PO Jan 2018

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Total Pemakaian Obat di Apotek Januari 2018

Total Rata2 Total Kebutuhan


NO NAMA OBAT
Pemakaian Pemakaian/Hari Leed Time Apotek

1 Allopurinol 100 mg 320 12.8 128 448

2 Amlodipin tablet 5 mg 360 14.4 144 504

3 Amlodipin tablet 10 mg 180 7.2 72 252

4 Ambroxol tablet 1677 67.08 670.8 2347.8

5 Aminophylin tablet 2 0.08 0.8 2.8

6 Amoxicillin 500 mg 2673 106.92 1069.2 3742.2

7 Antasida tablet 1179 47.16 471.6 1650.6

8 Antalgin / Methampiron 500 mg 0 0 0 0

9 Asam asetilsalisilat (asetosal) 0 0 0 0

10 Asam Askorbat (Vitamin C) tablet 50 mg 2927 117.08 1170.8 4097.8

11 Asam Mefenamat 500 mg 500 20 200 700

12 Asiklovir tablet / kapsul / kaplet 400 mg 60 2.4 24 84

13 Asiklovir tablet 200 mg 30 1.2 12 42

14 Attapulgite 600 mg tablet 10 0.4 4 14

15 Bedak Salicyl 2 0.08 0.8 2.8

16 Betahistin metasilat 6 mg 140 5.6 56 196

17 Bisoprolol 0 0 0 0

18 Bromhexin tablet 8 mg 413 16.52 165.2 578.2

19 Captopril 12,5 mg 16 0.64 6.4 22.4

20 Captopril 25 mg 229 9.16 91.6 320.6

21 Captopril 50 mg 10 0.4 4 14

22 Cefadroxil 500 mg 112 4.48 44.8 156.8

23 Chlorpheniramin maleat (CTM) 3165 126.6 1266 4431

24 Chlorpromazin 0 0 0 0

25 Cimetidine tablet 662 26.48 264.8 926.8

26 Cotrimoxazole 480 mg 660 26.4 264 924

27 Dexamethason 0,5 Mg 3236 129.44 1294.4 4530.4

28 Diazepam 2 Mg 0 0 0 0

29 Digoxin Tablet 0 0 0 0

30 Domperidon tablet 10 mg 272 10.88 108.8 380.8

31 Doxycylin tablet 0 0 0 0

32 Eritromisin 500 mg 28 1.12 11.2 39.2

33 Eritromisin 250 mg 48 1.92 19.2 67.2

34 Fitomenadione tablet 0 0 0 0

35 Furosemid 40 mg 40 1.6 16 56

36 Garam Oralit 81 3.24 32.4 113.4

37 Glibenclamide 5 mg 65 2.6 26 91
38 Gliseril Guavakolat 100 mg 996 39.84 398.4 1394.4

39 Griseofulvin tablet 125 mg 32 1.28 12.8 44.8

40 Haloperidol tablet 0,5 mg 0 0 0 0

41 Hidroklorotiazid tab 25 mg 0 0 0 0

42 Hyoscine N Butylbromide 10mg 150 6 60 210

43 Ibuprofen 400 mg 714 28.56 285.6 999.6

44 Isosorbit Dinitrat 5 mg 20 0.8 8 28

45 Kalsium Laktat 500 mg 80 3.2 32 112

46 Kalium Diklofenak 25 mg 10 0.4 4 14

47 Kalium Diklofenak 50 mg 0 0 0 0

48 Karbamazepin kaplet 200 mg 21 0.84 8.4 29.4

49 Ketokonazole tablet 200 mg 100 4 40 140

50 Klindamisin kapsul 300 mg 72 2.88 28.8 100.8

51 Kloramfenikol kapsul 250 mg 10 0.4 4 14

52 Kodein 10 mg 0 0 0 0

53 Kodein 20 mg 0 0 0 0

54 Kombinasi : Kaolin + Pektin 10 0.4 4 14

55 Loperamid 67 2.68 26.8 93.8

56 Loratadine 10 mg 145 5.8 58 203

57 Metformin 500 mg 136 5.44 54.4 190.4

58 Meloxicam tablet 7,5 mg 320 12.8 128 448

59 Meloxicam tablet 15 mg 0 0 0 0

60 Metoklopramid 10 mg 84 3.36 33.6 117.6

61 Metronidazol tablet 250 mg 0 0 0 0

62 Metronidazol tablet 500 mg 380 15.2 152 532

63 Multivitamin (Omegavit) 933 37.32 373.2 1306.2

64 N-asetil sistein kapsul 200 mg 450 18 180 630

65 Natrium Bikarbonat 0 0 0 0

66 Natrium diklofenak 25 mg 0 0 0 0

67 Natrium diklofenak 50 mg 200 8 80 280

68 Nifedipin tablet 10 0.4 4 14

69 Obat Antispasmodik/ Spasminal 0 0 0 0

70 Omeprazol kapsul 20 mg 944 37.76 377.6 1321.6

71 Paracetmol 500 mg 2816 112.64 1126.4 3942.4

72 Pirantel tablet score (base) 125 mg 0 0 0 0

73 Piridoxin (vit B6) 197 7.88 78.8 275.8

74 Piroxicam kapsul 20 mg 84 3.36 33.6 117.6

75 Prednison tablet 5 mg 615 24.6 246 861

76 Propanolol 0 0 0 0
77 Propylthiouracyl 0 0 0 0

78 Ranitidine 150 mg 110 4.4 44 154

79 Salbutamol 2 mg 464 18.56 185.6 649.6

80 Sianokobalamin Tablet 10 0.4 4 14

