 Mulsanol Drop btl - - - - 18,500
    179 Natrium Diklofenat 25mg tablet - - - - 141
    180 Natrium Diklofenat 50mg tablet - - - - 185
    181 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    182 Nevirapin 200mg tablet - - - - 2,940
    183 Nifedipin 10mg tablet 13 - - 13 110
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - - 2,999
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - - 672
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - - 504
    187 Ofloxacin 400 mg tablet - - - - 680
    188 Oksitetrasiklin HCl salep mata 1% tube - - - - 1,600
    189 Oksitetrasiklin salep kulit 3% tube - - - - 1,606
    190 Omeprazol kapsul 20 mg kapsul 98 - 124 222 216
    191 Ondansentron 4mg tablet 10 - 50 60 180
    192 Oksitosin injeksi ampul - - - - 1,900
    193 Ostine kapsul - - - - 375
    194 Otsu-KCL 7,46% ampul - - - - 297
    195 Papaverin 40mg tablet - - - - 122
    196 Parasetamol 500mg tablet - - - - 84
    197 Parasetamol drops botol - - - - 5,460
    198 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    199 Penoksimetil Penisilin 500mg tablet - - - - 535
    200 Penolgliserol tetes telinga 10% / 5ml botol 5 - 1 6 1,058
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 - - 4 24,150
    202 Permetrin krim 5% (Scabicid) tube - - - - 11,475
    203 Pethidin injeksi ampul - - - - 1,523
    204 Phenobarbital 30mg tablet - - - - 31
    205 Phenobarbital injeksi 50mg/ml ampul - - - - 1,890
    206 Piracetam injeksi 3g / 15ml ampul - - - - 4,200
    207 Piracetam 800mg tablet - - - - 321
    208 Pirantel Score (base ) 125mg tablet 54 - 3 57 308
    209 Pirantel syrup 125mg / 5ml botol 6 - - 6 8,728
    210 Pitomenadion (Vit-K) 10mg tablet 503 - 26 529 666
    211 Pitomenadion inj. 2mg ampul - - - - 3,582
    212 Poncodryl (DMP) syr botol - - - - 25,300
    213 Pitomenadion inj. 10mg ampul - - - - 3,582
    214 Povidon Iodida 10% 30ml botol - - - - 2,250
    215 Povidon Iodida 10% 60ml botol - - - - 6,298
    216 Povidon Iodida 10% 300ml botol - - - - 14,771
    217 Povidon Iodida 10% 1000ml botol - - - - 38,594
    218 Pravastatin 20mg tablet - - - - 2,400
    219 Prednison 5mg tablet 411 - 248 659 119
    220 Primakuin 15mg tablet - - - - 205
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - - 7,549
    222 Propanolol HCl 10mg tablet - - - - 79
    223 Propanolol 40mg tablet 190 - - 190 110
    224 Propiltiourasil 100mg tablet - - - - 335
    225 Quinine tablet - - - - 704
    226 Ramipril 5mg tablet - - - - 600
    227 Ranitidin inj 25mg / 2ml ampul - - - - 1,190
    228 Ranitidin 150mg tablet 1,636 600 - 1,036 126
    229 Reserpin 0,10mg tablet - - - - 85
    230 Reserpin 0,25 mg tablet - - - - 109
    231 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    232 Risperidon 2mg tablet 1 1 1 1 1,038
    233 Rivanol larutan 0,1% botol - - - - 2,283
    234 Salbutamol 2mg (sebagai sulfat) tablet - - - - 62
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - - 85
    236 Salbutamol serbuk inh 200mcg/caps+rotah caps 2 - - 2 11,550
    237 Salbutamol serb inh 200 mcg/kaps tablet 50 - 62 112 452
    238 Salbutamol cairan inh 0,1% (Ventolin Neb botol - - - - 6,930
    239 Salep 2-4 pot 3 - 3 6 2,100
    240 Serum Anti Tetanus ampul - - - - 126,000
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - - 1,131
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - - 60
    243 Simvastatin 10mg tablet - - - - 174
    Simvastatin 20mg tablet 66 - 75 141 239
    244 Spiramisin 500mg tablet - - - - 1,574
    245 Stesolid inj ampul - - - - 17,604
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - - 17,604
    248 Streptomisin injeksi 1 g/ml vial - - - - 3,832
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - - 3,387
    250 Sulfatdoksin 500mg tablet - - - - 544
    251 Sukralfat suspensi 500mg/5ml (Ulsafate S botol - - - - 13,850
    252 Supramox Drops 20 ml botol - - - - 21,300
    Tablet Fe tab isi 100 1,920 2,000 199 119
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - - 30,800
    254 Tetrasiklin 250mg kapsul - - - - 154
    255 Tetrasiklin 500mg kapsul - - - - 312
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - - 700
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - - 37
    258 Tramadol 50mg kapsul - - - - 192
    259 Tuzalos kaplet - - - - -
    260 Vitamin B6 tablet - - - - 47
    261 Vitamin B Kompleks tablet - - - - 110
    262 Vitaplex drop botol - - - - 26,400
    263 Zinc Disperibel tablet 417 - 15 432 497
    264 Zink drop 10mg / 5ml botol - - - - 12,840
    265 Zirkum Kid syrup 20mg / 5ml botol - - - - 7,770
    17,531 15,676
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet 773 - 407 1,180 348
    3 Antithrom tube - - - - 35,200
    4 Arimed 15 mg tablet - - - - 1,617
    5 Asifit tablet - - - -
    6 Asonfen tab tablet 170 - - 170 140
    7 Amobiotic Drop btl - - - - 23,100
    8 Becefort tab kotak/100 tablet - - - - 1,500
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - - 1,670
    11 Bisolvon Ekstra Sirup botol 60 ml - - - - 32,625
    12 Brochifar tablet - - - - 478
    13 Bromifar tablet - - - - 225
    14 Burnazin tube - - - -
    15 Caltrax btl - - - - 27,500
    Chlorpheniramine Maleate 4 mg tab isi 1000 5,000 5,000 - - 77
    16 Cough En Plus btl 21 - 9 30 23,000
    17 Dasabion tablet - - - - 979
    18 Dehaf sachet - - - - 9,167
    19 Dumin Rectal 250 mg supp - - - - 16,280
    20 Dumin Rectal 125 mg supp - - - - 11,660
    Donexan Syrup Botol 1 - - 1 27,500
    21 Erlamycetine Ear Drop botol 10 ml - - - - 4,840
    22 Erya Forte 500 mg kapsul kapsul - - - - 231
    Etadexa tab 1,314 - 201 1,515 126
    23 Faxiden gel tube 40 - 3 43 12,000
    24 Fludane kapsul kapsul - - - - 735
    25 Fludane Plus tablet - - - - 880
    26 Flutop C Syrup btl 5 - - 5 10,000
    27 Fituno kapsul - - - - 1,210
    28 Fucilex/ natrium fucilat criem tube - - - - 6,555
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    Genalten (Gentamicyn) cream tube - - - - 980
    30 Genolon krim tube - - - - 26,400
    Geonit (gentamisin salep mata) tube 12 - 2 14
    Guaifenisin 100mg tablet 714 - 262 976 127
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - - 2,167
    33 Hico Gel tube 19 - 3 22 25,000
    34 Hidrogen Peroksida 3% btl 1 liter - - - - 39,000
    35 Holicos Syrup Botol 60 ml - - - - 32,625
    36 Hufabetamin Syrup btl - - - - 5,900
    37 Hustadin Syr btl - - - - 16,500
    38 Hustab tablet 287 - 421 708 300
    39 Ika Neurom Injeksi ampul - - - - 5,445
    40 Imunvit Plus Kap Kaplet - - - - 3,325
    Intunal Forte 100 tablet/ktk 400 300 260 360 1,030
    41 Intibrox tablet 975 1,000 450 425 203
    42 Intibrox Syr botol 9 - 8 17 6,200
    43 Isotic Clearens Botol - - - - 9,000
    44 Isotic Neolyson Botol - - - - 28,750
    45 Jovial Sachet sachet - - - - 4,180
    46 Livron B. Plex Ds 10x10 tab - - - - 250
    Maltiron Plus Tablet 749 - 91 840 1,169
    47 Metaflu tablet - - - - 220
    48 Metamizol 500mg tablet - - - - 12,833
    49 Mucohexin tab tablet - - - - 506
    50 Mulsanol Syrup botol 60 ml 13 - 9 22 9,000
    51 Nalget Kaptab tablet 1,077 500 827 1,404 400
    52 Natavit Soft Cut kapsul - - - - 3,017
    53 Neocenta Gel tube - - - - 20,000
    54 Neo diaform ktk - - - - 140
    55 Neurovit-e dus 6x10 tab - - - - 1,027
    56 Neurodial kaplet 211 - - 211 1,260
    57 Nodiar tablet - - - - 1,210
    58 Noza tablet - - - - 891
    59 Novakal syrup btl - - - - 9,498
    60 OBH Indo Plus botol 100 ml - - - - 12,100
    61 OBH Inti Syr botol 100 ml - - - - -
    OBH Intrasal Syr botol 2 - 2 4 12,000
    62 Osteor plus kaplet - - - - 6,325
    63 Ostine Kapsul kapsul 174 - 12 186 3,750
    64 Ondansetron tablet - - - - 495
    65 Oxfezin Syrup botol 100 ml - - - - 56,100
    66 Panstonal Forte 500 mg tablet - - - - 297
    67 Poncodryl DMP Syrup btl - - - - 25,300
    68 Ponflu tablet - - - - 715
    69 Pehavral tablet - - - - 693
    70 Pehacort tablet - - - - 145
    Pyreksin 60mg tablet/supp 4 - - 4 6,920
    Pyreksin 160mg tablet/supp - - - - 6,920
    71 Prenase tab tablet - - - - 86,350
    72 Procalma Soft Kapsul 30 kap/ktk - - - - 3,850
    73 Prolysin Syrup Plus botol 100 ml - - - - 30,800
    Prombus tablet 144 - - 144 4,947
    74 Proneuron tablet 164 - 144 308 1,100
    75 Pularex Attalpulgit 600 mg tablet - - - - 210
    76 Quantidex Syr botol 13 - 2 15 10,000
    77 Quantidex tablet tablet 83 - 77 160 850
    78 Reagen Golongan Darah Anti A 10ml botol - - - - 100,000
    79 Reagen Golongan Darah Anti B 10ml botol - - - - 100,000
    80 Reagen Golongan Darah Anti D 10ml botol - - - - 125,000
    81 Sagestam Cream tube - - - - 13,090
    82 Sanbe Kids botol 200 ml - - - - 38,500
    83 Sanvita B sirup btl - - - - 11,550
    84 Scabimite cream 10 mg tube - - - - 77,000
    85 Serum Anti Bisa Ular amp - - - - 473,000
    86 Supramox drops 20 ml btl - - - - 21,300
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    88 Stick Asam Urat botol - 1 3 2 6,800
    89 Stick Glukosa botol - 1 3 2 5,600
    90 Stik Kolesterol botol - 1 1 - 28,000
    91 Supramox Drops 20 ml botol 5 - 7 12 21,300
    92 Tuzalos kap kapsul - - - - 781
    93 Vitaplex drop btl - - - - 26,400
    12,379 8,780
    C BUFFER STOK
    1 Amoksisilin kapsul 500 mg kapsul - - - - 270
    Amoxicillin syr btl 12 - - 12 1,920
    2 Ambroxol 30 mg tablet - - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet 230 - 70 300
    5 Antasida DOEN I tablet kunyah tablet - - - - 74
    6 Antimigren ergotamin 112 - 10 122 -
    7 Antihemoroid kombinasi Bismut Subgala supp - - - - 3,685
    8 Asam ascorbat (vit C) 50 mg tablet - - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 576 - - 576 209
    10 Asiklovir krim 5% tube 17 - 5 22 2,260
    11 Asiklovir tab 200 mg tablet 894 - - 894 239
    12 Asiklovir tab 400 mg tablet 205 - 20 225 345
    13 Arimed / Meloxicam 15 mg tablet - - - - 8,085
    14 Becefort syr btl - - - - 17,000
    15 Becefort tablet 90 - - 90 1,500
    16 Betametason Cream tube - - - - -
    17 Bioplacenton tube - - - - -
    18 Bisolvon Extra Syrup btl - - - - 32,625
    19 Bisoprolol 5mg tablet - - - - -
    20 Captopril tablet 12,5 mg tablet - - - - 62
    21 Captopril 25 mg tablet - - - - -
    22 Cefadroksil kap 500 mg kapsul 300 - - 300 519
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - - 5,064
    24 Cefixime 100 mg tablet 40 - 20 60 -
    25 Ciprofloxacin 500 mg kapsul - - - - 513
    Chlorpromazin Hcl 100 mg tablet 60 - - 60
    26 Clindamicyn 300 mg kapsul - - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 77
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 900 - 60 960 145
    29 Copper T ktk - - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - - 979
    31 Diaform tablet - - - - 140
    32 Dimenhidrinat tab tablet - - - - 95
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - - 2,970
    34 Erlamycetin Ear Drop Tetes Telinga btl 5 - - 5 4,840
    35 Fg Troches tablet - - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30 23,100
    37 Fituno tablet - - - - 4,033
    38 Gentian Violet botol - - - - -
    39 Glibenclamide 5 mg tablet 263 - 40 303 -
    40 Gliseril Guaikolat 100 mg tablet 35 - - 35 -
    41 Griseovulvin tablet 125 mg tablet 895 - 60 955 230
    42 Hemaforf tablet 432 - 120 552 850
    43 Hidrokortison krim 2,5% tube - - - - 2,399
    44 Holicos ( Ambroxol ) syrup btl - - - - 23,100
    45 Hustab tablet - - - - 300
    46 Ibuprofen tablet 400 mg tablet 89 - - 89 153
    47 Isotic Neolyson Tetes Mata btl - - - - 28,750
    48 Isotic Clearens Tetes Mata btl - - - - 10,750
    49 Kasa 4m x 15cm roll - - - - -
    50 Levofloxacin 500 mg tablet 10 - - 10 -
    51 Lidokain injeksi ampul - - - - -
    52 Livron B Plek tablet - - - - 250
    53 Loperamid 2mg tablet 235 300 262 197 92
    54 Metaneuron tablet - - - - 1,283
    55 Metilergometrin tablet 151 - - 151 -
    56 Metilprednisolon 4mg tablet - - - - 210
    57 Mucohexin tablet - - - - 506
    58 Natrium Diklofenat 25mg tablet - - - - 141
    59 Natrium Diklofenat 50 mg tablet - - - - -
    60 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    61 Neurovit - E kaplet - - - - 1,027
    62 Nistatin tab 100.000 iu tab vaginal 65 - 12 77 -
    63 Nodiar tablet - - - - 1,210
    64 Noza tablet - - - - 891
    65 OBH Indo Plus syrup botol - - - - 12,100
    66 Oxfezin syrup botol - - - - 56,100
    67 Oksitetrasiklin salep kulit 3% tube 18 - 17 35 2,200
    68 Oksitetrasiklin inj ampul - - - - 5,500
    69 Omeprazol kapsul 20 mg kapsul - - - - 216
    Paracetamol tab 500 mg tablet 30 200 1,308 1,138
    70 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    71 Pehavral tablet 460 - 30 490 693
    72 Piroxicam 20 mg tablet 368 - - 368 119
    73 Pehacort / Prednison 5mg tablet - - - - 145
    74 Pyridoksin (vit.B6) tablet - - - - -
    75 Propanolol 40mg tablet - - - - 114
    76 Propituracil 100 mg tablet - - - - -
    77 Prolysin Plus syrup botol - - - - 30,800
    78 Pularex Attalpugit 600 mg tablet - - - - 210
    79 Ranitidine inj tablet - - - - -
    80 Ranitidin 150mg tablet - - - - 108
    81 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    82 Salbutamol syr botol - - - - -
    83 Salbutamol 2 mg tablet 3 - 64 67 -
    84 Salbutamol 4mg (sebagai sulfat) tablet 744 - - 744 85
    85 Sanbe Kids syrup botol - - - - 38,500
    86 Sagestam Cream tube - - - - 13,090
    87 Scabimite Cream tube 1 - - 1 77,000
    88 Simvastatin 10 mg tablet 7 - - 7 -
    89 Tab Fe tablet 120 - - 120 -
    90 Tramadol Tablet - - 200 200 -
    91 Tryhexilpenidil tablet 150 - - 150 44
    92 Zinc Disperibel tablet - - - - 497
    93 Oxycan btl - - - - -
    94 cimetidin tab 200 mg tablet - - - - 113
    95 Alat Suntik 3 cc pcs - - - - 4,400
    96 Mikrodiol ktk - - - - -
    7,547 9,345
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - - 390,000
    2 Etil klorida btl - - - - 125,000
    3 Eugenol Cairan btl - - - - 17,500
    4 Glass Ionomer btl - - - - 395,000
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - - 242,000
    6 Klorfenol kamfer menthol(CHKM) btl - - - - 55,000
    7 Mummifying pasta btl - - - - 176,000
    8 Semen seng fosfat set - - - - 93,500
    9 Temporary stoping fletcher set - - - - 34,000
    - -
    SISA OBAT DALAM RUPIAH 37,457 33,801

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - - - - 826
    2 Alat suntik sekali pakai 2,5 ml pcs - - - - 826
    3 Alat suntik sekali pakai 3 ml pcs - - - - 826
    4 Alat suntik sekali pakai 5 ml pcs - - - - 953
    5 Alat suntik sekali pakai 10 ml pcs - - - - 1,175
    6 Alkohol Swab CHG 0,5 % pcs - 100 100 - 197
    7 Blood Lahat pcs - - - - 153
    8 Blood Transfusion Set pcs - 100 100 - 4,572
    9 Catgut/benang bedah no. 3/0 pcs - - - - 22,500
    10 Catgut/benang bedah no.2/0 pcs - - - - 22,500
    11 Examination Lower Glove ( M ) pcs - - - - 464
    12 Examination Lower Glove ( L ) pcs 50 - - 50 464
    13 Folley Catheter no 16W pcs - - - - 8,000
    14 Folley Catheter no 18W pcs - - - - 8,000
    15 Folley Catheter no 20W pcs - - - - 8,000
    16 Handscoon no 7 pcs 100 - - 100 1,300
    17 Handscoon no 7,5 pcs - - - - 1,300
    18 Handscoon no 8 pcs - - - - 1,300
    19 Hcg (Tes Pack) pcs 16 - - 16 1,495
    20 Hidrogen Peroksida 3% btl - - - - 39,000
    21 I.V Catheter no.18 pcs - - - - 8,085
    22 I.V Catheter no.20 pcs - - - - 8,085
    23 I.V Catheter no.22 pcs - - - - 8,085
    24 I.V Catheter no.24 pcs 1 - - 1 8,085
    25 Infusion set anak set - - - - 4,445
    26 Infusion set dewasa set - - - - 4,064
    27 kapas pembalut berlemak 500 mg Bks - 1 1 - 34,000
    28 Kapas pembalut 500 gram Bks - - - - 34,000
    29 Kapas pembalut/absorben 250 gram Bks - - - - 24,000
    30 Kasa Hidrofil 16x16 16 pcs/ktk 2 2 2 2 7,900
    31 Kasa Hidrofil 40 x 40 pcs - - - - 1,800
    32 Kasa Hidrofil 4 x 15 cm roll - - - - 3,800
    33 Kasa Hidrofil 4 x 3 cm roll - - - - 800
    34 Kasa Hidrofil 4 x 5 cm roll - - - - 1,100
    35 Kasa Pembalut 2 x 80 cm Rol - - - - 9,400
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - - 16,000
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - - 25,000
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - - 1,100
    39 Lysol btl - - - - 52,070
    40 Masker ear lopp pcs - - - - 439
    41 Masker Tie On pcs - - - - 439
    42 Oxycan btl - - - - -
    43 Pembalut elastis 10 cm x 4.55m pcs - - - - 33,000
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 1 1 - 27,830
    45 Pembalut Gips 6 Inchi Rol - - - - 60,500
    46 Plester 5 yard x 2 inch Rol - - - - 30,000
    47 Semillas Non Woven Medical Tape (5 x 1 roll - - - - 3,850
    48 Semillas Non Woven Medical Tape (10 x roll - - - - 7,315
    49 Semillas Non Woven Medical Tape (5 x 5 roll - - - - 21,753
    50 Semillas Non Woven Medical Tape (10 x roll - - - - 30,030
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - - 15,000
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - - 15,000
    53 Stomach Tube pcs - - - - 10,010
    54 Surgical Blades No. 10 pcs - 2 2 - 3,000
    55 Surgical Blades No. 11 pcs - - - - 3,000
    56 Surgical Blades No. 13 pcs - - - - 3,000
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - - -
    58 Surgical Blades No. 23 pcs - - - - 3,000
    Surgical Steril Powder Glove (S) pcs - - - - 4,320
    Surgical Steril Powder Glove (M) pcs - - - - 4,320
    Surgical Steril Powder Glove (L) pcs - - - - 4,320
    59 Transparent IV Dressing ( anak ) 4,4 x 4, pcs - - - - 2,021
    60 Transparent IV Dressing ( Dewasa) 6 x 7 pcs - - - - 2,224
    61 Urine bag pcs - - - - 3,810
    62 Umbilical Cord Klem Steril Nylon pcs - - - - 1,270
    63 wing nedle No.21 pcs - - - - 6,059
    64 wing nedle No.23 pcs - - - - 6,059
    SISA ALKES DALAM RUPIAH 169 169
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 37,626 33,970

    Mengetahui,
    Plt. Kepala UPTD Pusksemas
    Pangkalan Kasai
    G HABIS PAKAI (OBAT & ALKES )
    JUNI 2018

    UNIT KERJA : APOTEK

    Jumlah Pengeluaran Harga Perolehan


    Ket
    Juni 2018 (Rp) Terakhir

    9 (8x6 ) 10 ( 8x4 ) 11

    - -
    - -
    - -
    - -
    27,305 -
    880 39,952
    8,795 75,075
    - -
    - 21,902
    - -
    - -
    - 7,380
    - -
    - -
    - -
    92,070 47,740
    - -
    224,100 189,540
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 48,025
    - -
    - 6,400
    - -
    10,500 -
    - -
    - -
    64,000 67,800
    1,000 10,300
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    20,000 38,750
    - -
    - -
    - -
    - -
    13,680 132,240
    - -
    - 12,240
    EXP.DATE
    113,730 - 170 TAB
    1,500 31,500
    - -
    - -
    - -
    - 38,070
    - -
    51,900 22,836
    - 75,960
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 104,000
    - -
    - -
    - -
    - 15,300
    26,235 31,429
    - -
    3,865 88,895
    - -
    - -
    - 1,600
    - -
    - -
    - -
    - -
    - -
    975 13,875
    - 59,994
    - -
    78,272 112,832
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 2,485
    - -
    - 7,893
    - 76,500
    - -
    - -
    - -
    1,598 5,922
    - 45,885
    - -
    - 16,800
    - 19,695
    - -
    - -
    13,412 13,412
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    5,000 45,000
    8,540 21,960
    exp.date 140
    10,080 - tab
    - -
    64,354 33,576
    - -
    - -
    - -
    - 240,924
    - -
    - -
    - -
    - -
    - -
    - 223,200
    - -
    186 18,414
    - -
    - -
    - -
    - -
    - -
    5,110 18,250
    - 59,087
    - -
    6,200 77,500
    - -
    - -
    - 64,200
    - -
    - -
    - -
    100,170 57,240
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    8,415 114,246
    1,016 14,357
    - -
    - -
    39,480 98,070
    - 3,024
    6,300 14,385
    - -
    - 104,468
    - -
    - 51,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 1,430
    - -
    - -
    - -
    - -
    - -
    - -
    26,784 21,168
    9,000 1,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    1,058 5,290
    - 96,600
    - -
    - -
    - -
    - -
    - -
    - -
    924 16,632
    - 52,368
    17,316 334,998
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    29,512 48,909
    - -
    - -
    - -
    - 20,900
    - -
    - -
    - -
    - -
    - 206,136
    - -
    - -
    - -
    1,038 1,038
    - -
    - -
    - -
    - 23,100
    28,024 22,600
    - -
    6,300 6,300
    - -
    - -
    - -
    - -
    17,925 15,774
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    7,455 207,249
    - -
    - -
    3,823,420

    - -
    141,636 269,004
    - -
    - -
    - -
    - 23,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 385,000
    207,000 483,000
    - -
    - -
    - -
    - -
    - 27,500
    - -
    - -
    25,326 165,564
    36,000 480,000
    - -
    - -
    - 50,000
    - -
    - -
    - -
    - -
    - -
    - -
    33,274 90,678
    - -
    - -
    75,000 475,000
    - -
    - -
    - -
    - -
    126,300 86,100
    - -
    - -
    267,800 412,000
    91,350 197,925
    49,600 55,800
    - -
    - -
    - -
    - -
    106,379 875,581
    - -
    - -
    - -
    81,000 117,000
    330,800 430,800
    - -
    - -
    - -
    - -
    - 265,860
    - -
    - -
    - -
    - -
    - -
    24,000 24,000
    - -
    45,000 652,500
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 27,680
    - -
    - -
    - -
    - -
    - 712,320
    158,400 180,400
    - -
    20,000 130,000
    65,450 70,550
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    20,400 -
    16,800 -
    28,000 -
    149,100 106,500
    - -
    - -
    6,794,562

    - -
    - 23,040
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 120,384
    11,300 38,420
    - 213,666
    6,900 70,725
    - -
    - -
    - 135,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 155,700
    - -
    - -
    - -
    - -
    - -
    - -
    8,700 130,500
    - -
    - -
    - -
    - -
    - -
    - 24,200
    - -
    - 693,000
    - -
    - -
    - -
    - -
    13,800 205,850
    102,000 367,200
    - -
    - -
    - -
    - 13,617
    - -
    - -
    - -
    - -
    - -
    - -
    100 tab
    24,104 21,620
    exp date
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    37,400 39,600
    - -
    - -

    - -
    20,790 318,780
    - 43,792
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 63,240
    - -
    - -
    - 77,000
    - -
    - -
    exp.date
    - -
    200 tab
    - 6,600
    - -
    - -
    - -
    - -
    - -
    224,994 2,761,934

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    224,994 13,379,916

    - -
    - -
    - -
    - -
    - -
    19,680 -
    - -
    457,200 -
    - -
    - -
    - -
    - 23,210
    - -
    - -
    - -
    - 130,000
    - -
    - -
    - 23,920
    - -
    - -
    - -
    - -
    - 8,085
    - -
    - -
    34,000 -
    - -
    - -
    15,800 15,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    27,830 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    6,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    201,015
    13,580,931

    Pangkalan Kasai, 25 Juni 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN Juli Juli
    A OBAT GENERIK PKD
    Acdat salep tube 26 10 16
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl - -
    4 ALKOHOL 70 % 1000 ml btl - -
    5 Alopurinol tab 100 mg tablet 454 38 416
    6 Alopurinol tab 300 mg tablet 350 46 304
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet 94 94 -
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet 90 90
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet 140 870 722 288
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 702 2,300 1,990 1,012
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - 2,000 116 1,884
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 24
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp 2 2
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 678 700 805 573
    35 Asam Folat tab 1 mg tablet 206 206
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 31 17 13 35
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 87 9 78
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 40 2 38
    54 Bisoprolol tablet 5 mg tablet - -
    55 Bronsolvan 150 mg tablet 126 126
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet 270 270 -
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul 44 44 -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 15
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul - -
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 400 100 300
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet 17 17 -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet 593 593 -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 23 3 20
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 1 1
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 185 142 43
    88 Cotrimoksazol suspensi 60ml botol 27 27
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet 1,763 2,000 376 3,387
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul 5 5
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 1
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 63 19 44
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 336
    114 Garam oralit untuk 200 ml air sachet 65 65
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl 4 3 1
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -

    127 Haloperidol 0,5 mg tablet 450 450 -

    128 Haloperidol 1,5 mg tablet 360 160 200


    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 12 120 40 92
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 51
    136 Ibuprofen tablet 200 mg tablet - -
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol 36 31 5
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 198 3 195
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet 250 500 600 150
    150 Ketokenazole krim 2 % 10 gr tube 23 1 22
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 250 40 210
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - 40 40
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 40 13 27
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 1,154 400 754
    167 Metilergometrin 0,125 mg tablet 113 24 89
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 467 203 264
    171 Metoklopramide 5mg tablet 28 1,000 124 904
    172 Metoklopramide 10mg tablet 137 1,000 82 1,055
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 637 50 587
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 17 48 31 34
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet 13 13
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul 98 300 314 84
    191 Ondansentron 4mg tablet 10 10
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol - -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol 5 2 3
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 4
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 54 2 52
    209 Pirantel syrup 125mg / 5ml botol 6 6 -
    210 Pitomenadion (Vit-K) 10mg tablet 503 26 477
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 411 301 110
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 190 190
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 1,636 2,000 2,129 1,507
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet 1 1
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet - 500 57 443
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 2
    237 Salbutamol serb inh 200 mcg/kaps tablet 50 50 -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 3 24 10 17
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet 66 66
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 1,920 400 1,520
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    Tryhekxilpenidil tablet - 200 200
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 417 417
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    17,531 20,189
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet 773 724 49
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet 170 170
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 5,000 2200 2,800
    16 Cough En Plus btl 21 20 27 14
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 1 1
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    Etadexa tab 1,314 254 1,060
    23 Faxiden gel tube 40 20 16 44
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl 5 48 24 29
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - -
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube 12 12
    Guaifenisin 100mg tablet 714 1500 253 1,961
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 19 19
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 287 1800 744 1,343
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk 400 800 326 874
    41 Intibrox tablet 975 1500 790 1,685
    42 Intibrox Syr botol 9 9 -
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 749 385 364
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 13 48 21 40
    51 Nalget Kaptab tablet 1,077 500 1577 -
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml - 38 2 36
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 2 120 7 115
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 174 30 144
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 144 144
    74 Proneuron tablet 164 400 180 384
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 13 20 13 20
    77 Quantidex tablet tablet 83 1000 60 1,023
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - 48 28 20
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - -
    89 Stick Glukosa botol - -
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 5 5
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    12,379 12,571
    C BUFFER STOK
    Amoksisillin kapsul 250 mg kapsul 1,000 210 790
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Amoxicillin syr btl 12 12
    Ambroxol syr btl 50 3 47
    3 Ambroxol 30 mg tablet - -
    4 Amlodipin tablet - -
    5 Antalgin tablet 500 mg tablet 230 230
    6 Antasida DOEN I tablet kunyah tablet - -
    7 Antimigren ergotamin tablet 112 37 75
    8 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    9 Asam ascorbat (vit C) 50 mg tablet - -
    10 Asam Mefenamat kaplet 500 mg kaplet 576 1,000 838 738
    11 Asiklovir krim 5% tube 17 1 16
    12 Asiklovir tab 200 mg tablet 894 66 828
    13 Asiklovir tab 400 mg tablet 205 50 155
    14 Arimed / Meloxicam 15 mg tablet - -
    15 Becefort syr btl - -
    16 Becefort tablet 90 90
    17 Betametason Cream tube - -
    18 Bioplacenton tube - -
    19 Bisolvon Extra Syrup btl - -
    20 Bisoprolol 5mg tablet - -
    21 Captopril tablet 12,5 mg tablet - -
    22 Captopril 25 mg tablet - -
    23 Cefadroksil kap 500 mg kapsul 300 1,000 306 994
    24 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    Chlorpromazin Hcl 100 mg tablet 60 500 370 190
    25 Cefixime 100 mg tablet 40 40
    26 Ciprofloxacin 500 mg kapsul - -
    27 Clindamicyn 300 mg kapsul - -
    28 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    29 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 900 900
    30 Copper T ktk - -
    31 Dasabion (Anti Anemic + Vitamin ) tablet - -
    32 Diaform tablet - -
    33 Dimenhidrinat tab tablet - -
    34 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    35 Erlamycetin Ear Drop Tetes Telinga btl 5 2 3
    36 Fg Troches tablet - -
    37 Flukonazol tab 150 mg kapsul 30 30
    38 Fituno tablet - -
    39 Gentian Violet botol - -
    40 Glibenclamide 5 mg tablet 263 200 63
    41 Gliseril Guaikolat 100 mg tablet 35 35
    42 Griseovulvin tablet 125 mg tablet 895 148 747
    43 Hemaforf tablet 432 112 320
    44 Hidrokortison krim 2,5% tube - -
    45 Holicos ( Ambroxol ) syrup btl - -
    46 Hustab tablet - -
    47 Ibuprofen tablet 400 mg tablet 89 89
    48 Isotic Neolyson Tetes Mata btl - -
    49 Isotic Clearens Tetes Mata btl - -
    50 Kasa 4m x 15cm roll - -
    51 Levofloxacin 500 mg tablet 10 300 10 300
    52 Lidokain injeksi ampul - -
    53 Livron B Plek tablet - -
    54 Loperamid 2mg tablet 235 140 95
    55 Metaneuron tablet - -
    56 Metilergometrin tablet 151 151
    57 Metilprednisolon 4mg tablet - -
    58 Mucohexin tablet - -
    59 Natrium Diklofenat 25mg tablet - -
    60 Natrium Diklofenat 50 mg tablet - -
    61 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    62 Neurovit - E kaplet - -
    63 Nistatin tab 100.000 iu tab vaginal 65 21 44
    64 Nodiar tablet - -
    65 Noza tablet - -
    66 OBH Indo Plus syrup botol - -
    67 Oxfezin syrup botol - -
    68 Oksitetrasiklin salep kulit 3% tube 18 27 31 14
    69 Oksitetrasiklin inj ampul - -
    70 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet 30 2,000 1,546 484
    71 Parasetamol syrup 120mg / 5ml botol - -
    72 Pehavral tablet 460 20 440
    73 Piroxicam 20 mg tablet 368 368
    74 Pehacort / Prednison 5mg tablet - -
    75 Pyridoksin (vit.B6) tablet - -
    76 Propanolol 40mg tablet - -
    77 Propituracil 100 mg tablet - -
    78 Prolysin Plus syrup botol - -
    Pravastatin 20mg tablet 150 74 76
    79 Pularex Attalpugit 600 mg tablet - -
    80 Ranitidine inj tablet - -
    81 Ranitidin 150mg tablet - -
    82 Ringer Laktat larutan infus 500ml botol - -
    83 Salbutamol syr botol - -
    84 Salbutamol 2 mg tablet 3 3 -
    85 Salbutamol 4mg (sebagai sulfat) tablet 744 52 692
    86 Sanbe Kids syrup botol - -
    87 Sagestam Cream tube - -
    88 Scabimite Cream tube 1 8 2 7
    89 Simvastatin 10 mg tablet 7 7
    90 Tab Fe tablet 120 120
    91 Tramadol Tablet - -
    92 Tryhexilpenidil tablet 150 150 -
    Vitamin B. Kompleks tablet - -
    93 Zinc Disperibel tablet - -
    94 Oxycan btl - -
    95 cimetidin tab 200 mg tablet - -
    96 Alat Suntik 3 cc pcs - -
    Mikrodiol ktk - -
    7,547 9,190
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 37,457 41,950

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - -
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - -
    4 Alat suntik sekali pakai 5 ml pcs - -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs - -
    7 Blood Lahat pcs - -
    8 Blood Transfusion Set pcs - -
    9 Catgut/benang bedah no. 3/0 pcs - -
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs 50 50
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 100 100
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs 16 16 -
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs - -
    22 I.V Catheter no.20 pcs - -
    23 I.V Catheter no.22 pcs - -
    24 I.V Catheter no.24 pcs 1 1 -
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks - -
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 2 2 4 -
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol - -
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - -
    41 Masker Tie On pcs - 400 150 250
    42 Oxycan btl - -
    Pharmafix (10cm x 500cm) pcs - -
    43 Pembalut elastis 10 cm x 4.55m pcs - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - -
    50 Semillas Non Woven Medical Tape (10 x 500c roll - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - -
    55 Surgical Blades No. 11 pcs - 10 10 -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs - -
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 169 400
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 37,626 42,350

    Pangkalan Kasai, 25 Juli 2018


    Mengetahui, Penanggung Jawab
    Plt. Kepala UPTD Pusksemas APOTEK
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM. SINTICE, Amd.Farm


    RAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    : APOTEK

    Ket

    exp.date 94 tab
    exp.date 17 tab
    exp.date Agust
    2018 450 tab
    exp.date Agus
    2018 6 btl
    exp.date Agus
    2018 50 tab
    exp.date 150
    tab
    25 Juli 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALKE
    PER 25 JULI 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil HARGA
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran SATUAN
    Juli Juli
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    Acdat salep tube 16 - 10 26 6,030
    1 Albendazol suspensi 200 mg/5 ml btl - - - - 4,041
    2 Albendazol tab 400 mg tablet - - - - 350
    3 Alkohol 70 % 100 ml btl - - - - 2,575
    4 ALKOHOL 70 % 1000 ml btl - - - - 27,305
    5 Alopurinol tab 100 mg tablet 416 - 38 454 88
    6 Alopurinol tab 300 mg tablet 304 - 46 350 215
    7 Alprazolam 0,5 mg tab tablet - - - - 180
    8 Alprazolam 1 mg tab tablet - - 94 94 233
    9 Ambroxol sirup btl - - - - 2,598
    10 Ambroxol tablet 30 mg tablet - - - - 131
    11 Aminofilin tab 200 mg tablet 90 - - 90 82
    12 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    13 Amitriptilin tab 25 mg tablet - - - - 117
    14 Amlodipin 5 mg tab tablet - - - - 192
    15 Amlodipin 10 mg tab tablet 288 870 722 140 341
    16 Amoksisilin kapsul 250 mg kapsul - - - - 210
    17 Amoksisilin kapsul 500 mg kapsul 1,012 2,300 1,990 702 270
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    19 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    20 Ampisilin 500 mg kap kapsul - - - - 400
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    22 Antalgin tablet 500 mg tablet - - - - 116
    23 Antalgin inj ampul - - - - 1,400
    24 Antasida DOEN I tablet kunyah tablet 1,884 2,000 116 - 74
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    26 Anti bakteri salep komb tube - - - - 2,641
    27 Antifungi DOEN komb salep pot 24 - - 24 2,001
    28 Antimigren: ergotamin tartrat 1mg +kofe tablet - - - - 142
    29 Antihemoroid kombinasi Bismut Subgala supp 2 - - 2 3,200
    30 Antithrom Jelly tube - - - - 35,200
    31 Aqua pro injeksi steril vial - - - - 2,100
    32 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    33 Artesunate injeksi vial/ktk - - - - 38,999
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 573 700 805 678 100
    35 Asam Folat tab 1 mg tablet 206 - - 206 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    37 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    38 Asam Traneksamat Injeksi ampul - - - - 2,535
    39 Asetosal tab 100 mg tablet - - - - 122
    40 Asetosal tab 500 mg tablet - - - - 170
    41 Asiklovir krim 5% tube - - - - 2,260
    42 Asiklovir tab 200 mg tablet - - - - 239
    43 Asiklovir tab 400 mg tablet - - - - 345
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - - 1,300
    46 Atropin sulfat tab 0,5 mg tablet - - - - 77
    47 Bedak Salisil Serbuk 2 % bks 35 17 13 31 1,250
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - - - - 43
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    52 Betametason krim 0,1% tube 78 - 9 87 1,520
    53 Bexicom tab kapsul - - - - 1,650
    Bisacodyl 5mg tablet 38 - 2 40 306
    54 Bisoprolol tablet 5 mg tablet - - - - 669
    55 Bronsolvan 150 mg tablet 126 - - 126 250
    56 Budenosid resp - - - - 8,900
    57 Captopril tablet 12,5 mg tablet - - - - 62
    58 Captopril tablet 25 mg tablet - - - - 89
    59 Captopril tablet 50 mg tablet - - 270 270 141
    60 Carbamazepin 200 mg tablet - - - - 257
    61 Cefadroksil kap 500 mg kapsul - - 44 44 519
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 - - 15 5,064
    63 Cefaleksin kap 500 mg kapsul - - - - 1,100
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    65 Cefixime kap 100 mg kapsul - - - - 869
    66 Cefotaxim 0,5 gr inj vial - - - - 5,247
    67 Cefotaxim 1 gr inj vial - - - - 3,150
    68 Ceftriaxon injeksi 1 g vial - - - - 3,500
    69 Cetrizine tab 10 mg tablet - - - - 145
    70 Ciprofloxacin infs btl 100 ml - - - - 59,800
    71 Ciprofloxacin 500 mg kapsul 300 - 100 400 260
    72 Cimetidin 200 mg tablet - - - - 120
    73 Clindamycin 150 mg kap tablet - - - - 379
    74 Clindamycin 300 mg kap tablet - - - - 570

    75 Clobazam tab 10 mg tablet - - 17 17 900

    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - 593 593 53


    77 Chloramfenikol 250 mg kaplet - - - - 262
    78 Chloramfenikol suspensi 125mg / 60ml (M botol 20 - 3 23 3,865
    79 Chloramphenicol Suspensi botol - - - - 3,978
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    81 Chloramfenikol salep mata 1% / 5ml tube 1 - - 1 1,600
    82 Chloroquin 150 mg tablet - - - - 89
    83 Chlorpromazin tablet 100 mg tablet - - - - 153
    84 Chlorpromazin tablet 25 mg tablet - - - - 71
    85 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 43 - 142 185 75
    88 Cotrimoksazol suspensi 60ml botol 27 - - 27 2,222
    89 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    90 Deksametason tablet 0,5 mg tablet 3,387 2,000 376 1,763 64
    91 Diaform tablet - - - - -
    92 Diazepam 2 mg tab tablet - - - - 45
    93 Diazepam injeksi ampul - - - - 4,389
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl ampul - - - - 1,107
    95 Digoksin tablet 0,25 mg tablet - - - - 100
    96 Diltiazem tab 30 mg tablet - - - - 134
    97 Dimenhidrinat tab tablet - - - - 104
    98 Doksisiklin 100 mg kap tablet - - - - 285
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    100 Domperidone 10 mg tab tablet - - - - 170
    101 Domperidone drop 5mg / ml botol - - - - 16,350
    102 Ekstrak beladon 10 mg tab tablet - - - - 33
    103 Epinefrin injeksi ampul - - - - 8,505
    104 Erytromicyn 250 mg kapsul 5 - - 5 497
    105 Erythromisin 500 mg kap kapsul - - - - 976
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 - - 1 7,893
    107 Fenilbutason tab 200 mg tablet 750 - - 750 102
    108 Ferosulfat tab tablet - - - - 21
    109 Flukonazol tab 150 mg kapsul - - - - 23,100
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - - 1,920
    111 Furosemid tablet, 40 mg tablet 44 - 19 63 94
    112 Fucilex Krim / Natrium Fucilat tube 7 - - 7 6,555
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336 50
    114 Garam oralit untuk 200 ml air sachet 65 - - 65 303
    115 Geriavita kapsul - - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - - 1,469
    117 Gentamisin sulfat tetes mata 0,3 % btl 1 - 3 4 3,353
    118 Gentamisin injeksi ampul - - - - 3,569
    119 Gentian Violet larutan 1 % btl 10 ml - - - - 945
    120 Glibenklamida tablet 5 mg tablet - - - - 58
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - - 5,985
    123 Glukosa larutan infus 40 % steril amp - - - - 2,577
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - - 5,460
    125 Grafula-DHA tablet - - - - 2,200
    126 Griseovulvin tablet 125 mg tablet - - - - 230

