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DAFTAR OBAT P3K

NO NAMA OBAT JUMLAH SATUAN HARGA OBAT


1 LAR POVIDONE 100ML 1 BOTOL Rp 10,800
2 KASA STERIL 16X16 1 BOX Rp 14,300
3 HANSAPLAST 10 STRIP Rp 3,400
4 RIVANOL 1 BOTOL Rp 7,000
5 MINYAK KAYU PUTIH KONICARE 1 BOTOL Rp 11,400
6 PARACETAMOL TAB 500MG 10 TAB Rp 1,300
7 POLYCROL FORTE TAB 10 TAB Rp 6,000
8 VISINE TETES MATA 1 BOTOL Rp 12,300
9 BIOPLACENTON SALEP 1 TUBE Rp 14,900
10 THROMBOPHOB OINT 1 TUBE Rp 52,000
TOTAL Rp 133,400
DAFTAR OBAT-OBATAN UNTUK BAKSOS HLMC JANUARI 2013

No. Nama permintaan order satuan


1 ALLOPURINOL 100 MG/ZYLRIC 100 1 box
2 ALLOPURINOL 300 MG 100 1 box
3 AMLODIPINE 10 MG -P- 50 2 box
4 AMOXICILIN 125 MG DRY SYR 5 5 fls
5 AMOXICILLIN TAB 500 MG 100 1 box
6 ANTASID DOEN STRIP 100 1 box
7 ASAM MEFENAMAT 500 mg KAPL KF 100 1 box
8 BENOSON CR 5 5 5 tube
9 CAPTOPRIL 12,5 MG 100 1 box
10 CAPTOPRIL 25 MG 100 1 box
11 CETIRIZINE 10 MG 50`S 100 2 box
12 CIPROFLOXACIN 500 MG 50 1 box
13 COMBANTRIN SUSP ORANGE 2 2 fls
14 COTRIMOXAZOL 480 MG 50 1 box
15 COTRIMOXAZOLE SYR 5 5 fls
16 DEXAMETHASONE 0.5 MG TAB KF 200 2 box
17 DEXTROMETHORPHAN SYR 60 ML 5 5 fls
18 DEXTROMETHORPHAN SYR 60 ML 5 5 fls
19 DEXTROMETHORPHANE 15 BOX 100 1 box
20 DOMPERIDON TAB 10 MG 100 1 box
21 ENZYPLEX 25 x 4`S 50 1 box
22 ERLAMICETIN TM 5 5 tube
23 ERLAMICETIN TT 3 3 tube
24 FUROSEMIDE 40 MG TAB KF 100 1 box
25 HIDROCORTISON 1% KLB X 10 10 tube
26 HIDROCORTISON 2,5% KLB X 10 10 tube
27 HYDROCHLOROTIAZIDE (HCT)25 MG TAB KF 100 1 box
28 IKAMICETIN OINT 5 5 tube
29 INTUNAL F TABLET 100 1 box
30 INTUNAL SYRUP 60 5 5 fls
31 KALNEX 500 MG 20 1 box
32 KETOKONAZOL CREAM 2 % 5 5 tube
33 KETOKONAZOLE 200 MG TAB 50 1 box
34 MELOXICAM TAB 15 MG GEN 50 2 box
35 METHYLPREDNISOLON 4 MG 50 1 box
36 METRONIDAZOLE 500 MG TAB KF 50 1 box
37 MUCOHEXIN 8 MG TAB 50 1 box
38 NATRIUM DIKLOFENAK 25 MG 100 1 box
39 NATRIUM DIKLOFENAK 50 MG 100 1 box
40 OBH GEN 10 10 fls
41 ORALIT 30 1 box
42 PAPAVERIN 40 MG TAB INF 50 1 box
43 PARACETAMOL SYR 60 ML 10 10 fls
44 RANITIDIN 150 MG TAB KF 100 1 box
45 SALBUTAMOL 4 MG 100 1 box
46 SANMOL SYRUP 60 ML 5 5 fls
47 SANMOL TAB 100 1 box
48 SIMVASTATIN TAB 10 MG 50 1 box
49 TREMENZA TAB 100`S 50 1 box

Menyetujui, Mengetahui,

(dr. Sendy Komarudin M.kes) (Drs. Muh. Husnul K, Apt)

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