81 Simvastatin scored tablet 10 mg 303 12.12 121.2 424.2

82 Simvastatin tablet / kaplet / salut 20 mg 50 2 20 70

83 Siprofloksasin 500 mg 1077 43.08 430.8 1507.8


84 Tablet SF 30 1.2 12 42

85 Tetrasiklin kapsul 250 mg 0 0 0 0

86 Tiamfenikol 500 mg 142 5.68 56.8 198.8

87 Thiamin HCl tablet 50 mg 165 6.6 66 231

88 Vitamin B Kompleks 1698 67.92 679.2 2377.2

89 Zinc tablet 120 4.8 48 168

SIRUP 0

1 Ambroxol syrup 15mg 10 0.4 4 14

2 Amoxilin drops 100 mg/ml 14 0.56 5.6 19.6

3 Amoksisilin sirup 125 mg/5 ml 26 1.04 10.4 36.4

4 Antasida Sirup/ Maagel Syr 2 0.08 0.8 2.8

5 Cefadroxil syrup kering 125mg/5ml 3 0.12 1.2 4.2

6 Domperidon Suspensi/ Vesperum 1 0.04 0.4 1.4

7 Eritromisin sirup kering 200 mg / 5 ml 0 0 0 0

8 Ibuprofen Suspensi 0 0 0 0

9 Kombinasi : Kaolin + Pektin suspensi 0 0 0 0

10 Kotrimoksasol sirup 3 0.12 1.2 4.2

11 Multivitamin Anak 11 0.44 4.4 15.4

12 Obat batuk hitam 0 0 0 0

13 Parasetamol drop 100 mg/ml btl @15 ml 1 0.04 0.4 1.4

14 Parasetamol sirup 120 mg / ml 20 0.8 8 28

15 Thiampenicol syr 1 0.04 0.4 1.4

16 Cetirizine syr 8 0.32 3.2 11.2

SALEP / CREM & OBAT TETES 0 0 0 0

1 Acyclovir krim 4 0.16 1.6 5.6

2 Betametason salep 15 0.6 6 21

3 Gentamicin salep kulit 4 0.16 1.6 5.6

4 Hidrokortison Salep Kulit 10 0.4 4 14

5 Ketokenazol krim 0 0 0 0

6 Cloramfenicol tetes mata 5 0.2 2 7

7 Cloramfenicol salep mata 4 0.16 1.6 5.6

8 Cloramfenicol salep kulit 1 0.04 0.4 1.4

9 Cloramfenikol tetes telinga 6 0.24 2.4 8.4


10 Salep 2-4 2 0.08 0.8 2.8

11 Mikonazol krim 12 0.48 4.8 16.8

12 Oksitetrasiklin Salep Kulit 0 0 0 0

13 Oksitetrasiklin HCl salep 3% mata 2 0.08 0.8 2.8

INJEKSI / SUPPOSITORIA / JELLY 0

1 Air untuk Injeksi 25 ml 0 0 0 0

2 Atropin Injeksi 1ml 0 0 0 0

3 Ceftriaxon injeksi 0 0 0 0

4 Cholorpromazin injeksi 5 mg/ml 0 0 0 0

5 Deksametason injeksi 0 0 0 0

6 Diazepam larutan rektal 5 mg / 2,5 mL 0 0 0 0

7 Diazepam injeksi 0 0 0 0

8 Difenhidramin Injeksi 0 0 0 0

9 Epinephrine injeksi 0 0 0 0

10 Fitomenadione injeksi 0 0 0 0

11 Furosemid injeksi i.v/i.m. 10 mg/ml 0 0 0 0

12 Lidocain Inj (Lidocain HCL 2%) 0 0 0 0

13 Magnesium sulfat injeksi 40% 0 0 0 0

14 Metilergometrin injeksi 0,2 mg/ml 0 0 0 0

15 Oksitosin inj 10 UI/ml 0 0 0 0

16 Omeprazole Injeksi 40 mg / 10 ml 0 0 0 0

17 Vitamin B12 injeksi 500 mcg 0 0 0 0

18 Xylocaine Jelly 2% 0 0 0 0

CAIRAN 0

1 Glukosa larutan infus 10 % 0 0 0 0

2 Glukosa larutan infus 5 % Steril 0 0 0 0

3 Nacl 0,9% 0 0 0 0

4 Ringer Laktat 0 0 0 0

BMHP / ALKES 0

1 Alat suntik 1 ml 0 0 0 0

2 Alat suntik 2,5 ml 0 0 0 0

3 Alat suntik 3 ml 0 0 0 0

4 Alat suntik 5 ml 0 0 0 0

5 Alat suntik 10 ml 0 0 0 0

6 Alcohol swab 0 0 0 0

7 Alkohol 70 % 100 ml 0 0 0 0

8 Alkohol 70 % 1000 ml 0 0 0 0

9 Alkohol 70 % 300 ml 0 0 0 0

10 Blood lancet 0 0 0 0
11 Blood transfusion set 0 0 0 0

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm 0 0 0 0

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm 0 0 0 0

14 Dermafix S IV 0 0 0 0

15 Dermafix T 5 x 7 cm 0 0 0 0

16 Disposible 0,5 ml 0 0 0 0

17 Disposible 0,05 ml 0 0 0 0

18 Ethyl Chlorida semprot 0 0 0 0

19 Eugenol cairan 0 0 0 0

20 Folly catheter 2 way No 16 0 0 0 0

21 Folly catheter 2 way No 18 0 0 0 0

22 Folly catheter 2 way No 20 0 0 0 0

23 Folly catheter 2 way No 22 0 0 0 0

24 Folly catheter 2 way No 24 0 0 0 0

25 Folly catheter ped no. 6 0 0 0 0

26 Folly catheter ped no. 8 0 0 0 0

27 Folly catheter ped no. 10 0 0 0 0

28 Hanscun steril No.6,5 0 0 0 0

29 Hanscun steril No.7 0 0 0 0