    127 Haloperidol 0,5 mg tablet - - 450 450 100

    128 Haloperidol 1,5 mg tablet 200 - 160 360 61


    129 Haloperidol 5 mg tablet - - - - 72
    130 Hemafort tablet - - - - -
    131 Hidrokortison krim 2,5% tube 92 120 40 12 2,798
    132 Hufabetamin Syrup btl - - - - 5,900
    133 Hustab tablet - - - - -
    134 Hustadin Syrup btl - - - - 16,500
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 - - 51 4,724
    136 Ibuprofen tablet 200 mg tablet - - - - 116
    137 Ibuprofen tablet 400 mg tablet - - - - 153
    138 Ika Neurom Injeksi ampul - - - - 5,445
    139 Imunvit Plus Kap kaplet - - - - 6,500
    140 Intibrox (Ambroksol) tablet - - - - 203
    141 Intibrox (Ambroksol) Syrup botol 5 - 31 36 6,200
    142 Isoniazid tab 100 mg tablet - - - - 68
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 195 - 3 198 93
    144 KA EN 1 B botol - - - - 9,000
    145 KA EN 3 A botol - - - - 10,000
    146 KA EN 3 B botol - - - - 10,000
    147 KA EN MG 3 botol - - - - 9,625
    148 Kalium Diklofenak 50 mg tablet - - - - 743
    149 Kalsium Laktat 500 mg tablet 150 500 600 250 73
    150 Ketokenazole krim 2 % 10 gr tube 22 - 1 23 2,569
    151 Ketokenazole krim 2 % 15 gr tube - - - - 4,930
    152 Ketokonazol 200 mg tablet 210 - 40 250 310
    153 Ketorolac inj 10 mg ampul - - - - 1,697
    154 Ketorolac inj 30 mg ampul - - - - 2,539
    155 Klonidin 0,15 mg tablet 300 - - 300 214
    156 Kodein tablet 10 mg tablet - - - - 525
    157 Kombines : Ipratropium bromida inhalasi vial - - - - 879
    158 Lidokain injeksi 2% / 2ml ampul 40 40 - - 879
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 27 - 13 40 1,431
    160 Levofloksasin 500 mg tablet - - - - 554
    161 Loratidin 10 mg tablet - - - - 162
    162 Loperamid 2mg tablet - - - - 92
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - - 3,500
    164 Mebendazol Syrup 100mg / 5ml botol - - - - 3,711
    165 Mebendazol 100mg tablet - - - - 239
    166 Megatic Emulgel tube - - - - 11,500
    Metformin HCL 50 mg kapsul 754 - 400 1,154 99
    167 Metilergometrin 0,125 mg tablet 89 - 24 113 127
    168 Metilergometrin injeksi ampul - - - - 2,750
    169 Metilprednisolon injeksi 500 mg vial - - - - 92,990
    170 Metilprednisolon 4mg tablet 264 - 203 467 210
    171 Metoklopramide 5mg tablet 904 1,000 124 28 108
    172 Metoklopramide 10mg tablet 1,055 1,000 82 137 105
    173 Metronidazol 250mg tablet - - - - 113
    174 Metronidazol 500mg tablet 587 - 50 637 164
    175 Mikrodiol ktk - - - - -
    176 Mikonazol krim 2% tube 34 48 31 17 3,000
    177 Momethasone furoat krim 0,1 % tube - - - - 17,820
    178 Mulsanol Drop btl - - - - 18,500
    179 Natrium Diklofenat 25mg tablet - - - - 141
    180 Natrium Diklofenat 50mg tablet - - - - 185
    Natrium Klorida larutan infus 0.9% steril
    181 botol - - - - 4,935
    500ml
    182 Nevirapin 200mg tablet - - - - 2,940
    183 Nifedipin 10mg tablet 13 - - 13 110
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - - 2,999
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - - 672
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - - 504
    187 Ofloxacin 400 mg tablet - - - - 680
    188 Oksitetrasiklin HCl salep mata 1% tube - - - - 1,600
    189 Oksitetrasiklin salep kulit 3% tube - - - - 1,606
    190 Omeprazol kapsul 20 mg kapsul 84 300 314 98 216
    191 Ondansentron 4mg tablet 10 - - 10 180
    192 Oksitosin injeksi ampul - - - - 1,900
    193 Ostine kapsul - - - - 375
    194 Otsu-KCL 7,46% ampul - - - - 297
    195 Papaverin 40mg tablet - - - - 122
    196 Parasetamol 500mg tablet - - - - 84
    197 Parasetamol drops botol - - - - 5,460
    198 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    199 Penoksimetil Penisilin 500mg tablet - - - - 535
    200 Penolgliserol tetes telinga 10% / 5ml botol 3 - 2 5 1,058
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 - - 4 24,150
    202 Permetrin krim 5% (Scabicid) tube - - - - 11,475
    203 Pethidin injeksi ampul - - - - 1,523
    204 Phenobarbital 30mg tablet - - - - 31
    205 Phenobarbital injeksi 50mg/ml ampul - - - - 1,890
    206 Piracetam injeksi 3g / 15ml ampul - - - - 4,200
    207 Piracetam 800mg tablet - - - - 321
    208 Pirantel Score (base ) 125mg tablet 52 - 2 54 308

    209 Pirantel syrup 125mg / 5ml botol - - 6 6 8,728

    210 Pitomenadion (Vit-K) 10mg tablet 477 - 26 503 666


    211 Pitomenadion inj. 2mg ampul - - - - 3,582
    212 Poncodryl (DMP) syr botol - - - - 25,300
    213 Pitomenadion inj. 10mg ampul - - - - 3,582
    214 Povidon Iodida 10% 30ml botol - - - - 2,250
    215 Povidon Iodida 10% 60ml botol - - - - 6,298
    216 Povidon Iodida 10% 300ml botol - - - - 14,771
    217 Povidon Iodida 10% 1000ml botol - - - - 38,594
    218 Pravastatin 20mg tablet - - - - 2,400
    219 Prednison 5mg tablet 110 - 301 411 119
    220 Primakuin 15mg tablet - - - - 205
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - - 7,549
    222 Propanolol HCl 10mg tablet - - - - 79
    223 Propanolol 40mg tablet 190 - - 190 110
    224 Propiltiourasil 100mg tablet - - - - 335
    225 Quinine tablet - - - - 704
    226 Ramipril 5mg tablet - - - - 600
    227 Ranitidin inj 25mg / 2ml ampul - - - - 1,190
    228 Ranitidin 150mg tablet 1,507 2,000 2,129 1,636 126
    229 Reserpin 0,10mg tablet - - - - 85
    230 Reserpin 0,25 mg tablet - - - - 109
    231 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    232 Risperidon 2mg tablet 1 - - 1 1,038
    233 Rivanol larutan 0,1% botol - - - - 2,283
    234 Salbutamol 2mg (sebagai sulfat) tablet 443 500 57 - 62
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - - 85
    236 Salbutamol serbuk inh 200mcg/caps+rotah caps 2 - - 2 11,550

    237 Salbutamol serb inh 200 mcg/kaps tablet - - 50 50 452

    238 Salbutamol cairan inh 0,1% (Ventolin Neb botol - - - - 6,930


    239 Salep 2-4 pot 17 24 10 3 2,100
    240 Serum Anti Tetanus ampul - - - - 126,000
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - - 1,131
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - - 60
    243 Simvastatin 10mg tablet - - - - 174
    Simvastatin 20mg tablet 66 - - 66 239
    244 Spiramisin 500mg tablet - - - - 1,574
    245 Stesolid inj ampul - - - - 17,604
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - - 17,604
    248 Streptomisin injeksi 1 g/ml vial - - - - 3,832
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - - 3,387
    250 Sulfatdoksin 500mg tablet - - - - 544
    251 Sukralfat suspensi 500mg/5ml (Ulsafate S botol - - - - 13,850
    252 Supramox Drops 20 ml botol - - - - 21,300
    Tablet Fe tab isi 100 1,520 - 400 1,920 370
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - - 30,800
    254 Tetrasiklin 250mg kapsul - - - - 154
    255 Tetrasiklin 500mg kapsul - - - - 312
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - - 700
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - - 37
    Tryhekxilpenidil tablet 200 200 - - 80
    258 Tramadol 50mg kapsul - - - - 192
    259 Tuzalos kaplet - - - - -
    260 Vitamin B6 tablet - - - - 47
    261 Vitamin B Kompleks tablet - - - - 110
    262 Vitaplex drop botol - - - - 26,400
    263 Zinc Disperibel tablet 417 - - 417 497
    264 Zink drop 10mg / 5ml botol - - - - 12,840
    265 Zirkum Kid syrup 20mg / 5ml botol - - - - 7,770
    20,189 17,531
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet 49 - 724 773 348
    3 Antithrom tube - - - - 35,200
    4 Arimed 15 mg tablet - - - - 1,617
    5 Asifit tablet - - - -
    6 Asonfen tab tablet 170 - - 170 140
    7 Amobiotic Drop btl - - - - 23,100
    8 Becefort tab kotak/100 tablet - - - - 1,500
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - - 1,670
    11 Bisolvon Ekstra Sirup botol 60 ml - - - - 32,625
    12 Brochifar tablet - - - - 478
    13 Bromifar tablet - - - - 225
    14 Burnazin tube - - - -
    15 Caltrax btl - - - - 27,500
    Chlorpheniramine Maleate 4 mg tab isi 1000 2,800 - 2,200 5,000 77
    16 Cough En Plus btl 14 20 27 21 23,000
    17 Dasabion tablet - - - - 979
    18 Dehaf sachet - - - - 9,167
    19 Dumin Rectal 250 mg supp - - - - 16,280
    20 Dumin Rectal 125 mg supp - - - - 11,660
    Donexan Syrup Botol 1 - - 1 27,500
    21 Erlamycetine Ear Drop botol 10 ml - - - - 4,840
    22 Erya Forte 500 mg kapsul kapsul - - - - 231
    Etadexa tab 1,060 - 254 1,314 126
    23 Faxiden gel tube 44 20 16 40 12,000
    24 Fludane kapsul kapsul - - - - 735
    25 Fludane Plus tablet - - - - 880
    26 Flutop C Syrup btl 29 48 24 5 10,000
    27 Fituno kapsul - - - - 1,210
    28 Fucilex/ natrium fucilat criem tube - - - - 6,555
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    Genalten (Gentamicyn) cream tube - - - - 980
    30 Genolon krim tube - - - - 26,400
    Geonit (gentamisin salep mata) tube 12 - - 12
    Guaifenisin 100mg tablet 1,961 1,500 253 714 127
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - - 2,167
    33 Hico Gel tube 19 - - 19 25,000
    34 Hidrogen Peroksida 3% btl 1 liter - - - - 39,000
    35 Holicos Syrup Botol 60 ml - - - - 32,625
    36 Hufabetamin Syrup btl - - - - 5,900
    37 Hustadin Syr btl - - - - 16,500
    38 Hustab tablet 1,343 1,800 744 287 300
    39 Ika Neurom Injeksi ampul - - - - 5,445
    40 Imunvit Plus Kap Kaplet - - - - 3,325
    Intunal Forte 100 tablet/ktk 874 800 326 400 1,030
    41 Intibrox tablet 1,685 1,500 790 975 203
    42 Intibrox Syr botol - - 9 9 6,200
    43 Isotic Clearens Botol - - - - 9,000
    44 Isotic Neolyson Botol - - - - 28,750
    45 Jovial Sachet sachet - - - - 4,180
    46 Livron B. Plex Ds 10x10 tab - - - - 250
    Maltiron Plus Tablet 364 - 385 749 1,169
    47 Metaflu tablet - - - - 220
    48 Metamizol 500mg tablet - - - - 12,833
    49 Mucohexin tab tablet - - - - 506
    50 Mulsanol Syrup botol 60 ml 40 48 21 13 9,000
    51 Nalget Kaptab tablet - 500 1,577 1,077 400
    52 Natavit Soft Cut kapsul - - - - 3,017
    53 Neocenta Gel tube - - - - 20,000
    54 Neo diaform ktk - - - - 140
    55 Neurovit-e dus 6x10 tab - - - - 1,027
    56 Neurodial kaplet 211 - - 211 1,260
    57 Nodiar tablet - - - - 1,210
    58 Noza tablet - - - - 891
    59 Novakal syrup btl - - - - 9,498
    60 OBH Indo Plus botol 100 ml 36 38 2 - 12,100
    61 OBH Inti Syr botol 100 ml - - - - -
    OBH Intrasal Syr botol 115 120 7 2 12,000
    62 Osteor plus kaplet - - - - 6,325
    63 Ostine Kapsul kapsul 144 - 30 174 3,750
    64 Ondansetron tablet - - - - 495
    65 Oxfezin Syrup botol 100 ml - - - - 56,100
    66 Panstonal Forte 500 mg tablet - - - - 297
    67 Poncodryl DMP Syrup btl - - - - 25,300
    68 Ponflu tablet - - - - 715
    69 Pehavral tablet - - - - 693
    70 Pehacort tablet - - - - 145
    Pyreksin 60mg tablet/supp 4 - - 4 6,920
    Pyreksin 160mg tablet/supp - - - - 6,920
    71 Prenase tab tablet - - - - 86,350
    72 Procalma Soft Kapsul 30 kap/ktk - - - - 3,850
    73 Prolysin Syrup Plus botol 100 ml - - - - 30,800
    Prombus tablet 144 - - 144 4,947
    74 Proneuron tablet 384 400 180 164 1,100
    75 Pularex Attalpulgit 600 mg tablet - - - - 210
    76 Quantidex Syr botol 20 20 13 13 10,000
    77 Quantidex tablet tablet 1,023 1,000 60 83 850
    78 Reagen Golongan Darah Anti A 10ml botol - - - - 100,000
    79 Reagen Golongan Darah Anti B 10ml botol - - - - 100,000
    80 Reagen Golongan Darah Anti D 10ml botol - - - - 125,000
    81 Sagestam Cream tube - - - - 13,090
    82 Sanbe Kids botol 200 ml - - - - 38,500
    83 Sanvita B sirup btl - - - - 11,550
    84 Scabimite cream 10 mg tube - - - - 77,000
    85 Serum Anti Bisa Ular amp - - - - 473,000
    86 Supramox drops 20 ml btl 20 48 28 - 21,300
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    88 Stick Asam Urat botol - - - - 6,800
    89 Stick Glukosa botol - - - - 5,600
    90 Stik Kolesterol botol - - - - 28,000
    91 Supramox Drops 20 ml botol 5 - - 5 21,300
    92 Tuzalos kap kapsul - - - - 781
    93 Vitaplex drop btl - - - - 26,400
    12,571 12,379
    C BUFFER STOK
    Amoksisillin kapsul 250 mg kapsul 790 1,000 210 - 185
    1 Amoksisilin kapsul 500 mg kapsul - - - - 270
    Amoxicillin syr btl 12 - - 12 1,920
    Ambroxol syr btl 47 50 3 - 4,171
    2 Ambroxol 30 mg tablet - - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet 230 - - 230
    5 Antasida DOEN I tablet kunyah tablet - - - - 74
    6 Antimigren ergotamin 75 - 37 112 -
    7 Antihemoroid kombinasi Bismut Subgala supp - - - - 3,685
    8 Asam ascorbat (vit C) 50 mg tablet - - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 738 1,000 838 576 209
    10 Asiklovir krim 5% tube 16 - 1 17 2,260
    11 Asiklovir tab 200 mg tablet 828 - 66 894 239
    12 Asiklovir tab 400 mg tablet 155 - 50 205 345
    13 Arimed / Meloxicam 15 mg tablet - - - - 8,085
    14 Becefort syr btl - - - - 17,000
    15 Becefort tablet 90 - - 90 1,500
    16 Betametason Cream tube - - - - -
    17 Bioplacenton tube - - - - -
    18 Bisolvon Extra Syrup btl - - - - 32,625
    19 Bisoprolol 5mg tablet - - - - -
    20 Captopril tablet 12,5 mg tablet - - - - 62
    21 Captopril 25 mg tablet - - - - -
    22 Cefadroksil kap 500 mg kapsul 994 1,000 306 300 519
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - - 5,064
    Chlorpromazin Hcl 100 mg tablet 190 500 370 60
    24 Cefixime 100 mg tablet 40 - - 40 -
    25 Ciprofloxacin 500 mg kapsul - - - - 513
    26 Clindamicyn 300 mg kapsul - - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 77
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 900 - - 900 145
    29 Copper T ktk - - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - - 979
    31 Diaform tablet - - - - 140
    32 Dimenhidrinat tab tablet - - - - 95
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - - 2,970
    34 Erlamycetin Ear Drop Tetes Telinga btl 3 - 2 5 4,840
    35 Fg Troches tablet - - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30 23,100
    37 Fituno tablet - - - - 4,033
    38 Gentian Violet botol - - - - -
    39 Glibenclamide 5 mg tablet 63 - 200 263 -
    40 Gliseril Guaikolat 100 mg tablet 35 - - 35 -
    41 Griseovulvin tablet 125 mg tablet 747 - 148 895 230
    42 Hemaforf tablet 320 - 112 432 850
    43 Hidrokortison krim 2,5% tube - - - - 2,399
    44 Holicos ( Ambroxol ) syrup btl - - - - 23,100
    45 Hustab tablet - - - - 300
    46 Ibuprofen tablet 400 mg tablet 89 - - 89 153
    47 Isotic Neolyson Tetes Mata btl - - - - 28,750
    48 Isotic Clearens Tetes Mata btl - - - - 10,750
    49 Kasa 4m x 15cm roll - - - - -
    50 Levofloxacin 500 mg tablet 300 300 10 10 515
    51 Lidokain injeksi ampul - - - - -
    52 Livron B Plek tablet - - - - 250
    53 Loperamid 2mg tablet 95 - 140 235 92
    54 Metaneuron tablet - - - - 1,283
    55 Metilergometrin tablet 151 - - 151 -
    56 Metilprednisolon 4mg tablet - - - - 210
    57 Mucohexin tablet - - - - 506
    58 Natrium Diklofenat 25mg tablet - - - - 141
    59 Natrium Diklofenat 50 mg tablet - - - - -
    Natrium Klorida larutan infus 0.9% steril
    60 botol - - - - 4,935
    500ml
    61 Neurovit - E kaplet - - - - 1,027
    62 Nistatin tab 100.000 iu tab vaginal 44 - 21 65 -
    63 Nodiar tablet - - - - 1,210
    64 Noza tablet - - - - 891
    65 OBH Indo Plus syrup botol - - - - 12,100
    66 Oxfezin syrup botol - - - - 56,100
    67 Oksitetrasiklin salep kulit 3% tube 14 27 31 18 2,200
    68 Oksitetrasiklin inj ampul - - - - 5,500
    69 Omeprazol kapsul 20 mg kapsul - - - - 216
    Paracetamol tab 500 mg tablet 484 2,000 1,546 30
    70 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    71 Pehavral tablet 440 - 20 460 693
    72 Piroxicam 20 mg tablet 368 - - 368 119
    73 Pehacort / Prednison 5mg tablet - - - - 145
    74 Pyridoksin (vit.B6) tablet - - - - -
    75 Propanolol 40mg tablet - - - - 114
    76 Propituracil 100 mg tablet - - - - -
    77 Prolysin Plus syrup botol - - - - 30,800
    Pravastatin 20mg tablet 76 150 74 -
    78 Pularex Attalpugit 600 mg tablet - - - - 210
    79 Ranitidine inj tablet - - - - -
    80 Ranitidin 150mg tablet - - - - 108
    81 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    82 Salbutamol syr botol - - - - -
    83 Salbutamol 2 mg tablet - - 3 3 -
    84 Salbutamol 4mg (sebagai sulfat) tablet 692 - 52 744 85
    85 Sanbe Kids syrup botol - - - - 38,500
    86 Sagestam Cream tube - - - - 13,090
    87 Scabimite Cream tube 7 8 2 1 77,000
    88 Simvastatin 10 mg tablet 7 - - 7 -
    89 Tab Fe tablet 120 - - 120 -
    90 Tramadol Tablet - - - - -
    91 Tryhexilpenidil tablet - - 150 150 44
    Vitamin B. Kompleks tablet - - - -
    92 Zinc Disperibel tablet - - - - 497
    93 Oxycan btl - - - - -
    94 cimetidin tab 200 mg tablet - - - - 113
    95 Alat Suntik 3 cc pcs - - - - 4,400
    96 Mikrodiol ktk - - - - -
    9,190 7,547
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - - 390,000
    2 Etil klorida btl - - - - 125,000
    3 Eugenol Cairan btl - - - - 17,500
    4 Glass Ionomer btl - - - - 395,000
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - - 242,000
    6 Klorfenol kamfer menthol(CHKM) btl - - - - 55,000
    7 Mummifying pasta btl - - - - 176,000
    8 Semen seng fosfat set - - - - 93,500
    9 Temporary stoping fletcher set - - - - 34,000
    - -
    SISA OBAT DALAM RUPIAH 41,950 37,457

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - - - - 826
    2 Alat suntik sekali pakai 2,5 ml pcs - - - - 826
    3 Alat suntik sekali pakai 3 ml pcs - - - - 826
    4 Alat suntik sekali pakai 5 ml pcs - - - - 953
    5 Alat suntik sekali pakai 10 ml pcs - - - - 1,175
    6 Alkohol Swab CHG 0,5 % pcs - - - - 197
    7 Blood Lahat pcs - - - - 153
    8 Blood Transfusion Set pcs - - - - 4,572
    9 Catgut/benang bedah no. 3/0 pcs - - - - 22,500
    10 Catgut/benang bedah no.2/0 pcs - - - - 22,500
    11 Examination Lower Glove ( M ) pcs - - - - 464
    12 Examination Lower Glove ( L ) pcs 50 - - 50 464
    13 Folley Catheter no 16W pcs - - - - 8,000
    14 Folley Catheter no 18W pcs - - - - 8,000
    15 Folley Catheter no 20W pcs - - - - 8,000
    16 Handscoon no 7 pcs 100 - - 100 1,300
    17 Handscoon no 7,5 pcs - - - - 1,300
    18 Handscoon no 8 pcs - - - - 1,300
    19 Hcg (Tes Pack) pcs - - 16 16 1,495
    20 Hidrogen Peroksida 3% btl - - - - 39,000
    21 I.V Catheter no.18 pcs - - - - 8,085
    22 I.V Catheter no.20 pcs - - - - 8,085
    23 I.V Catheter no.22 pcs - - - - 8,085
    24 I.V Catheter no.24 pcs - - 1 1 8,085
    25 Infusion set anak set - - - - 4,445
    26 Infusion set dewasa set - - - - 4,064
    27 kapas pembalut berlemak 500 mg Bks - - - - 34,000
    28 Kapas pembalut 500 gram Bks - - - - 34,000
    29 Kapas pembalut/absorben 250 gram Bks - - - - 24,000
    30 Kasa Hidrofil 16x16 16 pcs/ktk - 2 4 2 7,900
    31 Kasa Hidrofil 40 x 40 pcs - - - - 1,800
    32 Kasa Hidrofil 4 x 15 cm roll - - - - 3,800
    33 Kasa Hidrofil 4 x 3 cm roll - - - - 800
    34 Kasa Hidrofil 4 x 5 cm roll - - - - 1,100
    35 Kasa Pembalut 2 x 80 cm Rol - - - - 9,400
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - - 16,000
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - - 25,000
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - - 1,100
    39 Lysol btl - - - - 52,070
    40 Masker ear lopp pcs - - - - 439
    41 Masker Tie On pcs 250 400 150 - 439
    42 Oxycan btl - - - - -
    Pharmafix (10cm x 500cm) pcs - - - -
    43 Pembalut elastis 10 cm x 4.55m pcs - - - - 33,000
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 - 27,830
    45 Pembalut Gips 6 Inchi Rol - - - - 60,500
    46 Plester 5 yard x 2 inch Rol - - - - 30,000
    47 Semillas Non Woven Medical Tape (5 x 1 roll - - - - 3,850
    48 Semillas Non Woven Medical Tape (10 x roll - - - - 7,315
    49 Semillas Non Woven Medical Tape (5 x 5 roll - - - - 21,753
    50 Semillas Non Woven Medical Tape (10 x roll - - - - 30,030
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - - 15,000
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - - 15,000
    53 Stomach Tube pcs - - - - 10,010
    54 Surgical Blades No. 10 pcs - - - - 3,000
    55 Surgical Blades No. 11 pcs - 10 10 - 3,000
    56 Surgical Blades No. 13 pcs - - - - 3,000
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - - -
    58 Surgical Blades No. 23 pcs - - - - 3,000
    Surgical Steril Powder Glove (S) pcs - - - - 4,320
    Surgical Steril Powder Glove (M) pcs - - - - 4,320
    Surgical Steril Powder Glove (L) pcs - - - - 4,320
    59 Transparent IV Dressing ( anak ) 4,4 x 4, pcs - - - - 2,021
    60 Transparent IV Dressing ( Dewasa) 6 x 7 pcs - - - - 2,224
    61 Urine bag pcs - - - - 3,810
    62 Umbilical Cord Klem Steril Nylon pcs - - - - 1,270
    63 wing nedle No.21 pcs - - - - 6,059
    64 wing nedle No.23 pcs - - - - 6,059
    SISA ALKES DALAM RUPIAH 400 169
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 42,350 37,626
    Mengetahui,
    Plt. Kepala UPTD Pusksemas
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM.


    NIP. 19700317 198912 1 001
    G HABIS PAKAI (OBAT & ALKES )
    JULI 2018

    UNIT KERJA : APOTEK

    Jumlah Pengeluaran Harga Perolehan


    Ket
    Juli 2018 (Rp) Terakhir

    9 (8x6 ) 10 ( 8x4 ) 11

    60,300 96,480
    - -
    - -
    - -
    - -
    3,344 36,608
    9,867 65,208
    - -
    21,902 -
    - -
    - -
    - 7,380
    - -
    - -
    - -
    246,202 98,208
    - -
    537,300 273,240
    - -
    - -
    - -
    - -
    - -
    - -
    8,584 139,416
    - -
    - -
    - 48,025
    - -
    - 6,400
    - -
    - -
    - -
    - -
    80,500 57,300
    - 10,300
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    16,250 43,750
    - -
    - -
    - -
    - -
    13,680 118,560
    - -
    612 11,628
    - -
    - 31,500
    - -
    - -
    - -
    38,070 -
    - -
    22,836 -
    - 75,960
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    26,000 78,000
    - -
    - -
    - -
    exp.date
    15,300 - Agus 2018
    17 tab
    31,429 -
    - -
    11,595 77,300
    - -
    - -
    - 1,600
    - -
    - -
    - -
    - -
    - -
    10,650 3,225
    - 59,994
    - -
    EXP.DATE
    24,064 216,768 Agus 2018 831
    TAB
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 2,485
    - -
    - 7,893
    - 76,500
    - -
    - -
    - -
    1,786 4,136
    - 45,885
    - -
    - 16,800
    - 19,695
    - -
    - -
    10,059 3,353
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    exp.date
    45,000 - Agust2018
    (450 tab)
    9,760 12,200
    - -
    - -
    111,920 257,416
    - -
    - -
    - -
    - 240,924
    - -
    - -
    - -
    - -
    - -
    192,200 31,000
    - -
    279 18,135
    - -
    - -
    - -
    - -
    - -
    43,800 10,950
    2,569 56,518
    - -
    12,400 65,100
    - -
    - -
    - 64,200
    - -
    - -
    - 35,160
    18,603 38,637
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    39,600 74,646
    3,049 11,307
    - -
    - -
    42,630 55,440
    13,392 97,632
    8,610 110,775
    - -
    8,200 96,268
    - -
    93,000 102,000
    - -
    - -
    - -
    - -
    - -
    - -
    - 1,430
    - -
    - -
    - -
    - -
    - -
    - -
    67,824 18,144
    - 1,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    2,116 3,174
    - 96,600
    - -
    - -
    - -
    - -
    - -
    - -
    616 16,016
    exp.date
    52,368 - Agus 2018
    6 btl
    17,316 317,682
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    35,819 13,090
    - -
    - -
    - -
    - 20,900
    - -
    - -
    - -
    - -
    268,254 189,882
    - -
    - -
    - -
    - 1,038
    - -
    3,534 27,466
    - -
    - 23,100
    exp.date
    22,600 - Agus 2018
    50 tab
    - -
    21,000 35,700
    - -
    - -
    - -
    - -
    - 15,774
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    148,000 562,400
    - -
    - -
    - -
    - -
    - -
    - 16,000
    - -
    - -
    - -
    - -
    - -
    - 207,249
    - -
    - -
    4,582,870

    - -
    251,952 17,052
    - -
    - -
    - -
    - 23,800
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    169,400 215,600
    621,000 322,000
    - -
    - -
    - -
    - -
    - 27,500
    - -
    - -
    32,004 133,560
    192,000 528,000
    - -
    - -
    240,000 290,000
    - -
    - -
    - -
    - -
    - -
    - -
    32,131 249,047
    - -
    - -
    - 475,000
    - -
    - -
    - -
    - -
    223,200 402,900
    - -
    - -
    335,780 900,220
    160,370 342,055
    55,800 -
    - -
    - -
    - -
    - -
    450,065 425,516
    - -
    - -
    - -
    189,000 360,000
    630,800 -
    - -
    - -
    - -
    - -
    - 265,860
    - -
    - -
    - -
    24,200 435,600
    - -
    84,000 1,380,000
    - -
    112,500 540,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 27,680
    - -
    - -
    - -
    - -
    - 712,320
    198,000 422,400
    - -
    130,000 200,000
    51,000 869,550
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    596,400 426,000
    - -
    - -
    - -
    - -
    - 106,500
    - -
    - -
    10,098,160

    38,850 146,150
    - -
    - 23,040
    12,513 196,037
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    175,142 154,242
    2,260 36,160
    15,774 197,892
    17,250 53,475
    - -
    - -
    - 135,000
    - -
    - -
    - -
    - -
    - -
    - -
    158,814 515,886
    - -

    - -
    - -
    - -
    - -
    - 130,500
    - -
    - -
    - -
    - -
    - -
    9,680 14,520
    - -
    - 693,000
    - -
    - -
    - -
    - -
    34,040 171,810
    95,200 272,000
    - -
    - -
    - -
    - 13,617
    - -
    - -
    - -
    5,150 154,500
    - -
    - -
    12,880 8,740
    - -
    - -
    - -
    - -
    - -
    - -

    - -

    - -
    - -
    - -
    - -
    - -
    - -
    68,200 30,800
    - -
    - -
    - -
    - -
    13,860 304,920
    - 43,792
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    4,420 58,820
    - -
    - -
    154,000 539,000
    - -
    - -
    - -
    6,600 -
    - -
    - -
    - -
    - -
    - -
    - -
    785,783 3,747,751

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    785,783 18,428,781

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 23,210
    - -
    - -
    - -
    - 130,000
    - -
    - -
    23,920 -
    - -
    - -
    - -
    - -
    8,085 -
    - -
    - -
    - -
    - -
    - -
    31,600 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    65,835 109,725
    - -

    - -
    55,660 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    30,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    262,935
    18,691,716
    Pangkalan Kasai, 25 Juli 2018
    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN O
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal
    KEMASAN Agustus Agustus
    A OBAT GENERIK PKD
    Acdat salep tube 16 11
    1 Albendazol suspensi 200 mg/5 ml btl -
    2 Albendazol tab 400 mg tablet -
    3 Alkohol 70 % 100 ml btl - 6 6
    4 ALKOHOL 70 % 1000 ml btl -
    5 Alopurinol tab 100 mg tablet 416 166
    6 Alopurinol tab 300 mg tablet 304 53
    7 Alprazolam 0,5 mg tab tablet -
    8 Alprazolam 1 mg tab tablet -
    9 Ambroxol sirup btl -
    10 Ambroxol tablet 30 mg tablet -
    11 Aminofilin tab 200 mg tablet 90 90
    12 Aminofilin injeksi 24 mg/ml ampul -
    13 Amitriptilin tab 25 mg tablet -
    14 Amlodipin 5 mg tab tablet -
    15 Amlodipin 10 mg tab tablet 288 300 396
    16 Amoksisilin kapsul 250 mg kapsul -
    17 Amoksisilin kapsul 500 mg kapsul 1,012 2,000 1,386
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml -
    19 Amoksisilin serbuk injeksi 1g vial -
    20 Ampisilin 500 mg kap kapsul -
    21 Ampisilin serbuk injeksi 500 mg/vial vial -
    22 Antalgin tablet 500 mg tablet -
    23 Antalgin inj ampul -
    24 Antasida DOEN I tablet kunyah tablet 1,884 1,000 618
    25 Antasida DOEN II Suspensi Komb btl 60 ml -
    26 Anti bakteri salep komb tube -
    27 Antifungi DOEN komb salep pot 24
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp 2 2
    Seng Oksida 120mg
    30 Antithrom Jelly tube -
    31 Aqua pro injeksi steril vial -
    32 Artemether injeksi 80 mg/ml ampul -
    33 Artesunate injeksi vial/ktk -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 573 500 626
    35 Asam Folat tab 1 mg tablet 206 60
    36 Asam Mefenamat kaplet 250 mg kaplet -
    37 Asam Mefenamat kaplet 500 mg kaplet -
    38 Asam Traneksamat Injeksi ampul -
    39 Asetosal tab 100 mg tablet -
    40 Asetosal tab 500 mg tablet -
    41 Asiklovir krim 5% tube -
    42 Asiklovir tab 200 mg tablet -
    43 Asiklovir tab 400 mg tablet -
    44 Asering tablet -
    45 Atropin sulfat injeksi ampul -
    46 Atropin sulfat tab 0,5 mg tablet -
    47 Bedak Salisil Serbuk 2 % bks 35 18
    48 Benzatin benzil penisilin 1,2 jt UI inj vial -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet -
    52 Betametason krim 0,1% tube 78 12
    53 Bexicom tab kapsul -
    Bisacodyl 5mg tablet 38
    54 Bisoprolol tablet 5 mg tablet -
    55 Bronsolvan 150 mg tablet 126 14
    56 Budenosid resp -
    57 Captopril tablet 12,5 mg tablet -
    58 Captopril tablet 25 mg tablet -
    59 Captopril tablet 50 mg tablet -
    60 Carbamazepin 200 mg tablet -
    61 Cefadroksil kap 500 mg kapsul -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 15 15
    63 Cefaleksin kap 500 mg kapsul -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml -
    65 Cefixime kap 100 mg kapsul -
    66 Cefotaxim 0,5 gr inj vial -
    67 Cefotaxim 1 gr inj vial -
    68 Ceftriaxon injeksi 1 g vial -
    69 Cetrizine tab 10 mg tablet -
    70 Ciprofloxacin infs btl 100 ml -
    71 Ciprofloxacin 500 mg kapsul 300 110
    72 Cimetidin 200 mg tablet -
    73 Clindamycin 150 mg kap tablet -
    74 Clindamycin 300 mg kap tablet -
    75 Clobazam tab 10 mg tablet -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet -
    77 Chloramfenikol 250 mg kaplet -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 20 4
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol -
    80 Chloramfenikol tetes telinga 3% / 5ml botol -
    81 Chloramfenikol salep mata 1% / 5ml tube 1 1
    82 Chloroquin 150 mg tablet -
    83 Chlorpromazin tablet 100 mg tablet -
    84 Chlorpromazin tablet 25 mg tablet -
    85 Chlorpromazin inj 25mg/ml amp -
    86 Cotrimoksazol DOEN I (Dewasa) tablet -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet 43 43
    88 Cotrimoksazol suspensi 60ml botol 27 27
    89 Deksametason injeksi 5 mg/ampl ampul -
    90 Deksametason tablet 0,5 mg tablet 3,387 3,387
    91 Diaform tablet -
    92 Diazepam 2 mg tab tablet -
    93 Diazepam injeksi ampul -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul -
    95 Digoksin tablet 0,25 mg tablet -
    96 Diltiazem tab 30 mg tablet -
    97 Dimenhidrinat tab tablet -
    98 Doksisiklin 100 mg kap tablet -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml -
    100 Domperidone 10 mg tab tablet -
    101 Domperidone drop 5mg / ml botol -
    102 Ekstrak beladon 10 mg tab tablet -
    103 Epinefrin injeksi ampul -
    104 Erytromicyn 250 mg kapsul 5 5
    105 Erythromisin 500 mg kap kapsul -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml 1 1
    107 Fenilbutason tab 200 mg tablet 750
    108 Ferosulfat tab tablet -
    109 Flukonazol tab 150 mg kapsul -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul -
    111 Furosemid tablet, 40 mg tablet 44 18
    112 Fucilex Krim / Natrium Fucilat tube 7 7
    Folic Acid 400mg tablet -
    113 Folic Acid 1mg tablet 336
    114 Garam oralit untuk 200 ml air sachet 65 18
    115 Geriavita kapsul -
    116 Gentamisin salep kulit 0,1 % tube -
    117 Gentamisin sulfat tetes mata 0,3 % btl 1 1
    118 Gentamisin injeksi ampul -
    119 Gentian Violet larutan 1 % btl 10 ml -
    120 Glibenklamida tablet 5 mg tablet -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet -
    122 Glukosa larutan infus 10 % steril 500 ml/btl -
    123 Glukosa larutan infus 40 % steril amp -
    124 Glukosa larutan infus 5 % steril 500 ml/btl -
    125 Grafula-DHA tablet -
    126 Griseovulvin tablet 125 mg tablet -
    127 Haloperidol 0,5 mg tablet -
    128 Haloperidol 1,5 mg tablet 200 500 200
    129 Haloperidol 5 mg tablet -
    130 Hemafort tablet -
    131 Hidrokortison krim 2,5% tube 92 70
    132 Hufabetamin Syrup btl -
    133 Hustab tablet -
    134 Hustadin Syrup btl -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml 51 51
    136 Ibuprofen tablet 200 mg tablet -
    137 Ibuprofen tablet 400 mg tablet -
    138 Ika Neurom Injeksi ampul -
    139 Imunvit Plus Kap kaplet -
    140 Intibrox (Ambroksol) tablet -
    141 Intibrox (Ambroksol) Syrup botol 5 5
    142 Isoniazid tab 100 mg tablet -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 195 10
    144 KA EN 1 B botol -
    145 KA EN 3 A botol -
    146 KA EN 3 B botol -
    147 KA EN MG 3 botol -
    148 Kalium Diklofenak 50 mg tablet -
    149 Kalsium Laktat 500 mg tablet 150 150
    150 Ketokenazole krim 2 % 10 gr tube 22 2
    151 Ketokenazole krim 2 % 15 gr tube -
    152 Ketokonazol 200 mg tablet 210 56
    153 Ketorolac inj 10 mg ampul -
    154 Ketorolac inj 30 mg ampul -
    155 Klonidin 0,15 mg tablet 300
    156 Kodein tablet 10 mg tablet -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial -
    158 Lidokain injeksi 2% / 2ml ampul 40 20 60
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 27 27
    160 Levofloksasin 500 mg tablet -
    161 Loratidin 10 mg tablet -
    162 Loperamid 2mg tablet -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial -
    164 Mebendazol Syrup 100mg / 5ml botol -
    165 Mebendazol 100mg tablet -
    166 Megatic Emulgel tube -
    Metformin HCL 50 mg kapsul 754 1,000 354
    167 Metilergometrin 0,125 mg tablet 89 20
    168 Metilergometrin injeksi ampul -
    169 Metilprednisolon injeksi 500 mg vial -
    170 Metilprednisolon 4mg tablet 264 1,000 787
    171 Metoklopramide 5mg tablet 904 300 245
    172 Metoklopramide 10mg tablet 1,055 153
    173 Metronidazol 250mg tablet -
    174 Metronidazol 500mg tablet 587 40
    175 Mikrodiol ktk -
    176 Mikonazol krim 2% tube 34 26
    177 Momethasone furoat krim 0,1 % tube -
    178 Mulsanol Drop btl -
    179 Natrium Diklofenat 25mg tablet -
    180 Natrium Diklofenat 50mg tablet -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol -
    182 Nevirapin 200mg tablet -
    183 Nifedipin 10mg tablet 13 13
    184 Nifedipin 20 mg ( Adalat Oros ) tablet -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet -
    187 Ofloxacin 400 mg tablet -
    188 Oksitetrasiklin HCl salep mata 1% tube -
    189 Oksitetrasiklin salep kulit 3% tube -
    190 Omeprazol kapsul 20 mg kapsul 84 84
    191 Ondansentron 4mg tablet 10 10
    192 Oksitosin injeksi ampul -
    193 Ostine kapsul -
    194 Otsu-KCL 7,46% ampul -
    195 Papaverin 40mg tablet -
    196 Parasetamol 500mg tablet -
    197 Parasetamol drops botol -
    198 Parasetamol syrup 120mg / 5ml botol -
    199 Penoksimetil Penisilin 500mg tablet -
    200 Penolgliserol tetes telinga 10% / 5ml botol 3 3
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 4 3
    202 Permetrin krim 5% (Scabicid) tube -
    203 Pethidin injeksi ampul -
    204 Phenobarbital 30mg tablet -
    205 Phenobarbital injeksi 50mg/ml ampul -
    206 Piracetam injeksi 3g / 15ml ampul -
    207 Piracetam 800mg tablet -
    208 Pirantel Score (base ) 125mg tablet 52 12
    209 Pirantel syrup 125mg / 5ml botol -
    210 Pitomenadion (Vit-K) 10mg tablet 477 77
    211 Pitomenadion inj. 2mg ampul -
    212 Poncodryl (DMP) syr botol -
    213 Pitomenadion inj. 10mg ampul -
    214 Povidon Iodida 10% 30ml botol -
    215 Povidon Iodida 10% 60ml botol -
    216 Povidon Iodida 10% 300ml botol -
    217 Povidon Iodida 10% 1000ml botol -
    218 Pravastatin 20mg tablet -
    219 Prednison 5mg tablet 110 600 529
    220 Primakuin 15mg tablet -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial -
    222 Propanolol HCl 10mg tablet -
    223 Propanolol 40mg tablet 190
    224 Propiltiourasil 100mg tablet -
    225 Quinine tablet -
    226 Ramipril 5mg tablet -
    227 Ranitidin inj 25mg / 2ml ampul -
    228 Ranitidin 150mg tablet 1,507 1,000 1,004
    229 Reserpin 0,10mg tablet -
    230 Reserpin 0,25 mg tablet -
    231 Ringer Laktat larutan infus 500ml botol -
    232 Risperidon 2mg tablet 1 1
    233 Rivanol larutan 0,1% botol -
    234 Salbutamol 2mg (sebagai sulfat) tablet 443 55
    235 Salbutamol 4mg (sebagai sulfat) tablet -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2
    237 Salbutamol serb inh 200 mcg/kaps tablet -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol -
    239 Salep 2-4 pot 17 17
    240 Serum Anti Tetanus ampul -
    241 Sianokobalamin (vitamin B 12) injeksi ampul -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet -
    243 Simvastatin 10mg tablet -
    Simvastatin 20mg tablet 66 66
    244 Spiramisin 500mg tablet -
    245 Stesolid inj ampul -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp -
    248 Streptomisin injeksi 1 g/ml vial -
    249 Sulfasetamida Natrium TM 15% / 5ml botol -
    250 Sulfatdoksin 500mg tablet -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol -
    252 Supramox Drops 20 ml botol -
    Tablet Fe tab isi 100 1,520 350
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet -
    254 Tetrasiklin 250mg kapsul -
    255 Tetrasiklin 500mg kapsul -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet -
    Tryhekxilpenidil tablet 200 30
    258 Tramadol 50mg kapsul -
    259 Tuzalos kaplet -
    260 Vitamin B6 tablet -
    261 Vitamin B Kompleks tablet -
    262 Vitaplex drop botol -
    263 Zinc Disperibel tablet 417 293
    264 Zink drop 10mg / 5ml botol -
    265 Zirkum Kid syrup 20mg / 5ml botol -
    20,189
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl -
    2 Ajitab tablet 49 49
    3 Antithrom tube -
    4 Arimed 15 mg tablet -
    5 Asifit tablet -
    6 Asonfen tab tablet 170 170
    7 Amobiotic Drop btl -
    kotak/100
    8 Becefort tab -
    tablet
    9 Beneuron tablet -
    10 Bioron ktk 6x10tab -
    11 Bisolvon Ekstra Sirup botol 60 ml -
    12 Brochifar tablet -
    13 Bromifar tablet -
    14 Burnazin tube -
    15 Caltrax btl -
    Chlorpheniramine Maleate 4 mg tab isi 1000 2,800 600
    16 Cough En Plus btl 14 10
    17 Dasabion tablet -
    18 Dehaf sachet -
    19 Dumin Rectal 250 mg supp -
    20 Dumin Rectal 125 mg supp -
    Donexan Syrup Botol 1
    21 Erlamycetine Ear Drop botol 10 ml -
    22 Erya Forte 500 mg kapsul kapsul -
    Etadexa tab 1,060 1000 1957
    23 Faxiden gel tube 44 8
    24 Fludane kapsul kapsul -
    25 Fludane Plus tablet -
    26 Flutop C Syrup btl 29 21 50
    27 Fituno kapsul -
    28 Fucilex/ natrium fucilat criem tube -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet -
    Genalten (Gentamicyn) cream tube -
    30 Genolon krim tube -
    Geonit (gentamisin salep mata) tube 12 12
    Guaifenisin 100mg tablet 1,961 302
    31 Grafola tablet -
    32 HB Vit kaplet -
    33 Hico Gel tube 19 1
    34 Hidrogen Peroksida 3% btl 1 liter -
    35 Holicos Syrup Botol 60 ml -
    36 Hufabetamin Syrup btl -
    37 Hustadin Syr btl -
    38 Hustab tablet 1,343 670
    39 Ika Neurom Injeksi ampul -
    40 Imunvit Plus Kap Kaplet -
    Intunal Forte 100 tablet/ktk 874 705
    41 Intibrox tablet 1,685 485
    42 Intibrox Syr botol -
    43 Isotic Clearens Botol -
    44 Isotic Neolyson Botol -
    45 Jovial Sachet sachet -
    46 Livron B. Plex Ds 10x10 tab -
    Maltiron Plus Tablet 364 1000 398
    47 Metaflu tablet -
    48 Metamizol 500mg tablet -
    49 Mucohexin tab tablet -
    50 Mulsanol Syrup botol 60 ml 40 29
    51 Nalget Kaptab tablet -
    52 Natavit Soft Cut kapsul -
    53 Neocenta Gel tube -
    54 Neo diaform ktk -
    55 Neurovit-e dus 6x10 tab -
    56 Neurodial kaplet 211
    57 Nodiar tablet -
    58 Noza tablet -
    59 Novakal syrup btl -
    60 OBH Indo Plus botol 100 ml 36 17
    61 OBH Inti Syr botol 100 ml -
    OBH Intrasal Syr botol 115 5
    62 Osteor plus kaplet -
    63 Ostine Kapsul kapsul 144
    64 Ondansetron tablet -
    65 Oxfezin Syrup botol 100 ml -
    66 Panstonal Forte 500 mg tablet -
    67 Poncodryl DMP Syrup btl -
    68 Ponflu tablet -
    69 Pehavral tablet -
    70 Pehacort tablet -
    Pyreksin 60mg tablet/supp 4
    Pyreksin 160mg tablet/supp -
    71 Prenase tab tablet -
    72 Procalma Soft Kapsul 30 kap/ktk -
    73 Prolysin Syrup Plus botol 100 ml -
    Prombus tablet 144
    74 Proneuron tablet 384 132
    75 Pularex Attalpulgit 600 mg tablet -
    76 Quantidex Syr botol 20 4
    77 Quantidex tablet tablet 1,023 172
    78 Reagen Golongan Darah Anti A 10ml botol -
    79 Reagen Golongan Darah Anti B 10ml botol -
    80 Reagen Golongan Darah Anti D 10ml botol -
    81 Sagestam Cream tube -
    82 Sanbe Kids botol 200 ml -
    83 Sanvita B sirup btl -
    84 Scabimite cream 10 mg tube -
    85 Serum Anti Bisa Ular amp -
    86 Supramox drops 20 ml btl 20 20
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp -
    88 Stick Asam Urat botol -
    89 Stick Glukosa botol - 4 4
    90 Stik Kolesterol botol - 2 2
    91 Supramox Drops 20 ml botol 5
    92 Tuzalos kap kapsul -
    93 Vitaplex drop btl -
    12,571 5,802
    C BUFFER STOK
    Amoksisillin kapsul 250 mg kapsul 790 1,000 475
    1 Amoksisilin kapsul 500 mg kapsul -
    2 Amoxicillin syr btl 12 12
    Ambroxol syr btl 47 7
    3 Ambroxol 30 mg tablet -
    4 Amlodipin tablet -
    5 Antalgin tablet 500 mg tablet 230 230
    6 Antasida DOEN I tablet kunyah tablet -
    7 Antimigren ergotamin tablet 75
    8 Antihemoroid kombinasi Bismut Subgalat 15 supp -
    9 Asam ascorbat (vit C) 50 mg tablet -
    10 Asam Mefenamat kaplet 500 mg kaplet 738 1,100 1,824
    11 Asiklovir krim 5% tube 16 2
    12 Asiklovir tab 200 mg tablet 828 40
    13 Asiklovir tab 400 mg tablet 155 90
    14 Arimed / Meloxicam 15 mg tablet -
    15 Becefort syr btl -
    16 Becefort tablet 90
    17 Betametason Cream tube -
    18 Bioplacenton tube -
    19 Bisolvon Extra Syrup btl -
    20 Bisoprolol 5mg tablet -
    21 Captopril tablet 12,5 mg tablet -
    22 Captopril 25 mg tablet -
    23 Cefadroksil kap 500 mg kapsul 994 90
    24 Cefadroksil syrup kering 125 mg/5ml btl 60 ml -
    Chlorpromazin Hcl 100 mg tablet 190 10
    25 Cefixime 100 mg tablet 40 20
    26 Ciprofloxacin 500 mg kapsul -

    27 Clindamicyn 300 mg kapsul -

    28 Chlorpheniramine maleat (CTM) 4 mg tablet -


    29 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 900 230
    30 Copper T ktk -
    31 Dasabion (Anti Anemic + Vitamin ) tablet -

    32 Diaform tablet -

    33 Dimenhidrinat tab tablet -


    34 Eryra Porte ( Erytromisin 500 mg ) kapsul -
    35 Erlamycetin Ear Drop Tetes Telinga btl 3 3
    36 Fg Troches tablet -
    37 Flukonazol tab 150 mg kapsul 30
    38 Fituno tablet -
    39 Gentian Violet botol -
    40 Glibenclamide 5 mg tablet 63 63
    41 Gliseril Guaikolat 100 mg tablet 35 35
    42 Griseovulvin tablet 125 mg tablet 747
    43 Hemaforf tablet 320 1,000 200
    44 Hidrokortison krim 2,5% tube -
    45 Holicos ( Ambroxol ) syrup btl -
    46 Hustab tablet -
    47 Ibuprofen tablet 400 mg tablet 89 89
    48 Isotic Neolyson Tetes Mata btl -
    49 Isotic Clearens Tetes Mata btl -
    50 Kasa 4m x 15cm roll -
    51 Levofloxacin 500 mg tablet 300
    52 Lidokain injeksi ampul -
    53 Livron B Plek tablet -
    54 Loperamid 2mg tablet 95 95
    55 Metaneuron tablet -
    56 Metilergometrin tablet 151 151
    57 Metilprednisolon 4mg tablet -
    58 Mucohexin tablet -
    59 Natrium Diklofenat 25mg tablet -
    60 Natrium Diklofenat 50 mg tablet -
    61 Natrium Klorida larutan infus 0.9% steril 500 botol -
    62 Neurovit - E kaplet -
    63 Nistatin tab 100.000 iu tab vaginal 44 18
    64 Nodiar tablet -
    65 Noza tablet -
    66 OBH Indo Plus syrup botol -
    67 Oxfezin syrup botol -
    68 Oksitetrasiklin salep kulit 3% tube 14 50 43
    69 Oksitetrasiklin inj ampul -
    70 Omeprazol kapsul 20 mg kapsul -
    Paracetamol tab 500 mg tablet 484 2,900 2,535
    71 Parasetamol syrup 120mg / 5ml botol -
    72 Pehavral tablet 440 300 525
    73 Piroxicam 20 mg tablet 368 368
    74 Pehacort / Prednison 5mg tablet -
    75 Pyridoksin (vit.B6) tablet -
    76 Propanolol 40mg tablet -
    77 Propituracil 100 mg tablet -
    78 Prolysin Plus syrup botol -
    Pravastatin 20mg tablet 76 76
    79 Pularex Attalpugit 600 mg tablet -
    80 Ranitidine inj tablet -
    81 Ranitidin 150mg tablet -
    82 Ringer Laktat larutan infus 500ml botol -
    83 Salbutamol syr botol -
    84 Salbutamol 2 mg tablet -
    85 Salbutamol 4mg (sebagai sulfat) tablet 692
    86 Sanbe Kids syrup botol -
    87 Sagestam Cream tube -
    88 Scabimite Cream tube 7 5
    89 Simvastatin 10 mg tablet 7 7
    90 Tab Fe tablet 120
    91 Tramadol Tablet -
    92 Tryhexilpenidil tablet -
    Vitamin B. Kompleks tablet -
    93 Zinc Disperibel tablet -
    94 Oxycan btl -
    95 cimetidin tab 200 mg tablet -
    96 Alat Suntik 3 cc pcs -
    Mikrodiol ktk -
    9,190
    D OBAT GIGI
    1 Devitalisasi Pasta btl -
    2 Etil klorida btl -
    3 Eugenol Cairan btl -
    4 Glass Ionomer btl -
    5 Kalsium Hidroksi Pasta 2 tube/ktk -
    6 Klorfenol kamfer menthol(CHKM) btl -
    7 Mummifying pasta btl -
    8 Semen seng fosfat set -
    9 Temporary stoping fletcher set -
    -
    SISA OBAT DALAM RUPIAH 41,950

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set -
    2 Alat suntik sekali pakai 2,5 ml pcs -
    3 Alat suntik sekali pakai 3 ml pcs - 22 22
    4 Alat suntik sekali pakai 5 ml pcs - 2 2
    5 Alat suntik sekali pakai 10 ml pcs -
    6 Alkohol Swab CHG 0,5 % pcs - 100 100
    7 Blood Lahat pcs - 100 100
    8 Blood Transfusion Set pcs -
    9 Catgut/benang bedah no. 3/0 pcs -
    10 Catgut/benang bedah no.2/0 pcs -
    11 Examination Lower Glove ( M ) pcs -
    12 Examination Lower Glove ( L ) pcs 50 50
    13 Folley Catheter no 16W pcs -
    14 Folley Catheter no 18W pcs -
    15 Folley Catheter no 20W pcs -
    16 Handscoon no 7 pcs 100 20
    17 Handscoon no 7,5 pcs -
    18 Handscoon no 8 pcs -
    19 Hcg (Tes Pack) pcs -
    20 Hidrogen Peroksida 3% btl -
    21 I.V Catheter no.18 pcs -
    22 I.V Catheter no.20 pcs -
    23 I.V Catheter no.22 pcs -
    24 I.V Catheter no.24 pcs -
    25 Infusion set anak set -
    26 Infusion set dewasa set -
    27 kapas pembalut berlemak 500 mg Bks - 3 3
    28 Kapas pembalut 500 gram Bks -
    29 Kapas pembalut/absorben 250 gram Bks -
    30 Kasa Hidrofil 16x16 16 pcs/ktk - 14 14
    31 Kasa Hidrofil 40 x 40 pcs -
    32 Kasa Hidrofil 4 x 15 cm roll -
    33 Kasa Hidrofil 4 x 3 cm roll -
    34 Kasa Hidrofil 4 x 5 cm roll -
    35 Kasa Pembalut 2 x 80 cm Rol -
    36 Kasa Pembalut Elastis 3 Inchi Rol -
    37 Kasa Pembalut Elastis 4 Inchi Rol -
    38 Kasa hidrofil ukuran 36 x 80cm Rol -
    39 Lysol btl -
    40 Masker ear lopp pcs -
    41 Masker Tie On pcs 250 300 550
    42 Oxycan btl -
    Pharmafix (10cm x 500cm) pcs -
    43 Pembalut elastis 10 cm x 4.55m pcs -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2
    45 Pembalut Gips 6 Inchi Rol -
    46 Plester 5 yard x 2 inch Rol -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll -
    48 Semillas Non Woven Medical Tape (10 x 100c roll -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - 1 1
    50 Semillas Non Woven Medical Tape (10 x 500c roll -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs -
    53 Stomach Tube pcs -
    54 Surgical Blades No. 10 pcs - 4 4
    55 Surgical Blades No. 11 pcs -
    56 Surgical Blades No. 13 pcs -
    57 Surgical Blades No. 21 ( Bisturi ) pcs -
    58 Surgical Blades No. 23 pcs -
    59 Surgical Steril Powder Glove (S) pcs - 150 150
    60 Surgical Steril Powder Glove (M) pcs -
    61 Surgical Steril Powder Glove (L) pcs - 100 100
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs -
    64 Urine bag pcs -
    65 Umbilical Cord Klem Steril Nylon pcs -
    66 wing nedle No.21 pcs -
    67 wing nedle No.23 pcs -
    SISA ALKES DALAM RUPIAH 400
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 42,350
    Pangkalan Kasai,
    Mengetahui, Penanggung Jawab
    Plt. Kepala UPTD Pusksemas APOTEK
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM. SINTICE, Amd.Far


    NIP. 19700317 198912 1 001
    RAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    UNIT KERJA : APOTEK

    Saldo Akhir Ket

    5
    -
    -
    -
    -
    250
    251
    -
    -
    -
    -
    - exp.date 90 tab
    -
    -
    -
    192
    -
    1,626
    -
    -
    -
    -
    -
    -
    2,266
    -
    -
    24
    -

    -
    -
    -
    -
    447
    146
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    17
    -
    -
    -
    -
    66
    -
    38
    -
    112
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    190
    -
    -
    -
    -
    -
    -
    16
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    exp.date 3387
    -
    tab
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    750
    -
    -
    -
    26
    -
    -
    336
    47
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    500
    -
    -
    22
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    185
    -
    -
    -
    -
    -
    exp.date 150
    -
    tab
    20
    -
    154
    -
    -
    300
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    1,400
    69
    -
    -
    477
    959
    902
    -
    547
    -
    8
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    1
    -
    -
    -
    -
    -
    -
    40
    -
    400
    -
    -
    -
    -
    -
    -
    -
    -
    181
    -
    -
    -
    190
    -
    -
    -
    -
    1,503
    -
    -
    -
    -
    -
    388
    -
    2
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    1,170
    -
    -
    -
    -
    -
    170
    -
    -
    -
    -
    -
    124
    -
    -
    16,517

    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    2,200
    4
    -
    -
    -
    -
    1
    -
    -
    103
    36
    -
    -
    -
    -
    -
    -
    -
    -
    -
    1,659
    -
    -
    18
    -
    -
    -
    -
    673
    -
    -
    169
    1,200
    -
    -
    -
    -
    -
    966
    -
    -
    -
    11
    -
    -
    -
    -
    -
    211
    -
    -
    -
    19
    -
    110
    -
    144
    -
    -
    -
    -
    -
    -
    -
    4
    -
    -
    -
    -
    144
    252
    -
    16
    851
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    5
    -
    -
    8,796
    1,315
    -
    -
    40
    -
    -
    -
    -
    75
    -
    -
    14
    14
    788
    65
    -
    -
    90
    -
    -
    -
    -
    -
    -
    904
    -
    180
    20
    -

    -
    670
    -
    -

    -
    -
    -
    -
    30
    -
    -
    -
    -
    747
    1,120
    -
    -
    -
    -
    -
    -
    -
    300
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    26
    -
    -
    -
    -
    21
    -
    -
    849
    -
    215
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    692
    -
    -
    2
    -
    120
    -
    -
    -
    -
    -
    -
    -
    -
    8,297

    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    33,610

    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    80
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    80
    33,690
    25 Agustus 2018
    Penanggung Jawab
    APOTEK

    SINTICE, Amd.Farm
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & ALK
    PER 25 AGUSTUS 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil HARGA
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran SATUAN
    Agustus Agustus
    1 2 3 4 ( 7+5-6 ) 5 6 7 8
    A OBAT GENERIK PKD
    Acdat salep tube 5 - 11 16
    1 Albendazol suspensi 200 mg/5 ml btl - - - - 4,041
    2 Albendazol tab 400 mg tablet - - - - 350
    3 Alkohol 70 % 100 ml btl - 6 6 - 2,575
    4 ALKOHOL 70 % 1000 ml btl - - - - 27,305
    5 Alopurinol tab 100 mg tablet 250 - 166 416 88
    6 Alopurinol tab 300 mg tablet 251 - 53 304 215
    7 Alprazolam 0,5 mg tab tablet - - - - 180
    8 Alprazolam 1 mg tab tablet - - - - 233
    9 Ambroxol sirup btl - - - - 2,598
    10 Ambroxol tablet 30 mg tablet - - - - 131
    11 Aminofilin tab 200 mg tablet - - 90 90 82
    12 Aminofilin injeksi 24 mg/ml ampul - - - - 4,013
    13 Amitriptilin tab 25 mg tablet - - - - 117
    14 Amlodipin 5 mg tab tablet - - - - 192
    15 Amlodipin 10 mg tab tablet 192 300 396 288 341
    16 Amoksisilin kapsul 250 mg kapsul - - - - 210
    17 Amoksisilin kapsul 500 mg kapsul 1,626 2,000 1,386 1,012 270
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - - 2,500
    19 Amoksisilin serbuk injeksi 1g vial - - - - 7,766
    20 Ampisilin 500 mg kap kapsul - - - - 400
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - - 3,150
    22 Antalgin tablet 500 mg tablet - - - - 116
    23 Antalgin inj ampul - - - - 1,400
    24 Antasida DOEN I tablet kunyah tablet 2,266 1,000 618 1,884 74
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - - 2,160
    26 Anti bakteri salep komb tube - - - - 2,641
    27 Antifungi DOEN komb salep pot 24 - - 24 2,001
    28 Antimigren: ergotamin tartrat 1mg +kofe tablet - - - - 142
    29 Antihemoroid kombinasi Bismut Subgala supp - - 2 2 3,200
    30 Antithrom Jelly tube - - - - 35,200
    31 Aqua pro injeksi steril vial - - - - 2,100
    32 Artemether injeksi 80 mg/ml ampul - - - - 23,100
    33 Artesunate injeksi vial/ktk - - - - 38,999
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 447 500 626 573 100
    35 Asam Folat tab 1 mg tablet 146 - 60 206 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - - 166
    37 Asam Mefenamat kaplet 500 mg kaplet - - - - 116
    38 Asam Traneksamat Injeksi ampul - - - - 2,535
    39 Asetosal tab 100 mg tablet - - - - 122
    40 Asetosal tab 500 mg tablet - - - - 170
    41 Asiklovir krim 5% tube - - - - 2,260
    42 Asiklovir tab 200 mg tablet - - - - 239
    43 Asiklovir tab 400 mg tablet - - - - 345
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - - 1,300
    46 Atropin sulfat tab 0,5 mg tablet - - - - 77
    47 Bedak Salisil Serbuk 2 % bks 17 - 18 35 1,250
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - - 10,290
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - - 14,070
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg t tablet - - - - 43
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - - 970
    52 Betametason krim 0,1% tube 66 - 12 78 1,520
    53 Bexicom tab kapsul - - - - 1,650
    Bisacodyl 5mg tablet 38 - - 38 306
    54 Bisoprolol tablet 5 mg tablet - - - - 669
    55 Bronsolvan 150 mg tablet 112 - 14 126 250
    56 Budenosid resp - - - - 8,900
    57 Captopril tablet 12,5 mg tablet - - - - 62
    58 Captopril tablet 25 mg tablet - - - - 89
    59 Captopril tablet 50 mg tablet - - - - 141
    60 Carbamazepin 200 mg tablet - - - - 257
    61 Cefadroksil kap 500 mg kapsul - - - - 519
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - 15 15 5,064
    63 Cefaleksin kap 500 mg kapsul - - - - 1,100
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - - 9,000
    65 Cefixime kap 100 mg kapsul - - - - 869
    66 Cefotaxim 0,5 gr inj vial - - - - 5,247
    67 Cefotaxim 1 gr inj vial - - - - 3,150
    68 Ceftriaxon injeksi 1 g vial - - - - 3,500
    69 Cetrizine tab 10 mg tablet - - - - 145
    70 Ciprofloxacin infs btl 100 ml - - - - 59,800
    71 Ciprofloxacin 500 mg kapsul 190 - 110 300 260
    72 Cimetidin 200 mg tablet - - - - 120
    73 Clindamycin 150 mg kap tablet - - - - 379
    74 Clindamycin 300 mg kap tablet - - - - 570
    75 Clobazam tab 10 mg tablet - - - - 900
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 53
    77 Chloramfenikol 250 mg kaplet - - - - 262
    78 Chloramfenikol suspensi 125mg / 60ml (M botol 16 - 4 20 3,865
    79 Chloramphenicol Suspensi botol - - - - 3,978
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - - 1,679
    81 Chloramfenikol salep mata 1% / 5ml tube - - 1 1 1,600
    82 Chloroquin 150 mg tablet - - - - 89
    83 Chlorpromazin tablet 100 mg tablet - - - - 153
    84 Chlorpromazin tablet 25 mg tablet - - - - 71
    85 Chlorpromazin inj 25mg/ml amp - - - - 1,103
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - - 145
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - - 43 43 75
    88 Cotrimoksazol suspensi 60ml botol - - 27 27 2,222
    89 Deksametason injeksi 5 mg/ampl ampul - - - - 1,659
    90 Deksametason tablet 0,5 mg tablet - - 3,387 3,387 64
    91 Diaform tablet - - - - -
    92 Diazepam 2 mg tab tablet - - - - 45
    93 Diazepam injeksi ampul - - - - 4,389
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl ampul - - - - 1,107
    95 Digoksin tablet 0,25 mg tablet - - - - 100
    96 Diltiazem tab 30 mg tablet - - - - 134
    97 Dimenhidrinat tab tablet - - - - 104
    98 Doksisiklin 100 mg kap tablet - - - - 285
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - - 3,410
    100 Domperidone 10 mg tab tablet - - - - 170
    101 Domperidone drop 5mg / ml botol - - - - 16,350
    102 Ekstrak beladon 10 mg tab tablet - - - - 33
    103 Epinefrin injeksi ampul - - - - 8,505
    104 Erytromicyn 250 mg kapsul - - 5 5 497
    105 Erythromisin 500 mg kap kapsul - - - - 976
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - - 1 1 7,893
    107 Fenilbutason tab 200 mg tablet 750 - - 750 102
    108 Ferosulfat tab tablet - - - - 21
    109 Flukonazol tab 150 mg kapsul - - - - 23,100
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - - 1,920
    111 Furosemid tablet, 40 mg tablet 26 - 18 44 94
    112 Fucilex Krim / Natrium Fucilat tube - - 7 7 6,555
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336 50
    114 Garam oralit untuk 200 ml air sachet 47 - 18 65 303
    115 Geriavita kapsul - - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - - 1,469
    117 Gentamisin sulfat tetes mata 0,3 % btl - - 1 1 3,353
    118 Gentamisin injeksi ampul - - - - 3,569
    119 Gentian Violet larutan 1 % btl 10 ml - - - - 945
    120 Glibenklamida tablet 5 mg tablet - - - - 58
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - - 5,985
    123 Glukosa larutan infus 40 % steril amp - - - - 2,577
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - - 5,460
    125 Grafula-DHA tablet - - - - 2,200
    126 Griseovulvin tablet 125 mg tablet - - - - 230
    127 Haloperidol 0,5 mg tablet - - - - 100
    128 Haloperidol 1,5 mg tablet 500 500 200 200 61
    129 Haloperidol 5 mg tablet - - - - 72
    130 Hemafort tablet - - - - -
    131 Hidrokortison krim 2,5% tube 22 - 70 92 2,798
    132 Hufabetamin Syrup btl - - - - 5,900
    133 Hustab tablet - - - - -
    134 Hustadin Syrup btl - - - - 16,500
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - - 51 51 4,724
    136 Ibuprofen tablet 200 mg tablet - - - - 116
    137 Ibuprofen tablet 400 mg tablet - - - - 153
    138 Ika Neurom Injeksi ampul - - - - 5,445
    139 Imunvit Plus Kap kaplet - - - - 6,500
    140 Intibrox (Ambroksol) tablet - - - - 203
    141 Intibrox (Ambroksol) Syrup botol - - 5 5 6,200
    142 Isoniazid tab 100 mg tablet - - - - 68
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 185 - 10 195 93
    144 KA EN 1 B botol - - - - 9,000
    145 KA EN 3 A botol - - - - 10,000
    146 KA EN 3 B botol - - - - 10,000
    147 KA EN MG 3 botol - - - - 9,625
    148 Kalium Diklofenak 50 mg tablet - - - - 743
    149 Kalsium Laktat 500 mg tablet - - 150 150 73
    150 Ketokenazole krim 2 % 10 gr tube 20 - 2 22 2,569
    151 Ketokenazole krim 2 % 15 gr tube - - - - 4,930
    152 Ketokonazol 200 mg tablet 154 - 56 210 310
    153 Ketorolac inj 10 mg ampul - - - - 1,697
    154 Ketorolac inj 30 mg ampul - - - - 2,539
    155 Klonidin 0,15 mg tablet 300 - - 300 214
    156 Kodein tablet 10 mg tablet - - - - 525
    157 Kombines : Ipratropium bromida inhalasi vial - - - - 879
    158 Lidokain injeksi 2% / 2ml ampul - 20 60 40 879
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - - 27 27 1,431
    160 Levofloksasin 500 mg tablet - - - - 554
    161 Loratidin 10 mg tablet - - - - 162
    162 Loperamid 2mg tablet - - - - 92
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - - 3,500
    164 Mebendazol Syrup 100mg / 5ml botol - - - - 3,711
    165 Mebendazol 100mg tablet - - - - 239
    166 Megatic Emulgel tube - - - - 11,500
    Metformin HCL 50 mg kapsul 1,400 1,000 354 754 99
    167 Metilergometrin 0,125 mg tablet 69 - 20 89 127
    168 Metilergometrin injeksi ampul - - - - 2,750
    169 Metilprednisolon injeksi 500 mg vial - - - - 92,990
    170 Metilprednisolon 4mg tablet 477 1,000 787 264 210
    171 Metoklopramide 5mg tablet 959 300 245 904 108
    172 Metoklopramide 10mg tablet 902 - 153 1,055 105
    173 Metronidazol 250mg tablet - - - - 113
    174 Metronidazol 500mg tablet 547 - 40 587 164
    175 Mikrodiol ktk - - - - -
    176 Mikonazol krim 2% tube 8 - 26 34 3,000
    177 Momethasone furoat krim 0,1 % tube - - - - 17,820
    178 Mulsanol Drop btl - - - - 18,500
    179 Natrium Diklofenat 25mg tablet - - - - 141
    180 Natrium Diklofenat 50mg tablet - - - - 185
    181 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    182 Nevirapin 200mg tablet - - - - 2,940
    183 Nifedipin 10mg tablet - - 13 13 110
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - - 2,999
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - - 672
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - - 504
    187 Ofloxacin 400 mg tablet - - - - 680
    188 Oksitetrasiklin HCl salep mata 1% tube - - - - 1,600
    189 Oksitetrasiklin salep kulit 3% tube - - - - 1,606
    190 Omeprazol kapsul 20 mg kapsul - - 84 84 216
    191 Ondansentron 4mg tablet - - 10 10 180
    192 Oksitosin injeksi ampul - - - - 1,900
    193 Ostine kapsul - - - - 375
    194 Otsu-KCL 7,46% ampul - - - - 297
    195 Papaverin 40mg tablet - - - - 122
    196 Parasetamol 500mg tablet - - - - 84
    197 Parasetamol drops botol - - - - 5,460
    198 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    199 Penoksimetil Penisilin 500mg tablet - - - - 535
    200 Penolgliserol tetes telinga 10% / 5ml botol - - 3 3 1,058
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 1 - 3 4 24,150
    202 Permetrin krim 5% (Scabicid) tube - - - - 11,475
    203 Pethidin injeksi ampul - - - - 1,523
    204 Phenobarbital 30mg tablet - - - - 31
    205 Phenobarbital injeksi 50mg/ml ampul - - - - 1,890
    206 Piracetam injeksi 3g / 15ml ampul - - - - 4,200
    207 Piracetam 800mg tablet - - - - 321
    208 Pirantel Score (base ) 125mg tablet 40 - 12 52 308
    209 Pirantel syrup 125mg / 5ml botol - - - - 8,728
    210 Pitomenadion (Vit-K) 10mg tablet 400 - 77 477 666
    211 Pitomenadion inj. 2mg ampul - - - - 3,582
    212 Poncodryl (DMP) syr botol - - - - 25,300
    213 Pitomenadion inj. 10mg ampul - - - - 3,582
    214 Povidon Iodida 10% 30ml botol - - - - 2,250
    215 Povidon Iodida 10% 60ml botol - - - - 6,298
    216 Povidon Iodida 10% 300ml botol - - - - 14,771
    217 Povidon Iodida 10% 1000ml botol - - - - 38,594
    218 Pravastatin 20mg tablet - - - - 2,400
    219 Prednison 5mg tablet 181 600 529 110 119
    220 Primakuin 15mg tablet - - - - 205
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - - 7,549
    222 Propanolol HCl 10mg tablet - - - - 79
    223 Propanolol 40mg tablet 190 - - 190 110
    224 Propiltiourasil 100mg tablet - - - - 335
    225 Quinine tablet - - - - 704
    226 Ramipril 5mg tablet - - - - 600
    227 Ranitidin inj 25mg / 2ml ampul - - - - 1,190
    228 Ranitidin 150mg tablet 1,503 1,000 1,004 1,507 126
    229 Reserpin 0,10mg tablet - - - - 85
    230 Reserpin 0,25 mg tablet - - - - 109
    231 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    232 Risperidon 2mg tablet - - 1 1 1,038
    233 Rivanol larutan 0,1% botol - - - - 2,283
    234 Salbutamol 2mg (sebagai sulfat) tablet 388 - 55 443 62
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - - 85
    236 Salbutamol serbuk inh 200mcg/caps+rotah caps 2 - - 2 11,550
    237 Salbutamol serb inh 200 mcg/kaps tablet - - - - 452
    238 Salbutamol cairan inh 0,1% (Ventolin Neb botol - - - - 6,930
    239 Salep 2-4 pot - - 17 17 2,100
    240 Serum Anti Tetanus ampul - - - - 126,000
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - - 1,131
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - - 60
    243 Simvastatin 10mg tablet - - - - 174
    Simvastatin 20mg tablet - - 66 66 239
    244 Spiramisin 500mg tablet - - - - 1,574
    245 Stesolid inj ampul - - - - 17,604
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - - 17,604
    248 Streptomisin injeksi 1 g/ml vial - - - - 3,832
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - - 3,387
    250 Sulfatdoksin 500mg tablet - - - - 544
    251 Sukralfat suspensi 500mg/5ml (Ulsafate S botol - - - - 13,850
    252 Supramox Drops 20 ml botol - - - - 21,300
    Tablet Fe tab isi 100 1,170 - 350 1,520
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - - 30,800
    254 Tetrasiklin 250mg kapsul - - - - 154
    255 Tetrasiklin 500mg kapsul - - - - 312
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - - 700
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - - 37
    Tryhekxilpenidil tablet 170 - 30 200 80
    258 Tramadol 50mg kapsul - - - - 192
    259 Tuzalos kaplet - - - - -
    260 Vitamin B6 tablet - - - - 47
    261 Vitamin B Kompleks tablet - - - - 110
    262 Vitaplex drop botol - - - - 26,400
    263 Zinc Disperibel tablet 124 - 293 417 497
    264 Zink drop 10mg / 5ml botol - - - - 12,840
    265 Zirkum Kid syrup 20mg / 5ml botol - - - - 7,770
    16,517 20,189
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet - - 49 49 348
    3 Antithrom tube - - - - 35,200
    4 Arimed 15 mg tablet - - - - 1,617
    5 Asifit tablet - - - -
    6 Asonfen tab tablet - - 170 170 140
    7 Amobiotic Drop btl - - - - 23,100
    8 Becefort tab kotak/100 tablet - - - - 1,500
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - - 1,670
    11 Bisolvon Ekstra Sirup botol 60 ml - - - - 32,625
    12 Brochifar tablet - - - - 478
    13 Bromifar tablet - - - - 225
    14 Burnazin tube - - - -
    15 Caltrax btl - - - - 27,500
    Chlorpheniramine Maleate 4 mg tab isi 1000 2,200 - 600 2,800 77
    16 Cough En Plus btl 4 - 10 14 23,000
    17 Dasabion tablet - - - - 979
    18 Dehaf sachet - - - - 9,167
    19 Dumin Rectal 250 mg supp - - - - 16,280
    20 Dumin Rectal 125 mg supp - - - - 11,660
    Donexan Syrup Botol 1 - - 1 27,500
    21 Erlamycetine Ear Drop botol 10 ml - - - - 4,840
    22 Erya Forte 500 mg kapsul kapsul - - - - 231
    Etadexa tab 103 1,000 1,957 1,060 126
    23 Faxiden gel tube 36 - 8 44 12,000
    24 Fludane kapsul kapsul - - - - 735
    25 Fludane Plus tablet - - - - 880
    26 Flutop C Syrup btl - 21 50 29 10,000
    27 Fituno kapsul - - - - 1,210
    28 Fucilex/ natrium fucilat criem tube - - - - 6,555
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - - 50
    Genalten (Gentamicyn) cream tube - - - - 980
    30 Genolon krim tube - - - - 26,400
    Geonit (gentamisin salep mata) tube - - 12 12
    Guaifenisin 100mg tablet 1,659 - 302 1,961 127
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - - 2,167
    33 Hico Gel tube 18 - 1 19 25,000
    34 Hidrogen Peroksida 3% btl 1 liter - - - - 39,000
    35 Holicos Syrup Botol 60 ml - - - - 32,625
    36 Hufabetamin Syrup btl - - - - 5,900
    37 Hustadin Syr btl - - - - 16,500
    38 Hustab tablet 673 - 670 1,343 300
    39 Ika Neurom Injeksi ampul - - - - 5,445
    40 Imunvit Plus Kap Kaplet - - - - 3,325
    Intunal Forte 100 tablet/ktk 169 - 705 874 1,030
    41 Intibrox tablet 1,200 - 485 1,685 203
    42 Intibrox Syr botol - - - - 6,200
    43 Isotic Clearens Botol - - - - 9,000
    44 Isotic Neolyson Botol - - - - 28,750
    45 Jovial Sachet sachet - - - - 4,180
    46 Livron B. Plex Ds 10x10 tab - - - - 250
    Maltiron Plus Tablet 966 1,000 398 364 1,169
    47 Metaflu tablet - - - - 220
    48 Metamizol 500mg tablet - - - - 12,833
    49 Mucohexin tab tablet - - - - 506
    50 Mulsanol Syrup botol 60 ml 11 - 29 40 9,000
    51 Nalget Kaptab tablet - - - - 400
    52 Natavit Soft Cut kapsul - - - - 3,017
    53 Neocenta Gel tube - - - - 20,000
    54 Neo diaform ktk - - - - 140
    55 Neurovit-e dus 6x10 tab - - - - 1,027
    56 Neurodial kaplet 211 - - 211 1,260
    57 Nodiar tablet - - - - 1,210
    58 Noza tablet - - - - 891
    59 Novakal syrup btl - - - - 9,498
    60 OBH Indo Plus botol 100 ml 19 - 17 36 12,100
    61 OBH Inti Syr botol 100 ml - - - - -
    OBH Intrasal Syr botol 110 - 5 115 12,000
    62 Osteor plus kaplet - - - - 6,325
    63 Ostine Kapsul kapsul 144 - - 144 3,750
    64 Ondansetron tablet - - - - 495
    65 Oxfezin Syrup botol 100 ml - - - - 56,100
    66 Panstonal Forte 500 mg tablet - - - - 297
    67 Poncodryl DMP Syrup btl - - - - 25,300
    68 Ponflu tablet - - - - 715
    69 Pehavral tablet - - - - 693
    70 Pehacort tablet - - - - 145
    Pyreksin 60mg tablet/supp 4 - - 4 6,920
    Pyreksin 160mg tablet/supp - - - - 6,920
    71 Prenase tab tablet - - - - 86,350
    72 Procalma Soft Kapsul 30 kap/ktk - - - - 3,850
    73 Prolysin Syrup Plus botol 100 ml - - - - 30,800
    Prombus tablet 144 - - 144 4,947
    74 Proneuron tablet 252 - 132 384 1,100
    75 Pularex Attalpulgit 600 mg tablet - - - - 210
    76 Quantidex Syr botol 16 - 4 20 10,000
    77 Quantidex tablet tablet 851 - 172 1,023 850
    78 Reagen Golongan Darah Anti A 10ml botol - - - - 100,000
    79 Reagen Golongan Darah Anti B 10ml botol - - - - 100,000
    80 Reagen Golongan Darah Anti D 10ml botol - - - - 125,000
    81 Sagestam Cream tube - - - - 13,090
    82 Sanbe Kids botol 200 ml - - - - 38,500
    83 Sanvita B sirup btl - - - - 11,550
    84 Scabimite cream 10 mg tube - - - - 77,000
    85 Serum Anti Bisa Ular amp - - - - 473,000
    86 Supramox drops 20 ml btl - - 20 20 21,300
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - - 12,159
    88 Stick Asam Urat botol - - - - 6,800
    89 Stick Glukosa botol - 4 4 - 5,600
    90 Stik Kolesterol botol - 2 2 - 28,000
    91 Supramox Drops 20 ml botol 5 - - 5 21,300
    92 Tuzalos kap kapsul - - - - 781
    93 Vitaplex drop btl - - - - 26,400
    8,796 12,571
    C BUFFER STOK
    Amoksisillin kapsul 250 mg kapsul 1,315 1,000 475 790 185
    1 Amoksisilin kapsul 500 mg kapsul - - - - 270
    Amoxicillin syr btl - - 12 12 1,920
    Ambroxol syr btl 40 - 7 47 4,171
    2 Ambroxol 30 mg tablet - - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet - - 230 230
    5 Antasida DOEN I tablet kunyah tablet - - - - 74
    6 Antimigren ergotamin 75 - - 75 -
    7 Antihemoroid kombinasi Bismut Subgala supp - - - - 3,685
    8 Asam ascorbat (vit C) 50 mg tablet - - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 14 1,100 1,824 738 209
    10 Asiklovir krim 5% tube 14 - 2 16 2,260
    11 Asiklovir tab 200 mg tablet 788 - 40 828 239
    12 Asiklovir tab 400 mg tablet 65 - 90 155 345
    13 Arimed / Meloxicam 15 mg tablet - - - - 8,085
    14 Becefort syr btl - - - - 17,000
    15 Becefort tablet 90 - - 90 1,500
    16 Betametason Cream tube - - - - -
    17 Bioplacenton tube - - - - -
    18 Bisolvon Extra Syrup btl - - - - 32,625
    19 Bisoprolol 5mg tablet - - - - -
    20 Captopril tablet 12,5 mg tablet - - - - 62
    21 Captopril 25 mg tablet - - - - -
    22 Cefadroksil kap 500 mg kapsul 904 - 90 994 519
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - - 5,064
    Chlorpromazin Hcl 100 mg tablet 180 - 10 190
    24 Cefixime 100 mg tablet 20 - 20 40 -
    25 Ciprofloxacin 500 mg kapsul - - - - 513
    26 Clindamicyn 300 mg kapsul - - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - - 77
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 670 - 230 900 145
    29 Copper T ktk - - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - - 979
    31 Diaform tablet - - - - 140
    32 Dimenhidrinat tab tablet - - - - 95
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - - 2,970
    34 Erlamycetin Ear Drop Tetes Telinga btl - - 3 3 4,840
    35 Fg Troches tablet - - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30 23,100
    37 Fituno tablet - - - - 4,033
    38 Gentian Violet botol - - - - -
    39 Glibenclamide 5 mg tablet - - 63 63 -
    40 Gliseril Guaikolat 100 mg tablet - - 35 35 -
    41 Griseovulvin tablet 125 mg tablet 747 - - 747 230
    42 Hemaforf tablet 1,120 1,000 200 320 850
    43 Hidrokortison krim 2,5% tube - - - - 2,399
    44 Holicos ( Ambroxol ) syrup btl - - - - 23,100
    45 Hustab tablet - - - - 300
    46 Ibuprofen tablet 400 mg tablet - - 89 89 153
    47 Isotic Neolyson Tetes Mata btl - - - - 28,750
    48 Isotic Clearens Tetes Mata btl - - - - 10,750
    49 Kasa 4m x 15cm roll - - - - -
    50 Levofloxacin 500 mg tablet 300 - - 300 -
    51 Lidokain injeksi ampul - - - - -
    52 Livron B Plek tablet - - - - 250
    53 Loperamid 2mg tablet - - 95 95 92
    54 Metaneuron tablet - - - - 1,283
    55 Metilergometrin tablet - - 151 151 -
    56 Metilprednisolon 4mg tablet - - - - 210
    57 Mucohexin tablet - - - - 506
    58 Natrium Diklofenat 25mg tablet - - - - 141
    59 Natrium Diklofenat 50 mg tablet - - - - -
    60 Natrium Klorida larutan infus 0.9% steril botol - - - - 4,935
    61 Neurovit - E kaplet - - - - 1,027
    62 Nistatin tab 100.000 iu tab vaginal 26 - 18 44 -
    63 Nodiar tablet - - - - 1,210
    64 Noza tablet - - - - 891
    65 OBH Indo Plus syrup botol - - - - 12,100
    66 Oxfezin syrup botol - - - - 56,100
    67 Oksitetrasiklin salep kulit 3% tube 21 50 43 14 2,200
    68 Oksitetrasiklin inj ampul - - - - 5,500
    69 Omeprazol kapsul 20 mg kapsul - - - - 216
    Paracetamol tab 500 mg tablet 849 2,900 2,535 484
    70 Parasetamol syrup 120mg / 5ml botol - - - - 1,496
    71 Pehavral tablet 215 300 525 440 693
    72 Piroxicam 20 mg tablet - - 368 368 119
    73 Pehacort / Prednison 5mg tablet - - - - 145
    74 Pyridoksin (vit.B6) tablet - - - - -
    75 Propanolol 40mg tablet - - - - 114
    76 Propituracil 100 mg tablet - - - - -
    77 Prolysin Plus syrup botol - - - - 30,800
    Pravastatin 20mg tablet - - 76 76
    78 Pularex Attalpugit 600 mg tablet - - - - 210
    79 Ranitidine inj tablet - - - - -
    80 Ranitidin 150mg tablet - - - - 108
    81 Ringer Laktat larutan infus 500ml botol - - - - 5,460
    82 Salbutamol syr botol - - - - -
    83 Salbutamol 2 mg tablet - - - - -
    84 Salbutamol 4mg (sebagai sulfat) tablet 692 - - 692 85
    85 Sanbe Kids syrup botol - - - - 38,500
    86 Sagestam Cream tube - - - - 13,090
    87 Scabimite Cream tube 2 - 5 7 77,000
    88 Simvastatin 10 mg tablet - - 7 7 -
    89 Tab Fe tablet 120 - - 120 -
    90 Tramadol Tablet - - - - -
    91 Tryhexilpenidil tablet - - - - 44
    Vitamin B. Kompleks tablet - - - -
    92 Zinc Disperibel tablet - - - - 497
    93 Oxycan btl - - - - -
    94 cimetidin tab 200 mg tablet - - - - 113
    95 Alat Suntik 3 cc pcs - - - - 4,400
    96 Mikrodiol ktk - - - - -
    8,297 9,190
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - - 390,000
    2 Etil klorida btl - - - - 125,000
    3 Eugenol Cairan btl - - - - 17,500
    4 Glass Ionomer btl - - - - 395,000
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - - 242,000
    6 Klorfenol kamfer menthol(CHKM) btl - - - - 55,000
    7 Mummifying pasta btl - - - - 176,000
    8 Semen seng fosfat set - - - - 93,500
    9 Temporary stoping fletcher set - - - - 34,000
    - -
    SISA OBAT DALAM RUPIAH 33,610 41,950

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - - - - 826
    2 Alat suntik sekali pakai 2,5 ml pcs - - - - 826
    3 Alat suntik sekali pakai 3 ml pcs - 22 22 - 826
    4 Alat suntik sekali pakai 5 ml pcs - 2 2 - 953
    5 Alat suntik sekali pakai 10 ml pcs - - - - 1,175
    6 Alkohol Swab CHG 0,5 % pcs - 100 100 - 197
    7 Blood Lahat pcs - 100 100 - 153
    8 Blood Transfusion Set pcs - - - - 4,572
    9 Catgut/benang bedah no. 3/0 pcs - - - - 22,500
    10 Catgut/benang bedah no.2/0 pcs - - - - 22,500
    11 Examination Lower Glove ( M ) pcs - - - - 464
    12 Examination Lower Glove ( L ) pcs - - 50 50 464
    13 Folley Catheter no 16W pcs - - - - 8,000
    14 Folley Catheter no 18W pcs - - - - 8,000
    15 Folley Catheter no 20W pcs - - - - 8,000
    16 Handscoon no 7 pcs 80 - 20 100 1,300
    17 Handscoon no 7,5 pcs - - - - 1,300
    18 Handscoon no 8 pcs - - - - 1,300
    19 Hcg (Tes Pack) pcs - - - - 1,495
    20 Hidrogen Peroksida 3% btl - - - - 39,000
    21 I.V Catheter no.18 pcs - - - - 8,085
    22 I.V Catheter no.20 pcs - - - - 8,085
    23 I.V Catheter no.22 pcs - - - - 8,085
    24 I.V Catheter no.24 pcs - - - - 8,085
    25 Infusion set anak set - - - - 4,445
    26 Infusion set dewasa set - - - - 4,064
    27 kapas pembalut berlemak 500 mg Bks - 3 3 - 34,000
    28 Kapas pembalut 500 gram Bks - - - - 34,000
    29 Kapas pembalut/absorben 250 gram Bks - - - - 24,000
    30 Kasa Hidrofil 16x16 16 pcs/ktk - 14 14 - 7,900
    31 Kasa Hidrofil 40 x 40 pcs - - - - 1,800
    32 Kasa Hidrofil 4 x 15 cm roll - - - - 3,800
    33 Kasa Hidrofil 4 x 3 cm roll - - - - 800
    34 Kasa Hidrofil 4 x 5 cm roll - - - - 1,100
    35 Kasa Pembalut 2 x 80 cm Rol - - - - 9,400
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - - 16,000
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - - 25,000
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - - 1,100
    39 Lysol btl - - - - 52,070
    40 Masker ear lopp pcs - - - - 439
    41 Masker Tie On pcs - 300 550 250 439
    42 Oxycan btl - - - - -
    Pharmafix (10cm x 500cm) pcs - - - -
    43 Pembalut elastis 10 cm x 4.55m pcs - - - - 33,000
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 - 27,830
    45 Pembalut Gips 6 Inchi Rol - - - - 60,500
    46 Plester 5 yard x 2 inch Rol - - - - 30,000
    47 Semillas Non Woven Medical Tape (5 x 1 roll - - - - 3,850
    48 Semillas Non Woven Medical Tape (10 x roll - - - - 7,315
    49 Semillas Non Woven Medical Tape (5 x 5 roll - 1 1 - 21,753
    50 Semillas Non Woven Medical Tape (10 x roll - - - - 30,030
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - - 15,000
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - - 15,000
    53 Stomach Tube pcs - - - - 10,010
    54 Surgical Blades No. 10 pcs - 4 4 - 3,000
    55 Surgical Blades No. 11 pcs - - - - 3,000
    56 Surgical Blades No. 13 pcs - - - - 3,000
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - - -
    58 Surgical Blades No. 23 pcs - - - - 3,000
    Surgical Steril Powder Glove (S) pcs - 150 150 - 4,320
    Surgical Steril Powder Glove (M) pcs - - - - 4,320
    Surgical Steril Powder Glove (L) pcs - 100 100 - 4,320
    59 Transparent IV Dressing ( anak ) 4,4 x 4, pcs - - - - 2,021
    60 Transparent IV Dressing ( Dewasa) 6 x 7 pcs - - - - 2,224
    61 Urine bag pcs - - - - 3,810
    62 Umbilical Cord Klem Steril Nylon pcs - - - - 1,270
    63 wing nedle No.21 pcs - - - - 6,059
    64 wing nedle No.23 pcs - - - - 6,059
    SISA ALKES DALAM RUPIAH 80 400
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 33,690 42,350

    Mengetahui,
    Plt. Kepala UPTD Pusksemas
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM.