30 Hanscun steril No.7,5 0 0 0 0

31 Hanscun steril No.8 0 0 0 0

32 Hanscun Non steril No.7 0 0 0 0

33 Hanscun Non steril (saveglove Examination) 0 0 0 0

34 HIV test strip 0 0 0 0

35 Hydrex Surgical Scrub 500 ml 0 0 0 0

36 Infusion Set Anak 0 0 0 0

37 Infusion Set Dewasa 0 0 0 0

38 IV Catheter No.18 0 0 0 0

39 IV Catheter 20G x 1/4" 0 0 0 0

40 IV Catheter No.22 0 0 0 0

41 IV Catheter 24G x 3/4" 0 0 0 0

42 Kalsium hidroksida pasta 0 0 0 0

43 Kasa hidrofil 36 x 80 cm 0 0 0 0

44 Kapas Pembalut 250 g 0 0 0 0

45 Kasa Pembalut 2m x 80cm 0 0 0 0

46 Kasa Pembalut Hidrofil 4 X 5 cm 0 0 0 0

47 Kasa Pembalut Hidrofil 4 X 10 cm 0 0 0 0

48 Kasa Pembalut Hidrofil 4 X 15 cm 0 0 0 0

49 Kasa steril 16 x 16 cm 0 0 0 0

50 Lisol 1 L 0 0 0 0
51 My Jelly 82 gram 0 0 0 0

52 Nasal Oksigen Anak 0 0 0 0

53 Nasal Oksigen Bayi 0 0 0 0

54 Nasal Oksigen Dewasa 0 0 0 0

55 Nurse cap 0 0 0 0

56 Objek glas 0 0 0 0

57 OneScrub 500cc + dispenser 0 0 0 0

58 Plastik klip uk. 4 x 6 0 0 0 0

59 Plester 5 yeard X 2 Inchi 0 0 0 0

60 Povidon Iodin 30 ml 0 0 0 0

61 Povidon Iodin 500 ml 0 0 0 0

62 Povidon lodida larutan 10 % 60 ml 0 0 0 0

63 Povidon iodida larutan 10% 0 0 0 0

64 Povidon iodida larutan 10% 0 0 0 0

65 Rivanol 300 cc 0 0 0 0

66 Scalpel Blades No. 10 0 0 0 0

67 Scalpel Blades No. 11 0 0 0 0

68 Scalpel Blades No. 15 0 0 0 0

69 Surgical blade no. 21 0 0 0 0

70 Semen seng fosfat serbuk dan cairan 0 0 0 0

71 Silk 2/0 + Jarum 1/2 GT 35 mm 0 0 0 0

72 Silk 3/0 + Jarum 1/2 GT 35 mm 0 0 0 0

73 Surgical Mask Earloop 0 0 0 0

74 Sputum Pot 0 0 0 0

75 TERUMO SAFEED Feeding tube 16(125cm) 0 0 0 0

76 TERUMO SAFEED Feeding tube 8 Fr 40cm 0 0 0 0

77 Test Hamil 0 0 0 0

78 Umbilical Cord Klem Steril Nylon 0 0 0 0

79 Urine bag 0 0 0 0

80 Uritest Reagen Strip 11 G 0 0 0 0


DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg 10

3 Amlodipin tablet 10 mg 10

4 Ambroxol tablet 5

5 Aminophylin tablet

6 Amoxicillin 500 mg 3 10 10 10 10 10 5 5 10

7 Antasida tablet 20 20 20 20 10 5 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 3 10 10 10 5 5 10 10 10

11 Asam Mefenamat 500 mg 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg 20

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 3 10 5 10 10

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg

27 Dexamethason 0,5 Mg 10 3 10 10 5 5 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 5

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10 10

43 Ibuprofen 400 mg 10 5 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg 10 10

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10
64 N-asetil sistein kapsul 200 mg 10 10 10 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10

71 Paracetmol 500 mg 10 3 10 10 10 5

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10 10 10 10 10

89 Zinc tablet 10

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim 1

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 31

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

10

10

73

115

83

20

20

0
0

48

63

10

0
20

25

20

10
50

10

40

48

10

50
0

0
0

70

10

0
1

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg 10 10

3 Amlodipin tablet 10 mg 10 10 10

4 Ambroxol tablet 2 10 3 3 5 10 10 10 5 2

5 Aminophylin tablet

6 Amoxicillin 500 mg 5 10 10 2 10 3 3 5 10 10 3 10 10 10 10 2

7 Antasida tablet 10 10 10 20 20 5

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 2 10 3 3 5 3 10 10 10 20 10 20 10 10 2