    G HABIS PAKAI (OBAT & ALKES )
    GUSTUS 2018

    UNIT KERJA : APOTEK

    Jumlah Pengeluaran Harga Perolehan


    Ket
    Agustus 2018 (Rp) Terakhir

    9 (8x6 ) 10 ( 8x4 ) 11

    - -
    - -
    - -
    15,450 -
    - -
    14,608 22,000
    11,369 53,840
    - -
    - -
    - -
    - -
    exp.date 90
    7,380 -
    tab
    - -
    - -
    - -
    135,036 65,472
    - -
    374,220 439,020
    - -
    - -
    - -
    - -
    - -
    - -
    45,732 167,684
    - -
    - -
    - 48,025
    - -
    6,400 -
    - -
    - -
    - -
    - -
    62,600 44,700
    3,000 7,300
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    22,500 21,250
    - -
    - -
    - -
    - -
    18,240 100,320
    - -
    - 11,628
    - -
    3,500 28,000
    - -
    - -
    - -
    - -
    - -
    - -
    75,960 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    28,600 49,400
    - -
    - -
    - -
    - -
    - -
    - -
    15,460 61,840
    - -
    - -
    1,600 -
    - -
    - -
    - -
    - -
    - -
    3,225 -
    59,994 -
    - -
    216,768 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    2,485 -
    - -
    7,893 -
    - 76,500
    - -
    - -
    - -
    1,692 2,444
    45,885 -
    - -
    - 16,800
    5,454 14,241
    - -
    - -
    3,353 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    12,200 30,500
    - -
    - -
    195,860 61,556
    - -
    - -
    - -
    240,924 -
    - -
    - -
    - -
    - -
    - -
    31,000 -
    - -
    930 17,205
    - -
    - -
    - -
    - -
    - -
    10,950 -
    5,138 51,380
    - -
    17,360 47,740
    - -
    - -
    - 64,200
    - -
    - -
    52,740 -
    38,637 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    35,046 138,600
    2,541 8,766
    - -
    - -
    165,270 100,170
    26,460 103,572
    16,065 94,710
    - -
    6,560 89,708
    - -
    78,000 24,000
    - -
    - -
    - -
    - -
    - -
    - -
    1,430 -
    - -
    - -
    - -
    - -
    - -
    - -
    18,144 -
    1,800 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    3,174 -
    72,450 24,150
    - -
    - -
    - -
    - -
    - -
    - -
    3,696 12,320
    - -
    51,282 266,400
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    62,951 21,539
    - -
    - -
    - -
    - 20,900
    - -
    - -
    - -
    - -
    126,504 189,378
    - -
    - -
    - -
    1,038 -
    - -
    3,410 24,056
    - -
    - 23,100
    - -
    - -
    35,700 -
    - -
    - -
    - -
    - -
    15,774 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    2,400 13,600
    - -
    - -
    - -
    - -
    - -
    145,621 61,628
    - -
    - -
    2,719,642

    - -
    17,052 -
    - -
    - -
    - -
    23,800 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    46,200 169,400
    230,000 92,000
    - -
    - -
    - -
    - -
    - 27,500
    - -
    - -
    246,582 12,978
    96,000 432,000
    - -
    - -
    500,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    38,354 210,693
    - -
    - -
    25,000 450,000
    - -
    - -
    - -
    - -
    201,000 201,900
    - -
    - -
    726,150 174,070
    98,455 243,600
    - -
    - -
    - -
    - -
    - -
    465,262 1,129,254
    - -
    - -
    - -
    261,000 99,000
    - -
    - -
    - -
    - -
    - -
    - 265,860
    - -
    - -
    - -
    205,700 229,900
    - -
    60,000 1,320,000
    - -
    - 540,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 27,680
    - -
    - -
    - -
    - -
    - 712,320
    145,200 277,200
    - -
    40,000 160,000
    146,200 723,350
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    426,000 -
    - -
    - -
    22,400 -
    56,000 -
    - 106,500
    - -
    - -
    7,605,205

    87,875 243,275
    - -
    23,040 -
    29,197 166,840
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    381,216 2,926
    4,520 31,640
    9,560 188,332
    31,050 22,425
    - -
    - -
    - 135,000
    - -
    - -
    - -
    - -
    - -
    - -
    46,710 469,176
    - -
    - -
    - -
    - -
    - -
    - -
    33,350 97,150
    - -
    - -
    - -
    - -
    - -
    14,520 -
    - -
    - 693,000
    - -
    - -
    - -
    - -
    - 171,810
    170,000 952,000
    - -
    - -
    - -
    13,617 -
    - -
    - -
    - -
    - -
    - -
    - -
    8,740 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    94,600 46,200
    - -
    - -
    - -
    - -
    363,825 148,995
    43,792 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - 58,820
    - -
    - -
    385,000 154,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    1,652,737 3,338,314

    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    1,652,737 13,663,161

    - -
    - -
    18,161 -
    1,905 -
    - -
    19,680 -
    15,300 -
    - -
    - -
    - -
    - -
    23,210 -
    - -
    - -
    - -
    26,000 104,000
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    102,000 -
    - -
    - -
    110,600 -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    - -
    241,395 -
    - -
    - -
    - -
    55,660 -
    - -
    - -
    - -
    - -
    21,753 -
    - -
    - -
    - -
    - -
    12,000 -
    - -
    - -
    - -
    - -
    648,000 -
    - -
    432,000 -
    - -
    - -
    - -
    - -
    - -
    - -
    104,000
    13,767,161

    Pangkalan Kasai, 25 Agustus 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN OBAT
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU UNIT KERJA


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN September September

    A OBAT GENERIK PKD


    Acdat salep tube 5 20 2 23
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl - -
    4 ALKOHOL 70 % 1000 ml btl - 1 1 -
    5 Alopurinol tab 100 mg tablet 250 106 144
    6 Alopurinol tab 300 mg tablet 251 74 177
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet - -
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet - -
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet 192 300 368 124
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 1,626 1,000 1,688 938
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet 2,266 500 980 1,786
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 24 2 22
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp - -
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 447 1,500 1,146 801
    35 Asam Folat tab 1 mg tablet 146 10 136
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 17 20 17 20
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 66 13 53
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 38 38
    54 Bisoprolol tablet 5 mg tablet - -
    55 Bronsolvan 150 mg tablet 112 112
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet - -
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul - -
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 190 500 221 469
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 16 5 11
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube - -
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - -
    88 Cotrimoksazol suspensi 60ml botol - -
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet - -
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul - -
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - -
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 26 18 8
    112 Fucilex Krim / Natrium Fucilat tube - -
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 336
    114 Garam oralit untuk 200 ml air sachet 47 23 24
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - -
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet 500 400 100
    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 22 22
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - -
    136 Ibuprofen tablet 200 mg tablet - -
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - -
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 185 6 179
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet - -
    150 Ketokenazole krim 2 % 10 gr tube 20 20
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 154 40 114
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet 300 300 -
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - 60 60 -
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 1,400 516 884
    167 Metilergometrin 0,125 mg tablet 69 50 19
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 477 1,000 874 603
    171 Metoklopramide 5mg tablet 959 119 840
    172 Metoklopramide 10mg tablet 902 64 838
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 547 41 506
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 8 48 20 36
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul - -
    191 Ondansentron 4mg tablet - 240 18 222
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol - -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 1 2 3 -
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 40 40
    209 Pirantel syrup 125mg / 5ml botol - -
    210 Pitomenadion (Vit-K) 10mg tablet 400 400
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 181 138 43
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 190 190
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 1,503 1,000 1,027 1,476
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - 1 1 -
    234 Salbutamol 2mg (sebagai sulfat) tablet 388 200 113 475
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot - 24 9 15
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet - -
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 1,170 355 815
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    Tryhekxilpenidil tablet 170 60 110
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 124 300 310 114
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    16,517 14,035
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet - -
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet - -
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 2,200 600 1,600
    16 Cough En Plus btl 4 50 38 16
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 1 50 11 40
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    Etadexa tab 103 2500 1597 1,006
    23 Faxiden gel tube 36 4 32
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl - -
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - -
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube - -
    Guaifenisin 100mg tablet 1,659 496 1,163
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 18 3 15
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 673 900 729 844
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk 169 200 369 -
    41 Intibrox tablet 1,200 1500 554 2,146
    42 Intibrox Syr botol - -
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 966 500 475 991
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 11 48 34 25
    51 Nalget Kaptab tablet - -
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml 19 5 14
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 110 13 97
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 144 127 17
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 144 6 138
    74 Proneuron tablet 252 198 54
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 16 3 13
    77 Quantidex tablet tablet 851 500 137 1,214
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - -
    89 Stick Glukosa botol - -
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 5 48 11 42
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    8,796 9,682
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 1,315 500 775 1,040
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Amoxicillin syr btl - -
    Ambroxol syr btl 40 13 27
    3 Ambroxol 30 mg tablet - -
    4 Amlodipin tablet - -
    5 Antalgin tablet 500 mg tablet - -
    6 Antasida DOEN I tablet kunyah tablet - -
    7 Antimigren ergotamin tablet 75 30 45
    8 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    9 Asam ascorbat (vit C) 50 mg tablet - -
    10 Asam Mefenamat kaplet 500 mg kaplet 14 2,200 1,941 273
    11 Asiklovir krim 5% tube 14 14
    12 Asiklovir tab 200 mg tablet 788 150 638
    13 Asiklovir tab 400 mg tablet 65 150 105 110
    14 Arimed / Meloxicam 15 mg tablet - -
    15 Becefort syr btl - -
    16 Becefort tablet 90 20 70
    17 Betametason Cream tube - -
    18 Bioplacenton tube - -
    19 Bisolvon Extra Syrup btl - -
    20 Bisoprolol 5mg tablet - -
    21 Captopril tablet 12,5 mg tablet - -
    22 Captopril 25 mg tablet - -
    23 Cefadroksil kap 500 mg kapsul 904 110 794
    24 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    Chlorpromazin Hcl 100 mg tablet 180 500 240 440
    25 Cefixime 100 mg tablet 20 20 -
    26 Ciprofloxacin 500 mg kapsul - 500 31 469
    27 Clindamicyn 300 mg kapsul - -
    28 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    29 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 670 114 556
    30 Copper T ktk - -
    31 Dasabion (Anti Anemic + Vitamin ) tablet - -
    32 Diaform tablet - -
    33 Dimenhidrinat tab tablet - -
    34 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    35 Erlamycetin Ear Drop Tetes Telinga btl - -
    36 Fg Troches tablet - -
    37 Flukonazol tab 150 mg kapsul 30 30
    38 Fituno tablet - -
    39 Gentian Violet botol - -
    40 Glibenclamide 5 mg tablet - -
    41 Gliseril Guaikolat 100 mg tablet - -
    42 Griseovulvin tablet 125 mg tablet 747 747
    43 Hemaforf tablet 1,120 312 808
    44 Hidrokortison krim 2,5% tube - 48 48
    45 Holicos ( Ambroxol ) syrup btl - -
    46 Hustab tablet - -
    47 Ibuprofen tablet 400 mg tablet - -
    48 Isotic Neolyson Tetes Mata btl - -
    49 Isotic Clearens Tetes Mata btl - -
    50 Kasa 4m x 15cm roll - -
    51 Levofloxacin 500 mg tablet 300 150 150
    52 Lidokain injeksi ampul - 90 30 60
    53 Livron B Plek tablet - -
    54 Loperamid 2mg tablet - -
    55 Metaneuron tablet - -
    56 Metilergometrin tablet - -
    57 Metilprednisolon 4mg tablet - -
    58 Mucohexin tablet - -
    59 Natrium Diklofenat 25mg tablet - -
    60 Natrium Diklofenat 50 mg tablet - -
    61 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    62 Neurovit - E kaplet - -
    63 Nistatin tab 100.000 iu tab vaginal 26 12 14
    64 Nodiar tablet - -
    65 Noza tablet - -
    66 OBH Indo Plus syrup botol - -
    67 Oxfezin syrup botol - -
    68 Oksitetrasiklin salep kulit 3% tube 21 50 6 65
    69 Oksitetrasiklin inj ampul - -
    70 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet 849 2,500 2,982 367
    71 Parasetamol syrup 120mg / 5ml botol - -
    72 Pehavral tablet 215 215
    73 Piroxicam 20 mg tablet - -
    74 Pehacort / Prednison 5mg tablet - -
    75 Pyridoksin (vit.B6) tablet - -
    76 Propanolol 40mg tablet - -
    77 Propituracil 100 mg tablet - -
    78 Prolysin Plus syrup botol - -
    79 Pularex Attalpugit 600 mg tablet - -
    80 Ranitidine inj tablet - -
    81 Ranitidin 150mg tablet - -
    82 Ringer Laktat larutan infus 500ml botol - -
    83 Salbutamol syr botol - -
    84 Salbutamol 2 mg tablet - -
    85 Salbutamol 4mg (sebagai sulfat) tablet 692 692
    86 Sanbe Kids syrup botol - -
    87 Sagestam Cream tube - -
    88 Scabimite Cream tube 2 1 1
    89 Simvastatin 10 mg tablet - -
    90 Tab Fe tablet 120 120 -
    91 Tramadol Tablet - -
    92 Tryhexilpenidil tablet - -
    Vitamin B. Kompleks tablet - -
    93 Zinc Disperibel tablet - -
    94 Oxycan btl - -
    95 cimetidin tab 200 mg tablet - -
    96 Alat Suntik 3 cc pcs - -
    Mikrodiol ktk - -
    8,297 7,673
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 33,610 31,390
    D ALKES & BAHAN HABIS PAKAI ( BHP )
    1 Alat suntik sekali pakai 1 ml set - -
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - 110 110 -
    4 Alat suntik sekali pakai 5 ml pcs - -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs - 300 300 -
    7 Blood Lahat pcs - -
    8 Blood Transfusion Set pcs - -
    9 Catgut/benang bedah no. 3/0 pcs - -
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs - 500 100 400
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 80 293 323 50
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs - -
    20 Hidrogen Peroksida 3% btl - 1 1 -
    21 I.V Catheter no.18 pcs - -
    22 I.V Catheter no.20 pcs - -
    23 I.V Catheter no.22 pcs - -
    24 I.V Catheter no.24 pcs - -
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks - 2 2 -
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk - 18 18 -
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol - 16 16 -
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - -
    41 Masker Tie On pcs - 600 350 250
    42 Oxycan btl - -
    Pharmafix (10cm x 500cm) pcs - -
    43 Pembalut elastis 10 cm x 4.55m pcs - 1 1 -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - 1 1 -
    50 Semillas Non Woven Medical Tape (10 x 500c roll - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - -
    55 Surgical Blades No. 11 pcs - -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - 100 100 -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs - -
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 80 700
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 33,690 32,090

    Pangkalan Kasai, 25 September 2018


    Mengetahui, Penanggung Jawab
    Plt. Kepala UPTD Pusksemas APOTEK
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM. SINTICE, Amd.Farm


    NIP. 19700317 198912 1 001
    AN PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    : APOTEK

    Ket
    exp.date 300
    tab
    25 September 2018
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & A
    PER 25 SEPTEMBER 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran
    September September
    1 2 3 4 ( 7+5-6 ) 5 6 7
    A OBAT GENERIK PKD
    Acdat salep tube 23 20 2 5
    1 Albendazol suspensi 200 mg/5 ml btl - - - -
    2 Albendazol tab 400 mg tablet - - - -
    3 Alkohol 70 % 100 ml btl - - - -
    4 ALKOHOL 70 % 1000 ml btl - 1 1 -
    5 Alopurinol tab 100 mg tablet 144 - 106 250
    6 Alopurinol tab 300 mg tablet 177 - 74 251
    7 Alprazolam 0,5 mg tab tablet - - - -
    8 Alprazolam 1 mg tab tablet - - - -
    9 Ambroxol sirup btl - - - -
    10 Ambroxol tablet 30 mg tablet - - - -
    11 Aminofilin tab 200 mg tablet - - - -
    12 Aminofilin injeksi 24 mg/ml ampul - - - -
    13 Amitriptilin tab 25 mg tablet - - - -
    14 Amlodipin 5 mg tab tablet - - - -
    15 Amlodipin 10 mg tab tablet 124 300 368 192
    16 Amoksisilin kapsul 250 mg kapsul - - - -
    17 Amoksisilin kapsul 500 mg kapsul 938 1,000 1,688 1,626
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - -
    19 Amoksisilin serbuk injeksi 1g vial - - - -
    20 Ampisilin 500 mg kap kapsul - - - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - -
    22 Antalgin tablet 500 mg tablet - - - -
    23 Antalgin inj ampul - - - -
    24 Antasida DOEN I tablet kunyah tablet 1,786 500 980 2,266
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - -
    26 Anti bakteri salep komb tube - - - -
    27 Antifungi DOEN komb salep pot 22 - 2 24
    28 Antimigren: ergotamin tartrat 1mg +kofein 5 tablet - - - -
    29 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    30 Antithrom Jelly tube - - - -
    31 Aqua pro injeksi steril vial - - - -
    32 Artemether injeksi 80 mg/ml ampul - - - -
    33 Artesunate injeksi vial/ktk - - - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 801 1,500 1,146 447
    35 Asam Folat tab 1 mg tablet 136 - 10 146
    36 Asam Mefenamat kaplet 250 mg kaplet - - - -
    37 Asam Mefenamat kaplet 500 mg kaplet - - - -
    38 Asam Traneksamat Injeksi ampul - - - -
    39 Asetosal tab 100 mg tablet - - - -
    40 Asetosal tab 500 mg tablet - - - -
    41 Asiklovir krim 5% tube - - - -
    42 Asiklovir tab 200 mg tablet - - - -
    43 Asiklovir tab 400 mg tablet - - - -
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - -
    46 Atropin sulfat tab 0,5 mg tablet - - - -
    47 Bedak Salisil Serbuk 2 % bks 20 20 17 17
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - -
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg table tablet - - - -
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - -
    52 Betametason krim 0,1% tube 53 - 13 66
    53 Bexicom tab kapsul - - - -
    Bisacodyl 5mg tablet 38 - - 38
    54 Bisoprolol tablet 5 mg tablet - - - -
    55 Bronsolvan 150 mg tablet 112 - - 112
    56 Budenosid resp - - - -
    57 Captopril tablet 12,5 mg tablet - - - -
    58 Captopril tablet 25 mg tablet - - - -
    59 Captopril tablet 50 mg tablet - - - -
    60 Carbamazepin 200 mg tablet - - - -
    61 Cefadroksil kap 500 mg kapsul - - - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - -
    63 Cefaleksin kap 500 mg kapsul - - - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - -
    65 Cefixime kap 100 mg kapsul - - - -
    66 Cefotaxim 0,5 gr inj vial - - - -
    67 Cefotaxim 1 gr inj vial - - - -
    68 Ceftriaxon injeksi 1 g vial - - - -
    69 Cetrizine tab 10 mg tablet - - - -
    70 Ciprofloxacin infs btl 100 ml - - - -
    71 Ciprofloxacin 500 mg kapsul 469 500 221 190
    72 Cimetidin 200 mg tablet - - - -
    73 Clindamycin 150 mg kap tablet - - - -
    74 Clindamycin 300 mg kap tablet - - - -
    75 Clobazam tab 10 mg tablet - - - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    77 Chloramfenikol 250 mg kaplet - - - -
    78 Chloramfenikol suspensi 125mg / 60ml (Mefam botol 11 - 5 16
    79 Chloramphenicol Suspensi botol - - - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - -
    81 Chloramfenikol salep mata 1% / 5ml tube - - - -
    82 Chloroquin 150 mg tablet - - - -
    83 Chlorpromazin tablet 100 mg tablet - - - -
    84 Chlorpromazin tablet 25 mg tablet - - - -
    85 Chlorpromazin inj 25mg/ml amp - - - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - - - -
    88 Cotrimoksazol suspensi 60ml botol - - - -
    89 Deksametason injeksi 5 mg/ampl ampul - - - -
    90 Deksametason tablet 0,5 mg tablet - - - -
    91 Diaform tablet - - - -
    92 Diazepam 2 mg tab tablet - - - -
    93 Diazepam injeksi ampul - - - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - - - -
    95 Digoksin tablet 0,25 mg tablet - - - -
    96 Diltiazem tab 30 mg tablet - - - -
    97 Dimenhidrinat tab tablet - - - -
    98 Doksisiklin 100 mg kap tablet - - - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - -
    100 Domperidone 10 mg tab tablet - - - -
    101 Domperidone drop 5mg / ml botol - - - -
    102 Ekstrak beladon 10 mg tab tablet - - - -
    103 Epinefrin injeksi ampul - - - -
    104 Erytromicyn 250 mg kapsul - - - -
    105 Erythromisin 500 mg kap kapsul - - - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - - - -
    107 Fenilbutason tab 200 mg tablet 750 - - 750
    108 Ferosulfat tab tablet - - - -
    109 Flukonazol tab 150 mg kapsul - - - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - -
    111 Furosemid tablet, 40 mg tablet 8 - 18 26
    112 Fucilex Krim / Natrium Fucilat tube - - - -
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336
    114 Garam oralit untuk 200 ml air sachet 24 - 23 47
    115 Geriavita kapsul - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - - - -
    118 Gentamisin injeksi ampul - - - -
    119 Gentian Violet larutan 1 % btl 10 ml - - - -
    120 Glibenklamida tablet 5 mg tablet - - - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - -
    123 Glukosa larutan infus 40 % steril amp - - - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - -
    125 Grafula-DHA tablet - - - -
    126 Griseovulvin tablet 125 mg tablet - - - -
    127 Haloperidol 0,5 mg tablet - - - -
    128 Haloperidol 1,5 mg tablet 100 - 400 500
    129 Haloperidol 5 mg tablet - - - -
    130 Hemafort tablet - - - -
    131 Hidrokortison krim 2,5% tube 22 - - 22
    132 Hufabetamin Syrup btl - - - -
    133 Hustab tablet - - - -
    134 Hustadin Syrup btl - - - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - - - -
    136 Ibuprofen tablet 200 mg tablet - - - -
    137 Ibuprofen tablet 400 mg tablet - - - -
    138 Ika Neurom Injeksi ampul - - - -
    139 Imunvit Plus Kap kaplet - - - -
    140 Intibrox (Ambroksol) tablet - - - -
    141 Intibrox (Ambroksol) Syrup botol - - - -
    142 Isoniazid tab 100 mg tablet - - - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 179 - 6 185
    144 KA EN 1 B botol - - - -
    145 KA EN 3 A botol - - - -
    146 KA EN 3 B botol - - - -
    147 KA EN MG 3 botol - - - -
    148 Kalium Diklofenak 50 mg tablet - - - -
    149 Kalsium Laktat 500 mg tablet - - - -
    150 Ketokenazole krim 2 % 10 gr tube 20 - - 20
    151 Ketokenazole krim 2 % 15 gr tube - - - -
    152 Ketokonazol 200 mg tablet 114 - 40 154
    153 Ketorolac inj 10 mg ampul - - - -
    154 Ketorolac inj 30 mg ampul - - - -
    155 Klonidin 0,15 mg tablet - - 300 300
    156 Kodein tablet 10 mg tablet - - - -
    Kombines : Ipratropium bromida inhalasi 0,5
    157 vial - - - -
    mg Salbutamol 2,5 mg ( Combivent UVB )
    158 Lidokain injeksi 2% / 2ml ampul - - - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - 60 60 -
    160 Levofloksasin 500 mg tablet - - - -
    161 Loratidin 10 mg tablet - - - -
    162 Loperamid 2mg tablet - - - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - -
    164 Mebendazol Syrup 100mg / 5ml botol - - - -
    165 Mebendazol 100mg tablet - - - -
    166 Megatic Emulgel tube - - - -
    Metformin HCL 50 mg kapsul 884 - 516 1,400
    167 Metilergometrin 0,125 mg tablet 19 - 50 69
    168 Metilergometrin injeksi ampul - - - -
    169 Metilprednisolon injeksi 500 mg vial - - - -
    170 Metilprednisolon 4mg tablet 603 1,000 874 477
    171 Metoklopramide 5mg tablet 840 - 119 959
    172 Metoklopramide 10mg tablet 838 - 64 902
    173 Metronidazol 250mg tablet - - - -
    174 Metronidazol 500mg tablet 506 - 41 547
    175 Mikrodiol ktk - - - -
    176 Mikonazol krim 2% tube 36 48 20 8
    177 Momethasone furoat krim 0,1 % tube - - - -
    178 Mulsanol Drop btl - - - -
    179 Natrium Diklofenat 25mg tablet - - - -
    180 Natrium Diklofenat 50mg tablet - - - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - - - -
    182 Nevirapin 200mg tablet - - - -
    183 Nifedipin 10mg tablet - - - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - -
    187 Ofloxacin 400 mg tablet - - - -
    188 Oksitetrasiklin HCl salep mata 1% tube - - - -
    189 Oksitetrasiklin salep kulit 3% tube - - - -
    190 Omeprazol kapsul 20 mg kapsul - - - -
    191 Ondansentron 4mg tablet 222 240 18 -
    192 Oksitosin injeksi ampul - - - -
    193 Ostine kapsul - - - -
    194 Otsu-KCL 7,46% ampul - - - -
    195 Papaverin 40mg tablet - - - -
    196 Parasetamol 500mg tablet - - - -
    197 Parasetamol drops botol - - - -
    198 Parasetamol syrup 120mg / 5ml botol - - - -
    199 Penoksimetil Penisilin 500mg tablet - - - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - - - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - 2 3 1
    202 Permetrin krim 5% (Scabicid) tube - - - -
    203 Pethidin injeksi ampul - - - -
    204 Phenobarbital 30mg tablet - - - -
    205 Phenobarbital injeksi 50mg/ml ampul - - - -
    206 Piracetam injeksi 3g / 15ml ampul - - - -
    207 Piracetam 800mg tablet - - - -
    208 Pirantel Score (base ) 125mg tablet 40 - - 40
    209 Pirantel syrup 125mg / 5ml botol - - - -
    210 Pitomenadion (Vit-K) 10mg tablet 400 - - 400
    211 Pitomenadion inj. 2mg ampul - - - -
    212 Poncodryl (DMP) syr botol - - - -
    213 Pitomenadion inj. 10mg ampul - - - -
    214 Povidon Iodida 10% 30ml botol - - - -
    215 Povidon Iodida 10% 60ml botol - - - -
    216 Povidon Iodida 10% 300ml botol - - - -
    217 Povidon Iodida 10% 1000ml botol - - - -
    218 Pravastatin 20mg tablet - - - -
    219 Prednison 5mg tablet 43 - 138 181
    220 Primakuin 15mg tablet - - - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - -
    222 Propanolol HCl 10mg tablet - - - -
    223 Propanolol 40mg tablet 190 - - 190
    224 Propiltiourasil 100mg tablet - - - -
    225 Quinine tablet - - - -
    226 Ramipril 5mg tablet - - - -
    227 Ranitidin inj 25mg / 2ml ampul - - - -
    228 Ranitidin 150mg tablet 1,476 1,000 1,027 1,503
    229 Reserpin 0,10mg tablet - - - -
    230 Reserpin 0,25 mg tablet - - - -
    231 Ringer Laktat larutan infus 500ml botol - - - -
    232 Risperidon 2mg tablet - - - -
    233 Rivanol larutan 0,1% botol - 1 1 -
    234 Salbutamol 2mg (sebagai sulfat) tablet 475 200 113 388
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 - - 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - - - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - - - -
    239 Salep 2-4 pot 15 24 9 -
    240 Serum Anti Tetanus ampul - - - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - -
    243 Simvastatin 10mg tablet - - - -
    Simvastatin 20mg tablet - - - -
    244 Spiramisin 500mg tablet - - - -
    245 Stesolid inj ampul - - - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - -
    248 Streptomisin injeksi 1 g/ml vial - - - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - -
    250 Sulfatdoksin 500mg tablet - - - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - - - -
    252 Supramox Drops 20 ml botol - - - -
    Tablet Fe tab isi 100 815 - 355 1,170
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - -
    254 Tetrasiklin 250mg kapsul - - - -
    255 Tetrasiklin 500mg kapsul - - - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - -
    Tryhekxilpenidil tablet 110 - 60 170
    258 Tramadol 50mg kapsul - - - -
    259 Tuzalos kaplet - - - -
    260 Vitamin B6 tablet - - - -
    261 Vitamin B Kompleks tablet - - - -
    262 Vitaplex drop botol - - - -
    263 Zinc Disperibel tablet 114 300 310 124
    264 Zink drop 10mg / 5ml botol - - - -
    265 Zirkum Kid syrup 20mg / 5ml botol - - - -
    14,035 16,517
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet - - - -
    3 Antithrom tube - - - -
    4 Arimed 15 mg tablet - - - -
    5 Asifit tablet - - - -
    6 Asonfen tab tablet - - - -
    7 Amobiotic Drop btl - - - -
    8 Becefort tab kotak/100 tablet - - - -
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - -
    11 Bisolvon Ekstra Sirup botol 60 ml - - - -
    12 Brochifar tablet - - - -
    13 Bromifar tablet - - - -
    14 Burnazin tube - - - -
    15 Caltrax btl - - - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 1,600 - 600 2,200
    16 Cough En Plus btl 16 50 38 4
    17 Dasabion tablet - - - -
    18 Dehaf sachet - - - -
    19 Dumin Rectal 250 mg supp - - - -
    20 Dumin Rectal 125 mg supp - - - -
    Donexan Syrup Botol 40 50 11 1
    21 Erlamycetine Ear Drop botol 10 ml - - - -
    22 Erya Forte 500 mg kapsul kapsul - - - -
    Etadexa tab 1,006 2,500 1,597 103
    23 Faxiden gel tube 32 - 4 36
    24 Fludane kapsul kapsul - - - -
    25 Fludane Plus tablet - - - -
    26 Flutop C Syrup btl - - - -
    27 Fituno kapsul - - - -
    28 Fucilex/ natrium fucilat criem tube - - - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    Genalten (Gentamicyn) cream tube - - - -
    30 Genolon krim tube - - - -
    Geonit (gentamisin salep mata) tube - - - -
    Guaifenisin 100mg tablet 1,163 - 496 1,659
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - -
    33 Hico Gel tube 15 - 3 18
    34 Hidrogen Peroksida 3% btl 1 liter - - - -
    35 Holicos Syrup Botol 60 ml - - - -
    36 Hufabetamin Syrup btl - - - -
    37 Hustadin Syr btl - - - -
    38 Hustab tablet 844 900 729 673
    39 Ika Neurom Injeksi ampul - - - -
    40 Imunvit Plus Kap Kaplet - - - -
    Intunal Forte 100 tablet/ktk - 200 369 169
    41 Intibrox tablet 2,146 1,500 554 1,200
    42 Intibrox Syr botol - - - -
    43 Isotic Clearens Botol - - - -
    44 Isotic Neolyson Botol - - - -
    45 Jovial Sachet sachet - - - -
    46 Livron B. Plex Ds 10x10 tab - - - -
    Maltiron Plus Tablet 991 500 475 966
    47 Metaflu tablet - - - -
    48 Metamizol 500mg tablet - - - -
    49 Mucohexin tab tablet - - - -
    50 Mulsanol Syrup botol 60 ml 25 48 34 11
    51 Nalget Kaptab tablet - - - -
    52 Natavit Soft Cut kapsul - - - -
    53 Neocenta Gel tube - - - -
    54 Neo diaform ktk - - - -
    55 Neurovit-e dus 6x10 tab - - - -
    56 Neurodial kaplet 211 - - 211
    57 Nodiar tablet - - - -
    58 Noza tablet - - - -
    59 Novakal syrup btl - - - -
    60 OBH Indo Plus botol 100 ml 14 - 5 19
    61 OBH Inti Syr botol 100 ml - - - -
    OBH Intrasal Syr botol 97 - 13 110
    62 Osteor plus kaplet - - - -
    63 Ostine Kapsul kapsul 17 - 127 144
    64 Ondansetron tablet - - - -
    65 Oxfezin Syrup botol 100 ml - - - -
    66 Panstonal Forte 500 mg tablet - - - -
    67 Poncodryl DMP Syrup btl - - - -
    68 Ponflu tablet - - - -
    69 Pehavral tablet - - - -
    70 Pehacort tablet - - - -
    Pyreksin 60mg tablet/supp 4 - - 4
    Pyreksin 160mg tablet/supp - - - -
    71 Prenase tab tablet - - - -
    72 Procalma Soft Kapsul 30 kap/ktk - - - -
    73 Prolysin Syrup Plus botol 100 ml - - - -
    Prombus tablet 138 - 6 144
    74 Proneuron tablet 54 - 198 252
    75 Pularex Attalpulgit 600 mg tablet - - - -
    76 Quantidex Syr botol 13 - 3 16
    77 Quantidex tablet tablet 1,214 500 137 851
    78 Reagen Golongan Darah Anti A 10ml botol - - - -
    79 Reagen Golongan Darah Anti B 10ml botol - - - -
    80 Reagen Golongan Darah Anti D 10ml botol - - - -
    81 Sagestam Cream tube - - - -
    82 Sanbe Kids botol 200 ml - - - -
    83 Sanvita B sirup btl - - - -
    84 Scabimite cream 10 mg tube - - - -
    85 Serum Anti Bisa Ular amp - - - -
    86 Supramox drops 20 ml btl - - - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    88 Stick Asam Urat botol - - - -
    89 Stick Glukosa botol - - - -
    90 Stik Kolesterol botol - - - -
    91 Supramox Drops 20 ml botol 42 48 11 5
    92 Tuzalos kap kapsul - - - -
    93 Vitaplex drop btl - - - -
    9,682 8,796
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 1,040 500 775 1,315
    1 Amoksisilin kapsul 500 mg kapsul - - - -
    Amoxicillin syr btl - - - -
    Ambroxol syr btl 27 - 13 40
    2 Ambroxol 30 mg tablet - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet - - - -
    5 Antasida DOEN I tablet kunyah tablet - - - -
    6 Antimigren ergotamin 45 - 30 75
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    8 Asam ascorbat (vit C) 50 mg tablet - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 273 2,200 1,941 14
    10 Asiklovir krim 5% tube 14 - - 14
    11 Asiklovir tab 200 mg tablet 638 - 150 788
    12 Asiklovir tab 400 mg tablet 110 150 105 65
    13 Arimed / Meloxicam 15 mg tablet - - - -
    14 Becefort syr btl - - - -
    15 Becefort tablet 70 - 20 90
    16 Betametason Cream tube - - - -
    17 Bioplacenton tube - - - -
    18 Bisolvon Extra Syrup btl - - - -
    19 Bisoprolol 5mg tablet - - - -
    20 Captopril tablet 12,5 mg tablet - - - -
    21 Captopril 25 mg tablet - - - -
    22 Cefadroksil kap 500 mg kapsul 794 - 110 904
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - -
    Chlorpromazin Hcl 100 mg tablet 440 500 240 180
    24 Cefixime 100 mg tablet - - 20 20
    25 Ciprofloxacin 500 mg kapsul 469 500 31 -
    26 Clindamicyn 300 mg kapsul - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 556 - 114 670
    29 Copper T ktk - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - -
    31 Diaform tablet - - - -
    32 Dimenhidrinat tab tablet - - - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - - - -
    35 Fg Troches tablet - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30
    37 Fituno tablet - - - -
    38 Gentian Violet botol - - - -
    39 Glibenclamide 5 mg tablet - - - -
    40 Gliseril Guaikolat 100 mg tablet - - - -
    41 Griseovulvin tablet 125 mg tablet 747 - - 747
    42 Hemaforf tablet 808 - 312 1,120
    43 Hidrokortison krim 2,5% tube 48 48 - -
    44 Holicos ( Ambroxol ) syrup btl - - - -
    45 Hustab tablet - - - -
    46 Ibuprofen tablet 400 mg tablet - - - -
    47 Isotic Neolyson Tetes Mata btl - - - -
    48 Isotic Clearens Tetes Mata btl - - - -
    49 Kasa 4m x 15cm roll - - - -
    50 Levofloxacin 500 mg tablet 150 - 150 300
    51 Lidokain injeksi ampul 60 90 30 -
    52 Livron B Plek tablet - - - -
    53 Loperamid 2mg tablet - - - -
    54 Metaneuron tablet - - - -
    55 Metilergometrin tablet - - - -
    56 Metilprednisolon 4mg tablet - - - -
    57 Mucohexin tablet - - - -
    58 Natrium Diklofenat 25mg tablet - - - -
    59 Natrium Diklofenat 50 mg tablet - - - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol - - - -
    61 Neurovit - E kaplet - - - -
    62 Nistatin tab 100.000 iu tab vaginal 14 - 12 26
    63 Nodiar tablet - - - -
    64 Noza tablet - - - -
    65 OBH Indo Plus syrup botol - - - -
    66 Oxfezin syrup botol - - - -
    67 Oksitetrasiklin salep kulit 3% tube 65 50 6 21
    68 Oksitetrasiklin inj ampul - - - -
    69 Omeprazol kapsul 20 mg kapsul - - - -
    Paracetamol tab 500 mg tablet 367 2,500 2,982 849
    70 Parasetamol syrup 120mg / 5ml botol - - - -
    71 Pehavral tablet 215 - - 215
    72 Piroxicam 20 mg tablet - - - -
    73 Pehacort / Prednison 5mg tablet - - - -
    74 Pyridoksin (vit.B6) tablet - - - -
    75 Propanolol 40mg tablet - - - -
    76 Propituracil 100 mg tablet - - - -
    77 Prolysin Plus syrup botol - - - -
    78 Pularex Attalpugit 600 mg tablet - - - -
    79 Ranitidine inj tablet - - - -
    80 Ranitidin 150mg tablet - - - -
    81 Ringer Laktat larutan infus 500ml botol - - - -
    82 Salbutamol syr botol - - - -
    83 Salbutamol 2 mg tablet - - - -
    84 Salbutamol 4mg (sebagai sulfat) tablet 692 - - 692
    85 Sanbe Kids syrup botol - - - -
    86 Sagestam Cream tube - - - -
    87 Scabimite Cream tube 1 - 1 2
    88 Simvastatin 10 mg tablet - - - -
    89 Tab Fe tablet - - 120 120
    90 Tramadol Tablet - - - -
    91 Tryhexilpenidil tablet - - - -
    Vitamin B. Kompleks tablet - - - -
    92 Zinc Disperibel tablet - - - -
    93 Oxycan btl - - - -
    94 cimetidin tab 200 mg tablet - - - -
    95 Alat Suntik 3 cc pcs - - - -
    96 Mikrodiol ktk - - - -
    7,673 8,297
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - -
    2 Etil klorida btl - - - -
    3 Eugenol Cairan btl - - - -
    4 Glass Ionomer btl - - - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - -
    6 Klorfenol kamfer menthol(CHKM) btl - - - -
    7 Mummifying pasta btl - - - -
    8 Semen seng fosfat set - - - -
    9 Temporary stoping fletcher set - - - -
    - -
    SISA OBAT DALAM RUPIAH 31,390 33,610
    D ALKES & BAHAN HABIS PAKAI ( BHP )
    1 Alat suntik sekali pakai 1 ml set - - - -
    2 Alat suntik sekali pakai 2,5 ml pcs - - - -
    3 Alat suntik sekali pakai 3 ml pcs - 110 110 -
    4 Alat suntik sekali pakai 5 ml pcs - - - -
    5 Alat suntik sekali pakai 10 ml pcs - - - -
    6 Alkohol Swab CHG 0,5 % pcs - 300 300 -
    7 Blood Lahat pcs - - - -
    8 Blood Transfusion Set pcs - - - -
    9 Catgut/benang bedah no. 3/0 pcs - - - -
    10 Catgut/benang bedah no.2/0 pcs - - - -
    11 Examination Lower Glove ( M ) pcs - - - -
    12 Examination Lower Glove ( L ) pcs 400 500 100 -
    13 Folley Catheter no 16W pcs - - - -
    14 Folley Catheter no 18W pcs - - - -
    15 Folley Catheter no 20W pcs - - - -
    16 Handscoon no 7 pcs 50 293 323 80
    17 Handscoon no 7,5 pcs - - - -
    18 Handscoon no 8 pcs - - - -
    19 Hcg (Tes Pack) pcs - - - -
    20 Hidrogen Peroksida 3% btl - 1 1 -
    21 I.V Catheter no.18 pcs - - - -
    22 I.V Catheter no.20 pcs - - - -
    23 I.V Catheter no.22 pcs - - - -
    24 I.V Catheter no.24 pcs - - - -
    25 Infusion set anak set - - - -
    26 Infusion set dewasa set - - - -
    27 kapas pembalut berlemak 500 mg Bks - 2 2 -
    28 Kapas pembalut 500 gram Bks - - - -
    29 Kapas pembalut/absorben 250 gram Bks - - - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk - 18 18 -
    31 Kasa Hidrofil 40 x 40 pcs - - - -
    32 Kasa Hidrofil 4 x 15 cm roll - - - -
    33 Kasa Hidrofil 4 x 3 cm roll - - - -
    34 Kasa Hidrofil 4 x 5 cm roll - - - -
    35 Kasa Pembalut 2 x 80 cm Rol - 16 16 -
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - -
    39 Lysol btl - - - -
    40 Masker ear lopp pcs - - - -
    41 Masker Tie On pcs 250 600 350 -
    42 Oxycan btl - - - -
    Pharmafix (10cm x 500cm) pcs - - - -
    43 Pembalut elastis 10 cm x 4.55m pcs - 1 1 -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - - - -
    45 Pembalut Gips 6 Inchi Rol - - - -
    46 Plester 5 yard x 2 inch Rol - - - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - - - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - - - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - 1 1 -
    50 Semillas Non Woven Medical Tape (10 x 500c roll - - - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - -
    53 Stomach Tube pcs - - - -
    54 Surgical Blades No. 10 pcs - - - -
    55 Surgical Blades No. 11 pcs - - - -
    56 Surgical Blades No. 13 pcs - - - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - -
    58 Surgical Blades No. 23 pcs - - - -
    Surgical Steril Powder Glove (S) pcs - - - -
    Surgical Steril Powder Glove (M) pcs - 100 100 -
    Surgical Steril Powder Glove (L) pcs - - - -
    59 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - - - -
    60 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - - - -
    61 Urine bag pcs - - - -
    62 Umbilical Cord Klem Steril Nylon pcs - - - -
    63 wing nedle No.21 pcs - - - -
    64 wing nedle No.23 pcs - - - -
    SISA ALKES DALAM RUPIAH 700 80
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 32,090 33,690

    Mengetahui,
    Plt. Kepala UPTD Pusksemas
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM.


    NIP. 19700317 198912 1 001
    NG HABIS PAKAI (OBAT & ALKES )
    EPTEMBER 2018

    UNIT KERJA : APOTEK

    Jumlah
    HARGA Pengeluaran Harga Perolehan
    Ket
    SATUAN September 2018 Terakhir
    (Rp)

    8 9 (8x6 ) 10 ( 8x4 ) 11

    6,030 12,060 138,690


    4,041 - -
    350 - -
    2,575 - -
    27,305 27,305 -
    88 9,328 12,672
    215 15,873 37,967
    180 - -
    233 - -
    2,598 - -
    131 - -
    82 - -
    4,013 - -
    117 - -
    192 - -
    341 125,488 42,284
    210 - -
    270 455,760 253,260
    2,500 - -
    7,766 - -
    400 - -
    3,150 - -
    116 - -
    1,400 - -
    74 72,520 132,164
    2,160 - -
    2,641 - -
    2,001 4,002 44,023
    142 - -
    3,200 - -
    35,200 - -
    2,100 - -
    23,100 - -
    38,999 - -
    100 114,600 80,100
    50 500 6,800
    166 - -
    116 - -
    2,535 - -
    122 - -
    170 - -
    2,260 - -
    239 - -
    345 - -
    - -
    1,300 - -
    77 - -
    1,250 21,250 25,000
    10,290 - -
    14,070 - -
    43 - -
    970 - -
    1,520 19,760 80,560
    1,650 - -
    306 - 11,628
    669 - -
    250 - 28,000
    8,900 - -
    62 - -
    89 - -
    141 - -
    257 - -
    519 - -
    5,064 - -
    1,100 - -
    9,000 - -
    869 - -
    5,247 - -
    3,150 - -
    3,500 - -
    145 - -
    59,800 - -
    260 57,460 121,940
    120 - -
    379 - -
    570 - -
    900 - -
    53 - -
    262 - -
    3,865 19,325 42,515
    3,978 - -
    1,679 - -
    1,600 - -
    89 - -
    153 - -
    71 - -
    1,103 - -
    145 - -
    75 - -
    2,222 - -
    1,659 - -
    64 - -
    - - -
    45 - -
    4,389 - -
    1,107 - -
    100 - -
    134 - -
    104 - -
    285 - -
    3,410 - -
    170 - -
    16,350 - -
    33 - -
    8,505 - -
    497 - -
    976 - -
    7,893 - -
    102 - 76,500
    21 - -
    23,100 - -
    1,920 - -
    94 1,692 752
    6,555 - -
    - -
    50 - 16,800
    303 6,969 7,272
    - - -
    1,469 - -
    3,353 - -
    3,569 - -
    945 - -
    58 - -
    50 - -
    5,985 - -
    2,577 - -
    5,460 - -
    2,200 - -
    230 - -
    100 - -
    61 24,400 6,100
    72 - - exp.date 140 tab
    - - -
    2,798 - 61,556
    5,900 - -
    - - -
    16,500 - -
    4,724 - -
    116 - -
    153 - -
    5,445 - -
    6,500 - -
    203 - -
    6,200 - -
    68 - -
    93 558 16,647
    9,000 - -
    10,000 - -
    10,000 - -
    9,625 - -
    743 - -
    73 - -
    2,569 - 51,380
    4,930 - -
    310 12,400 35,340
    1,697 - -
    2,539 - -
    214 64,200 - Exp.
    525 - -

    879 - -

    879 - -
    1,431 85,860 -
    554 - -
    162 - -
    92 - -
    3,500 - -
    3,711 - -
    239 - -
    11,500 - -
    99 51,084 87,516
    127 6,353 2,414
    2,750 - -
    92,990 - -
    210 183,540 126,630
    108 12,852 90,720
    105 6,720 87,990
    113 - -
    164 6,724 82,984
    - - -
    3,000 60,000 108,000
    17,820 - -
    18,500 - -
    141 - -
    185 - -
    4,935 - -
    2,940 - -
    110 - -
    2,999 - -
    672 - -
    504 - -
    680 - -
    1,600 - -
    1,606 - -
    216 - -
    180 3,240 39,960
    1,900 - -
    375 - -
    297 - -
    122 - -
    84 - -
    5,460 - -
    1,496 - -
    535 - -
    1,058 - -
    24,150 72,450 -
    11,475 - -
    1,523 - -
    31 - -
    1,890 - -
    4,200 - -
    321 - -
    308 - 12,320
    8,728 - -
    666 - 266,400
    3,582 - -
    25,300 - -
    3,582 - -
    2,250 - -
    6,298 - -
    14,771 - -
    38,594 - -
    2,400 - -
    119 16,422 5,117
    205 - -
    7,549 - -
    79 - -
    110 - 20,900
    335 - -
    704 - -
    600 - -
    1,190 - -
    126 129,402 185,976
    85 - -
    109 - -
    5,460 - -
    1,038 - -
    2,283 2,283 -
    62 7,006 29,450
    85 - -
    11,550 - 23,100
    452 - -
    6,930 - -
    2,100 18,900 31,500
    126,000 - -
    1,131 - -
    60 - -
    174 - -
    239 - -
    1,574 - -
    17,604 - -
    12,159 - -
    17,604 - -
    3,832 - -
    3,387 - -
    544 - -
    13,850 - -
    21,300 - -
    80 28,400 65,200
    30,800 - -
    154 - -
    312 - -
    700 - -
    37 - -

    192 - -
    - - -
    47 - -
    110 - -
    26,400 - -
    497 154,070 56,658
    12,840 - -
    7,770 - -
    2,514,094

    - -
    348 - -
    35,200 - -
    1,617 - -
    - -
    140 - -
    23,100 - -
    1,500 - -
    - -
    1,670 - -
    32,625 - -
    478 - -
    225 - -
    - -
    27,500 - -
    77 46,200 123,200
    23,000 874,000 368,000
    979 - -
    9,167 - -
    16,280 - -
    11,660 - -
    27,500 302,500 1,100,000
    4,840 - -
    231 - -
    126 201,222 126,756
    12,000 48,000 384,000
    735 - -
    880 - -
    10,000 - -
    1,210 - -
    6,555 - -
    50 - -
    980 - -
    26,400 - -
    - -
    127 62,992 147,701
    - -
    2,167 - -
    25,000 75,000 375,000
    39,000 - -
    32,625 - -
    5,900 - -
    16,500 - -
    300 218,700 253,200
    5,445 - -
    3,325 - -
    1,030 380,070 -
    203 112,462 435,638
    6,200 - -
    9,000 - -
    28,750 - -
    4,180 - -
    250 - -
    1,169 555,275 1,158,479
    220 - -
    12,833 - -
    506 - -
    9,000 306,000 225,000
    400 - -
    3,017 - -
    20,000 - -
    140 - -
    1,027 - -
    1,260 - 265,860
    1,210 - -
    891 - -
    9,498 - -
    12,100 60,500 169,400
    - - -
    12,000 156,000 1,164,000
    6,325 - -
    3,750 476,250 63,750
    495 - -
    56,100 - -
    297 - -
    25,300 - -
    715 - -
    693 - -
    145 - -
    6,920 - 27,680
    6,920 - -
    86,350 - -
    3,850 - -
    30,800 - -
    4,947 29,680 682,640
    1,100 217,800 59,400
    210 - -
    10,000 30,000 130,000
    850 116,450 1,031,900
    100,000 - -
    100,000 - -
    125,000 - -
    13,090 - -
    38,500 - -
    11,550 - -
    77,000 - -
    473,000 - -
    21,300 - -
    12,159 - -
    6,800 - -
    5,600 - -
    28,000 - -
    21,300 234,300 894,600
    781 - -
    26,400 - -
    9,186,204

    185 143,375 192,400


    270 - -
    1,920 - -
    4,171 54,223 112,617
    - - -
    - -
    - -
    74 - -
    - - -
    3,685 - -
    - - -
    209 405,669 57,057
    2,260 - 31,640
    239 35,850 152,482
    345 36,225 37,950
    8,085 - -
    17,000 - -
    1,500 30,000 105,000
    - - -
    - - -
    32,625 - -
    - - -
    62 - -
    - - -
    519 57,090 412,086
    5,064 - -

    - - -
    513 15,891 240,409
    - - -
    77 - -
    145 16,530 80,620
    - - -
    979 - -
    140 - -
    95 - -
    2,970 - -
    4,840 - -
    - - -
    23,100 - 693,000
    4,033 - -
    - - -
    - - -
    - - -
    230 - 171,810
    850 265,200 686,800
    2,399 - 115,152
    23,100 - -
    300 - -
    153 - -
    28,750 - -
    10,750 - -
    - - -
    - - -
    - - -
    250 - -
    92 - -
    1,283 - -
    - - -
    210 - -
    506 - -
    141 - -
    - - -
    4,935 - -
    1,027 - -
    - - -
    1,210 - -
    891 - -
    12,100 - -
    56,100 - -
    2,200 13,200 143,000
    5,500 - -
    216 - -
    - -
    1,496 - -
    693 - 148,995
    119 - -
    145 - -
    - - -
    114 - -
    - - -
    30,800 - -
    210 - -
    - - -
    108 - -
    5,460 - -
    - - -
    - - -
    85 - 58,820
    38,500 - -
    13,090 - -
    77,000 77,000 77,000
    - - -
    - - -
    - - -
    44 - -
    - -
    497 - -
    - - -
    113 - -
    4,400 - -
    - - -
    1,006,878 3,324,438

    390,000 - -
    125,000 - -
    17,500 - -
    395,000 - -
    242,000 - -
    55,000 - -
    176,000 - -
    93,500 - -
    34,000 - -
    - -
    1,006,878 15,024,737
    826 - -
    826 - -
    826 90,805 -
    953 - -
    1,175 - -
    197 59,040 -
    153 - -
    4,572 - -
    22,500 - -
    22,500 - -
    464 - -
    464 46,420 185,680
    8,000 - -
    8,000 - -
    8,000 - -
    1,300 419,900 65,000
    1,300 - -
    1,300 - -
    1,495 - -
    39,000 39,000 -
    8,085 - -
    8,085 - -
    8,085 - -
    8,085 - -
    4,445 - -
    4,064 - -
    34,000 68,000 -
    34,000 - -
    24,000 - -
    7,900 142,200 -
    1,800 - -
    3,800 - -
    800 - -
    1,100 - -
    9,400 150,400 -
    16,000 - -
    25,000 - -
    1,100 - -
    52,070 - -
    439 - -
    439 153,615 109,725
    - - -

    33,000 33,000 -
    27,830 - -
    60,500 - -
    30,000 - -
    3,850 - -
    7,315 - -
    21,753 21,753 -
    30,030 - -
    15,000 - -
    15,000 - -
    10,010 - -
    3,000 - -
    3,000 - -
    3,000 - -
    - - -
    3,000 - -
    4,320 - -
    4,320 432,000 -
    4,320 - -
    2,021 - -
    2,224 - -
    3,810 - -
    1,270 - -
    6,059 - -
    6,059 - -
    360,405
    15,385,142

    Pangkalan Kasai, 25 September 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN O
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN Oktober Oktober

    A OBAT GENERIK PKD


    Acdat salep tube 23 23
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl - -
    4 ALKOHOL 70 % 1000 ml btl - -
    5 Alopurinol tab 100 mg tablet 144 400 220 324
    6 Alopurinol tab 300 mg tablet 177 78 99
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet - -
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet - -
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet 124 810 719 215
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 938 2,300 2,393 845
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet 1,786 982 804
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 22 22
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp - -
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 801 2,400 1,476 1,725
    35 Asam Folat tab 1 mg tablet 136 48 88
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 20 20
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 53 4 16 41
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 38 38
    54 Bisoprolol tablet 5 mg tablet - -
    55 Bronsolvan 150 mg tablet 112 112
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet - -
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - 100 63 37
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul - -
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 469 469
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 11 10 13 8
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube - -
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - -
    88 Cotrimoksazol suspensi 60ml botol - -
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet - -
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul - -
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - -
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 8 300 219 89
    112 Fucilex Krim / Natrium Fucilat tube - -
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 336
    114 Garam oralit untuk 200 ml air sachet 24 24
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - -
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet 100 100
    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 22 22
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - -
    136 Ibuprofen tablet 200 mg tablet - -
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - -
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 179 179
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet - -
    150 Ketokenazole krim 2 % 10 gr tube 20 1 19
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 114 10 104
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet - -
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - -
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 884 291 593
    167 Metilergometrin 0,125 mg tablet 19 6 13
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 603 600 640 563
    171 Metoklopramide 5mg tablet 840 840
    172 Metoklopramide 10mg tablet 838 114 724
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 506 50 456
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 36 36
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - -
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul - -
    191 Ondansentron 4mg tablet 222 18 204
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol - -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - -
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 40 4 36
    209 Pirantel syrup 125mg / 5ml botol - -
    210 Pitomenadion (Vit-K) 10mg tablet 400 41 359
    211 Pitomenadion inj. 2mg ampul - -
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 43 43 -
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 190 190
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 1,476 1,200 2,028 648
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet 475 158 317
    235 Salbutamol 4mg (sebagai sulfat) tablet - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 15 15
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet - -
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 815 1,000 1,290 525
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    Tryhekxilpenidil tablet 110 110
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - -
    261 Vitamin B Kompleks tablet - -
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 114 114
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    14,035 12,238
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet - -
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet - -
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 1,600 1,600
    16 Cough En Plus btl 16 16
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 40 40 46 34
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    Etadexa tab 1,006 3800 2853 1,953
    23 Faxiden gel tube 32 20 11 41
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl - -
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - -
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube - -
    Guaifenisin 100mg tablet 1,163 292 871
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 15 15
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 844 600 830 614
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk - -
    41 Intibrox tablet 2,146 828 1,318
    42 Intibrox Syr botol - -
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 991 500 730 761
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 25 11 30 6
    51 Nalget Kaptab tablet - -
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml 14 7 7
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 97 10 22 85
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 17 300 125 192
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 138 630 90 678
    74 Proneuron tablet 54 400 260 194
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 13 3 10
    77 Quantidex tablet tablet 1,214 300 196 1,318
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - -
    89 Stick Glukosa botol - -
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 42 13 11 44
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    9,682 9,972
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 1,040 500 1,030 510
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Amoxicillin syr btl - -
    Ambroxol syr btl 27 14 13
    3 Ambroxol 30 mg tablet - -
    4 Amlodipin tablet - -
    5 Antalgin tablet 500 mg tablet - -
    6 Antasida DOEN I tablet kunyah tablet - -
    7 Antimigren ergotamin tablet 45 45 -
    8 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    9 Asam ascorbat (vit C) 50 mg tablet - -
    10 Asam Mefenamat kaplet 500 mg kaplet 273 4,400 4,243 430
    11 Asiklovir krim 5% tube 14 3 11
    12 Asiklovir tab 200 mg tablet 638 638 -
    13 Asiklovir tab 400 mg tablet 110 90 20
    14 Arimed / Meloxicam 15 mg tablet - -
    15 Becefort syr btl - -
    16 Becefort tablet 70 20 50
    17 Betametason Cream tube - -
    18 Bioplacenton tube - -
    19 Bisolvon Extra Syrup btl - -
    20 Bisoprolol 5mg tablet - -
    21 Captopril tablet 12,5 mg tablet - -
    22 Captopril 25 mg tablet - -
    23 Cefadroksil kap 500 mg kapsul 794 400 270 924
    24 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    Chlorpromazin Hcl 100 mg tablet 440 220 220
    25 Cefixime 100 mg tablet - -
    26 Ciprofloxacin 500 mg kapsul 469 150 319
    27 Clindamicyn 300 mg kapsul - -
    28 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    29 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 556 128 428
    30 Copper T ktk - -
    31 Dasabion (Anti Anemic + Vitamin ) tablet - -
    32 Diaform tablet - -
    33 Dimenhidrinat tab tablet - -
    34 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    35 Erlamycetin Ear Drop Tetes Telinga btl - -
    36 Fg Troches tablet - -
    37 Flukonazol tab 150 mg kapsul 30 30
    38 Fituno tablet - -
    39 Gentian Violet botol - -
    40 Glibenclamide 5 mg tablet - -
    41 Gliseril Guaikolat 100 mg tablet - -
    42 Griseovulvin tablet 125 mg tablet 747 63 684
    43 Hemaforf tablet 808 303 505
    44 Hidrokortison krim 2,5% tube 48 48
    45 Holicos ( Ambroxol ) syrup btl - -
    46 Hustab tablet - -
    47 Ibuprofen tablet 400 mg tablet - -
    48 Isotic Neolyson Tetes Mata btl - -
    49 Isotic Clearens Tetes Mata btl - -
    50 Kasa 4m x 15cm roll - -
    51 Levofloxacin 500 mg tablet 150 150
    52 Lidokain injeksi ampul 60 60
    53 Livron B Plek tablet - -
    54 Loperamid 2mg tablet - -
    55 Metaneuron tablet - -
    56 Metilergometrin tablet - -
    57 Metilprednisolon 4mg tablet - -
    58 Mucohexin tablet - -
    59 Natrium Diklofenat 25mg tablet - -
    60 Natrium Diklofenat 50 mg tablet - -
    Natrium Klorida larutan infus 0.9% steril
    61 botol - -
    500ml
    62 Neurovit - E kaplet - -
    63 Nistatin tab 100.000 iu tab vaginal 14 100 7 107
    64 Nodiar tablet - -
    65 Noza tablet - -
    66 OBH Indo Plus syrup botol - -
    67 Oxfezin syrup botol - -
    68 Oksitetrasiklin salep kulit 3% tube 65 27 38
    69 Oksitetrasiklin inj ampul - -
    70 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet 367 5,100 4,487 980
    71 Parasetamol syrup 120mg / 5ml botol - -
    72 Pehavral tablet 215 215
    73 Piroxicam 20 mg tablet - -
    74 Pehacort / Prednison 5mg tablet - -
    75 Pyridoksin (vit.B6) tablet - -
    76 Propanolol 40mg tablet - -
    77 Propituracil 100 mg tablet - -
    78 Prolysin Plus syrup botol - -
    79 Pularex Attalpugit 600 mg tablet - -
    80 Ranitidine inj tablet - -
    81 Ranitidin 150mg tablet - -
    82 Ringer Laktat larutan infus 500ml botol - -
    83 Salbutamol syr botol - -
    84 Salbutamol 2 mg tablet - -
    85 Salbutamol 4mg (sebagai sulfat) tablet 692 692
    86 Sanbe Kids syrup botol - -
    87 Sagestam Cream tube - -
    88 Scabimite Cream tube 1 1
    89 Simvastatin 10 mg tablet - -
    90 Tab Fe tablet - -
    91 Tramadol Tablet - -
    92 Tryhexilpenidil tablet - -
    Vitamin B. Kompleks tablet - -
    93 Zinc Disperibel tablet - -
    94 Oxycan btl - -
    95 cimetidin tab 200 mg tablet - -
    96 Alat Suntik 3 cc pcs - -
    Mikrodiol ktk - -
    7,673 6,435
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 31,390 28,645

    D ALKES & BAHAN HABIS PAKAI ( BHP )


    1 Alat suntik sekali pakai 1 ml set - -
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - -
    4 Alat suntik sekali pakai 5 ml pcs - -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs - -
    7 Blood Lahat pcs - -
    8 Blood Transfusion Set pcs - -
    9 Catgut/benang bedah no. 3/0 pcs - -
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs 400 400
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 50 50
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs - -
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs - -
    22 I.V Catheter no.20 pcs - -
    23 I.V Catheter no.22 pcs - -
    24 I.V Catheter no.24 pcs - -
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks - -
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk - -
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol - -
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - -
    41 Masker Tie On pcs 250 250
    42 Oxycan btl - -
    Pharmafix (10cm x 500cm) pcs - -
    43 Pembalut elastis 10 cm x 4.55m pcs - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - -
    50 Semillas Non Woven Medical Tape (10 x 500c roll - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - -
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - -
    55 Surgical Blades No. 11 pcs - -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs - -
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 700 700
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 32,090 29,345

    Pangkalan Kasai,
    Mengetahui, Penanggung Ja
    Plt. Ka. UPTD Pusksemas Pangkalan Kasai APOTEK

    ASISWANDI, Amd.Kep., SKM. SINTICE, Amd


    NIP. 19700317 198912 1 001
    AN PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    UNIT KERJA : APOTEK

    Permintaan Ket
    -
    -

    EXP.DATE 45
    TAB
    EXP.DATE 638
    TAB
    -

    -
    -
    -
    -

    ###
    Penanggung Jawab
    APOTEK

    SINTICE, Amd.Farm
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & A
    PER 25 OKTOBER 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran
    Oktober Oktober
    1 2 3 4 ( 7+5-6 ) 5 6 7
    A OBAT GENERIK PKD
    Acdat salep tube 23 - - 23
    1 Albendazol suspensi 200 mg/5 ml btl - - - -
    2 Albendazol tab 400 mg tablet - - - -
    3 Alkohol 70 % 100 ml btl - - - -
    4 ALKOHOL 70 % 1000 ml btl - - - -
    5 Alopurinol tab 100 mg tablet 324 400 220 144
    6 Alopurinol tab 300 mg tablet 99 - 78 177
    7 Alprazolam 0,5 mg tab tablet - - - -
    8 Alprazolam 1 mg tab tablet - - - -
    9 Ambroxol sirup btl - - - -
    10 Ambroxol tablet 30 mg tablet - - - -
    11 Aminofilin tab 200 mg tablet - - - -
    12 Aminofilin injeksi 24 mg/ml ampul - - - -
    13 Amitriptilin tab 25 mg tablet - - - -
    14 Amlodipin 5 mg tab tablet - - - -
    15 Amlodipin 10 mg tab tablet 215 810 719 124
    16 Amoksisilin kapsul 250 mg kapsul - - - -
    17 Amoksisilin kapsul 500 mg kapsul 845 2,300 2,393 938
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - -
    19 Amoksisilin serbuk injeksi 1g vial - - - -
    20 Ampisilin 500 mg kap kapsul - - - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - -
    22 Antalgin tablet 500 mg tablet - - - -
    23 Antalgin inj ampul - - - -
    24 Antasida DOEN I tablet kunyah tablet 804 - 982 1,786
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - -
    26 Anti bakteri salep komb tube - - - -
    27 Antifungi DOEN komb salep pot 22 - - 22
    28 Antimigren: ergotamin tartrat 1mg +kofein 5 tablet - - - -
    29 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    30 Antithrom Jelly tube - - - -
    31 Aqua pro injeksi steril vial - - - -
    32 Artemether injeksi 80 mg/ml ampul - - - -
    33 Artesunate injeksi vial/ktk - - - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 1,725 2,400 1,476 801
    35 Asam Folat tab 1 mg tablet 88 - 48 136
    36 Asam Mefenamat kaplet 250 mg kaplet - - - -
    37 Asam Mefenamat kaplet 500 mg kaplet - - - -
    38 Asam Traneksamat Injeksi ampul - - - -
    39 Asetosal tab 100 mg tablet - - - -
    40 Asetosal tab 500 mg tablet - - - -
    41 Asiklovir krim 5% tube - - - -
    42 Asiklovir tab 200 mg tablet - - - -
    43 Asiklovir tab 400 mg tablet - - - -
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - -
    46 Atropin sulfat tab 0,5 mg tablet - - - -
    47 Bedak Salisil Serbuk 2 % bks 20 - - 20
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - -
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg table tablet - - - -
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - -
    52 Betametason krim 0,1% tube 41 4 16 53
    53 Bexicom tab kapsul - - - -
    Bisacodyl 5mg tablet 38 - - 38
    54 Bisoprolol tablet 5 mg tablet - - - -
    55 Bronsolvan 150 mg tablet 112 - - 112
    56 Budenosid resp - - - -
    57 Captopril tablet 12,5 mg tablet - - - -
    58 Captopril tablet 25 mg tablet - - - -
    59 Captopril tablet 50 mg tablet - - - -
    60 Carbamazepin 200 mg tablet - - - -
    61 Cefadroksil kap 500 mg kapsul - - - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 37 100 63 -
    63 Cefaleksin kap 500 mg kapsul - - - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - -
    65 Cefixime kap 100 mg kapsul - - - -
    66 Cefotaxim 0,5 gr inj vial - - - -
    67 Cefotaxim 1 gr inj vial - - - -
    68 Ceftriaxon injeksi 1 g vial - - - -
    69 Cetrizine tab 10 mg tablet - - - -
    70 Ciprofloxacin infs btl 100 ml - - - -
    71 Ciprofloxacin 500 mg kapsul 469 - - 469
    72 Cimetidin 200 mg tablet - - - -
    73 Clindamycin 150 mg kap tablet - - - -
    74 Clindamycin 300 mg kap tablet - - - -
    75 Clobazam tab 10 mg tablet - - - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    77 Chloramfenikol 250 mg kaplet - - - -
    78 Chloramfenikol suspensi 125mg / 60ml (Mefam botol 8 10 13 11
    79 Chloramphenicol Suspensi botol - - - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - -
    81 Chloramfenikol salep mata 1% / 5ml tube - - - -
    82 Chloroquin 150 mg tablet - - - -
    83 Chlorpromazin tablet 100 mg tablet - - - -
    84 Chlorpromazin tablet 25 mg tablet - - - -
    85 Chlorpromazin inj 25mg/ml amp - - - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - - - -
    88 Cotrimoksazol suspensi 60ml botol - - - -
    89 Deksametason injeksi 5 mg/ampl ampul - - - -
    90 Deksametason tablet 0,5 mg tablet - - - -
    91 Diaform tablet - - - -
    92 Diazepam 2 mg tab tablet - - - -
    93 Diazepam injeksi ampul - - - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - - - -
    95 Digoksin tablet 0,25 mg tablet - - - -
    96 Diltiazem tab 30 mg tablet - - - -
    97 Dimenhidrinat tab tablet - - - -
    98 Doksisiklin 100 mg kap tablet - - - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - -
    100 Domperidone 10 mg tab tablet - - - -
    101 Domperidone drop 5mg / ml botol - - - -
    102 Ekstrak beladon 10 mg tab tablet - - - -
    103 Epinefrin injeksi ampul - - - -
    104 Erytromicyn 250 mg kapsul - - - -
    105 Erythromisin 500 mg kap kapsul - - - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - - - -
    107 Fenilbutason tab 200 mg tablet 750 - - 750
    108 Ferosulfat tab tablet - - - -
    109 Flukonazol tab 150 mg kapsul - - - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - -
    111 Furosemid tablet, 40 mg tablet 89 300 219 8
    112 Fucilex Krim / Natrium Fucilat tube - - - -
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 336 - - 336
    114 Garam oralit untuk 200 ml air sachet 24 - - 24
    115 Geriavita kapsul - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - - - -
    118 Gentamisin injeksi ampul - - - -
    119 Gentian Violet larutan 1 % btl 10 ml - - - -
    120 Glibenklamida tablet 5 mg tablet - - - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - -
    123 Glukosa larutan infus 40 % steril amp - - - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - -
    125 Grafula-DHA tablet - - - -
    126 Griseovulvin tablet 125 mg tablet - - - -
    127 Haloperidol 0,5 mg tablet - - - -
    128 Haloperidol 1,5 mg tablet 100 - - 100
    129 Haloperidol 5 mg tablet - - - -
    130 Hemafort tablet - - - -
    131 Hidrokortison krim 2,5% tube 22 - - 22
    132 Hufabetamin Syrup btl - - - -
    133 Hustab tablet - - - -
    134 Hustadin Syrup btl - - - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - - - -
    136 Ibuprofen tablet 200 mg tablet - - - -
    137 Ibuprofen tablet 400 mg tablet - - - -
    138 Ika Neurom Injeksi ampul - - - -
    139 Imunvit Plus Kap kaplet - - - -
    140 Intibrox (Ambroksol) tablet - - - -
    141 Intibrox (Ambroksol) Syrup botol - - - -
    142 Isoniazid tab 100 mg tablet - - - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 179 - - 179
    144 KA EN 1 B botol - - - -
    145 KA EN 3 A botol - - - -
    146 KA EN 3 B botol - - - -
    147 KA EN MG 3 botol - - - -
    148 Kalium Diklofenak 50 mg tablet - - - -
    149 Kalsium Laktat 500 mg tablet - - - -
    150 Ketokenazole krim 2 % 10 gr tube 19 - 1 20
    151 Ketokenazole krim 2 % 15 gr tube - - - -
    152 Ketokonazol 200 mg tablet 104 - 10 114
    153 Ketorolac inj 10 mg ampul - - - -
    154 Ketorolac inj 30 mg ampul - - - -
    155 Klonidin 0,15 mg tablet - - - -
    156 Kodein tablet 10 mg tablet - - - -
    Kombines : Ipratropium bromida inhalasi 0,5
    157 vial - - - -
    mg Salbutamol 2,5 mg ( Combivent UVB )
    158 Lidokain injeksi 2% / 2ml ampul - - - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - - - -
    160 Levofloksasin 500 mg tablet - - - -
    161 Loratidin 10 mg tablet - - - -
    162 Loperamid 2mg tablet - - - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - -
    164 Mebendazol Syrup 100mg / 5ml botol - - - -
    165 Mebendazol 100mg tablet - - - -
    166 Megatic Emulgel tube - - - -
    Metformin HCL 50 mg kapsul 593 - 291 884
    167 Metilergometrin 0,125 mg tablet 13 - 6 19
    168 Metilergometrin injeksi ampul - - - -
    169 Metilprednisolon injeksi 500 mg vial - - - -
    170 Metilprednisolon 4mg tablet 563 600 640 603
    171 Metoklopramide 5mg tablet 840 - - 840
    172 Metoklopramide 10mg tablet 724 - 114 838
    173 Metronidazol 250mg tablet - - - -
    174 Metronidazol 500mg tablet 456 - 50 506
    175 Mikrodiol ktk - - - -
    176 Mikonazol krim 2% tube 36 - - 36
    177 Momethasone furoat krim 0,1 % tube - - - -
    178 Mulsanol Drop btl - - - -
    179 Natrium Diklofenat 25mg tablet - - - -
    180 Natrium Diklofenat 50mg tablet - - - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - - - -
    182 Nevirapin 200mg tablet - - - -
    183 Nifedipin 10mg tablet - - - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - - - -
    187 Ofloxacin 400 mg tablet - - - -
    188 Oksitetrasiklin HCl salep mata 1% tube - - - -
    189 Oksitetrasiklin salep kulit 3% tube - - - -
    190 Omeprazol kapsul 20 mg kapsul - - - -
    191 Ondansentron 4mg tablet 204 - 18 222
    192 Oksitosin injeksi ampul - - - -
    193 Ostine kapsul - - - -
    194 Otsu-KCL 7,46% ampul - - - -
    195 Papaverin 40mg tablet - - - -
    196 Parasetamol 500mg tablet - - - -
    197 Parasetamol drops botol - - - -
    198 Parasetamol syrup 120mg / 5ml botol - - - -
    199 Penoksimetil Penisilin 500mg tablet - - - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - - - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - - - -
    202 Permetrin krim 5% (Scabicid) tube - - - -
    203 Pethidin injeksi ampul - - - -
    204 Phenobarbital 30mg tablet - - - -
    205 Phenobarbital injeksi 50mg/ml ampul - - - -
    206 Piracetam injeksi 3g / 15ml ampul - - - -
    207 Piracetam 800mg tablet - - - -
    208 Pirantel Score (base ) 125mg tablet 36 - 4 40
    209 Pirantel syrup 125mg / 5ml botol - - - -
    210 Pitomenadion (Vit-K) 10mg tablet 359 - 41 400
    211 Pitomenadion inj. 2mg ampul - - - -
    212 Poncodryl (DMP) syr botol - - - -
    213 Pitomenadion inj. 10mg ampul - - - -
    214 Povidon Iodida 10% 30ml botol - - - -
    215 Povidon Iodida 10% 60ml botol - - - -
    216 Povidon Iodida 10% 300ml botol - - - -
    217 Povidon Iodida 10% 1000ml botol - - - -
    218 Pravastatin 20mg tablet - - - -
    219 Prednison 5mg tablet - - 43 43
    220 Primakuin 15mg tablet - - - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - -
    222 Propanolol HCl 10mg tablet - - - -
    223 Propanolol 40mg tablet 190 - - 190
    224 Propiltiourasil 100mg tablet - - - -
    225 Quinine tablet - - - -
    226 Ramipril 5mg tablet - - - -
    227 Ranitidin inj 25mg / 2ml ampul - - - -
    228 Ranitidin 150mg tablet 648 1,200 2,028 1,476
    229 Reserpin 0,10mg tablet - - - -
    230 Reserpin 0,25 mg tablet - - - -
    231 Ringer Laktat larutan infus 500ml botol - - - -
    232 Risperidon 2mg tablet - - - -
    233 Rivanol larutan 0,1% botol - - - -
    234 Salbutamol 2mg (sebagai sulfat) tablet 317 - 158 475
    235 Salbutamol 4mg (sebagai sulfat) tablet - - - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 - - 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - - - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - - - -
    239 Salep 2-4 pot 15 - - 15
    240 Serum Anti Tetanus ampul - - - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - -
    243 Simvastatin 10mg tablet - - - -
    Simvastatin 20mg tablet - - - -
    244 Spiramisin 500mg tablet - - - -
    245 Stesolid inj ampul - - - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - -
    248 Streptomisin injeksi 1 g/ml vial - - - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - -
    250 Sulfatdoksin 500mg tablet - - - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - - - -
    252 Supramox Drops 20 ml botol - - - -
    Tablet Fe tab isi 100 525 1,000 1,290 815
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - -
    254 Tetrasiklin 250mg kapsul - - - -
    255 Tetrasiklin 500mg kapsul - - - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - -
    Tryhekxilpenidil tablet 110 - - 110
    258 Tramadol 50mg kapsul - - - -
    259 Tuzalos kaplet - - - -
    260 Vitamin B6 tablet - - - -
    261 Vitamin B Kompleks tablet - - - -
    262 Vitaplex drop botol - - - -
    263 Zinc Disperibel tablet 114 - - 114
    264 Zink drop 10mg / 5ml botol - - - -
    265 Zirkum Kid syrup 20mg / 5ml botol - - - -
    12,238 14,035
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet - - - -
    3 Antithrom tube - - - -
    4 Arimed 15 mg tablet - - - -
    5 Asifit tablet - - - -
    6 Asonfen tab tablet - - - -
    7 Amobiotic Drop btl - - - -
    8 Becefort tab kotak/100 tablet - - - -
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - -
    11 Bisolvon Ekstra Sirup botol 60 ml - - - -
    12 Brochifar tablet - - - -
    13 Bromifar tablet - - - -
    14 Burnazin tube - - - -
    15 Caltrax btl - - - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 1,600 - - 1,600
    16 Cough En Plus btl 16 - - 16
    17 Dasabion tablet - - - -
    18 Dehaf sachet - - - -
    19 Dumin Rectal 250 mg supp - - - -
    20 Dumin Rectal 125 mg supp - - - -
    Donexan Syrup Botol 34 40 46 40
    21 Erlamycetine Ear Drop botol 10 ml - - - -
    22 Erya Forte 500 mg kapsul kapsul - - - -
    Etadexa tab 1,953 3,800 2,853 1,006
    23 Faxiden gel tube 41 20 11 32
    24 Fludane kapsul kapsul - - - -
    25 Fludane Plus tablet - - - -
    26 Flutop C Syrup btl - - - -
    27 Fituno kapsul - - - -
    28 Fucilex/ natrium fucilat criem tube - - - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    Genalten (Gentamicyn) cream tube - - - -
    30 Genolon krim tube - - - -
    Geonit (gentamisin salep mata) tube - - - -
    Guaifenisin 100mg tablet 871 - 292 1,163
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - -
    33 Hico Gel tube 15 - - 15
    34 Hidrogen Peroksida 3% btl 1 liter - - - -
    35 Holicos Syrup Botol 60 ml - - - -
    36 Hufabetamin Syrup btl - - - -
    37 Hustadin Syr btl - - - -
    38 Hustab tablet 614 600 830 844
    39 Ika Neurom Injeksi ampul - - - -
    40 Imunvit Plus Kap Kaplet - - - -
    Intunal Forte 100 tablet/ktk - - - -
    41 Intibrox tablet 1,318 - 828 2,146
    42 Intibrox Syr botol - - - -
    43 Isotic Clearens Botol - - - -
    44 Isotic Neolyson Botol - - - -
    45 Jovial Sachet sachet - - - -
    46 Livron B. Plex Ds 10x10 tab - - - -
    Maltiron Plus Tablet 761 500 730 991
    47 Metaflu tablet - - - -
    48 Metamizol 500mg tablet - - - -
    49 Mucohexin tab tablet - - - -
    50 Mulsanol Syrup botol 60 ml 6 11 30 25
    51 Nalget Kaptab tablet - - - -
    52 Natavit Soft Cut kapsul - - - -
    53 Neocenta Gel tube - - - -
    54 Neo diaform ktk - - - -
    55 Neurovit-e dus 6x10 tab - - - -
    56 Neurodial kaplet 211 - - 211
    57 Nodiar tablet - - - -
    58 Noza tablet - - - -
    59 Novakal syrup btl - - - -
    60 OBH Indo Plus botol 100 ml 7 - 7 14
    61 OBH Inti Syr botol 100 ml - - - -
    OBH Intrasal Syr botol 85 10 22 97
    62 Osteor plus kaplet - - - -
    63 Ostine Kapsul kapsul 192 300 125 17
    64 Ondansetron tablet - - - -
    65 Oxfezin Syrup botol 100 ml - - - -
    66 Panstonal Forte 500 mg tablet - - - -
    67 Poncodryl DMP Syrup btl - - - -
    68 Ponflu tablet - - - -
    69 Pehavral tablet - - - -
    70 Pehacort tablet - - - -
    Pyreksin 60mg tablet/supp 4 - - 4
    Pyreksin 160mg tablet/supp - - - -
    71 Prenase tab tablet - - - -
    72 Procalma Soft Kapsul 30 kap/ktk - - - -
    73 Prolysin Syrup Plus botol 100 ml - - - -
    Prombus tablet 678 630 90 138
    74 Proneuron tablet 194 400 260 54
    75 Pularex Attalpulgit 600 mg tablet - - - -
    76 Quantidex Syr botol 10 - 3 13
    77 Quantidex tablet tablet 1,318 300 196 1,214
    78 Reagen Golongan Darah Anti A 10ml botol - - - -
    79 Reagen Golongan Darah Anti B 10ml botol - - - -
    80 Reagen Golongan Darah Anti D 10ml botol - - - -
    81 Sagestam Cream tube - - - -
    82 Sanbe Kids botol 200 ml - - - -
    83 Sanvita B sirup btl - - - -
    84 Scabimite cream 10 mg tube - - - -
    85 Serum Anti Bisa Ular amp - - - -
    86 Supramox drops 20 ml btl - - - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    88 Stick Asam Urat botol - - - -
    89 Stick Glukosa botol - - - -
    90 Stik Kolesterol botol - - - -
    91 Supramox Drops 20 ml botol 44 13 11 42
    92 Tuzalos kap kapsul - - - -
    93 Vitaplex drop btl - - - -
    9,972 9,682
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 510 500 1,030 1,040
    1 Amoksisilin kapsul 500 mg kapsul - - - -
    Amoxicillin syr btl - - - -
    Ambroxol syr btl 13 - 14 27
    2 Ambroxol 30 mg tablet - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet - - - -
    5 Antasida DOEN I tablet kunyah tablet - - - -
    6 Antimigren ergotamin - - 45 45
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    8 Asam ascorbat (vit C) 50 mg tablet - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 430 4,400 4,243 273
    10 Asiklovir krim 5% tube 11 - 3 14
    11 Asiklovir tab 200 mg tablet - - 638 638
    12 Asiklovir tab 400 mg tablet 20 - 90 110
    13 Arimed / Meloxicam 15 mg tablet - - - -
    14 Becefort syr btl - - - -
    15 Becefort tablet 50 - 20 70
    16 Betametason Cream tube - - - -
    17 Bioplacenton tube - - - -
    18 Bisolvon Extra Syrup btl - - - -
    19 Bisoprolol 5mg tablet - - - -
    20 Captopril tablet 12,5 mg tablet - - - -
    21 Captopril 25 mg tablet - - - -
    22 Cefadroksil kap 500 mg kapsul 924 400 270 794
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - -
    Chlorpromazin Hcl 100 mg tablet 220 - 220 440
    24 Cefixime 100 mg tablet - - - -
    25 Ciprofloxacin 500 mg kapsul 319 - 150 469
    26 Clindamicyn 300 mg kapsul - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 428 - 128 556
    29 Copper T ktk - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - -
    31 Diaform tablet - - - -
    32 Dimenhidrinat tab tablet - - - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - - - -
    35 Fg Troches tablet - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30
    37 Fituno tablet - - - -
    38 Gentian Violet botol - - - -
    39 Glibenclamide 5 mg tablet - - - -
    40 Gliseril Guaikolat 100 mg tablet - - - -
    41 Griseovulvin tablet 125 mg tablet 684 - 63 747
    42 Hemaforf tablet 505 - 303 808
    43 Hidrokortison krim 2,5% tube 48 - - 48
    44 Holicos ( Ambroxol ) syrup btl - - - -
    45 Hustab tablet - - - -
    46 Ibuprofen tablet 400 mg tablet - - - -
    47 Isotic Neolyson Tetes Mata btl - - - -
    48 Isotic Clearens Tetes Mata btl - - - -
    49 Kasa 4m x 15cm roll - - - -
    50 Levofloxacin 500 mg tablet 150 - - 150
    51 Lidokain injeksi ampul 60 - - 60
    52 Livron B Plek tablet - - - -
    53 Loperamid 2mg tablet - - - -
    54 Metaneuron tablet - - - -
    55 Metilergometrin tablet - - - -
    56 Metilprednisolon 4mg tablet - - - -
    57 Mucohexin tablet - - - -
    58 Natrium Diklofenat 25mg tablet - - - -
    59 Natrium Diklofenat 50 mg tablet - - - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol - - - -
    61 Neurovit - E kaplet - - - -
    62 Nistatin tab 100.000 iu tab vaginal 107 100 7 14
    63 Nodiar tablet - - - -
    64 Noza tablet - - - -
    65 OBH Indo Plus syrup botol - - - -
    66 Oxfezin syrup botol - - - -
    67 Oksitetrasiklin salep kulit 3% tube 38 - 27 65
    68 Oksitetrasiklin inj ampul - - - -
    69 Omeprazol kapsul 20 mg kapsul - - - -
    Paracetamol tab 500 mg tablet 980 5,100 4,487 367
    70 Parasetamol syrup 120mg / 5ml botol - - - -
    71 Pehavral tablet 215 - - 215
    72 Piroxicam 20 mg tablet - - - -
    73 Pehacort / Prednison 5mg tablet - - - -
    74 Pyridoksin (vit.B6) tablet - - - -
    75 Propanolol 40mg tablet - - - -
    76 Propituracil 100 mg tablet - - - -
    77 Prolysin Plus syrup botol - - - -
    78 Pularex Attalpugit 600 mg tablet - - - -
    79 Ranitidine inj tablet - - - -
    80 Ranitidin 150mg tablet - - - -
    81 Ringer Laktat larutan infus 500ml botol - - - -
    82 Salbutamol syr botol - - - -
    83 Salbutamol 2 mg tablet - - - -
    84 Salbutamol 4mg (sebagai sulfat) tablet 692 - - 692
    85 Sanbe Kids syrup botol - - - -
    86 Sagestam Cream tube - - - -
    87 Scabimite Cream tube 1 - - 1
    88 Simvastatin 10 mg tablet - - - -
    89 Tab Fe tablet - - - -
    90 Tramadol Tablet - - - -
    91 Tryhexilpenidil tablet - - - -
    Vitamin B. Kompleks tablet - - - -
    92 Zinc Disperibel tablet - - - -
    93 Oxycan btl - - - -
    94 cimetidin tab 200 mg tablet - - - -
    95 Alat Suntik 3 cc pcs - - - -
    96 Mikrodiol ktk - - - -
    6,435 7,673
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - -
    2 Etil klorida btl - - - -
    3 Eugenol Cairan btl - - - -
    4 Glass Ionomer btl - - - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - -
    6 Klorfenol kamfer menthol(CHKM) btl - - - -
    7 Mummifying pasta btl - - - -
    8 Semen seng fosfat set - - - -
    9 Temporary stoping fletcher set - - - -
    - -
    SISA OBAT DALAM RUPIAH 28,645 31,390
    D ALKES & BAHAN HABIS PAKAI ( BHP )
    1 Alat suntik sekali pakai 1 ml set - - - -
    2 Alat suntik sekali pakai 2,5 ml pcs - - - -
    3 Alat suntik sekali pakai 3 ml pcs - - - -
    4 Alat suntik sekali pakai 5 ml pcs - - - -
    5 Alat suntik sekali pakai 10 ml pcs - - - -
    6 Alkohol Swab CHG 0,5 % pcs - - - -
    7 Blood Lahat pcs - - - -
    8 Blood Transfusion Set pcs - - - -
    9 Catgut/benang bedah no. 3/0 pcs - - - -
    10 Catgut/benang bedah no.2/0 pcs - - - -
    11 Examination Lower Glove ( M ) pcs - - - -
    12 Examination Lower Glove ( L ) pcs 400 - - 400
    13 Folley Catheter no 16W pcs - - - -
    14 Folley Catheter no 18W pcs - - - -
    15 Folley Catheter no 20W pcs - - - -
    16 Handscoon no 7 pcs 50 - - 50
    17 Handscoon no 7,5 pcs - - - -
    18 Handscoon no 8 pcs - - - -
    19 Hcg (Tes Pack) pcs - - - -
    20 Hidrogen Peroksida 3% btl - - - -
    21 I.V Catheter no.18 pcs - - - -
    22 I.V Catheter no.20 pcs - - - -
    23 I.V Catheter no.22 pcs - - - -
    24 I.V Catheter no.24 pcs - - - -
    25 Infusion set anak set - - - -
    26 Infusion set dewasa set - - - -
    27 kapas pembalut berlemak 500 mg Bks - - - -
    28 Kapas pembalut 500 gram Bks - - - -
    29 Kapas pembalut/absorben 250 gram Bks - - - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk - - - -
    31 Kasa Hidrofil 40 x 40 pcs - - - -
    32 Kasa Hidrofil 4 x 15 cm roll - - - -
    33 Kasa Hidrofil 4 x 3 cm roll - - - -
    34 Kasa Hidrofil 4 x 5 cm roll - - - -
    35 Kasa Pembalut 2 x 80 cm Rol - - - -
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - -
    39 Lysol btl - - - -
    40 Masker ear lopp pcs - - - -
    41 Masker Tie On pcs 250 - - 250
    42 Oxycan btl - - - -
    Pharmafix (10cm x 500cm) pcs - - - -
    43 Pembalut elastis 10 cm x 4.55m pcs - - - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - - - -
    45 Pembalut Gips 6 Inchi Rol - - - -
    46 Plester 5 yard x 2 inch Rol - - - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - - - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - - - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - - - -
    50 Semillas Non Woven Medical Tape (10 x 500c roll - - - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - - - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - - - -
    53 Stomach Tube pcs - - - -
    54 Surgical Blades No. 10 pcs - - - -
    55 Surgical Blades No. 11 pcs - - - -
    56 Surgical Blades No. 13 pcs - - - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - -
    58 Surgical Blades No. 23 pcs - - - -
    Surgical Steril Powder Glove (S) pcs - - - -
    Surgical Steril Powder Glove (M) pcs - - - -
    Surgical Steril Powder Glove (L) pcs - - - -
    59 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - - - -
    60 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - - - -
    61 Urine bag pcs - - - -
    62 Umbilical Cord Klem Steril Nylon pcs - - - -
    63 wing nedle No.21 pcs - - - -
    64 wing nedle No.23 pcs - - - -
    SISA ALKES DALAM RUPIAH 700 700
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 29,345 32,090

    Mengetahui,
    Plt. Kepala UPTD Pusksemas
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM.