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg 10

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 5 10 10 3 3 5 10 3 10 10 10 10 10 2

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 12

27 Dexamethason 0,5 Mg 10 10 2 10 3 3 5 10 3 10 10 10 10 10 10 2

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 1 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg 6

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 5 10 10 10 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10

43 Ibuprofen 400 mg 10 10 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg 10

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg 12

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg 6 10 10

57 Metformin 500 mg 10

58 Meloxicam tablet 7,5 mg 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg 5

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10

63 Multivitamin (Omegavit) 10
64 N-asetil sistein kapsul 200 mg 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 12 10 10

71 Paracetmol 500 mg 10 10 3 3 5 10 10 10 10 10 5 2

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 1

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 5 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg 10

79 Salbutamol 2 mg 5 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 5 10 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1 1 1

3 Gentamicin salep kulit 1

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata 1

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga 1


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 30

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

20

30

60

113

75

138

10

0
0

101

12

118

11

45

0
10

40

10

12

26

10

10

10

10
10

42

88

15

10

15

20
0

0
0

10

45

0
0

1
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10 10 10

2 Amlodipin tablet 5 mg 10 10 10 10 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 3 3 3 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 3 10 10 4 2 1 2 3 10 3 3 10 4 10 10 5 10 4 10 10

7 Antasida tablet 20 20 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 10 4 2 2 3 3 10 20 5 4 10

11 Asam Mefenamat 500 mg 10

12 Asiklovir tablet / kapsul / kaplet 400 mg 30

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 10

19 Captopril 12,5 mg
20 Captopril 25 mg 15 10

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 3 10 4 2 10 2 3 10 3 3 10 10 5 10 4 10

24 Chlorpromazin

25 Cimetidine tablet 10 10 10 10 10 10 10 10 10 10

26 Cotrimoxazole 480 mg 12 6

27 Dexamethason 0,5 Mg 10 10 10 10 10 10 4 2 10 3 3 10 4 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 3

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10 10 10 10 10 4 2 10 2 3 10 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10 10 10 10 10

44 Isosorbit Dinitrat 5 mg 10

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg 10

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg 10 10 10 10 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg 5

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10

71 Paracetmol 500 mg 10 10 10 4 2 3 3 10 4 6 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10 10

74 Piroxicam kapsul 20 mg 10 4

75 Prednison tablet 5 mg 2 3 10 10 5

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 10 10 10 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 10

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 3 10 10 3 10 4 10 10 10 10 10 10

89 Zinc tablet 5

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga 1


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 29

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

30

50

59

144

50

83

10

30

10

10

0
25

119

100

18

116

10

91

0
0

60

10

10

60

30
0

10

40

82

20

14

30

50

50
0

0
10

10

100

0
0

1
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 10 10 10 2 10 10 10

7 Antasida tablet 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 10 10 10 10

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg 10 5

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 2 10 10 10 10

24 Chlorpromazin

25 Cimetidine tablet 10 10 7 10 10 10 10 7 6 10

26 Cotrimoxazole 480 mg

27 Dexamethason 0,5 Mg 10 10 10 10 2 10 10 10 10 10 10 10 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10 10 2 10 10 10 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10 10 10 10 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg 10 7 7 10 7

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit)
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10

71 Paracetmol 500 mg 10 10 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 7 10 10 7 6
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 10

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 2 10 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim 1

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 27

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

20

82

10

50

0
15

62

90

132

10

62

0
0

70

10

41

0
0

10

40

10

10

40
0

0
10

62

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10 10 10

2 Amlodipin tablet 5 mg 10 10 10

3 Amlodipin tablet 10 mg 10

4 Ambroxol tablet 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 10 10 2 3 10 10 10 4

7 Antasida tablet 20 20 20 20 10 5 20 10 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 20 20 20 10 10 10 2 3 10 10 10 4

11 Asam Mefenamat 500 mg 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 10

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 4

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 6 12 12 6

27 Dexamethason 0,5 Mg 10 10 10 10 10 10 10 10 10 10 10 2 3 10 10 10 10 4

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg 6

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10 10 20 20 10 10 10 10 10 10 10 4

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg 21

49 Ketokonazole tablet 200 mg 10 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg 10 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10

71 Paracetmol 500 mg 10 10 10 10 2 3 10 10 1 10 10 10 4

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 10 10

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim 1 1

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 26

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

30

30

10

30

79

135

129

20

20

0
0

154

36

159

134

0
0

10

21

20

50
30

40

100

40
0

0
20

60

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg 10 10 10 10 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 6 6 5 4 10 10 10 10 10 10 10 10 10 10 10 10 3 10 10 2 10 10 3 10 3 2 4 2

7 Antasida tablet 4 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 20 20 10 3 20 10 10 4 4

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet 10

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10

19 Captopril 12,5 mg 10
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 4 4 4 6 10 10 10 10 10 10 7 10 10 10 10 10 3 10 2 10 2 3 2 7 2 4 2 4 6

24 Chlorpromazin

25 Cimetidine tablet 6 7 10 10 10 10 10 10 10 10 10 7 10 10 10 10

26 Cotrimoxazole 480 mg 12 12 7 6

27 Dexamethason 0,5 Mg 4 10 6 10 10 10 10 10 10 7 10 10 10 7 10 10 2 10 7 2 4 6

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10 4 4 6 10 10 10 7 10 20 10 10 10 3 10 10 5 10 7 2 4