    NIP. 19700317 198912 1 001
    NG HABIS PAKAI (OBAT & ALKES )
    OKTOBER 2018

    UNIT KERJA : APOTEK

    Jumlah
    HARGA Harga Perolehan
    Pengeluaran Ket
    SATUAN Terakhir
    Oktober 2018 (Rp)

    8 9 (8x6 ) 10 ( 8x4 ) 11

    6,030 - 138,690
    4,041 - -
    350 - -
    2,575 - -
    27,305 - -
    88 19,360 28,512
    215 16,731 21,236
    180 - -
    233 - -
    2,598 - -
    131 - -
    82 - -
    4,013 - -
    117 - -
    192 - -
    341 245,179 73,315
    210 - -
    270 646,110 228,150
    2,500 - -
    7,766 - -
    400 - -
    3,150 - -
    116 - -
    1,400 - -
    74 72,668 59,496
    2,160 - -
    2,641 - -
    2,001 - 44,023
    142 - -
    3,200 - -
    35,200 - -
    2,100 - -
    23,100 - -
    38,999 - -
    100 147,600 172,500
    50 2,400 4,400
    166 - -
    116 - -
    2,535 - -
    122 - -
    170 - -
    2,260 - -
    239 - -
    345 - -
    - -
    1,300 - -
    77 - -
    1,250 - 25,000
    10,290 - -
    14,070 - -
    43 - -
    970 - -
    1,520 24,320 62,320
    1,650 - -
    306 - 11,628
    669 - -
    250 - 28,000
    8,900 - -
    62 - -
    89 - -
    141 - -
    257 - -
    519 - -
    5,064 319,032 187,368
    1,100 - -
    9,000 - -
    869 - -
    5,247 - -
    3,150 - -
    3,500 - -
    145 - -
    59,800 - -
    260 - 121,940
    120 - -
    379 - -
    570 - -
    900 - -
    53 - -
    262 - -
    3,865 50,245 30,920
    3,978 - -
    1,679 - -
    1,600 - -
    89 - -
    153 - -
    71 - -
    1,103 - -
    145 - -
    75 - -
    2,222 - -
    1,659 - -
    64 - -
    - - -
    45 - -
    4,389 - -
    1,107 - -
    100 - -
    134 - -
    104 - -
    285 - -
    3,410 - -
    170 - -
    16,350 - -
    33 - -
    8,505 - -
    497 - -
    976 - -
    7,893 - -
    102 - 76,500
    21 - -
    23,100 - -
    1,920 - -
    94 20,586 8,366
    6,555 - -
    - -
    50 - 16,800
    303 - 7,272
    - - -
    1,469 - -
    3,353 - -
    3,569 - -
    945 - -
    58 - -
    50 - -
    5,985 - -
    2,577 - -
    5,460 - -
    2,200 - -
    230 - -
    100 - -
    61 - 6,100
    72 - -
    - - -
    2,798 - 61,556
    5,900 - -
    - - -
    16,500 - -
    4,724 - -
    116 - -
    153 - -
    5,445 - -
    6,500 - -
    203 - -
    6,200 - -
    68 - -
    93 - 16,647
    9,000 - -
    10,000 - -
    10,000 - -
    9,625 - -
    743 - -
    73 - -
    2,569 2,569 48,811
    4,930 - -
    310 3,100 32,240
    1,697 - -
    2,539 - -
    214 - -
    525 - -

    879 - -

    879 - -
    1,431 - -
    554 - -
    162 - -
    92 - -
    3,500 - -
    3,711 - -
    239 - -
    11,500 - -
    99 28,809 58,707
    127 762 1,652
    2,750 - -
    92,990 - -
    210 134,400 118,230
    108 - 90,720
    105 11,970 76,020
    113 - -
    164 8,200 74,784
    - - -
    3,000 - 108,000
    17,820 - -
    18,500 - -
    141 - -
    185 - -
    4,935 - -
    2,940 - -
    110 - -
    2,999 - -
    672 - -
    504 - -
    680 - -
    1,600 - -
    1,606 - -
    216 - -
    180 3,240 36,720
    1,900 - -
    375 - -
    297 - -
    122 - -
    84 - -
    5,460 - -
    1,496 - -
    535 - -
    1,058 - -
    24,150 - -
    11,475 - -
    1,523 - -
    31 - -
    1,890 - -
    4,200 - -
    321 - -
    308 1,232 11,088
    8,728 - -
    666 27,306 239,094
    3,582 - -
    25,300 - -
    3,582 - -
    2,250 - -
    6,298 - -
    14,771 - -
    38,594 - -
    2,400 - -
    119 5,117 -
    205 - -
    7,549 - -
    79 - -
    110 - 20,900
    335 - -
    704 - -
    600 - -
    1,190 - -
    126 255,528 81,648
    85 - -
    109 - -
    5,460 - -
    1,038 - -
    2,283 - -
    62 9,796 19,654
    85 - -
    11,550 - 23,100
    452 - -
    6,930 - -
    2,100 - 31,500
    126,000 - -
    1,131 - -
    60 - -
    174 - -
    239 - -
    1,574 - -
    17,604 - -
    12,159 - -
    17,604 - -
    3,832 - -
    3,387 - -
    544 - -
    13,850 - -
    21,300 - -
    80 103,200 42,000
    30,800 - -
    154 - -
    312 - -
    700 - -
    37 - -

    192 - -
    - - -
    47 - -
    110 - -
    26,400 - -
    497 - 56,658
    12,840 - -
    7,770 - -
    2,463,574

    - -
    348 - -
    35,200 - -
    1,617 - -
    - -
    140 - -
    23,100 - -
    1,500 - -
    - -
    1,670 - -
    32,625 - -
    478 - -
    225 - -
    - -
    27,500 - -
    77 - 123,200
    23,000 - 368,000
    979 - -
    9,167 - -
    16,280 - -
    11,660 - -
    27,500 1,265,000 935,000
    4,840 - -
    231 - -
    126 359,478 246,078
    12,000 132,000 492,000
    735 - -
    880 - -
    10,000 - -
    1,210 - -
    6,555 - -
    50 - -
    980 - -
    26,400 - -
    - -
    127 37,084 110,617
    - -
    2,167 - -
    25,000 - 375,000
    39,000 - -
    32,625 - -
    5,900 - -
    16,500 - -
    300 249,000 184,200
    5,445 - -
    3,325 - -
    1,030 - -
    203 168,084 267,554
    6,200 - -
    9,000 - -
    28,750 - -
    4,180 - -
    250 - -
    1,169 853,370 889,609
    220 - -
    12,833 - -
    506 - -
    9,000 270,000 54,000
    400 - -
    3,017 - -
    20,000 - -
    140 - -
    1,027 - -
    1,260 - 265,860
    1,210 - -
    891 - -
    9,498 - -
    12,100 84,700 84,700
    - - -
    12,000 264,000 1,020,000
    6,325 - -
    3,750 468,750 720,000
    495 - -
    56,100 - -
    297 - -
    25,300 - -
    715 - -
    693 - -
    145 - -
    6,920 - 27,680
    6,920 - -
    86,350 - -
    3,850 - -
    30,800 - -
    4,947 445,200 3,353,840
    1,100 286,000 213,400
    210 - -
    10,000 30,000 100,000
    850 166,600 1,120,300
    100,000 - -
    100,000 - -
    125,000 - -
    13,090 - -
    38,500 - -
    11,550 - -
    77,000 - -
    473,000 - -
    21,300 - -
    12,159 - -
    6,800 - -
    5,600 - -
    28,000 - -
    21,300 234,300 937,200
    781 - -
    26,400 - -
    11,888,238

    185 190,550 94,350


    270 - -
    1,920 - -
    4,171 58,394 54,223
    - - -
    - -
    - -
    74 - -
    - - -
    3,685 - -
    - - -
    209 886,787 89,870
    2,260 6,780 24,860
    EXP.DATE
    239 152,482 -
    638 TAB
    345 31,050 6,900
    8,085 - -
    17,000 - -
    1,500 30,000 75,000
    - - -
    - - -
    32,625 - -
    - - -
    62 - -
    - - -
    519 140,130 479,556
    5,064 - -

    - - -
    513 76,890 163,519
    - - -
    77 - -
    145 18,560 62,060
    - - -
    979 - -
    140 - -
    95 - -
    2,970 - -
    4,840 - -
    - - -
    23,100 - 693,000
    4,033 - -
    - - -
    - - -
    - - -
    230 14,490 157,320
    850 257,550 429,250
    2,399 - 115,152
    23,100 - -
    300 - -
    153 - -
    28,750 - -
    10,750 - -
    - - -
    - - -
    - - -
    250 - -
    92 - -
    1,283 - -
    - - -
    210 - -
    506 - -
    141 - -
    - - -
    4,935 - -
    1,027 - -
    - - -
    1,210 - -
    891 - -
    12,100 - -
    56,100 - -
    2,200 59,400 83,600
    5,500 - -
    216 - -
    - -
    1,496 - -
    693 - 148,995
    119 - -
    145 - -
    - - -
    114 - -
    - - -
    30,800 - -
    210 - -
    - - -
    108 - -
    5,460 - -
    - - -
    - - -
    85 - 58,820
    38,500 - -
    13,090 - -
    77,000 - 77,000
    - - -
    - - -
    - - -
    44 - -
    - -
    497 - -
    - - -
    113 - -
    4,400 - -
    - - -
    1,732,513 2,719,125

    390,000 - -
    125,000 - -
    17,500 - -
    395,000 - -
    242,000 - -
    55,000 - -
    176,000 - -
    93,500 - -
    34,000 - -
    - -
    1,732,513 17,070,937
    826 - -
    826 - -
    826 - -
    953 - -
    1,175 - -
    197 - -
    153 - -
    4,572 - -
    22,500 - -
    22,500 - -
    464 - -
    464 - 185,680
    8,000 - -
    8,000 - -
    8,000 - -
    1,300 - 65,000
    1,300 - -
    1,300 - -
    1,495 - -
    39,000 - -
    8,085 - -
    8,085 - -
    8,085 - -
    8,085 - -
    4,445 - -
    4,064 - -
    34,000 - -
    34,000 - -
    24,000 - -
    7,900 - -
    1,800 - -
    3,800 - -
    800 - -
    1,100 - -
    9,400 - -
    16,000 - -
    25,000 - -
    1,100 - -
    52,070 - -
    439 - -
    439 - 109,725
    - - -

    33,000 - -
    27,830 - -
    60,500 - -
    30,000 - -
    3,850 - -
    7,315 - -
    21,753 - -
    30,030 - -
    15,000 - -
    15,000 - -
    10,010 - -
    3,000 - -
    3,000 - -
    3,000 - -
    - - -
    3,000 - -
    4,320 - -
    4,320 - -
    4,320 - -
    2,021 - -
    2,224 - -
    3,810 - -
    1,270 - -
    6,059 - -
    6,059 - -
    360,405
    17,431,342

    Pangkalan Kasai, 25 Oktober 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN O
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN November November

    A OBAT GENERIK PKD


    Acdat salep tube 23 50 73
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl - 15 5 10
    4 ALKOHOL 70 % 1000 ml btl - 3 2 1
    5 Alopurinol tab 100 mg tablet 324 324
    6 Alopurinol tab 300 mg tablet 99 99 -
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet - -
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet - -
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet 215 660 785 90
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 845 2,800 2,938 707
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet 804 400 1,204 -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 22 2 20
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp - -
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - 6 6 -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 1,725 2,000 1,546 2,179
    35 Asam Folat tab 1 mg tablet 88 38 50
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 20 9 11
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 41 65 53 53
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 38 38
    54 Bisoprolol tablet 5 mg tablet - -
    55 Bronsolvan 150 mg tablet 112 40 72
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet - -
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 37 110 147
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul - -
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 469 600 530 539
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 8 6 2
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube - 48 31 17
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - -
    88 Cotrimoksazol suspensi 60ml botol - -
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet - -
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul - -
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - -
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 89 12 77
    112 Fucilex Krim / Natrium Fucilat tube - -
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 336 1,000 106 1,230
    114 Garam oralit untuk 200 ml air sachet 24 200 101 123
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - -
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet 100 100 -
    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube 22 22 -
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - -
    136 Ibuprofen tablet 200 mg tablet - -
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - -
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 179 16 163
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet - -
    150 Ketokenazole krim 2 % 10 gr tube 19 2 17
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 104 500 594 10
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet - -
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul - 220 220
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 593 2,000 620 1,973
    167 Metilergometrin 0,125 mg tablet 13 13 -
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 563 1,000 367 1,196
    171 Metoklopramide 5mg tablet 840 840 -
    172 Metoklopramide 10mg tablet 724 261 463
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 456 30 426
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 36 72 51 57
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet - 100 19 81
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul - -
    191 Ondansentron 4mg tablet 204 6 198
    192 Oksitosin injeksi ampul - 30 30 -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol - -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube - 17 17
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 36 36
    209 Pirantel syrup 125mg / 5ml botol - -
    210 Pitomenadion (Vit-K) 10mg tablet 359 18 341
    211 Pitomenadion inj. 2mg ampul - 64 4 60
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet - 2,000 1,000 1,000
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet 190 190 -
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - 10 10 -
    228 Ranitidin 150mg tablet 648 2,300 2,495 453
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - 1 1 -
    234 Salbutamol 2mg (sebagai sulfat) tablet 317 1,000 83 1,234
    235 Salbutamol 4mg (sebagai sulfat) tablet - 1,000 1,000
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 15 24 19 20
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - 10 10 -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet - -
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 525 6,600 3,010 4,115
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    Tryhekxilpenidil tablet 110 110
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet - 2,100 300 1,800
    261 Vitamin B Kompleks tablet - 3,000 172 2,828
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 114 500 239 375
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    12,238 24,708
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet - -
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet - -
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 1,600 400 1,200
    16 Cough En Plus btl 16 5 18 3
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 34 22 12
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    Etadexa tab 1,953 2400 2911 1,442
    23 Faxiden gel tube 41 8 33
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl - -
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - -
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube - -
    Guaifenisin 100mg tablet 871 1000 757 1,114
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 15 2 13
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 614 1500 1407 707
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk - -
    41 Intibrox tablet 1,318 1100 929 1,489
    42 Intibrox Syr botol - -
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 761 1300 1774 287
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml 6 6 -
    51 Nalget Kaptab tablet - -
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml 7 4 3
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 85 32 53
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 192 78 114
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 678 678
    74 Proneuron tablet 194 600 329 465
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol 10 10 -
    77 Quantidex tablet tablet 1,318 340 978
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - 3 3 -
    89 Stick Glukosa botol - 6 6 -
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 44 17 27
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    9,972 8,833
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 510 2,500 942 2,068
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Amoxicillin syr btl - -
    Ambroxol syr btl 13 13 -
    3 Ambroxol 30 mg tablet - -
    4 Amlodipin tablet - -
    5 Antalgin tablet 500 mg tablet - -
    6 Antasida DOEN I tablet kunyah tablet - -
    7 Antimigren ergotamin tablet - -
    8 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    9 Asam ascorbat (vit C) 50 mg tablet - -
    10 Asam Mefenamat kaplet 500 mg kaplet 430 3,300 3,004 726
    11 Asiklovir krim 5% tube 11 41 9 43
    12 Asiklovir tab 200 mg tablet - -
    13 Asiklovir tab 400 mg tablet 20 500 81 439
    14 Arimed / Meloxicam 15 mg tablet - -
    15 Becefort syr btl - -
    16 Becefort tablet 50 50
    17 Betametason Cream tube - -
    18 Bioplacenton tube - -
    19 Bisolvon Extra Syrup btl - -
    20 Bisoprolol 5mg tablet - -
    21 Captopril tablet 12,5 mg tablet - -
    22 Captopril 25 mg tablet - -
    23 Cefadroksil kap 500 mg kapsul 924 170 754
    24 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    Chlorpromazin Hcl 100 mg tablet 220 500 240 480
    25 Cefixime 100 mg tablet - -
    26 Ciprofloxacin 500 mg kapsul 319 600 380 539
    27 Clindamicyn 300 mg kapsul - -
    28 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    29 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 428 600 428 600
    30 Copper T ktk - -
    31 Dasabion (Anti Anemic + Vitamin ) tablet - -
    32 Diaform tablet - -
    33 Dimenhidrinat tab tablet - -
    34 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    35 Erlamycetin Ear Drop Tetes Telinga btl - -
    36 Fg Troches tablet - -
    37 Flukonazol tab 150 mg kapsul 30 30
    38 Fituno tablet - -
    39 Gentian Violet botol - -
    40 Glibenclamide 5 mg tablet - -
    41 Gliseril Guaikolat 100 mg tablet - -
    42 Griseovulvin tablet 125 mg tablet 684 60 624
    43 Hemaforf tablet 505 1,000 506 999
    44 Hidrokortison krim 2,5% tube 48 149 53 144
    45 Holicos ( Ambroxol ) syrup btl - -
    46 Hustab tablet - -
    47 Ibuprofen tablet 400 mg tablet - -
    48 Isotic Neolyson Tetes Mata btl - -
    49 Isotic Clearens Tetes Mata btl - -
    50 Kasa 4m x 15cm roll - -
    51 Levofloxacin 500 mg tablet 150 150
    52 Lidokain injeksi ampul 60 38 22
    53 Livron B Plek tablet - -
    54 Loperamid 2mg tablet - -
    55 Metaneuron tablet - -
    56 Metilergometrin tablet - 500 110 390
    57 Metilprednisolon 4mg tablet - -
    58 Mucohexin tablet - -
    59 Natrium Diklofenat 25mg tablet - -
    60 Natrium Diklofenat 50 mg tablet - -
    Natrium Klorida larutan infus 0.9% steril
    61 botol - 13 13
    500ml
    62 Neurovit - E kaplet - -
    63 Nistatin tab 100.000 iu tab vaginal 107 26 81
    64 Nodiar tablet - -
    65 Noza tablet - -
    66 OBH Indo Plus syrup botol - -
    67 Oxfezin syrup botol - -
    68 Oksitetrasiklin salep kulit 3% tube 38 100 57 81
    69 Oksitetrasiklin inj ampul - -
    70 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet 980 3,900 3,184 1,696
    71 Parasetamol syrup 120mg / 5ml botol - -
    72 Pehavral tablet 215 215 -
    73 Piroxicam 20 mg tablet - -
    74 Pehacort / Prednison 5mg tablet - -
    75 Pyridoksin (vit.B6) tablet - -
    76 Propanolol 40mg tablet - -
    77 Propituracil 100 mg tablet - -
    78 Prolysin Plus syrup botol - -
    79 Pularex Attalpugit 600 mg tablet - -
    80 Ranitidine inj tablet - -
    81 Ranitidin 150mg tablet - -
    82 Ringer Laktat larutan infus 500ml botol - 170 135 35
    83 Salbutamol syr botol - -
    84 Salbutamol 2 mg tablet - -
    85 Salbutamol 4mg (sebagai sulfat) tablet 692 200 492
    86 Sanbe Kids syrup botol - -
    87 Sagestam Cream tube - -
    88 Scabimite Cream tube 1 1 -
    89 Simvastatin 10 mg tablet - -
    90 Tab Fe tablet - -
    91 Tramadol Tablet - -
    92 Tryhexilpenidil tablet - -
    Vitamin B. Kompleks tablet - -
    93 Zinc Disperibel tablet - -
    94 Oxycan btl - -
    95 cimetidin tab 200 mg tablet - -
    96 Alat Suntik 3 cc pcs - -
    Mikrodiol ktk - -
    6,435 10,456
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 28,645 43,997
    D ALKES & BAHAN HABIS PAKAI ( BHP )
    1 Alat suntik sekali pakai 1 ml set - 400 400
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs - 650 150 500
    4 Alat suntik sekali pakai 5 ml pcs - 200 200 -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs - -
    7 Blood Lahat pcs - 400 400 -
    8 Blood Transfusion Set pcs - 5 5 -
    9 Catgut/benang bedah no. 3/0 pcs - 36 36
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs 400 400 -
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 50 50
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs - -
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs - 100 100
    22 I.V Catheter no.20 pcs - 100 100
    23 I.V Catheter no.22 pcs - 100 100
    24 I.V Catheter no.24 pcs - 100 100
    25 Infusion set anak set - 50 50 -
    26 Infusion set dewasa set - 50 50 -
    27 kapas pembalut berlemak 500 mg Bks - 12 12
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk - 129 25 104
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - 5 5 -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol - 110 3 107
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - -
    41 Masker Tie On pcs 250 1000 1,250
    42 Oxycan btl - -
    Pharmafix (10cm x 500cm) pcs - 10 10
    43 Pembalut elastis 10 cm x 4.55m pcs - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll - 12 4 8
    50 Semillas Non Woven Medical Tape (10 x 500c roll - 1 1 -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs - 36 36
    52 Silk ( benang bedah sutera ) no. 2/0 pcs - 36 36
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - -
    55 Surgical Blades No. 11 pcs - -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - 5 5 -
    65 Umbilical Cord Klem Steril Nylon pcs - 75 75
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    underpad pcs 40 40
    SISA ALKES DALAM RUPIAH 700 3,024
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 29,345 47,021

    Pangkalan Kasai,
    Mengetahui, Penanggung
    Plt. Ka. UPTD Pusksemas Pangkalan Kasai APOTE

    ASISWANDI, Amd.Kep., SKM. SINTICE, Am


    NIP. 19700317 198912 1 001
    AN PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    UNIT KERJA : APOTEK

    Permintaan Ket
    exp.date 840 tab
    nov 2018
    -
    -
    -

    -
    -
    exp.date 75 pcs

    -
    -

    25 November 2018
    Penanggung Jawab
    APOTEK

    SINTICE, Amd.Farm
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & A
    PER 25 NOVEMBER 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran
    November November
    1 2 3 4 ( 7+5-6 ) 5 6 7
    A OBAT GENERIK PKD
    Acdat salep tube 73 50 - 23
    1 Albendazol suspensi 200 mg/5 ml btl - - - -
    2 Albendazol tab 400 mg tablet - - - -
    3 Alkohol 70 % 100 ml btl 10 15 5 -
    4 ALKOHOL 70 % 1000 ml btl 1 3 2 -
    5 Alopurinol tab 100 mg tablet 324 - - 324
    6 Alopurinol tab 300 mg tablet - - 99 99
    7 Alprazolam 0,5 mg tab tablet - - - -
    8 Alprazolam 1 mg tab tablet - - - -
    9 Ambroxol sirup btl - - - -
    10 Ambroxol tablet 30 mg tablet - - - -
    11 Aminofilin tab 200 mg tablet - - - -
    12 Aminofilin injeksi 24 mg/ml ampul - - - -
    13 Amitriptilin tab 25 mg tablet - - - -
    14 Amlodipin 5 mg tab tablet - - - -
    15 Amlodipin 10 mg tab tablet 90 660 785 215
    16 Amoksisilin kapsul 250 mg kapsul - - - -
    17 Amoksisilin kapsul 500 mg kapsul 707 2,800 2,938 845
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - -
    19 Amoksisilin serbuk injeksi 1g vial - - - -
    20 Ampisilin 500 mg kap kapsul - - - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - -
    22 Antalgin tablet 500 mg tablet - - - -
    23 Antalgin inj ampul - - - -
    24 Antasida DOEN I tablet kunyah tablet - 400 1,204 804
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - -
    26 Anti bakteri salep komb tube - - - -
    27 Antifungi DOEN komb salep pot 20 - 2 22
    28 Antimigren: ergotamin tartrat 1mg +kofein 5 tablet - - - -
    29 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    30 Antithrom Jelly tube - - - -
    31 Aqua pro injeksi steril vial - 6 6 -
    32 Artemether injeksi 80 mg/ml ampul - - - -
    33 Artesunate injeksi vial/ktk - - - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 2,179 2,000 1,546 1,725
    35 Asam Folat tab 1 mg tablet 50 - 38 88
    36 Asam Mefenamat kaplet 250 mg kaplet - - - -
    37 Asam Mefenamat kaplet 500 mg kaplet - - - -
    38 Asam Traneksamat Injeksi ampul - - - -
    39 Asetosal tab 100 mg tablet - - - -
    40 Asetosal tab 500 mg tablet - - - -
    41 Asiklovir krim 5% tube - - - -
    42 Asiklovir tab 200 mg tablet - - - -
    43 Asiklovir tab 400 mg tablet - - - -
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - -
    46 Atropin sulfat tab 0,5 mg tablet - - - -
    47 Bedak Salisil Serbuk 2 % bks 11 - 9 20
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - -
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg table tablet - - - -
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - -
    52 Betametason krim 0,1% tube 53 65 53 41
    53 Bexicom tab kapsul - - - -
    Bisacodyl 5mg tablet 38 - - 38
    54 Bisoprolol tablet 5 mg tablet - - - -
    55 Bronsolvan 150 mg tablet 72 - 40 112
    56 Budenosid resp - - - -
    57 Captopril tablet 12,5 mg tablet - - - -
    58 Captopril tablet 25 mg tablet - - - -
    59 Captopril tablet 50 mg tablet - - - -
    60 Carbamazepin 200 mg tablet - - - -
    61 Cefadroksil kap 500 mg kapsul - - - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 147 110 - 37
    63 Cefaleksin kap 500 mg kapsul - - - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - -
    65 Cefixime kap 100 mg kapsul - - - -
    66 Cefotaxim 0,5 gr inj vial - - - -
    67 Cefotaxim 1 gr inj vial - - - -
    68 Ceftriaxon injeksi 1 g vial - - - -
    69 Cetrizine tab 10 mg tablet - - - -
    70 Ciprofloxacin infs btl 100 ml - - - -
    71 Ciprofloxacin 500 mg kapsul 539 600 530 469
    72 Cimetidin 200 mg tablet - - - -
    73 Clindamycin 150 mg kap tablet - - - -
    74 Clindamycin 300 mg kap tablet - - - -
    75 Clobazam tab 10 mg tablet - - - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    77 Chloramfenikol 250 mg kaplet - - - -
    78 Chloramfenikol suspensi 125mg / 60ml (Mefam botol 2 - 6 8
    79 Chloramphenicol Suspensi botol - - - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - -
    81 Chloramfenikol salep mata 1% / 5ml tube 17 48 31 -
    82 Chloroquin 150 mg tablet - - - -
    83 Chlorpromazin tablet 100 mg tablet - - - -
    84 Chlorpromazin tablet 25 mg tablet - - - -
    85 Chlorpromazin inj 25mg/ml amp - - - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - - - -
    88 Cotrimoksazol suspensi 60ml botol - - - -
    89 Deksametason injeksi 5 mg/ampl ampul - - - -
    90 Deksametason tablet 0,5 mg tablet - - - -
    91 Diaform tablet - - - -
    92 Diazepam 2 mg tab tablet - - - -
    93 Diazepam injeksi ampul - - - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - - - -
    95 Digoksin tablet 0,25 mg tablet - - - -
    96 Diltiazem tab 30 mg tablet - - - -
    97 Dimenhidrinat tab tablet - - - -
    98 Doksisiklin 100 mg kap tablet - - - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - -
    100 Domperidone 10 mg tab tablet - - - -
    101 Domperidone drop 5mg / ml botol - - - -
    102 Ekstrak beladon 10 mg tab tablet - - - -
    103 Epinefrin injeksi ampul - - - -
    104 Erytromicyn 250 mg kapsul - - - -
    105 Erythromisin 500 mg kap kapsul - - - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - - - -
    107 Fenilbutason tab 200 mg tablet 750 - - 750
    108 Ferosulfat tab tablet - - - -
    109 Flukonazol tab 150 mg kapsul - - - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - -
    111 Furosemid tablet, 40 mg tablet 77 - 12 89
    112 Fucilex Krim / Natrium Fucilat tube - - - -
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 1,230 1,000 106 336
    114 Garam oralit untuk 200 ml air sachet 123 200 101 24
    115 Geriavita kapsul - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - - - -
    118 Gentamisin injeksi ampul - - - -
    119 Gentian Violet larutan 1 % btl 10 ml - - - -
    120 Glibenklamida tablet 5 mg tablet - - - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - -
    123 Glukosa larutan infus 40 % steril amp - - - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - -
    125 Grafula-DHA tablet - - - -
    126 Griseovulvin tablet 125 mg tablet - - - -
    127 Haloperidol 0,5 mg tablet - - - -
    128 Haloperidol 1,5 mg tablet - - 100 100
    129 Haloperidol 5 mg tablet - - - -
    130 Hemafort tablet - - - -
    131 Hidrokortison krim 2,5% tube - - 22 22
    132 Hufabetamin Syrup btl - - - -
    133 Hustab tablet - - - -
    134 Hustadin Syrup btl - - - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - - - -
    136 Ibuprofen tablet 200 mg tablet - - - -
    137 Ibuprofen tablet 400 mg tablet - - - -
    138 Ika Neurom Injeksi ampul - - - -
    139 Imunvit Plus Kap kaplet - - - -
    140 Intibrox (Ambroksol) tablet - - - -
    141 Intibrox (Ambroksol) Syrup botol - - - -
    142 Isoniazid tab 100 mg tablet - - - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 163 - 16 179
    144 KA EN 1 B botol - - - -
    145 KA EN 3 A botol - - - -
    146 KA EN 3 B botol - - - -
    147 KA EN MG 3 botol - - - -
    148 Kalium Diklofenak 50 mg tablet - - - -
    149 Kalsium Laktat 500 mg tablet - - - -
    150 Ketokenazole krim 2 % 10 gr tube 17 - 2 19
    151 Ketokenazole krim 2 % 15 gr tube - - - -
    152 Ketokonazol 200 mg tablet 10 500 594 104
    153 Ketorolac inj 10 mg ampul - - - -
    154 Ketorolac inj 30 mg ampul - - - -
    155 Klonidin 0,15 mg tablet - - - -
    156 Kodein tablet 10 mg tablet - - - -
    Kombines : Ipratropium bromida inhalasi 0,5
    157 vial - - - -
    mg Salbutamol 2,5 mg ( Combivent UVB )
    158 Lidokain injeksi 2% / 2ml ampul - - - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 220 220 - -
    160 Levofloksasin 500 mg tablet - - - -
    161 Loratidin 10 mg tablet - - - -
    162 Loperamid 2mg tablet - - - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - -
    164 Mebendazol Syrup 100mg / 5ml botol - - - -
    165 Mebendazol 100mg tablet - - - -
    166 Megatic Emulgel tube - - - -
    Metformin HCL 50 mg kapsul 1,973 2,000 620 593
    167 Metilergometrin 0,125 mg tablet - - 13 13
    168 Metilergometrin injeksi ampul - - - -
    169 Metilprednisolon injeksi 500 mg vial - - - -
    170 Metilprednisolon 4mg tablet 1,196 1,000 367 563
    171 Metoklopramide 5mg tablet - - 840 840
    172 Metoklopramide 10mg tablet 463 - 261 724
    173 Metronidazol 250mg tablet - - - -
    174 Metronidazol 500mg tablet 426 - 30 456
    175 Mikrodiol ktk - - - -
    176 Mikonazol krim 2% tube 57 72 51 36
    177 Momethasone furoat krim 0,1 % tube - - - -
    178 Mulsanol Drop btl - - - -
    179 Natrium Diklofenat 25mg tablet - - - -
    180 Natrium Diklofenat 50mg tablet - - - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - - - -
    182 Nevirapin 200mg tablet - - - -
    183 Nifedipin 10mg tablet - - - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet 81 100 19 -
    187 Ofloxacin 400 mg tablet - - - -
    188 Oksitetrasiklin HCl salep mata 1% tube - - - -
    189 Oksitetrasiklin salep kulit 3% tube - - - -
    190 Omeprazol kapsul 20 mg kapsul - - - -
    191 Ondansentron 4mg tablet 198 - 6 204
    192 Oksitosin injeksi ampul - 30 30 -
    193 Ostine kapsul - - - -
    194 Otsu-KCL 7,46% ampul - - - -
    195 Papaverin 40mg tablet - - - -
    196 Parasetamol 500mg tablet - - - -
    197 Parasetamol drops botol - - - -
    198 Parasetamol syrup 120mg / 5ml botol - - - -
    199 Penoksimetil Penisilin 500mg tablet - - - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - - - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 17 17 - -
    202 Permetrin krim 5% (Scabicid) tube - - - -
    203 Pethidin injeksi ampul - - - -
    204 Phenobarbital 30mg tablet - - - -
    205 Phenobarbital injeksi 50mg/ml ampul - - - -
    206 Piracetam injeksi 3g / 15ml ampul - - - -
    207 Piracetam 800mg tablet - - - -
    208 Pirantel Score (base ) 125mg tablet 36 - - 36
    209 Pirantel syrup 125mg / 5ml botol - - - -
    210 Pitomenadion (Vit-K) 10mg tablet 341 - 18 359
    211 Pitomenadion inj. 2mg ampul 60 64 4 -
    212 Poncodryl (DMP) syr botol - - - -
    213 Pitomenadion inj. 10mg ampul - - - -
    214 Povidon Iodida 10% 30ml botol - - - -
    215 Povidon Iodida 10% 60ml botol - - - -
    216 Povidon Iodida 10% 300ml botol - - - -
    217 Povidon Iodida 10% 1000ml botol - - - -
    218 Pravastatin 20mg tablet - - - -
    219 Prednison 5mg tablet 1,000 2,000 1,000 -
    220 Primakuin 15mg tablet - - - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - -
    222 Propanolol HCl 10mg tablet - - - -
    223 Propanolol 40mg tablet - - 190 190
    224 Propiltiourasil 100mg tablet - - - -
    225 Quinine tablet - - - -
    226 Ramipril 5mg tablet - - - -
    227 Ranitidin inj 25mg / 2ml ampul - 10 10 -
    228 Ranitidin 150mg tablet 453 2,300 2,495 648
    229 Reserpin 0,10mg tablet - - - -
    230 Reserpin 0,25 mg tablet - - - -
    231 Ringer Laktat larutan infus 500ml botol - - - -
    232 Risperidon 2mg tablet - - - -
    233 Rivanol larutan 0,1% botol - 1 1 -
    234 Salbutamol 2mg (sebagai sulfat) tablet 1,234 1,000 83 317
    235 Salbutamol 4mg (sebagai sulfat) tablet 1,000 1,000 - -
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 - - 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - - - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - - - -
    239 Salep 2-4 pot 20 24 19 15
    240 Serum Anti Tetanus ampul - - - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - 10 10 -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - -
    243 Simvastatin 10mg tablet - - - -
    Simvastatin 20mg tablet - - - -
    244 Spiramisin 500mg tablet - - - -
    245 Stesolid inj ampul - - - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - -
    248 Streptomisin injeksi 1 g/ml vial - - - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - -
    250 Sulfatdoksin 500mg tablet - - - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - - - -
    252 Supramox Drops 20 ml botol - - - -
    Tablet Fe tab isi 100 4,115 6,600 3,010 525
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - -
    254 Tetrasiklin 250mg kapsul - - - -
    255 Tetrasiklin 500mg kapsul - - - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - -
    Tryhekxilpenidil tablet 110 - - 110
    258 Tramadol 50mg kapsul - - - -
    259 Tuzalos kaplet - - - -
    260 Vitamin B6 tablet 1,800 2,100 300 -
    261 Vitamin B Kompleks tablet 2,828 3,000 172 -
    262 Vitaplex drop botol - - - -
    263 Zinc Disperibel tablet 375 500 239 114
    264 Zink drop 10mg / 5ml botol - - - -
    265 Zirkum Kid syrup 20mg / 5ml botol - - - -
    24,708 12,238
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet - - - -
    3 Antithrom tube - - - -
    4 Arimed 15 mg tablet - - - -
    5 Asifit tablet - - - -
    6 Asonfen tab tablet - - - -
    7 Amobiotic Drop btl - - - -
    8 Becefort tab kotak/100 tablet - - - -
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - -
    11 Bisolvon Ekstra Sirup botol 60 ml - - - -
    12 Brochifar tablet - - - -
    13 Bromifar tablet - - - -
    14 Burnazin tube - - - -
    15 Caltrax btl - - - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 1,200 - 400 1,600
    16 Cough En Plus btl 3 5 18 16
    17 Dasabion tablet - - - -
    18 Dehaf sachet - - - -
    19 Dumin Rectal 250 mg supp - - - -
    20 Dumin Rectal 125 mg supp - - - -
    Donexan Syrup Botol 12 - 22 34
    21 Erlamycetine Ear Drop botol 10 ml - - - -
    22 Erya Forte 500 mg kapsul kapsul - - - -
    Etadexa tab 1,442 2,400 2,911 1,953
    23 Faxiden gel tube 33 - 8 41
    24 Fludane kapsul kapsul - - - -
    25 Fludane Plus tablet - - - -
    26 Flutop C Syrup btl - - - -
    27 Fituno kapsul - - - -
    28 Fucilex/ natrium fucilat criem tube - - - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    Genalten (Gentamicyn) cream tube - - - -
    30 Genolon krim tube - - - -
    Geonit (gentamisin salep mata) tube - - - -
    Guaifenisin 100mg tablet 1,114 1,000 757 871
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - -
    33 Hico Gel tube 13 - 2 15
    34 Hidrogen Peroksida 3% btl 1 liter - - - -
    35 Holicos Syrup Botol 60 ml - - - -
    36 Hufabetamin Syrup btl - - - -
    37 Hustadin Syr btl - - - -
    38 Hustab tablet 707 1,500 1,407 614
    39 Ika Neurom Injeksi ampul - - - -
    40 Imunvit Plus Kap Kaplet - - - -
    Intunal Forte 100 tablet/ktk - - - -
    41 Intibrox tablet 1,489 1,100 929 1,318
    42 Intibrox Syr botol - - - -
    43 Isotic Clearens Botol - - - -
    44 Isotic Neolyson Botol - - - -
    45 Jovial Sachet sachet - - - -
    46 Livron B. Plex Ds 10x10 tab - - - -
    Maltiron Plus Tablet 287 1,300 1,774 761
    47 Metaflu tablet - - - -
    48 Metamizol 500mg tablet - - - -
    49 Mucohexin tab tablet - - - -
    50 Mulsanol Syrup botol 60 ml - - 6 6
    51 Nalget Kaptab tablet - - - -
    52 Natavit Soft Cut kapsul - - - -
    53 Neocenta Gel tube - - - -
    54 Neo diaform ktk - - - -
    55 Neurovit-e dus 6x10 tab - - - -
    56 Neurodial kaplet 211 - - 211
    57 Nodiar tablet - - - -
    58 Noza tablet - - - -
    59 Novakal syrup btl - - - -
    60 OBH Indo Plus botol 100 ml 3 - 4 7
    61 OBH Inti Syr botol 100 ml - - - -
    OBH Intrasal Syr botol 53 - 32 85
    62 Osteor plus kaplet - - - -
    63 Ostine Kapsul kapsul 114 - 78 192
    64 Ondansetron tablet - - - -
    65 Oxfezin Syrup botol 100 ml - - - -
    66 Panstonal Forte 500 mg tablet - - - -
    67 Poncodryl DMP Syrup btl - - - -
    68 Ponflu tablet - - - -
    69 Pehavral tablet - - - -
    70 Pehacort tablet - - - -
    Pyreksin 60mg tablet/supp 4 - - 4
    Pyreksin 160mg tablet/supp - - - -
    71 Prenase tab tablet - - - -
    72 Procalma Soft Kapsul 30 kap/ktk - - - -
    73 Prolysin Syrup Plus botol 100 ml - - - -
    Prombus tablet 678 - - 678
    74 Proneuron tablet 465 600 329 194
    75 Pularex Attalpulgit 600 mg tablet - - - -
    76 Quantidex Syr botol - - 10 10
    77 Quantidex tablet tablet 978 - 340 1,318
    78 Reagen Golongan Darah Anti A 10ml botol - - - -
    79 Reagen Golongan Darah Anti B 10ml botol - - - -
    80 Reagen Golongan Darah Anti D 10ml botol - - - -
    81 Sagestam Cream tube - - - -
    82 Sanbe Kids botol 200 ml - - - -
    83 Sanvita B sirup btl - - - -
    84 Scabimite cream 10 mg tube - - - -
    85 Serum Anti Bisa Ular amp - - - -
    86 Supramox drops 20 ml btl - - - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    88 Stick Asam Urat botol - 3 3 -
    89 Stick Glukosa botol - 6 6 -
    90 Stik Kolesterol botol - - - -
    91 Supramox Drops 20 ml botol 27 - 17 44
    92 Tuzalos kap kapsul - - - -
    93 Vitaplex drop btl - - - -
    8,833 9,972
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 2,068 2,500 942 510
    1 Amoksisilin kapsul 500 mg kapsul - - - -
    Amoxicillin syr btl - - - -
    Ambroxol syr btl - - 13 13
    2 Ambroxol 30 mg tablet - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet - - - -
    5 Antasida DOEN I tablet kunyah tablet - - - -
    6 Antimigren ergotamin - - - -
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    8 Asam ascorbat (vit C) 50 mg tablet - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 726 3,300 3,004 430
    10 Asiklovir krim 5% tube 43 41 9 11
    11 Asiklovir tab 200 mg tablet - - - -
    12 Asiklovir tab 400 mg tablet 439 500 81 20
    13 Arimed / Meloxicam 15 mg tablet - - - -
    14 Becefort syr btl - - - -
    15 Becefort tablet 50 - - 50
    16 Betametason Cream tube - - - -
    17 Bioplacenton tube - - - -
    18 Bisolvon Extra Syrup btl - - - -
    19 Bisoprolol 5mg tablet - - - -
    20 Captopril tablet 12,5 mg tablet - - - -
    21 Captopril 25 mg tablet - - - -
    22 Cefadroksil kap 500 mg kapsul 754 - 170 924
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - -
    Chlorpromazin Hcl 100 mg tablet 480 500 240 220
    24 Cefixime 100 mg tablet - - - -
    25 Ciprofloxacin 500 mg kapsul 539 600 380 319
    26 Clindamicyn 300 mg kapsul - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 600 600 428 428
    29 Copper T ktk - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - -
    31 Diaform tablet - - - -
    32 Dimenhidrinat tab tablet - - - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - - - -
    35 Fg Troches tablet - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30
    37 Fituno tablet - - - -
    38 Gentian Violet botol - - - -
    39 Glibenclamide 5 mg tablet - - - -
    40 Gliseril Guaikolat 100 mg tablet - - - -
    41 Griseovulvin tablet 125 mg tablet 624 - 60 684
    42 Hemaforf tablet 999 1,000 506 505
    43 Hidrokortison krim 2,5% tube 144 149 53 48
    44 Holicos ( Ambroxol ) syrup btl - - - -
    45 Hustab tablet - - - -
    46 Ibuprofen tablet 400 mg tablet - - - -
    47 Isotic Neolyson Tetes Mata btl - - - -
    48 Isotic Clearens Tetes Mata btl - - - -
    49 Kasa 4m x 15cm roll - - - -
    50 Levofloxacin 500 mg tablet 150 - - 150
    51 Lidokain injeksi ampul 22 - 38 60
    52 Livron B Plek tablet - - - -
    53 Loperamid 2mg tablet - - - -
    54 Metaneuron tablet - - - -
    55 Metilergometrin tablet 390 500 110 -
    56 Metilprednisolon 4mg tablet - - - -
    57 Mucohexin tablet - - - -
    58 Natrium Diklofenat 25mg tablet - - - -
    59 Natrium Diklofenat 50 mg tablet - - - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol 13 13 - -
    61 Neurovit - E kaplet - - - -
    62 Nistatin tab 100.000 iu tab vaginal 81 - 26 107
    63 Nodiar tablet - - - -
    64 Noza tablet - - - -
    65 OBH Indo Plus syrup botol - - - -
    66 Oxfezin syrup botol - - - -
    67 Oksitetrasiklin salep kulit 3% tube 81 100 57 38
    68 Oksitetrasiklin inj ampul - - - -
    69 Omeprazol kapsul 20 mg kapsul - - - -
    Paracetamol tab 500 mg tablet 1,696 3,900 3,184 980
    70 Parasetamol syrup 120mg / 5ml botol - - - -
    71 Pehavral tablet - - 215 215
    72 Piroxicam 20 mg tablet - - - -
    73 Pehacort / Prednison 5mg tablet - - - -
    74 Pyridoksin (vit.B6) tablet - - - -
    75 Propanolol 40mg tablet - - - -
    76 Propituracil 100 mg tablet - - - -
    77 Prolysin Plus syrup botol - - - -
    78 Pularex Attalpugit 600 mg tablet - - - -
    79 Ranitidine inj tablet - - - -
    80 Ranitidin 150mg tablet - - - -
    81 Ringer Laktat larutan infus 500ml botol 35 170 135 -
    82 Salbutamol syr botol - - - -
    83 Salbutamol 2 mg tablet - - - -
    84 Salbutamol 4mg (sebagai sulfat) tablet 492 - 200 692
    85 Sanbe Kids syrup botol - - - -
    86 Sagestam Cream tube - - - -
    87 Scabimite Cream tube - - 1 1
    88 Simvastatin 10 mg tablet - - - -
    89 Tab Fe tablet - - - -
    90 Tramadol Tablet - - - -
    91 Tryhexilpenidil tablet - - - -
    Vitamin B. Kompleks tablet - - - -
    92 Zinc Disperibel tablet - - - -
    93 Oxycan btl - - - -
    94 cimetidin tab 200 mg tablet - - - -
    95 Alat Suntik 3 cc pcs - - - -
    96 Mikrodiol ktk - - - -
    10,456 6,435
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - -
    2 Etil klorida btl - - - -
    3 Eugenol Cairan btl - - - -
    4 Glass Ionomer btl - - - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - -
    6 Klorfenol kamfer menthol(CHKM) btl - - - -
    7 Mummifying pasta btl - - - -
    8 Semen seng fosfat set - - - -
    9 Temporary stoping fletcher set - - - -
    - -
    SISA OBAT DALAM RUPIAH 43,997 28,645
    D ALKES & BAHAN HABIS PAKAI ( BHP )
    1 Alat suntik sekali pakai 1 ml set 400 400 - -
    2 Alat suntik sekali pakai 2,5 ml pcs - - - -
    3 Alat suntik sekali pakai 3 ml pcs 500 650 150 -
    4 Alat suntik sekali pakai 5 ml pcs - 200 200 -
    5 Alat suntik sekali pakai 10 ml pcs - - - -
    6 Alkohol Swab CHG 0,5 % pcs - - - -
    7 Blood Lahat pcs - 400 400 -
    8 Blood Transfusion Set pcs - 5 5 -
    9 Catgut/benang bedah no. 3/0 pcs 36 36 - -
    10 Catgut/benang bedah no.2/0 pcs - - - -
    11 Examination Lower Glove ( M ) pcs - - - -
    12 Examination Lower Glove ( L ) pcs - - 400 400
    13 Folley Catheter no 16W pcs - - - -
    14 Folley Catheter no 18W pcs - - - -
    15 Folley Catheter no 20W pcs - - - -
    16 Handscoon no 7 pcs 50 - - 50
    17 Handscoon no 7,5 pcs - - - -
    18 Handscoon no 8 pcs - - - -
    19 Hcg (Tes Pack) pcs - - - -
    20 Hidrogen Peroksida 3% btl - - - -
    21 I.V Catheter no.18 pcs 100 100 - -
    22 I.V Catheter no.20 pcs 100 100 - -
    23 I.V Catheter no.22 pcs 100 100 - -
    24 I.V Catheter no.24 pcs 100 100 - -
    25 Infusion set anak set - 50 50 -
    26 Infusion set dewasa set - 50 50 -
    27 kapas pembalut berlemak 500 mg Bks 12 12 - -
    28 Kapas pembalut 500 gram Bks - - - -
    29 Kapas pembalut/absorben 250 gram Bks - - - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 104 129 25 -
    31 Kasa Hidrofil 40 x 40 pcs - - - -
    32 Kasa Hidrofil 4 x 15 cm roll - 5 5 -
    33 Kasa Hidrofil 4 x 3 cm roll - - - -
    34 Kasa Hidrofil 4 x 5 cm roll - - - -
    35 Kasa Pembalut 2 x 80 cm Rol 107 110 3 -
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - -
    39 Lysol btl - - - -
    40 Masker ear lopp pcs - - - -
    41 Masker Tie On pcs 1,250 1,000 - 250
    42 Oxycan btl - - - -
    Pharmafix (10cm x 500cm) pcs 10 10 - -
    43 Pembalut elastis 10 cm x 4.55m pcs - - - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - 2 2 -
    45 Pembalut Gips 6 Inchi Rol - - - -
    46 Plester 5 yard x 2 inch Rol - - - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - - - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - - - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll 8 12 4 -
    50 Semillas Non Woven Medical Tape (10 x 500c roll - 1 1 -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs 36 36 - -
    52 Silk ( benang bedah sutera ) no. 2/0 pcs 36 36 - -
    53 Stomach Tube pcs - - - -
    54 Surgical Blades No. 10 pcs - - - -
    55 Surgical Blades No. 11 pcs - - - -
    56 Surgical Blades No. 13 pcs - - - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - -
    58 Surgical Blades No. 23 pcs - - - -
    Surgical Steril Powder Glove (S) pcs - - - -
    Surgical Steril Powder Glove (M) pcs - - - -
    Surgical Steril Powder Glove (L) pcs - - - -
    59 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - - - -
    60 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - - - -
    61 Urine bag pcs - 5 5 -
    62 Umbilical Cord Klem Steril Nylon pcs 75 75 - -
    63 wing nedle No.21 pcs - - - -
    64 wing nedle No.23 pcs - - - -
    underpad pcs 40 40 - -
    SISA ALKES DALAM RUPIAH 3,024 700
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 47,021 29,345