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10 10 10 10 10 10 10 10 10 10 10 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg 10

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg 10 10

57 Metformin 500 mg 10

58 Meloxicam tablet 7,5 mg 10 10 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10

63 Multivitamin (Omegavit) 10 10 6 6
64 N-asetil sistein kapsul 200 mg 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10

71 Paracetmol 500 mg 4 10 4 4 6 10 10 10 10 10 10 6 10 10 7 2 2 3 10 2 6

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 10 4 4 10 10 10 10 7 10 3 2 3 4 4 2

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10 5

80 Sianokobalamin Tablet 10

81 Simvastatin scored tablet 10 mg 20 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 7 10 6 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 10 10

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 4 4 4 10 10 3 10 10 10 10 2 10 4 2

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum 1

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup 1 1 1

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit 1

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 25

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

50

40

210

14

111

10

10

10
0

202

150

37

175

20

172

0
0

140

10

10

20

10

40

30

32
10

20

146

10

93

15

10

30

43
0

0
20

10

93

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10 20 10 10

2 Amlodipin tablet 5 mg 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 10 10 10 10 10 4 3 10 10 10 10 10 10

7 Antasida tablet 20 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 10 2 10 10 10 3 10 4 3 3 10 20 10 10

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10

19 Captopril 12,5 mg
20 Captopril 25 mg 21 10

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 10 10 10 3 10 10 4 3 10 3 10 10 10 10 10

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 3

27 Dexamethason 0,5 Mg 10 10 10 10 10 3 10 10 10 4 3 3 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 3

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 2 4 3 3 20 10 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg 10

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg 20

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg 10 10 10 10 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10

71 Paracetmol 500 mg 10 3 10 10 10 4 3 10 10 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10 3

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 20 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg 1 1

2 Amoxilin drops 100 mg/ml 1

3 Amoksisilin sirup 125 mg/5 ml 1 1 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1 1 1

15 Thiampenicol syr

16 Cetirizine syr 1 1

SALEP / CREM & OBAT TETES


1 Acyclovir krim 1 1

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit 1 1

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 24

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

50

10

137

40

125

10

0
31

143

113

52

0
0

40

10

20

50
60

20

90

13

20

40

10
0

0
0

10

10

2
2

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10 10 10

2 Amlodipin tablet 5 mg 10 10 5

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 3 2 10 3 10 10 3 10 10 10 10

7 Antasida tablet 10 20 10 10 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 3 2 3 10 10 10 10 10 3 10 10 10 10 10

11 Asam Mefenamat 500 mg 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg 8 10 10

21 Captopril 50 mg 10

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 3 2 3 10 10 10 10 10 10 10 10 10 10

24 Chlorpromazin

25 Cimetidine tablet 10 10

26 Cotrimoxazole 480 mg 9

27 Dexamethason 0,5 Mg 10 3 2 10 10 10 10 10 10 10 10 10 10 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg 10 10

36 Garam Oralit 5

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 3 2 3 10 10 3

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg 12

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg 10 10

57 Metformin 500 mg 10

58 Meloxicam tablet 7,5 mg 10 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10 10 `10 10 6 10


64 N-asetil sistein kapsul 200 mg 10 10 10 10 10 10 10 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10 10 10 10

71 Paracetmol 500 mg 10 10 10 10 3 10 12 10 10 3 10 10 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10 2 5 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10 10

88 Vitamin B Kompleks 10 10 10 10 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg 1

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr 1

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1

15 Thiampenicol syr

16 Cetirizine syr 1

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit 1

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata 1

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit 1

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 20

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

30

25

10

81

70

111

20

10

0
28

10

118

20

135

20

31

0
0

30

12

20

10

30

46
90

20

70

128

10

20

27

20

80
0

0
0

20

70

1
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 10 10 3 3 10 2 10 10 10 10 10 10 10 10 10 5 10 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 7 4 10 3 5 5 3 10

7 Antasida tablet 20 10 20 20 10 20 20 10 20 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 5 5 10 3 10 10 3 10 5 3 10 3 10 10 2 10 10 10 5 5 10 10 3

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 5 10

19 Captopril 12,5 mg 6
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 5 5 10 10 3 10 4 10 10 3 5 3 10 2 10 10 10 10 4 10 5 10 10 10 10 3

24 Chlorpromazin

25 Cimetidine tablet 10 10 10 10

26 Cotrimoxazole 480 mg 6 10 12 12 12 12 12 3

27 Dexamethason 0,5 Mg 5 5 10 10 10 3 10 4 3 10 5 3 10 3 10 10 10 10 10 10 5 10 10 10 10 3

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10 10 2

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg 5

36 Garam Oralit 5 5

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 5 10 4 3 3 4 10 3

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg 10 10

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg 6 10

57 Metformin 500 mg 10

58 Meloxicam tablet 7,5 mg 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10

63 Multivitamin (Omegavit) 10 10 10 10 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 6 10 10 10

71 Paracetmol 500 mg 10 10 5 10 10 10 10 12 4 10 10 5 10 10 10 2 10 10 10 10 10 10 6 5 10 10 7 10 10 3

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10 2

74 Piroxicam kapsul 20 mg 10

75 Prednison tablet 5 mg 10 10 4 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg 10

79 Salbutamol 2 mg 10 2 3 10 1 10 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg 10

83 Siprofloksasin 500 mg 10 10 10 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10 10 10 10 10 10 10

89 Zinc tablet 5 10

SIRUP

1 Ambroxol syrup 15mg 1

2 Amoxilin drops 100 mg/ml 1

3 Amoksisilin sirup 125 mg/5 ml 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1 1

15 Thiampenicol syr

16 Cetirizine syr 1

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit 1

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata 1

8 Cloramfenicol salep kulit 1

9 Cloramfenikol tetes telinga 1


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 20

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

193

67

160

162

10

15

6
0

192

40

79

199

22

10

42

0
0

20

20

16

10

10

10

90
10

56

259

12

10

34

10

46

10

80
0

0
0

90

15

1
0

1
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 2 10 10 10 10 10

7 Antasida tablet 10 10 10 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 2

11 Asam Mefenamat 500 mg 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg 10

21 Captopril 50 mg

22 Cefadroxil 500 mg 6

23 Chlorpheniramin maleat (CTM) 2 6

24 Chlorpromazin

25 Cimetidine tablet 6 6 6 6 6 10 10 10

26 Cotrimoxazole 480 mg 12 12

27 Dexamethason 0,5 Mg 10 7 10 10 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg 10

38 Gliseril Guavakolat 100 mg 7

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 6 6 10 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg 6 6

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 6 10 10 10

71 Paracetmol 500 mg 2 7 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 5 8

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 6 8
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 10 10

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10 7 10 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 20

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

10

50

62

40

10

0
10

60

24

57

20

10

0
0

52

10

12

10
0

10

36

19

13

14
0

0
20

77

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 2 4 2 5 5 10 10 10 5 2

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 4 3 2 3 10 5 5 10 10 5 4 10 10 10 5 3 10 5 10 10 5 2 2

7 Antasida tablet 20 10 20 10 10 5

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 2 4 10 2 3 20 10 5 4 10 10 10 10 20 5 3 20 2 10 2

11 Asam Mefenamat 500 mg 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 5

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg 6

23 Chlorpheniramin maleat (CTM) 2 4 3 2 3 4 5 10 10 5 4 10 10 10 10 10 5 3 10 10 10 2 2

24 Chlorpromazin

25 Cimetidine tablet 10

26 Cotrimoxazole 480 mg 12

27 Dexamethason 0,5 Mg 2 4 10 3 2 3 10 4 5 10 10 5 4 10 10 10 5 3 10 10 10 10 2 10 2

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 3 4 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10 10

43 Ibuprofen 400 mg 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg 10

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10

71 Paracetmol 500 mg 10 2 4 3 3 5 6 4 10 10 10 5 3 10 6 10 10 5 2

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg 10 10

79 Salbutamol 2 mg 2 1 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10
84 Tablet SF 30

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 10 10

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 4 6 10 10 5 10 5

89 Zinc tablet 10

SIRUP

1 Ambroxol syrup 15mg 1 1

2 Amoxilin drops 100 mg/ml 1

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata 1

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga 1


10 Salep 2-4

11 Mikonazol krim 1 1

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 19

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

55

153

75

162

30

15

0
0

144

10

12

164

17

0
20

10

10

10

20
0

10

20

118

10

20

13

10
30

0
20

60

10

0
0

1
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 20

2 Amlodipin tablet 5 mg 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 10 10 3 7 4 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 10 10 10 3 3 6 4 7 4 10 10 5 10 10 10

7 Antasida tablet 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 10 10 20 20 10 3 7 4 10 10 10 5 10

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 5

19 Captopril 12,5 mg
20 Captopril 25 mg 5

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 10 10 10 10 10 10 6 10 10 3 3 7 4 10 10

24 Chlorpromazin

25 Cimetidine tablet 10 10 10 6 10

26 Cotrimoxazole 480 mg 12 12 12

27 Dexamethason 0,5 Mg 10 10 10 10 10 10 10 10 10 3 7 4 10 10 10 5 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10 10 3 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10 10 10

43 Ibuprofen 400 mg 10 10 4 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg 6

58 Meloxicam tablet 7,5 mg 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg 4

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10

63 Multivitamin (Omegavit) 10
64 N-asetil sistein kapsul 200 mg 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10 10 10 10 10 10

71 Paracetmol 500 mg 10 10 10 10 10 10 3 6 10 5 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg 10 10

75 Prednison tablet 5 mg 10 10 10 10 3 6 4 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10 2 10 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 6 6 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10 10 10 10 10 10 3 6 10 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg 1

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr 1

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit 1

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim 1

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 18

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

20

10

84

132

20

139

10

15

0
5

143

46

36

149

33

0
30

34

10

10

20

10
10

20

90

104

20

63

32

10

52
0

0
0

129

1
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10 10 10

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 20 10 10 10 10 1 3 10 10 10 10 10 5 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 10 10 10 10 2 3 10 10 10 10 10 10 10 10

7 Antasida tablet

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 2 10 10 10 10 10 1 3 10 20 20 10 10 10 5 10 10

11 Asam Mefenamat 500 mg 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg 5

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 20 2 10 10 10 10 10 10 10 10 10 10 10 5 10 10 10