    Mengetahui,
    Plt. Kepala UPTD Pusksemas
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM.


    NIP. 19700317 198912 1 001
    NG HABIS PAKAI (OBAT & ALKES )
    OVEMBER 2018

    UNIT KERJA : APOTEK

    Jumlah
    HARGA Pengeluaran Harga Perolehan
    Ket
    SATUAN November 2018 Terakhir
    (Rp)

    8 9 (8x6 ) 10 ( 8x4 ) 11

    6,030 - 440,190
    4,041 - -
    350 - -
    2,575 12,875 25,750
    27,305 54,610 27,305
    88 - 28,512
    215 21,236 -
    180 - -
    233 - -
    2,598 - -
    131 - -
    82 - -
    4,013 - -
    117 - -
    192 - -
    341 267,685 30,690
    210 - -
    270 793,260 190,890
    2,500 - -
    7,766 - -
    400 - -
    3,150 - -
    116 - -
    1,400 - -
    74 89,096 -
    2,160 - -
    2,641 - -
    2,001 4,002 40,021
    142 - -
    3,200 - -
    35,200 - -
    2,100 12,600 -
    23,100 - -
    38,999 - -
    100 154,600 217,900
    50 1,900 2,500
    166 - -
    116 - -
    2,535 - -
    122 - -
    170 - -
    2,260 - -
    239 - -
    345 - -
    - -
    1,300 - -
    77 - -
    1,250 11,250 13,750
    10,290 - -
    14,070 - -
    43 - -
    970 - -
    1,520 80,560 80,560
    1,650 - -
    306 - 11,628
    669 - -
    250 10,000 18,000
    8,900 - -
    62 - -
    89 - -
    141 - -
    257 - -
    519 - -
    5,064 - 744,408
    1,100 - -
    9,000 - -
    869 - -
    5,247 - -
    3,150 - -
    3,500 - -
    145 - -
    59,800 - -
    260 137,800 140,140
    120 - -
    379 - -
    570 - -
    900 - -
    53 - -
    262 - -
    3,865 23,190 7,730
    3,978 - -
    1,679 - -
    1,600 49,600 27,200
    89 - -
    153 - -
    71 - -
    1,103 - -
    145 - -
    75 - -
    2,222 - -
    1,659 - -
    64 - -
    - - -
    45 - -
    4,389 - -
    1,107 - -
    100 - -
    134 - -
    104 - -
    285 - -
    3,410 - -
    170 - -
    16,350 - -
    33 - -
    8,505 - -
    497 - -
    976 - -
    7,893 - -
    102 - 76,500
    21 - -
    23,100 - -
    1,920 - -
    94 1,128 7,238
    6,555 - -
    - -
    50 5,300 61,500
    303 30,603 37,269
    - - -
    1,469 - -
    3,353 - -
    3,569 - -
    945 - -
    58 - -
    50 - -
    5,985 - -
    2,577 - -
    5,460 - -
    2,200 - -
    230 - -
    100 - -
    61 6,100 -
    72 - -
    - - -
    2,798 61,556 -
    5,900 - -
    - - -
    16,500 - -
    4,724 - -
    116 - -
    153 - -
    5,445 - -
    6,500 - -
    203 - -
    6,200 - -
    68 - -
    93 1,488 15,159
    9,000 - -
    10,000 - -
    10,000 - -
    9,625 - -
    743 - -
    73 - -
    2,569 5,138 43,673
    4,930 - -
    310 184,140 3,100
    1,697 - -
    2,539 - -
    214 - -
    525 - -

    879 - -

    879 - -
    1,431 - 314,820
    554 - -
    162 - -
    92 - -
    3,500 - -
    3,711 - -
    239 - -
    11,500 - -
    99 61,380 195,327
    127 1,652 -
    2,750 - -
    92,990 - -
    210 77,070 251,160
    exp.date 840
    108 90,720 -
    tab nov 2018
    105 27,405 48,615
    113 - -
    164 4,920 69,864
    - - -
    3,000 153,000 171,000
    17,820 - -
    18,500 - -
    141 - -
    185 - -
    4,935 - -
    2,940 - -
    110 - -
    2,999 - -
    672 - -
    504 9,576 40,824
    680 - -
    1,600 - -
    1,606 - -
    216 - -
    180 1,080 35,640
    1,900 57,000 -
    375 - -
    297 - -
    122 - -
    84 - -
    5,460 - -
    1,496 - -
    535 - -
    1,058 - -
    24,150 - 410,550
    11,475 - -
    1,523 - -
    31 - -
    1,890 - -
    4,200 - -
    321 - -
    308 - 11,088
    8,728 - -
    666 11,988 227,106
    3,582 14,328 214,920
    25,300 - -
    3,582 - -
    2,250 - -
    6,298 - -
    14,771 - -
    38,594 - -
    2,400 - -
    119 119,000 119,000
    205 - -
    7,549 - -
    79 - -
    110 20,900 -
    335 - -
    704 - -
    600 - -
    1,190 11,900 -
    126 314,370 57,078
    85 - -
    109 - -
    5,460 - -
    1,038 - -
    2,283 2,283 -
    62 5,146 76,508
    85 - 85,000
    11,550 - 23,100
    452 - -
    6,930 - -
    2,100 39,900 42,000
    126,000 - -
    1,131 11,310 -
    60 - -
    174 - -
    239 - -
    1,574 - -
    17,604 - -
    12,159 - -
    17,604 - -
    3,832 - -
    3,387 - -
    544 - -
    13,850 - -
    21,300 - -
    80 240,800 329,200
    30,800 - -
    154 - -
    312 - -
    700 - -
    37 - -

    192 - -
    - - -
    47 14,100 84,600
    110 18,920 311,080
    26,400 - -
    497 118,783 186,375
    12,840 - -
    7,770 - -
    5,156,278

    - -
    348 - -
    35,200 - -
    1,617 - -
    - -
    140 - -
    23,100 - -
    1,500 - -
    - -
    1,670 - -
    32,625 - -
    478 - -
    225 - -
    - -
    27,500 - -
    77 30,800 92,400
    23,000 414,000 69,000
    979 - -
    9,167 - -
    16,280 - -
    11,660 - -
    27,500 605,000 330,000
    4,840 - -
    231 - -
    126 366,786 181,692
    12,000 96,000 396,000
    735 - -
    880 - -
    10,000 - -
    1,210 - -
    6,555 - -
    50 - -
    980 - -
    26,400 - -
    - -
    127 96,139 141,478
    - -
    2,167 - -
    25,000 50,000 325,000
    39,000 - -
    32,625 - -
    5,900 - -
    16,500 - -
    300 422,100 212,100
    5,445 - -
    3,325 - -
    1,030 - -
    203 188,587 302,267
    6,200 - -
    9,000 - -
    28,750 - -
    4,180 - -
    250 - -
    1,169 2,073,806 335,503
    220 - -
    12,833 - -
    506 - -
    9,000 54,000 -
    400 - -
    3,017 - -
    20,000 - -
    140 - -
    1,027 - -
    1,260 - 265,860
    1,210 - -
    891 - -
    9,498 - -
    12,100 48,400 36,300
    - - -
    12,000 384,000 636,000
    6,325 - -
    3,750 292,500 427,500
    495 - -
    56,100 - -
    297 - -
    25,300 - -
    715 - -
    693 - -
    145 - -
    6,920 - 27,680
    6,920 - -
    86,350 - -
    3,850 - -
    30,800 - -
    4,947 - 3,353,840
    1,100 361,900 511,500
    210 - -
    10,000 100,000 -
    850 289,000 831,300
    100,000 - -
    100,000 - -
    125,000 - -
    13,090 - -
    38,500 - -
    11,550 - -
    77,000 - -
    473,000 - -
    21,300 - -
    12,159 - -
    6,800 20,400 -
    5,600 33,600 -
    28,000 - -
    21,300 362,100 575,100
    781 - -
    26,400 - -
    9,050,520

    185 174,270 382,580


    270 - -
    1,920 - -
    4,171 54,223 -
    - - -
    - -
    - -
    74 - -
    - - -
    3,685 - -
    - - -
    209 627,836 151,734
    2,260 20,340 97,180
    239 - -
    345 27,945 151,455
    8,085 - -
    17,000 - -
    1,500 - 75,000
    - - -
    - - -
    32,625 - -
    - - -
    62 - -
    - - -
    519 88,230 391,326
    5,064 - -

    - - -
    513 194,788 276,291
    - - -
    77 - -
    145 62,060 87,000
    - - -
    979 - -
    140 - -
    95 - -
    2,970 - -
    4,840 - -
    - - -
    23,100 - 693,000
    4,033 - -
    - - -
    - - -
    - - -
    230 13,800 143,520
    850 430,100 849,150
    2,399 127,147 345,456
    23,100 - -
    300 - -
    153 - -
    28,750 - -
    10,750 - -
    - - -
    - - -
    - - -
    250 - -
    92 - -
    1,283 - -
    - - -
    210 - -
    506 - -
    141 - -
    - - -
    4,935 - 64,155
    1,027 - -
    - - -
    1,210 - -
    891 - -
    12,100 - -
    56,100 - -
    2,200 125,400 178,200
    5,500 - -
    216 - -
    - -
    1,496 - -
    693 148,995 -
    119 - -
    145 - -
    - - -
    114 - -
    - - -
    30,800 - -
    210 - -
    - - -
    108 - -
    5,460 737,100 191,100
    - - -
    - - -
    85 17,000 41,820
    38,500 - -
    13,090 - -
    77,000 77,000 -
    - - -
    - - -
    - - -
    44 - -
    - -
    497 - -
    - - -
    113 - -
    4,400 - -
    - - -
    2,751,964 3,736,387

    390,000 - -
    125,000 - -
    17,500 - -
    395,000 - -
    242,000 - -
    55,000 - -
    176,000 - -
    93,500 - -
    34,000 - -
    - -
    2,751,964 17,943,185
    826 - 330,200
    826 - -
    826 123,825 412,750
    953 190,500 -
    1,175 - -
    197 - -
    153 61,200 -
    4,572 22,860 -
    22,500 - 810,000
    22,500 - -
    464 - -
    464 185,680 -
    8,000 - -
    8,000 - -
    8,000 - -
    1,300 - 65,000
    1,300 - -
    1,300 - -
    1,495 - -
    39,000 - -
    8,085 - 808,500
    8,085 - 808,500
    8,085 - 808,500
    8,085 - 808,500
    4,445 222,250 -
    4,064 203,200 -
    34,000 - 408,000
    34,000 - -
    24,000 - -
    7,900 197,500 821,600
    1,800 - -
    3,800 19,000 -
    800 - -
    1,100 - -
    9,400 28,200 1,005,800
    16,000 - -
    25,000 - -
    1,100 - -
    52,070 - -
    439 - -
    439 - 548,625
    - - -

    33,000 - -
    27,830 55,660 -
    60,500 - -
    30,000 - -
    3,850 - -
    7,315 - -
    21,753 87,012 174,024
    30,030 30,030 -
    15,000 - 540,000
    15,000 - 540,000
    10,010 - -
    3,000 - -
    3,000 - -
    3,000 - -
    - - -
    3,000 - -
    4,320 - -
    4,320 - -
    4,320 - -
    2,021 - -
    2,224 - -
    exp.date 75
    3,810 19,050 -
    pcs
    1,270 - 95,250
    6,059 - -
    6,059 - -
    - -
    8,985,249
    26,928,434

    Pangkalan Kasai, 25 November 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm


    LAPORAN PEMAKAIAN, LEMBARAN PERMINTAAN DAN PENERIMAAN O
    (LPLPPO)

    SKPD : DINAS KESEHATAN KAB. INHU


    UNIT : UPT PUSKESMAS PANGKALAN KASAI

    SATUAN Penerimaan Pengeluaran


    No. Nama Obat Saldo Awal Saldo Akhir
    KEMASAN Desember Desember

    A OBAT GENERIK PKD


    Acdat salep tube 73 73
    1 Albendazol suspensi 200 mg/5 ml btl - -
    2 Albendazol tab 400 mg tablet - -
    3 Alkohol 70 % 100 ml btl 10 10
    4 ALKOHOL 70 % 1000 ml btl 1 1
    5 Alopurinol tab 100 mg tablet 324 324
    6 Alopurinol tab 300 mg tablet - -
    7 Alprazolam 0,5 mg tab tablet - -
    8 Alprazolam 1 mg tab tablet - -
    9 Ambroxol sirup btl - -
    10 Ambroxol tablet 30 mg tablet - -
    11 Aminofilin tab 200 mg tablet - -
    12 Aminofilin injeksi 24 mg/ml ampul - -
    13 Amitriptilin tab 25 mg tablet - -
    14 Amlodipin 5 mg tab tablet - -
    15 Amlodipin 10 mg tab tablet 90 90
    16 Amoksisilin kapsul 250 mg kapsul - -
    17 Amoksisilin kapsul 500 mg kapsul 707 707
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - -
    19 Amoksisilin serbuk injeksi 1g vial - -
    20 Ampisilin 500 mg kap kapsul - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - -
    22 Antalgin tablet 500 mg tablet - -
    23 Antalgin inj ampul - -
    24 Antasida DOEN I tablet kunyah tablet - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - -
    26 Anti bakteri salep komb tube - -
    27 Antifungi DOEN komb salep pot 20 20
    Antimigren: ergotamin tartrat 1mg +kofein
    28 tablet - -
    50mg
    Antihemoroid kombinasi Bismut Subgalat
    29 150mg Heksaklorofen 2,5mg Lidokain 10mg supp - -
    Seng Oksida 120mg
    30 Antithrom Jelly tube - -
    31 Aqua pro injeksi steril vial - -
    32 Artemether injeksi 80 mg/ml ampul - -
    33 Artesunate injeksi vial/ktk - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 2,179 2,179
    35 Asam Folat tab 1 mg tablet 50 50
    36 Asam Mefenamat kaplet 250 mg kaplet - -
    37 Asam Mefenamat kaplet 500 mg kaplet - -
    38 Asam Traneksamat Injeksi ampul - -
    39 Asetosal tab 100 mg tablet - -
    40 Asetosal tab 500 mg tablet - -
    41 Asiklovir krim 5% tube - -
    42 Asiklovir tab 200 mg tablet - -
    43 Asiklovir tab 400 mg tablet - -
    44 Asering tablet - -
    45 Atropin sulfat injeksi ampul - -
    46 Atropin sulfat tab 0,5 mg tablet - -
    47 Bedak Salisil Serbuk 2 % bks 11 11
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - -
    Besi II Sulfat 200 mg + as.Folat 0,25 mg
    50 tablet - -
    tablet
    51 Betahistine Mesilat Tb, 6 Mg tablet - -
    52 Betametason krim 0,1% tube 53 53
    53 Bexicom tab kapsul - -
    Bisacodyl 5mg tablet 38 38
    54 Bisoprolol tablet 5 mg tablet - -
    55 Bronsolvan 150 mg tablet 72 72
    56 Budenosid resp - -
    57 Captopril tablet 12,5 mg tablet - -
    58 Captopril tablet 25 mg tablet - -
    59 Captopril tablet 50 mg tablet - -
    60 Carbamazepin 200 mg tablet - -
    61 Cefadroksil kap 500 mg kapsul - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 147 147
    63 Cefaleksin kap 500 mg kapsul - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - -
    65 Cefixime kap 100 mg kapsul - -
    66 Cefotaxim 0,5 gr inj vial - -
    67 Cefotaxim 1 gr inj vial - -
    68 Ceftriaxon injeksi 1 g vial - -
    69 Cetrizine tab 10 mg tablet - -
    70 Ciprofloxacin infs btl 100 ml - -
    71 Ciprofloxacin 500 mg kapsul 539 539
    72 Cimetidin 200 mg tablet - -
    73 Clindamycin 150 mg kap tablet - -
    74 Clindamycin 300 mg kap tablet - -
    75 Clobazam tab 10 mg tablet - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    77 Chloramfenikol 250 mg kaplet - -
    Chloramfenikol suspensi 125mg / 60ml
    78 botol 2 2
    (Mefamicetin syrup)
    79 Chloramphenicol Suspensi botol - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - -
    81 Chloramfenikol salep mata 1% / 5ml tube 17 17
    82 Chloroquin 150 mg tablet - -
    83 Chlorpromazin tablet 100 mg tablet - -
    84 Chlorpromazin tablet 25 mg tablet - -
    85 Chlorpromazin inj 25mg/ml amp - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - -
    88 Cotrimoksazol suspensi 60ml botol - -
    89 Deksametason injeksi 5 mg/ampl ampul - -
    90 Deksametason tablet 0,5 mg tablet - -
    91 Diaform tablet - -
    92 Diazepam 2 mg tab tablet - -
    93 Diazepam injeksi ampul - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - -
    95 Digoksin tablet 0,25 mg tablet - -
    96 Diltiazem tab 30 mg tablet - -
    97 Dimenhidrinat tab tablet - -
    98 Doksisiklin 100 mg kap tablet - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - -
    100 Domperidone 10 mg tab tablet - -
    101 Domperidone drop 5mg / ml botol - -
    102 Ekstrak beladon 10 mg tab tablet - -
    103 Epinefrin injeksi ampul - -
    104 Erytromicyn 250 mg kapsul - -
    105 Erythromisin 500 mg kap kapsul - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - -
    107 Fenilbutason tab 200 mg tablet 750 750
    108 Ferosulfat tab tablet - -
    109 Flukonazol tab 150 mg kapsul - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - -
    111 Furosemid tablet, 40 mg tablet 77 77
    112 Fucilex Krim / Natrium Fucilat tube - -
    Folic Acid 400mg tablet - -
    113 Folic Acid 1mg tablet 1,230 1,230
    114 Garam oralit untuk 200 ml air sachet 123 123
    115 Geriavita kapsul - -
    116 Gentamisin salep kulit 0,1 % tube - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - -
    118 Gentamisin injeksi ampul - -
    119 Gentian Violet larutan 1 % btl 10 ml - -
    120 Glibenklamida tablet 5 mg tablet - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - -
    123 Glukosa larutan infus 40 % steril amp - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - -
    125 Grafula-DHA tablet - -
    126 Griseovulvin tablet 125 mg tablet - -
    127 Haloperidol 0,5 mg tablet - -
    128 Haloperidol 1,5 mg tablet - -
    129 Haloperidol 5 mg tablet - -
    130 Hemafort tablet - -
    131 Hidrokortison krim 2,5% tube - -
    132 Hufabetamin Syrup btl - -
    133 Hustab tablet - -
    134 Hustadin Syrup btl - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - -
    136 Ibuprofen tablet 200 mg tablet - -
    137 Ibuprofen tablet 400 mg tablet - -
    138 Ika Neurom Injeksi ampul - -
    139 Imunvit Plus Kap kaplet - -
    140 Intibrox (Ambroksol) tablet - -
    141 Intibrox (Ambroksol) Syrup botol - -
    142 Isoniazid tab 100 mg tablet - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 163 163
    144 KA EN 1 B botol - -
    145 KA EN 3 A botol - -
    146 KA EN 3 B botol - -
    147 KA EN MG 3 botol - -
    148 Kalium Diklofenak 50 mg tablet - -
    149 Kalsium Laktat 500 mg tablet - -
    150 Ketokenazole krim 2 % 10 gr tube 17 17
    151 Ketokenazole krim 2 % 15 gr tube - -
    152 Ketokonazol 200 mg tablet 10 10
    153 Ketorolac inj 10 mg ampul - -
    154 Ketorolac inj 30 mg ampul - -
    155 Klonidin 0,15 mg tablet - -
    156 Kodein tablet 10 mg tablet - -
    157 Kombines : Ipratropium bromida inhalasi 0,5 vial - -
    158 Lidokain injeksi 2% / 2ml ampul - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 220 220
    160 Levofloksasin 500 mg tablet - -
    161 Loratidin 10 mg tablet - -
    162 Loperamid 2mg tablet - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - -
    164 Mebendazol Syrup 100mg / 5ml botol - -
    165 Mebendazol 100mg tablet - -
    166 Megatic Emulgel tube - -
    Metformin HCL 50 mg kapsul 1,973 1,973
    167 Metilergometrin 0,125 mg tablet - -
    168 Metilergometrin injeksi ampul - -
    169 Metilprednisolon injeksi 500 mg vial - -
    170 Metilprednisolon 4mg tablet 1,196 1,196
    171 Metoklopramide 5mg tablet - -
    172 Metoklopramide 10mg tablet 463 463
    173 Metronidazol 250mg tablet - -
    174 Metronidazol 500mg tablet 426 426
    175 Mikrodiol ktk - -
    176 Mikonazol krim 2% tube 57 57
    177 Momethasone furoat krim 0,1 % tube - -
    178 Mulsanol Drop btl - -
    179 Natrium Diklofenat 25mg tablet - -
    180 Natrium Diklofenat 50mg tablet - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - -
    182 Nevirapin 200mg tablet - -
    183 Nifedipin 10mg tablet - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet 81 81
    187 Ofloxacin 400 mg tablet - -
    188 Oksitetrasiklin HCl salep mata 1% tube - -
    189 Oksitetrasiklin salep kulit 3% tube - -
    190 Omeprazol kapsul 20 mg kapsul - -
    191 Ondansentron 4mg tablet 198 198
    192 Oksitosin injeksi ampul - -
    193 Ostine kapsul - -
    194 Otsu-KCL 7,46% ampul - -
    195 Papaverin 40mg tablet - -
    196 Parasetamol 500mg tablet - -
    197 Parasetamol drops botol - -
    198 Parasetamol syrup 120mg / 5ml botol - -
    199 Penoksimetil Penisilin 500mg tablet - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 17 17
    202 Permetrin krim 5% (Scabicid) tube - -
    203 Pethidin injeksi ampul - -
    204 Phenobarbital 30mg tablet - -
    205 Phenobarbital injeksi 50mg/ml ampul - -
    206 Piracetam injeksi 3g / 15ml ampul - -
    207 Piracetam 800mg tablet - -
    208 Pirantel Score (base ) 125mg tablet 36 36
    209 Pirantel syrup 125mg / 5ml botol - -
    210 Pitomenadion (Vit-K) 10mg tablet 341 341
    211 Pitomenadion inj. 2mg ampul 60 60
    212 Poncodryl (DMP) syr botol - -
    213 Pitomenadion inj. 10mg ampul - -
    214 Povidon Iodida 10% 30ml botol - -
    215 Povidon Iodida 10% 60ml botol - -
    216 Povidon Iodida 10% 300ml botol - -
    217 Povidon Iodida 10% 1000ml botol - -
    218 Pravastatin 20mg tablet - -
    219 Prednison 5mg tablet 1,000 1,000
    220 Primakuin 15mg tablet - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - -
    222 Propanolol HCl 10mg tablet - -
    223 Propanolol 40mg tablet - -
    224 Propiltiourasil 100mg tablet - -
    225 Quinine tablet - -
    226 Ramipril 5mg tablet - -
    227 Ranitidin inj 25mg / 2ml ampul - -
    228 Ranitidin 150mg tablet 453 453
    229 Reserpin 0,10mg tablet - -
    230 Reserpin 0,25 mg tablet - -
    231 Ringer Laktat larutan infus 500ml botol - -
    232 Risperidon 2mg tablet - -
    233 Rivanol larutan 0,1% botol - -
    234 Salbutamol 2mg (sebagai sulfat) tablet 1,234 1,234
    235 Salbutamol 4mg (sebagai sulfat) tablet 1,000 1,000
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - -
    239 Salep 2-4 pot 20 20
    240 Serum Anti Tetanus ampul - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - -
    243 Simvastatin 10mg tablet - -
    Simvastatin 20mg tablet - -
    244 Spiramisin 500mg tablet - -
    245 Stesolid inj ampul - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - -
    248 Streptomisin injeksi 1 g/ml vial - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - -
    250 Sulfatdoksin 500mg tablet - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - -
    252 Supramox Drops 20 ml botol - -
    Tablet Fe tab isi 100 4,115 4,115
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - -
    254 Tetrasiklin 250mg kapsul - -
    255 Tetrasiklin 500mg kapsul - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - -
    Tryhekxilpenidil tablet 110 110
    258 Tramadol 50mg kapsul - -
    259 Tuzalos kaplet - -
    260 Vitamin B6 tablet 1,800 1,800
    261 Vitamin B Kompleks tablet 2,828 2,828
    262 Vitaplex drop botol - -
    263 Zinc Disperibel tablet 375 375
    264 Zink drop 10mg / 5ml botol - -
    265 Zirkum Kid syrup 20mg / 5ml botol - -
    24,708 24,708
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - -
    2 Ajitab tablet - -
    3 Antithrom tube - -
    4 Arimed 15 mg tablet - -
    5 Asifit tablet - -
    6 Asonfen tab tablet - -
    7 Amobiotic Drop btl - -
    kotak/100
    8 Becefort tab - -
    tablet
    9 Beneuron tablet - -
    10 Bioron ktk 6x10tab - -
    11 Bisolvon Ekstra Sirup botol 60 ml - -
    12 Brochifar tablet - -
    13 Bromifar tablet - -
    14 Burnazin tube - -
    15 Caltrax btl - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 1,200 1,200
    16 Cough En Plus btl 3 3
    17 Dasabion tablet - -
    18 Dehaf sachet - -
    19 Dumin Rectal 250 mg supp - -
    20 Dumin Rectal 125 mg supp - -
    Donexan Syrup Botol 12 12
    21 Erlamycetine Ear Drop botol 10 ml - -
    22 Erya Forte 500 mg kapsul kapsul - -
    Etadexa tab 1,442 1,442
    23 Faxiden gel tube 33 33
    24 Fludane kapsul kapsul - -
    25 Fludane Plus tablet - -
    26 Flutop C Syrup btl - -
    27 Fituno kapsul - -
    28 Fucilex/ natrium fucilat criem tube - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - -
    Genalten (Gentamicyn) cream tube - -
    30 Genolon krim tube - -
    Geonit (gentamisin salep mata) tube - -
    Guaifenisin 100mg tablet 1,114 1,114
    31 Grafola tablet - -
    32 HB Vit kaplet - -
    33 Hico Gel tube 13 13
    34 Hidrogen Peroksida 3% btl 1 liter - -
    35 Holicos Syrup Botol 60 ml - -
    36 Hufabetamin Syrup btl - -
    37 Hustadin Syr btl - -
    38 Hustab tablet 707 707
    39 Ika Neurom Injeksi ampul - -
    40 Imunvit Plus Kap Kaplet - -
    Intunal Forte 100 tablet/ktk - -
    41 Intibrox tablet 1,489 1,489
    42 Intibrox Syr botol - -
    43 Isotic Clearens Botol - -
    44 Isotic Neolyson Botol - -
    45 Jovial Sachet sachet - -
    46 Livron B. Plex Ds 10x10 tab - -
    Maltiron Plus Tablet 287 287
    47 Metaflu tablet - -
    48 Metamizol 500mg tablet - -
    49 Mucohexin tab tablet - -
    50 Mulsanol Syrup botol 60 ml - -
    51 Nalget Kaptab tablet - -
    52 Natavit Soft Cut kapsul - -
    53 Neocenta Gel tube - -
    54 Neo diaform ktk - -
    55 Neurovit-e dus 6x10 tab - -
    56 Neurodial kaplet 211 211
    57 Nodiar tablet - -
    58 Noza tablet - -
    59 Novakal syrup btl - -
    60 OBH Indo Plus botol 100 ml 3 3
    61 OBH Inti Syr botol 100 ml - -
    OBH Intrasal Syr botol 53 53
    62 Osteor plus kaplet - -
    63 Ostine Kapsul kapsul 114 114
    64 Ondansetron tablet - -
    65 Oxfezin Syrup botol 100 ml - -
    66 Panstonal Forte 500 mg tablet - -
    67 Poncodryl DMP Syrup btl - -
    68 Ponflu tablet - -
    69 Pehavral tablet - -
    70 Pehacort tablet - -
    Pyreksin 60mg tablet/supp 4 4
    Pyreksin 160mg tablet/supp - -
    71 Prenase tab tablet - -
    72 Procalma Soft Kapsul 30 kap/ktk - -
    73 Prolysin Syrup Plus botol 100 ml - -
    Prombus tablet 678 678
    74 Proneuron tablet 465 465
    75 Pularex Attalpulgit 600 mg tablet - -
    76 Quantidex Syr botol - -
    77 Quantidex tablet tablet 978 978
    78 Reagen Golongan Darah Anti A 10ml botol - -
    79 Reagen Golongan Darah Anti B 10ml botol - -
    80 Reagen Golongan Darah Anti D 10ml botol - -
    81 Sagestam Cream tube - -
    82 Sanbe Kids botol 200 ml - -
    83 Sanvita B sirup btl - -
    84 Scabimite cream 10 mg tube - -
    85 Serum Anti Bisa Ular amp - -
    86 Supramox drops 20 ml btl - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - -
    88 Stick Asam Urat botol - -
    89 Stick Glukosa botol - -
    90 Stik Kolesterol botol - -
    91 Supramox Drops 20 ml botol 27 27
    92 Tuzalos kap kapsul - -
    93 Vitaplex drop btl - -
    8,833 8,833
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 2,068 2,068
    1 Amoksisilin kapsul 500 mg kapsul - -
    2 Amoxicillin syr btl - -
    Ambroxol syr btl - -
    3 Ambroxol 30 mg tablet - -
    4 Amlodipin tablet - -
    5 Antalgin tablet 500 mg tablet - -
    6 Antasida DOEN I tablet kunyah tablet - -
    7 Antimigren ergotamin tablet - -
    8 Antihemoroid kombinasi Bismut Subgalat 15 supp - -
    9 Asam ascorbat (vit C) 50 mg tablet - -
    10 Asam Mefenamat kaplet 500 mg kaplet 726 726
    11 Asiklovir krim 5% tube 43 43
    12 Asiklovir tab 200 mg tablet - -
    13 Asiklovir tab 400 mg tablet 439 439
    14 Arimed / Meloxicam 15 mg tablet - -
    15 Becefort syr btl - -
    16 Becefort tablet 50 50
    17 Betametason Cream tube - -
    18 Bioplacenton tube - -
    19 Bisolvon Extra Syrup btl - -
    20 Bisoprolol 5mg tablet - -
    21 Captopril tablet 12,5 mg tablet - -
    22 Captopril 25 mg tablet - -
    23 Cefadroksil kap 500 mg kapsul 754 754
    24 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - -
    Chlorpromazin Hcl 100 mg tablet 480 480
    25 Cefixime 100 mg tablet - -
    26 Ciprofloxacin 500 mg kapsul 539 539
    27 Clindamicyn 300 mg kapsul - -
    28 Chlorpheniramine maleat (CTM) 4 mg tablet - -
    29 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 600 600
    30 Copper T ktk - -
    31 Dasabion (Anti Anemic + Vitamin ) tablet - -
    32 Diaform tablet - -
    33 Dimenhidrinat tab tablet - -
    34 Eryra Porte ( Erytromisin 500 mg ) kapsul - -
    35 Erlamycetin Ear Drop Tetes Telinga btl - -
    36 Fg Troches tablet - -
    37 Flukonazol tab 150 mg kapsul 30 30
    38 Fituno tablet - -
    39 Gentian Violet botol - -
    40 Glibenclamide 5 mg tablet - -
    41 Gliseril Guaikolat 100 mg tablet - -
    42 Griseovulvin tablet 125 mg tablet 624 624
    43 Hemaforf tablet 999 999
    44 Hidrokortison krim 2,5% tube 144 144
    45 Holicos ( Ambroxol ) syrup btl - -
    46 Hustab tablet - -
    47 Ibuprofen tablet 400 mg tablet - -
    48 Isotic Neolyson Tetes Mata btl - -
    49 Isotic Clearens Tetes Mata btl - -
    50 Kasa 4m x 15cm roll - -
    51 Levofloxacin 500 mg tablet 150 150
    52 Lidokain injeksi ampul 22 22
    53 Livron B Plek tablet - -
    54 Loperamid 2mg tablet - -
    55 Metaneuron tablet - -
    56 Metilergometrin tablet 390 390
    57 Metilprednisolon 4mg tablet - -
    58 Mucohexin tablet - -
    59 Natrium Diklofenat 25mg tablet - -
    60 Natrium Diklofenat 50 mg tablet - -
    Natrium Klorida larutan infus 0.9% steril
    61 botol 13 13
    500ml
    62 Neurovit - E kaplet - -
    63 Nistatin tab 100.000 iu tab vaginal 81 81
    64 Nodiar tablet - -
    65 Noza tablet - -
    66 OBH Indo Plus syrup botol - -
    67 Oxfezin syrup botol - -
    68 Oksitetrasiklin salep kulit 3% tube 81 81
    69 Oksitetrasiklin inj ampul - -
    70 Omeprazol kapsul 20 mg kapsul - -
    Paracetamol tab 500 mg tablet 1,696 1,696
    71 Parasetamol syrup 120mg / 5ml botol - -
    72 Pehavral tablet - -
    73 Piroxicam 20 mg tablet - -
    74 Pehacort / Prednison 5mg tablet - -
    75 Pyridoksin (vit.B6) tablet - -
    76 Propanolol 40mg tablet - -
    77 Propituracil 100 mg tablet - -
    78 Prolysin Plus syrup botol - -
    79 Pularex Attalpugit 600 mg tablet - -
    80 Ranitidine inj tablet - -
    81 Ranitidin 150mg tablet - -
    82 Ringer Laktat larutan infus 500ml botol 35 35
    83 Salbutamol syr botol - -
    84 Salbutamol 2 mg tablet - -
    85 Salbutamol 4mg (sebagai sulfat) tablet 492 492
    86 Sanbe Kids syrup botol - -
    87 Sagestam Cream tube - -
    88 Scabimite Cream tube - -
    89 Simvastatin 10 mg tablet - -
    90 Tab Fe tablet - -
    91 Tramadol Tablet - -
    92 Tryhexilpenidil tablet - -
    Vitamin B. Kompleks tablet - -
    93 Zinc Disperibel tablet - -
    94 Oxycan btl - -
    95 cimetidin tab 200 mg tablet - -
    96 Alat Suntik 3 cc pcs - -
    Mikrodiol ktk - -
    10,456 10,456
    D OBAT GIGI
    1 Devitalisasi Pasta btl - -
    2 Etil klorida btl - -
    3 Eugenol Cairan btl - -
    4 Glass Ionomer btl - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - -
    6 Klorfenol kamfer menthol(CHKM) btl - -
    7 Mummifying pasta btl - -
    8 Semen seng fosfat set - -
    9 Temporary stoping fletcher set - -
    - -
    SISA OBAT DALAM RUPIAH 43,997 43,997
    D ALKES & BAHAN HABIS PAKAI ( BHP )
    1 Alat suntik sekali pakai 1 ml set 400 400
    2 Alat suntik sekali pakai 2,5 ml pcs - -
    3 Alat suntik sekali pakai 3 ml pcs 500 500
    4 Alat suntik sekali pakai 5 ml pcs - -
    5 Alat suntik sekali pakai 10 ml pcs - -
    6 Alkohol Swab CHG 0,5 % pcs - -
    7 Blood Lahat pcs - -
    8 Blood Transfusion Set pcs - -
    9 Catgut/benang bedah no. 3/0 pcs 36 36
    10 Catgut/benang bedah no.2/0 pcs - -
    11 Examination Lower Glove ( M ) pcs - -
    12 Examination Lower Glove ( L ) pcs - -
    13 Folley Catheter no 16W pcs - -
    14 Folley Catheter no 18W pcs - -
    15 Folley Catheter no 20W pcs - -
    16 Handscoon no 7 pcs 50 50
    17 Handscoon no 7,5 pcs - -
    18 Handscoon no 8 pcs - -
    19 Hcg (Tes Pack) pcs - -
    20 Hidrogen Peroksida 3% btl - -
    21 I.V Catheter no.18 pcs 100 100
    22 I.V Catheter no.20 pcs 100 100
    23 I.V Catheter no.22 pcs 100 100
    24 I.V Catheter no.24 pcs 100 100
    25 Infusion set anak set - -
    26 Infusion set dewasa set - -
    27 kapas pembalut berlemak 500 mg Bks 12 12
    28 Kapas pembalut 500 gram Bks - -
    29 Kapas pembalut/absorben 250 gram Bks - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 104 104
    31 Kasa Hidrofil 40 x 40 pcs - -
    32 Kasa Hidrofil 4 x 15 cm roll - -
    33 Kasa Hidrofil 4 x 3 cm roll - -
    34 Kasa Hidrofil 4 x 5 cm roll - -
    35 Kasa Pembalut 2 x 80 cm Rol 107 107
    36 Kasa Pembalut Elastis 3 Inchi Rol - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - -
    39 Lysol btl - -
    40 Masker ear lopp pcs - -
    41 Masker Tie On pcs 1,250 1,250
    42 Oxycan btl - -
    Pharmafix (10cm x 500cm) pcs 10 10
    43 Pembalut elastis 10 cm x 4.55m pcs - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - -
    45 Pembalut Gips 6 Inchi Rol - -
    46 Plester 5 yard x 2 inch Rol - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll 8 8
    50 Semillas Non Woven Medical Tape (10 x 500c roll - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs 36 36
    52 Silk ( benang bedah sutera ) no. 2/0 pcs 36 36
    53 Stomach Tube pcs - -
    54 Surgical Blades No. 10 pcs - -
    55 Surgical Blades No. 11 pcs - -
    56 Surgical Blades No. 13 pcs - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - -
    58 Surgical Blades No. 23 pcs - -
    59 Surgical Steril Powder Glove (S) pcs - -
    60 Surgical Steril Powder Glove (M) pcs - -
    61 Surgical Steril Powder Glove (L) pcs - -
    62 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - -
    63 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - -
    64 Urine bag pcs - -
    65 Umbilical Cord Klem Steril Nylon pcs 75 75
    66 wing nedle No.21 pcs - -
    67 wing nedle No.23 pcs - -
    SISA ALKES DALAM RUPIAH 3,024 3,024
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 47,021 47,021

    Pangkalan Kasai,
    Mengetahui, Penanggung
    Plt. Ka. UPTD Pusksemas Pangkalan Kasai APOTE