24 Chlorpromazin

25 Cimetidine tablet 10

26 Cotrimoxazole 480 mg 12 9

27 Dexamethason 0,5 Mg 10 2 10 10 10 10 3 10 10 10 10 10 10 10 10 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 5

37 Glibenclamide 5 mg 10 10

38 Gliseril Guavakolat 100 mg 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10

43 Ibuprofen 400 mg 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid 10

56 Loratadine 10 mg

57 Metformin 500 mg 10 10

58 Meloxicam tablet 7,5 mg 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg 10

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10

63 Multivitamin (Omegavit) 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10

71 Paracetmol 500 mg 20 2 10 10 10 10 10 10 10 5

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10

74 Piroxicam kapsul 20 mg 10

75 Prednison tablet 5 mg 10 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 1 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 10 10 10 10 10 10

89 Zinc tablet 10

SIRUP

1 Ambroxol syrup 15mg 1

2 Amoxilin drops 100 mg/ml 1

3 Amoksisilin sirup 125 mg/5 ml 1 1

4 Antasida Sirup/ Maagel Syr 1

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr 1

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit 1

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 17

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

30

149

145

161

30

0
5

187

10

21

155

20

10

0
10

10

10

20

10

10

10

50
0

10

40

97

10

10

30

11

10

50
0

0
0

10

60

10

1
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 4 10 3 10 5 10 10 10 7 5 10 5 10 2 10 ### 10 10 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 4 3 10 5 10 10 7 5 5 10 5 10 2 10 2 10 10 10

7 Antasida tablet

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 4 3 10 5 10 10 10 10 3 5 5 10 10 10 10 2 10 2 10 10 10

11 Asam Mefenamat 500 mg 10 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 10 2

19 Captopril 12,5 mg
20 Captopril 25 mg 10 10

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 4 3 10 5 10 10 10 10 7 3 5 5 10 10 10 5 10 2 10 2 10 10 10 10 10

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 12 3

27 Dexamethason 0,5 Mg 10 4 10 3 10 5 10 10 10 10 3 5 10 10 5 10 2 10 10 2 10 10 10 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 3 3

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg 12

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 5

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10 10

43 Ibuprofen 400 mg 5

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid 10

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg 5 5 10 5 3 2

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10 10

63 Multivitamin (Omegavit) 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10 10

71 Paracetmol 500 mg 4 3 10 5 5 10 10 10 7 3 5 10 10 10 5 10 10 3 2 10 15 10 2 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 3 5 3 5 10 3 2

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 2 10 10 10 10 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10 10 10 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 5 10 10 10

89 Zinc tablet 10

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml 1 1 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 16

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

10

171

128

169

40

22

0
20

191

15

199

12

0
20

10

10

30

40

50
20

10

50

189

31

20

52

20

110
0

0
0

45

10

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANGG

NO NAMA OBAT PEM


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 25 26 27 28 29 30 31 32 33

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg 10 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 2 10 5 5 3 3 10 3 5 3 10 3 5 5 10 5 10 10 10 2 2

5 Aminophylin tablet 2

6 Amoxicillin 500 mg 10 10 2 10 5 3 10 3 10 3 5 3 10 5 10 5 10 10 5 10 10 10 10 10 10

7 Antasida tablet 10 10 5 10 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 2 10 5 3 10 3 3 5 2 5 10 5 10 10 2 10 2

11 Asam Mefenamat 500 mg 10 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl 1

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 10 10

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 2 10 5 5 3 3 10 3 3 10 4 5 5 10 10 10 10 10 10

24 Chlorpromazin

25 Cimetidine tablet 10 10

26 Cotrimoxazole 480 mg 9

27 Dexamethason 0,5 Mg 10 2 10 10 5 5 3 10 3 10 3 5 3 2 10 10 4 5 5 10 10 10 10 10 10 10 2 2

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 3

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 5 5

37 Glibenclamide 5 mg 10 10

38 Gliseril Guavakolat 100 mg

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 5

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid 5

56 Loratadine 10 mg

57 Metformin 500 mg 10 10

58 Meloxicam tablet 7,5 mg 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10 10

63 Multivitamin (Omegavit) 10 10 10 10
64 N-asetil sistein kapsul 200 mg 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10 10 10 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10

71 Paracetmol 500 mg 10 10 10 10 5 10 3 3 4 5 3 2 10 7 6 5 10 10 10 10 15 2 2

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10 10 2 2

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 10 10 10 10 10 10 6 4 10 10

89 Zinc tablet 10

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml 1 1 1 1

3 Amoksisilin sirup 125 mg/5 ml 1 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata 1

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit 1

13 Oksitetrasiklin HCl salep 3% mata 1

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


N OBAT TANGGAL 15

PEMAKAIAN NOMOR
34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

20

141

189

45

97

40

30

0
0

148

20

189

10

20

0
0

15

20

20

40

40
20

40

30

162

20

24

20

30
0

0
0

10

90

10

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg 10 10 10

3 Amlodipin tablet 10 mg 20

4 Ambroxol tablet 5 10 3 5 5 10 10 10 10 2 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 10 10 10 3 5 3 10 2 10 5

7 Antasida tablet

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 5 10 10 3 5 20 5 10 3 10 10 2 10 10 5

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 10 10

19 Captopril 12,5 mg
20 Captopril 25 mg 10 10

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 5 6 10 10 10 10 10 10 5 10 10 5 10 3 10 10 10 10 10 10 5