    ASISWANDI, Amd.Kep., SKM. SINTICE, Am


    NIP. 19700317 198912 1 001
    AN PERMINTAAN DAN PENERIMAAN OBAT
    LPLPPO)

    UNIT KERJA : APOTEK

    Permintaan Ket
    -
    -
    -

    -
    -
    -
    -

    25 Desember 2018
    Penanggung Jawab
    APOTEK

    SINTICE, Amd.Farm
    SALDO PERSEDIAAN BARANG HABIS PAKAI (OBAT & A
    PER 25 DESEMBER 2018

    SKPD: DINAS KESEHATAN KAB. INHU


    UNIT: UPT PUSKESMAS PANGKALAN KASAI

    Penyesuaian Saldo
    SATUAN Saldo Hasil
    No. Nama Obat Saldo Awal
    KEMASAN Cek Fisik Penerimaan Pengeluaran
    Desember Desember
    1 2 3 4 ( 7+5-6 ) 5 6 7
    A OBAT GENERIK PKD
    Acdat salep tube 73 - - 73
    1 Albendazol suspensi 200 mg/5 ml btl - - - -
    2 Albendazol tab 400 mg tablet - - - -
    3 Alkohol 70 % 100 ml btl 10 - - 10
    4 ALKOHOL 70 % 1000 ml btl 1 - - 1
    5 Alopurinol tab 100 mg tablet 324 - - 324
    6 Alopurinol tab 300 mg tablet - - - -
    7 Alprazolam 0,5 mg tab tablet - - - -
    8 Alprazolam 1 mg tab tablet - - - -
    9 Ambroxol sirup btl - - - -
    10 Ambroxol tablet 30 mg tablet - - - -
    11 Aminofilin tab 200 mg tablet - - - -
    12 Aminofilin injeksi 24 mg/ml ampul - - - -
    13 Amitriptilin tab 25 mg tablet - - - -
    14 Amlodipin 5 mg tab tablet - - - -
    15 Amlodipin 10 mg tab tablet 90 - - 90
    16 Amoksisilin kapsul 250 mg kapsul - - - -
    17 Amoksisilin kapsul 500 mg kapsul 707 - - 707
    18 Amoksisilin syrup kering 125mg/5ml botol 5 ml - - - -
    19 Amoksisilin serbuk injeksi 1g vial - - - -
    20 Ampisilin 500 mg kap kapsul - - - -
    21 Ampisilin serbuk injeksi 500 mg/vial vial - - - -
    22 Antalgin tablet 500 mg tablet - - - -
    23 Antalgin inj ampul - - - -
    24 Antasida DOEN I tablet kunyah tablet - - - -
    25 Antasida DOEN II Suspensi Komb btl 60 ml - - - -
    26 Anti bakteri salep komb tube - - - -
    27 Antifungi DOEN komb salep pot 20 - - 20
    28 Antimigren: ergotamin tartrat 1mg +kofein 5 tablet - - - -
    29 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    30 Antithrom Jelly tube - - - -
    31 Aqua pro injeksi steril vial - - - -
    32 Artemether injeksi 80 mg/ml ampul - - - -
    33 Artesunate injeksi vial/ktk - - - -
    34 Asam askorbat ( vit c ) tablet 50 mg tablet 2,179 - - 2,179
    35 Asam Folat tab 1 mg tablet 50 - - 50
    36 Asam Mefenamat kaplet 250 mg kaplet - - - -
    37 Asam Mefenamat kaplet 500 mg kaplet - - - -
    38 Asam Traneksamat Injeksi ampul - - - -
    39 Asetosal tab 100 mg tablet - - - -
    40 Asetosal tab 500 mg tablet - - - -
    41 Asiklovir krim 5% tube - - - -
    42 Asiklovir tab 200 mg tablet - - - -
    43 Asiklovir tab 400 mg tablet - - - -
    44 Asering tablet - - - -
    45 Atropin sulfat injeksi ampul - - - -
    46 Atropin sulfat tab 0,5 mg tablet - - - -
    47 Bedak Salisil Serbuk 2 % bks 11 - - 11
    48 Benzatin benzil penisilin 1,2 jt UI inj vial - - - -
    49 Benzatin benzil penisilin 2,4 jt UI inj vial - - - -
    50 Besi II Sulfat 200 mg + as.Folat 0,25 mg table tablet - - - -
    51 Betahistine Mesilat Tb, 6 Mg tablet - - - -
    52 Betametason krim 0,1% tube 53 - - 53
    53 Bexicom tab kapsul - - - -
    Bisacodyl 5mg tablet 38 - - 38
    54 Bisoprolol tablet 5 mg tablet - - - -
    55 Bronsolvan 150 mg tablet 72 - - 72
    56 Budenosid resp - - - -
    57 Captopril tablet 12,5 mg tablet - - - -
    58 Captopril tablet 25 mg tablet - - - -
    59 Captopril tablet 50 mg tablet - - - -
    60 Carbamazepin 200 mg tablet - - - -
    61 Cefadroksil kap 500 mg kapsul - - - -
    62 Cefadroksil syrup kering 125 mg/5ml btl 60 ml 147 - - 147
    63 Cefaleksin kap 500 mg kapsul - - - -
    64 Cefixime syrup 100 mg/5 ml btl 30 ml - - - -
    65 Cefixime kap 100 mg kapsul - - - -
    66 Cefotaxim 0,5 gr inj vial - - - -
    67 Cefotaxim 1 gr inj vial - - - -
    68 Ceftriaxon injeksi 1 g vial - - - -
    69 Cetrizine tab 10 mg tablet - - - -
    70 Ciprofloxacin infs btl 100 ml - - - -
    71 Ciprofloxacin 500 mg kapsul 539 - - 539
    72 Cimetidin 200 mg tablet - - - -
    73 Clindamycin 150 mg kap tablet - - - -
    74 Clindamycin 300 mg kap tablet - - - -
    75 Clobazam tab 10 mg tablet - - - -
    76 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    77 Chloramfenikol 250 mg kaplet - - - -
    78 Chloramfenikol suspensi 125mg / 60ml (Mefam botol 2 - - 2
    79 Chloramphenicol Suspensi botol - - - -
    80 Chloramfenikol tetes telinga 3% / 5ml botol - - - -
    81 Chloramfenikol salep mata 1% / 5ml tube 17 - - 17
    82 Chloroquin 150 mg tablet - - - -
    83 Chlorpromazin tablet 100 mg tablet - - - -
    84 Chlorpromazin tablet 25 mg tablet - - - -
    85 Chlorpromazin inj 25mg/ml amp - - - -
    86 Cotrimoksazol DOEN I (Dewasa) tablet - - - -
    87 Cotrimoksazol DOEN II (Pediatrik) tablet - - - -
    88 Cotrimoksazol suspensi 60ml botol - - - -
    89 Deksametason injeksi 5 mg/ampl ampul - - - -
    90 Deksametason tablet 0,5 mg tablet - - - -
    91 Diaform tablet - - - -
    92 Diazepam 2 mg tab tablet - - - -
    93 Diazepam injeksi ampul - - - -
    94 Difenhidramin Injeksi im, 10 mg/ml (HCl) ampul - - - -
    95 Digoksin tablet 0,25 mg tablet - - - -
    96 Diltiazem tab 30 mg tablet - - - -
    97 Dimenhidrinat tab tablet - - - -
    98 Doksisiklin 100 mg kap tablet - - - -
    99 Domperidone suspensi 5 mg/5 ml btl 60 ml - - - -
    100 Domperidone 10 mg tab tablet - - - -
    101 Domperidone drop 5mg / ml botol - - - -
    102 Ekstrak beladon 10 mg tab tablet - - - -
    103 Epinefrin injeksi ampul - - - -
    104 Erytromicyn 250 mg kapsul - - - -
    105 Erythromisin 500 mg kap kapsul - - - -
    106 Erytromicyn syrup 200 mg/5 ml btl 60 ml - - - -
    107 Fenilbutason tab 200 mg tablet 750 - - 750
    108 Ferosulfat tab tablet - - - -
    109 Flukonazol tab 150 mg kapsul - - - -
    110 Furosemid Injeksi, im/iv, 10 mg/ml ampul - - - -
    111 Furosemid tablet, 40 mg tablet 77 - - 77
    112 Fucilex Krim / Natrium Fucilat tube - - - -
    Folic Acid 400mg tablet - - - -
    113 Folic Acid 1mg tablet 1,230 - - 1,230
    114 Garam oralit untuk 200 ml air sachet 123 - - 123
    115 Geriavita kapsul - - - -
    116 Gentamisin salep kulit 0,1 % tube - - - -
    117 Gentamisin sulfat tetes mata 0,3 % btl - - - -
    118 Gentamisin injeksi ampul - - - -
    119 Gentian Violet larutan 1 % btl 10 ml - - - -
    120 Glibenklamida tablet 5 mg tablet - - - -
    121 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    122 Glukosa larutan infus 10 % steril 500 ml/btl - - - -
    123 Glukosa larutan infus 40 % steril amp - - - -
    124 Glukosa larutan infus 5 % steril 500 ml/btl - - - -
    125 Grafula-DHA tablet - - - -
    126 Griseovulvin tablet 125 mg tablet - - - -
    127 Haloperidol 0,5 mg tablet - - - -
    128 Haloperidol 1,5 mg tablet - - - -
    129 Haloperidol 5 mg tablet - - - -
    130 Hemafort tablet - - - -
    131 Hidrokortison krim 2,5% tube - - - -
    132 Hufabetamin Syrup btl - - - -
    133 Hustab tablet - - - -
    134 Hustadin Syrup btl - - - -
    135 Ibuprofen Suspensi 200 mg/ 5 ml btl 60 ml - - - -
    136 Ibuprofen tablet 200 mg tablet - - - -
    137 Ibuprofen tablet 400 mg tablet - - - -
    138 Ika Neurom Injeksi ampul - - - -
    139 Imunvit Plus Kap kaplet - - - -
    140 Intibrox (Ambroksol) tablet - - - -
    141 Intibrox (Ambroksol) Syrup botol - - - -
    142 Isoniazid tab 100 mg tablet - - - -
    143 Isorbitdinitrat tablet sublingul, 5 mg tablet 163 - - 163
    144 KA EN 1 B botol - - - -
    145 KA EN 3 A botol - - - -
    146 KA EN 3 B botol - - - -
    147 KA EN MG 3 botol - - - -
    148 Kalium Diklofenak 50 mg tablet - - - -
    149 Kalsium Laktat 500 mg tablet - - - -
    150 Ketokenazole krim 2 % 10 gr tube 17 - - 17
    151 Ketokenazole krim 2 % 15 gr tube - - - -
    152 Ketokonazol 200 mg tablet 10 - - 10
    153 Ketorolac inj 10 mg ampul - - - -
    154 Ketorolac inj 30 mg ampul - - - -
    155 Klonidin 0,15 mg tablet - - - -
    156 Kodein tablet 10 mg tablet - - - -
    Kombines : Ipratropium bromida inhalasi 0,5
    157 vial - - - -
    mg Salbutamol 2,5 mg ( Combivent UVB )
    158 Lidokain injeksi 2% / 2ml ampul - - - -
    159 Lidokain + Epineprin injeksi 2% / 2ml ampul 220 - - 220
    160 Levofloksasin 500 mg tablet - - - -
    161 Loratidin 10 mg tablet - - - -
    162 Loperamid 2mg tablet - - - -
    163 Magnesium sulfat injeksi (iv) 40% - 25ml vial - - - -
    164 Mebendazol Syrup 100mg / 5ml botol - - - -
    165 Mebendazol 100mg tablet - - - -
    166 Megatic Emulgel tube - - - -
    Metformin HCL 50 mg kapsul 1,973 - - 1,973
    167 Metilergometrin 0,125 mg tablet - - - -
    168 Metilergometrin injeksi ampul - - - -
    169 Metilprednisolon injeksi 500 mg vial - - - -
    170 Metilprednisolon 4mg tablet 1,196 - - 1,196
    171 Metoklopramide 5mg tablet - - - -
    172 Metoklopramide 10mg tablet 463 - - 463
    173 Metronidazol 250mg tablet - - - -
    174 Metronidazol 500mg tablet 426 - - 426
    175 Mikrodiol ktk - - - -
    176 Mikonazol krim 2% tube 57 - - 57
    177 Momethasone furoat krim 0,1 % tube - - - -
    178 Mulsanol Drop btl - - - -
    179 Natrium Diklofenat 25mg tablet - - - -
    180 Natrium Diklofenat 50mg tablet - - - -
    181 Natrium Klorida larutan infus 0.9% steril 500 botol - - - -
    182 Nevirapin 200mg tablet - - - -
    183 Nifedipin 10mg tablet - - - -
    184 Nifedipin 20 mg ( Adalat Oros ) tablet - - - -
    185 Nistatin tablet salut gula 500 000 IU/gram tablet - - - -
    186 Nistatin vaginal tablet 100.000 IU/gram tablet 81 - - 81
    187 Ofloxacin 400 mg tablet - - - -
    188 Oksitetrasiklin HCl salep mata 1% tube - - - -
    189 Oksitetrasiklin salep kulit 3% tube - - - -
    190 Omeprazol kapsul 20 mg kapsul - - - -
    191 Ondansentron 4mg tablet 198 - - 198
    192 Oksitosin injeksi ampul - - - -
    193 Ostine kapsul - - - -
    194 Otsu-KCL 7,46% ampul - - - -
    195 Papaverin 40mg tablet - - - -
    196 Parasetamol 500mg tablet - - - -
    197 Parasetamol drops botol - - - -
    198 Parasetamol syrup 120mg / 5ml botol - - - -
    199 Penoksimetil Penisilin 500mg tablet - - - -
    200 Penolgliserol tetes telinga 10% / 5ml botol - - - -
    201 Perak Sulfadiazin krim 1% (Burnazin) tube 17 - - 17
    202 Permetrin krim 5% (Scabicid) tube - - - -
    203 Pethidin injeksi ampul - - - -
    204 Phenobarbital 30mg tablet - - - -
    205 Phenobarbital injeksi 50mg/ml ampul - - - -
    206 Piracetam injeksi 3g / 15ml ampul - - - -
    207 Piracetam 800mg tablet - - - -
    208 Pirantel Score (base ) 125mg tablet 36 - - 36
    209 Pirantel syrup 125mg / 5ml botol - - - -
    210 Pitomenadion (Vit-K) 10mg tablet 341 - - 341
    211 Pitomenadion inj. 2mg ampul 60 - - 60
    212 Poncodryl (DMP) syr botol - - - -
    213 Pitomenadion inj. 10mg ampul - - - -
    214 Povidon Iodida 10% 30ml botol - - - -
    215 Povidon Iodida 10% 60ml botol - - - -
    216 Povidon Iodida 10% 300ml botol - - - -
    217 Povidon Iodida 10% 1000ml botol - - - -
    218 Pravastatin 20mg tablet - - - -
    219 Prednison 5mg tablet 1,000 - - 1,000
    220 Primakuin 15mg tablet - - - -
    221 Prokain Benzil Penisilin inj 3jt UI/Vial vial - - - -
    222 Propanolol HCl 10mg tablet - - - -
    223 Propanolol 40mg tablet - - - -
    224 Propiltiourasil 100mg tablet - - - -
    225 Quinine tablet - - - -
    226 Ramipril 5mg tablet - - - -
    227 Ranitidin inj 25mg / 2ml ampul - - - -
    228 Ranitidin 150mg tablet 453 - - 453
    229 Reserpin 0,10mg tablet - - - -
    230 Reserpin 0,25 mg tablet - - - -
    231 Ringer Laktat larutan infus 500ml botol - - - -
    232 Risperidon 2mg tablet - - - -
    233 Rivanol larutan 0,1% botol - - - -
    234 Salbutamol 2mg (sebagai sulfat) tablet 1,234 - - 1,234
    235 Salbutamol 4mg (sebagai sulfat) tablet 1,000 - - 1,000
    236 Salbutamol serbuk inh 200mcg/caps+rotahaler caps 2 - - 2
    237 Salbutamol serb inh 200 mcg/kaps tablet - - - -
    238 Salbutamol cairan inh 0,1% (Ventolin Nebules botol - - - -
    239 Salep 2-4 pot 20 - - 20
    240 Serum Anti Tetanus ampul - - - -
    241 Sianokobalamin (vitamin B 12) injeksi ampul - - - -
    242 Sianokobalamin (vitamin B 12) 50mcg tablet - - - -
    243 Simvastatin 10mg tablet - - - -
    Simvastatin 20mg tablet - - - -
    244 Spiramisin 500mg tablet - - - -
    245 Stesolid inj ampul - - - -
    246 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    247 Stesolit Rectal tube 10 mg/ 2,5 ml supp - - - -
    248 Streptomisin injeksi 1 g/ml vial - - - -
    249 Sulfasetamida Natrium TM 15% / 5ml botol - - - -
    250 Sulfatdoksin 500mg tablet - - - -
    251 Sukralfat suspensi 500mg/5ml (Ulsafate Syrup botol - - - -
    252 Supramox Drops 20 ml botol - - - -
    Tablet Fe tab isi 100 4,115 - - 4,115
    253 Tamsulosin SR 0,4mg (Harnal OCAS) tablet - - - -
    254 Tetrasiklin 250mg kapsul - - - -
    255 Tetrasiklin 500mg kapsul - - - -
    256 Thiamin (Vitamin B1) injeksi 100mg/ml ampul - - - -
    257 Thiamin Hcl (Vitamin B1) 50mg tablet - - - -
    Tryhekxilpenidil tablet 110 - - 110
    258 Tramadol 50mg kapsul - - - -
    259 Tuzalos kaplet - - - -
    260 Vitamin B6 tablet 1,800 - - 1,800
    261 Vitamin B Kompleks tablet 2,828 - - 2,828
    262 Vitaplex drop botol - - - -
    263 Zinc Disperibel tablet 375 - - 375
    264 Zink drop 10mg / 5ml botol - - - -
    265 Zirkum Kid syrup 20mg / 5ml botol - - - -
    24,708 24,708
    B OBAT LANJUTAN
    1 Ailin Tetes Mata btl - - - -
    2 Ajitab tablet - - - -
    3 Antithrom tube - - - -
    4 Arimed 15 mg tablet - - - -
    5 Asifit tablet - - - -
    6 Asonfen tab tablet - - - -
    7 Amobiotic Drop btl - - - -
    8 Becefort tab kotak/100 tablet - - - -
    9 Beneuron tablet - - - -
    10 Bioron ktk 6x10tab - - - -
    11 Bisolvon Ekstra Sirup botol 60 ml - - - -
    12 Brochifar tablet - - - -
    13 Bromifar tablet - - - -
    14 Burnazin tube - - - -
    15 Caltrax btl - - - -
    Chlorpheniramine Maleate 4 mg tab isi 1000 1,200 - - 1,200
    16 Cough En Plus btl 3 - - 3
    17 Dasabion tablet - - - -
    18 Dehaf sachet - - - -
    19 Dumin Rectal 250 mg supp - - - -
    20 Dumin Rectal 125 mg supp - - - -
    Donexan Syrup Botol 12 - - 12
    21 Erlamycetine Ear Drop botol 10 ml - - - -
    22 Erya Forte 500 mg kapsul kapsul - - - -
    Etadexa tab 1,442 - - 1,442
    23 Faxiden gel tube 33 - - 33
    24 Fludane kapsul kapsul - - - -
    25 Fludane Plus tablet - - - -
    26 Flutop C Syrup btl - - - -
    27 Fituno kapsul - - - -
    28 Fucilex/ natrium fucilat criem tube - - - -
    29 Gliseril Gualakolat ( GG ) 100 mg tablet - - - -
    Genalten (Gentamicyn) cream tube - - - -
    30 Genolon krim tube - - - -
    Geonit (gentamisin salep mata) tube - - - -
    Guaifenisin 100mg tablet 1,114 - - 1,114
    31 Grafola tablet - - - -
    32 HB Vit kaplet - - - -
    33 Hico Gel tube 13 - - 13
    34 Hidrogen Peroksida 3% btl 1 liter - - - -
    35 Holicos Syrup Botol 60 ml - - - -
    36 Hufabetamin Syrup btl - - - -
    37 Hustadin Syr btl - - - -
    38 Hustab tablet 707 - - 707
    39 Ika Neurom Injeksi ampul - - - -
    40 Imunvit Plus Kap Kaplet - - - -
    Intunal Forte 100 tablet/ktk - - - -
    41 Intibrox tablet 1,489 - - 1,489
    42 Intibrox Syr botol - - - -
    43 Isotic Clearens Botol - - - -
    44 Isotic Neolyson Botol - - - -
    45 Jovial Sachet sachet - - - -
    46 Livron B. Plex Ds 10x10 tab - - - -
    Maltiron Plus Tablet 287 - - 287
    47 Metaflu tablet - - - -
    48 Metamizol 500mg tablet - - - -
    49 Mucohexin tab tablet - - - -
    50 Mulsanol Syrup botol 60 ml - - - -
    51 Nalget Kaptab tablet - - - -
    52 Natavit Soft Cut kapsul - - - -
    53 Neocenta Gel tube - - - -
    54 Neo diaform ktk - - - -
    55 Neurovit-e dus 6x10 tab - - - -
    56 Neurodial kaplet 211 - - 211
    57 Nodiar tablet - - - -
    58 Noza tablet - - - -
    59 Novakal syrup btl - - - -
    60 OBH Indo Plus botol 100 ml 3 - - 3
    61 OBH Inti Syr botol 100 ml - - - -
    OBH Intrasal Syr botol 53 - - 53
    62 Osteor plus kaplet - - - -
    63 Ostine Kapsul kapsul 114 - - 114
    64 Ondansetron tablet - - - -
    65 Oxfezin Syrup botol 100 ml - - - -
    66 Panstonal Forte 500 mg tablet - - - -
    67 Poncodryl DMP Syrup btl - - - -
    68 Ponflu tablet - - - -
    69 Pehavral tablet - - - -
    70 Pehacort tablet - - - -
    Pyreksin 60mg tablet/supp 4 - - 4
    Pyreksin 160mg tablet/supp - - - -
    71 Prenase tab tablet - - - -
    72 Procalma Soft Kapsul 30 kap/ktk - - - -
    73 Prolysin Syrup Plus botol 100 ml - - - -
    Prombus tablet 678 - - 678
    74 Proneuron tablet 465 - - 465
    75 Pularex Attalpulgit 600 mg tablet - - - -
    76 Quantidex Syr botol - - - -
    77 Quantidex tablet tablet 978 - - 978
    78 Reagen Golongan Darah Anti A 10ml botol - - - -
    79 Reagen Golongan Darah Anti B 10ml botol - - - -
    80 Reagen Golongan Darah Anti D 10ml botol - - - -
    81 Sagestam Cream tube - - - -
    82 Sanbe Kids botol 200 ml - - - -
    83 Sanvita B sirup btl - - - -
    84 Scabimite cream 10 mg tube - - - -
    85 Serum Anti Bisa Ular amp - - - -
    86 Supramox drops 20 ml btl - - - -
    87 Stesolid rectal tube 5 mg/ 2,5 ml supp - - - -
    88 Stick Asam Urat botol - - - -
    89 Stick Glukosa botol - - - -
    90 Stik Kolesterol botol - - - -
    91 Supramox Drops 20 ml botol 27 - - 27
    92 Tuzalos kap kapsul - - - -
    93 Vitaplex drop btl - - - -
    8,833 8,833
    C BUFFER STOK
    Amoksisillin kapsul 250 mg tab 2,068 - - 2,068
    1 Amoksisilin kapsul 500 mg kapsul - - - -
    Amoxicillin syr btl - - - -
    Ambroxol syr btl - - - -
    2 Ambroxol 30 mg tablet - - - -
    3 Amlodipin tablet - - - -
    4 Antalgin tablet 500 mg tablet - - - -
    5 Antasida DOEN I tablet kunyah tablet - - - -
    6 Antimigren ergotamin - - - -
    7 Antihemoroid kombinasi Bismut Subgalat 15 supp - - - -
    8 Asam ascorbat (vit C) 50 mg tablet - - - -
    9 Asam Mefenamat kaplet 500 mg kaplet 726 - - 726
    10 Asiklovir krim 5% tube 43 - - 43
    11 Asiklovir tab 200 mg tablet - - - -
    12 Asiklovir tab 400 mg tablet 439 - - 439
    13 Arimed / Meloxicam 15 mg tablet - - - -
    14 Becefort syr btl - - - -
    15 Becefort tablet 50 - - 50
    16 Betametason Cream tube - - - -
    17 Bioplacenton tube - - - -
    18 Bisolvon Extra Syrup btl - - - -
    19 Bisoprolol 5mg tablet - - - -
    20 Captopril tablet 12,5 mg tablet - - - -
    21 Captopril 25 mg tablet - - - -
    22 Cefadroksil kap 500 mg kapsul 754 - - 754
    23 Cefadroksil syrup kering 125 mg/5ml btl 60 ml - - - -
    Chlorpromazin Hcl 100 mg tablet 480 - - 480
    24 Cefixime 100 mg tablet - - - -
    25 Ciprofloxacin 500 mg kapsul 539 - - 539
    26 Clindamicyn 300 mg kapsul - - - -
    27 Chlorpheniramine maleat (CTM) 4 mg tablet - - - -
    28 Cotrimoksazol 480 mg DOEN I (Dewasa) tablet 600 - - 600
    29 Copper T ktk - - - -
    30 Dasabion (Anti Anemic + Vitamin ) tablet - - - -
    31 Diaform tablet - - - -
    32 Dimenhidrinat tab tablet - - - -
    33 Eryra Porte ( Erytromisin 500 mg ) kapsul - - - -
    34 Erlamycetin Ear Drop Tetes Telinga btl - - - -
    35 Fg Troches tablet - - - -
    36 Flukonazol tab 150 mg kapsul 30 - - 30
    37 Fituno tablet - - - -
    38 Gentian Violet botol - - - -
    39 Glibenclamide 5 mg tablet - - - -
    40 Gliseril Guaikolat 100 mg tablet - - - -
    41 Griseovulvin tablet 125 mg tablet 624 - - 624
    42 Hemaforf tablet 999 - - 999
    43 Hidrokortison krim 2,5% tube 144 - - 144
    44 Holicos ( Ambroxol ) syrup btl - - - -
    45 Hustab tablet - - - -
    46 Ibuprofen tablet 400 mg tablet - - - -
    47 Isotic Neolyson Tetes Mata btl - - - -
    48 Isotic Clearens Tetes Mata btl - - - -
    49 Kasa 4m x 15cm roll - - - -
    50 Levofloxacin 500 mg tablet 150 - - 150
    51 Lidokain injeksi ampul 22 - - 22
    52 Livron B Plek tablet - - - -
    53 Loperamid 2mg tablet - - - -
    54 Metaneuron tablet - - - -
    55 Metilergometrin tablet 390 - - 390
    56 Metilprednisolon 4mg tablet - - - -
    57 Mucohexin tablet - - - -
    58 Natrium Diklofenat 25mg tablet - - - -
    59 Natrium Diklofenat 50 mg tablet - - - -
    60 Natrium Klorida larutan infus 0.9% steril 500 botol 13 - - 13
    61 Neurovit - E kaplet - - - -
    62 Nistatin tab 100.000 iu tab vaginal 81 - - 81
    63 Nodiar tablet - - - -
    64 Noza tablet - - - -
    65 OBH Indo Plus syrup botol - - - -
    66 Oxfezin syrup botol - - - -
    67 Oksitetrasiklin salep kulit 3% tube 81 - - 81
    68 Oksitetrasiklin inj ampul - - - -
    69 Omeprazol kapsul 20 mg kapsul - - - -
    Paracetamol tab 500 mg tablet 1,696 - - 1,696
    70 Parasetamol syrup 120mg / 5ml botol - - - -
    71 Pehavral tablet - - - -
    72 Piroxicam 20 mg tablet - - - -
    73 Pehacort / Prednison 5mg tablet - - - -
    74 Pyridoksin (vit.B6) tablet - - - -
    75 Propanolol 40mg tablet - - - -
    76 Propituracil 100 mg tablet - - - -
    77 Prolysin Plus syrup botol - - - -
    78 Pularex Attalpugit 600 mg tablet - - - -
    79 Ranitidine inj tablet - - - -
    80 Ranitidin 150mg tablet - - - -
    81 Ringer Laktat larutan infus 500ml botol 35 - - 35
    82 Salbutamol syr botol - - - -
    83 Salbutamol 2 mg tablet - - - -
    84 Salbutamol 4mg (sebagai sulfat) tablet 492 - - 492
    85 Sanbe Kids syrup botol - - - -
    86 Sagestam Cream tube - - - -
    87 Scabimite Cream tube - - - -
    88 Simvastatin 10 mg tablet - - - -
    89 Tab Fe tablet - - - -
    90 Tramadol Tablet - - - -
    91 Tryhexilpenidil tablet - - - -
    Vitamin B. Kompleks tablet - - - -
    92 Zinc Disperibel tablet - - - -
    93 Oxycan btl - - - -
    94 cimetidin tab 200 mg tablet - - - -
    95 Alat Suntik 3 cc pcs - - - -
    96 Mikrodiol ktk - - - -
    10,456 10,456
    D OBAT GIGI
    1 Devitalisasi Pasta btl - - - -
    2 Etil klorida btl - - - -
    3 Eugenol Cairan btl - - - -
    4 Glass Ionomer btl - - - -
    5 Kalsium Hidroksi Pasta 2 tube/ktk - - - -
    6 Klorfenol kamfer menthol(CHKM) btl - - - -
    7 Mummifying pasta btl - - - -
    8 Semen seng fosfat set - - - -
    9 Temporary stoping fletcher set - - - -
    - -
    SISA OBAT DALAM RUPIAH 43,997 43,997
    D ALKES & BAHAN HABIS PAKAI ( BHP )
    1 Alat suntik sekali pakai 1 ml set 400 - - 400
    2 Alat suntik sekali pakai 2,5 ml pcs - - - -
    3 Alat suntik sekali pakai 3 ml pcs 500 - - 500
    4 Alat suntik sekali pakai 5 ml pcs - - - -
    5 Alat suntik sekali pakai 10 ml pcs - - - -
    6 Alkohol Swab CHG 0,5 % pcs - - - -
    7 Blood Lahat pcs - - - -
    8 Blood Transfusion Set pcs - - - -
    9 Catgut/benang bedah no. 3/0 pcs 36 - - 36
    10 Catgut/benang bedah no.2/0 pcs - - - -
    11 Examination Lower Glove ( M ) pcs - - - -
    12 Examination Lower Glove ( L ) pcs - - - -
    13 Folley Catheter no 16W pcs - - - -
    14 Folley Catheter no 18W pcs - - - -
    15 Folley Catheter no 20W pcs - - - -
    16 Handscoon no 7 pcs 50 - - 50
    17 Handscoon no 7,5 pcs - - - -
    18 Handscoon no 8 pcs - - - -
    19 Hcg (Tes Pack) pcs - - - -
    20 Hidrogen Peroksida 3% btl - - - -
    21 I.V Catheter no.18 pcs 100 - - 100
    22 I.V Catheter no.20 pcs 100 - - 100
    23 I.V Catheter no.22 pcs 100 - - 100
    24 I.V Catheter no.24 pcs 100 - - 100
    25 Infusion set anak set - - - -
    26 Infusion set dewasa set - - - -
    27 kapas pembalut berlemak 500 mg Bks 12 - - 12
    28 Kapas pembalut 500 gram Bks - - - -
    29 Kapas pembalut/absorben 250 gram Bks - - - -
    30 Kasa Hidrofil 16x16 16 pcs/ktk 104 - - 104
    31 Kasa Hidrofil 40 x 40 pcs - - - -
    32 Kasa Hidrofil 4 x 15 cm roll - - - -
    33 Kasa Hidrofil 4 x 3 cm roll - - - -
    34 Kasa Hidrofil 4 x 5 cm roll - - - -
    35 Kasa Pembalut 2 x 80 cm Rol 107 - - 107
    36 Kasa Pembalut Elastis 3 Inchi Rol - - - -
    37 Kasa Pembalut Elastis 4 Inchi Rol - - - -
    38 Kasa hidrofil ukuran 36 x 80cm Rol - - - -
    39 Lysol btl - - - -
    40 Masker ear lopp pcs - - - -
    41 Masker Tie On pcs 1,250 - - 1,250
    42 Oxycan btl - - - -
    Pharmafix (10cm x 500cm) pcs 10 - - 10
    43 Pembalut elastis 10 cm x 4.55m pcs - - - -
    44 Pembalut elastis 7.5 cm x 4.55m pcs - - - -
    45 Pembalut Gips 6 Inchi Rol - - - -
    46 Plester 5 yard x 2 inch Rol - - - -
    47 Semillas Non Woven Medical Tape (5 x 100cm roll - - - -
    48 Semillas Non Woven Medical Tape (10 x 100c roll - - - -
    49 Semillas Non Woven Medical Tape (5 x 500cm roll 8 - - 8
    50 Semillas Non Woven Medical Tape (10 x 500c roll - - - -
    51 Silk ( benang bedah sutera ) no. 3/0 pcs 36 - - 36
    52 Silk ( benang bedah sutera ) no. 2/0 pcs 36 - - 36
    53 Stomach Tube pcs - - - -
    54 Surgical Blades No. 10 pcs - - - -
    55 Surgical Blades No. 11 pcs - - - -
    56 Surgical Blades No. 13 pcs - - - -
    57 Surgical Blades No. 21 ( Bisturi ) pcs - - - -
    58 Surgical Blades No. 23 pcs - - - -
    Surgical Steril Powder Glove (S) pcs - - - -
    Surgical Steril Powder Glove (M) pcs - - - -
    Surgical Steril Powder Glove (L) pcs - - - -
    59 Transparent IV Dressing ( anak ) 4,4 x 4,4 cm pcs - - - -
    60 Transparent IV Dressing ( Dewasa) 6 x 7 cm pcs - - - -
    61 Urine bag pcs - - - -
    62 Umbilical Cord Klem Steril Nylon pcs 75 - - 75
    63 wing nedle No.21 pcs - - - -
    64 wing nedle No.23 pcs - - - -
    SISA ALKES DALAM RUPIAH 3,024 3,024
    JUMLAH OBAT DAN ALKES DALAM RUPIAH 47,021 47,021

    Mengetahui,
    Plt. Kepala UPTD Pusksemas
    Pangkalan Kasai

    ASISWANDI, Amd.Kep., SKM.


    NIP. 19700317 198912 1 001
    NG HABIS PAKAI (OBAT & ALKES )
    DESEMBER 2018

    UNIT KERJA : APOTEK

    Jumlah
    HARGA Pengeluaran Harga Perolehan
    Ket
    SATUAN Desember 2018 Terakhir
    (Rp)

    8 9 (8x6 ) 10 ( 8x4 ) 11

    6,030 - 440,190
    4,041 - -
    350 - -
    2,575 - 25,750
    27,305 - 27,305
    88 - 28,512
    215 - -
    180 - -
    233 - -
    2,598 - -
    131 - -
    82 - -
    4,013 - -
    117 - -
    192 - -
    341 - 30,690
    210 - -
    270 - 190,890
    2,500 - -
    7,766 - -
    400 - -
    3,150 - -
    116 - -
    1,400 - -
    74 - -
    2,160 - -
    2,641 - -
    2,001 - 40,021
    142 - -
    3,200 - -
    35,200 - -
    2,100 - -
    23,100 - -
    38,999 - -
    100 - 217,900
    50 - 2,500
    166 - -
    116 - -
    2,535 - -
    122 - -
    170 - -
    2,260 - -
    239 - -
    345 - -
    - -
    1,300 - -
    77 - -
    1,250 - 13,750
    10,290 - -
    14,070 - -
    43 - -
    970 - -
    1,520 - 80,560
    1,650 - -
    306 - 11,628
    669 - -
    250 - 18,000
    8,900 - -
    62 - -
    89 - -
    141 - -
    257 - -
    519 - -
    5,064 - 744,408
    1,100 - -
    9,000 - -
    869 - -
    5,247 - -
    3,150 - -
    3,500 - -
    145 - -
    59,800 - -
    260 - 140,140
    120 - -
    379 - -
    570 - -
    900 - -
    53 - -
    262 - -
    3,865 - 7,730
    3,978 - -
    1,679 - -
    1,600 - 27,200
    89 - -
    153 - -
    71 - -
    1,103 - -
    145 - -
    75 - -
    2,222 - -
    1,659 - -
    64 - -
    - - -
    45 - -
    4,389 - -
    1,107 - -
    100 - -
    134 - -
    104 - -
    285 - -
    3,410 - -
    170 - -
    16,350 - -
    33 - -
    8,505 - -
    497 - -
    976 - -
    7,893 - -
    102 - 76,500
    21 - -
    23,100 - -
    1,920 - -
    94 - 7,238
    6,555 - -
    - -
    50 - 61,500
    303 - 37,269
    - - -
    1,469 - -
    3,353 - -
    3,569 - -
    945 - -
    58 - -
    50 - -
    5,985 - -
    2,577 - -
    5,460 - -
    2,200 - -
    230 - -
    100 - -
    61 - -
    72 - -
    - - -
    2,798 - -
    5,900 - -
    - - -
    16,500 - -
    4,724 - -
    116 - -
    153 - -
    5,445 - -
    6,500 - -
    203 - -
    6,200 - -
    68 - -
    93 - 15,159
    9,000 - -
    10,000 - -
    10,000 - -
    9,625 - -
    743 - -
    73 - -
    2,569 - 43,673
    4,930 - -
    310 - 3,100
    1,697 - -
    2,539 - -
    214 - -
    525 - -

    879 - -

    879 - -
    1,431 - 314,820
    554 - -
    162 - -
    92 - -
    3,500 - -
    3,711 - -
    239 - -
    11,500 - -
    99 - 195,327
    127 - -
    2,750 - -
    92,990 - -
    210 - 251,160
    108 - -
    105 - 48,615
    113 - -
    164 - 69,864
    - - -
    3,000 - 171,000
    17,820 - -
    18,500 - -
    141 - -
    185 - -
    4,935 - -
    2,940 - -
    110 - -
    2,999 - -
    672 - -
    504 - 40,824
    680 - -
    1,600 - -
    1,606 - -
    216 - -
    180 - 35,640
    1,900 - -
    375 - -
    297 - -
    122 - -
    84 - -
    5,460 - -
    1,496 - -
    535 - -
    1,058 - -
    24,150 - 410,550
    11,475 - -
    1,523 - -
    31 - -
    1,890 - -
    4,200 - -
    321 - -
    308 - 11,088
    8,728 - -
    666 - 227,106
    3,582 - 214,920
    25,300 - -
    3,582 - -
    2,250 - -
    6,298 - -
    14,771 - -
    38,594 - -
    2,400 - -
    119 - 119,000
    205 - -
    7,549 - -
    79 - -
    110 - -
    335 - -
    704 - -
    600 - -
    1,190 - -
    126 - 57,078
    85 - -
    109 - -
    5,460 - -
    1,038 - -
    2,283 - -
    62 - 76,508
    85 - 85,000
    11,550 - 23,100
    452 - -
    6,930 - -
    2,100 - 42,000
    126,000 - -
    1,131 - -
    60 - -
    174 - -
    239 - -
    1,574 - -
    17,604 - -
    12,159 - -
    17,604 - -
    3,832 - -
    3,387 - -
    544 - -
    13,850 - -
    21,300 - -
    80 - 329,200
    30,800 - -
    154 - -
    312 - -
    700 - -
    37 - -

    192 - -
    - - -
    47 - 84,600
    110 - 311,080
    26,400 - -
    497 - 186,375
    12,840 - -
    7,770 - -
    5,156,278

    - -
    348 - -
    35,200 - -
    1,617 - -
    - -
    140 - -
    23,100 - -
    1,500 - -
    - -
    1,670 - -
    32,625 - -
    478 - -
    225 - -
    - -
    27,500 - -
    77 - 92,400
    23,000 - 69,000
    979 - -
    9,167 - -
    16,280 - -
    11,660 - -
    27,500 - 330,000
    4,840 - -
    231 - -
    126 - 181,692
    12,000 - 396,000
    735 - -
    880 - -
    10,000 - -
    1,210 - -
    6,555 - -
    50 - -
    980 - -
    26,400 - -
    - -
    127 - 141,478
    - -
    2,167 - -
    25,000 - 325,000
    39,000 - -
    32,625 - -
    5,900 - -
    16,500 - -
    300 - 212,100
    5,445 - -
    3,325 - -
    1,030 - -
    203 - 302,267
    6,200 - -
    9,000 - -
    28,750 - -
    4,180 - -
    250 - -
    1,169 - 335,503
    220 - -
    12,833 - -
    506 - -
    9,000 - -
    400 - -
    3,017 - -
    20,000 - -
    140 - -
    1,027 - -
    1,260 - 265,860
    1,210 - -
    891 - -
    9,498 - -
    12,100 - 36,300
    - - -
    12,000 - 636,000
    6,325 - -
    3,750 - 427,500
    495 - -
    56,100 - -
    297 - -
    25,300 - -
    715 - -
    693 - -
    145 - -
    6,920 - 27,680
    6,920 - -
    86,350 - -
    3,850 - -
    30,800 - -
    4,947 - 3,353,840
    1,100 - 511,500
    210 - -
    10,000 - -
    850 - 831,300
    100,000 - -
    100,000 - -
    125,000 - -
    13,090 - -
    38,500 - -
    11,550 - -
    77,000 - -
    473,000 - -
    21,300 - -
    12,159 - -
    6,800 - -
    5,600 - -
    28,000 - -
    21,300 - 575,100
    781 - -
    26,400 - -
    9,050,520

    185 - 382,580
    270 - -
    1,920 - -
    4,171 - -
    - - -
    - -
    - -
    74 - -
    - - -
    3,685 - -
    - - -
    209 - 151,734
    2,260 - 97,180
    239 - -
    345 - 151,455
    8,085 - -
    17,000 - -
    1,500 - 75,000
    - - -
    - - -
    32,625 - -
    - - -
    62 - -
    - - -
    519 - 391,326
    5,064 - -

    - - -
    513 - 276,291
    - - -
    77 - -
    145 - 87,000
    - - -
    979 - -
    140 - -
    95 - -
    2,970 - -
    4,840 - -
    - - -
    23,100 - 693,000
    4,033 - -
    - - -
    - - -
    - - -
    230 - 143,520
    850 - 849,150
    2,399 - 345,456
    23,100 - -
    300 - -
    153 - -
    28,750 - -
    10,750 - -
    - - -
    - - -
    - - -
    250 - -
    92 - -
    1,283 - -
    - - -
    210 - -
    506 - -
    141 - -
    - - -
    4,935 - 64,155
    1,027 - -
    - - -
    1,210 - -
    891 - -
    12,100 - -
    56,100 - -
    2,200 - 178,200
    5,500 - -
    216 - -
    - -
    1,496 - -
    693 - -
    119 - -
    145 - -
    - - -
    114 - -
    - - -
    30,800 - -
    210 - -
    - - -
    108 - -
    5,460 - 191,100
    - - -
    - - -
    85 - 41,820
    38,500 - -
    13,090 - -
    77,000 - -
    - - -
    - - -
    - - -
    44 - -
    - -
    497 - -
    - - -
    113 - -
    4,400 - -
    - - -
    - 3,736,387

    390,000 - -
    125,000 - -
    17,500 - -
    395,000 - -
    242,000 - -
    55,000 - -
    176,000 - -
    93,500 - -
    34,000 - -
    - -
    - 17,943,185
    826 - 330,200
    826 - -
    826 - 412,750
    953 - -
    1,175 - -
    197 - -
    153 - -
    4,572 - -
    22,500 - 810,000
    22,500 - -
    464 - -
    464 - -
    8,000 - -
    8,000 - -
    8,000 - -
    1,300 - 65,000
    1,300 - -
    1,300 - -
    1,495 - -
    39,000 - -
    8,085 - 808,500
    8,085 - 808,500
    8,085 - 808,500
    8,085 - 808,500
    4,445 - -
    4,064 - -
    34,000 - 408,000
    34,000 - -
    24,000 - -
    7,900 - 821,600
    1,800 - -
    3,800 - -
    800 - -
    1,100 - -
    9,400 - 1,005,800
    16,000 - -
    25,000 - -
    1,100 - -
    52,070 - -
    439 - -
    439 - 548,625
    - - -

    33,000 - -
    27,830 - -
    60,500 - -
    30,000 - -
    3,850 - -
    7,315 - -
    21,753 - 174,024
    30,030 - -
    15,000 - 540,000
    15,000 - 540,000
    10,010 - -
    3,000 - -
    3,000 - -
    3,000 - -
    - - -
    3,000 - -
    4,320 - -
    4,320 - -
    4,320 - -
    2,021 - -
    2,224 - -
    3,810 - -
    1,270 - 95,250
    6,059 - -
    6,059 - -
    8,985,249
    26,928,434

    Pangkalan Kasai, 25 Desember 2018


    Penanggung Jawab
    APOTEK

    SINTICE, Amd. Farm

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