24 Chlorpromazin

25 Cimetidine tablet 10 10

26 Cotrimoxazole 480 mg 6 12

27 Dexamethason 0,5 Mg 10 5 10 10 10 10 10 5 10 10 3 10 10 10 5

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10 10 5 10

31 Doxycylin tablet

32 Eritromisin 500 mg 10 6

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg 5

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 6

39 Griseofulvin tablet 125 mg 20

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid 10

56 Loratadine 10 mg

57 Metformin 500 mg 10 10

58 Meloxicam tablet 7,5 mg 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10

63 Multivitamin (Omegavit) 10 10 10 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10 10 10 10 10

71 Paracetmol 500 mg 10 7 6 10 10 10 10 10 10 2 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10 10

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 6 10 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 2

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 6 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg 1 1

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml 1 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1

15 Thiampenicol syr

16 Cetirizine syr 1 1

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata 1

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4 1

11 Mikonazol krim 1 1 1

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 13

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

30

20

80

88

128

20

30

0
20

179

20

18

128

35

16

20

0
0

20

10

10

20

10

30

80
20

80

95

20

36

20

36
0

0
0

30

2
0

0
1

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg 10 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 3 2 10 2 5 4 10 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 3 10 10 10 10 3 2 10 4 10 10 10 10 10 10 10 10 10 10 10

7 Antasida tablet

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 2 10 3 10 2 10 5 4 20 10 10 7 10 10 10 10 10 20 10 10 10 10

11 Asam Mefenamat 500 mg 10 10 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 10 10

19 Captopril 12,5 mg
20 Captopril 25 mg 10 10 5

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 2 2 10 3 10 3 10 5 4 10 10 10 10 10 10 10 10 10 10 10

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 3

27 Dexamethason 0,5 Mg 10 2 2 10 10 3 10 10 3 10 5 4 10 10 7 10 10 10 10 10 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 7 4

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg 10

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 2 2

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10

63 Multivitamin (Omegavit) 10 5 10 10
64 N-asetil sistein kapsul 200 mg 10 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet 10

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10

71 Paracetmol 500 mg 10 2 2 12 3 2 10 2 5 6 10 4 7 10 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 4 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 2 2 5 5

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 2 2 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml 1 1

3 Amoksisilin sirup 125 mg/5 ml 1 1 1 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1 1 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata 1

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim 1

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 12

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

20

86

182

213

50

10

30

0
25

169

176

11

10

0
0

20

10

20

10

35
30

10

30

105

14

14

10

40
0

0
0

10

14

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg 10 10

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 3 4 10 3 2 2 2 4 10 5 10 7 2 10 3 5 2

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 3 4 3 10 3 2 1 2 5 10 10 10 5 10 10 10 4 7 10 10 5 10 10 10 10 5 5

7 Antasida tablet

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 3 4 3 20 3 2 1 2 2 5 4 20 10 10 5 20 10 10 7 2 10 3 5 10 10 10 2 10 10

11 Asam Mefenamat 500 mg 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 3 10 10 10 10

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 4 10 3 2 2 5 4 10 10 10 5 10 10 10 10 4 7 2 10 10 3 5 10 10 10 2 10

24 Chlorpromazin

25 Cimetidine tablet 10 6

26 Cotrimoxazole 480 mg 12

27 Dexamethason 0,5 Mg 10 3 10 3 2 2 2 2 5 4 10 10 5 10 10 10 10 4 7 2 10 3 5 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10 10 5 5

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 5 4

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 2 4

39 Griseofulvin tablet 125 mg 10

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10

43 Ibuprofen 400 mg

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg 10

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid 6

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10

63 Multivitamin (Omegavit) 10 10
64 N-asetil sistein kapsul 200 mg 10 10 10 10 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10 10

71 Paracetmol 500 mg 4 3 10 3 2 1 2 2 5 10 10 10 10 10 10 10 6 7 2 10 5 10 10 10 10 10 5 10 10 7

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg 10

75 Prednison tablet 5 mg 2 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 2 2 1 1 10 5

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 6 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 10 10 2 10 4 10 10 10 10 3 10 6

89 Zinc tablet 10 5

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml 1 1

3 Amoksisilin sirup 125 mg/5 ml 1 1 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml 1

14 Parasetamol sirup 120 mg / ml 1 1 1 1

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit 1 1

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 11

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

20

84

194

223

30

43

0
0

188

16

12

149

30

10

0
10

10

20

20

20
60

50

214

10

12

21

46
0

0
0

10

95

15

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TANG

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg 20 15 10

3 Amlodipin tablet 10 mg 10 10 10

4 Ambroxol tablet 10 10 10 10 10 10 10 3 4 10 3 2 2 2 4 10 5

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 5 10 10 10 10 10 3 10 2 10 10 3 2 10 3 4 3 10 3 2 1 2 5 10

7 Antasida tablet 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 4 10 20 10 10 3 10 2 10 3 2 10 10 10 10 3 4 3 20 10

11 Asam Mefenamat 500 mg 10 10 10 10 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 10 10 10 10 10 3 10

19 Captopril 12,5 mg
20 Captopril 25 mg 5

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 4 10 10 10 10 10 10 10 3 10 10 2 10 10 10 3 2 10 10 10 4 10

24 Chlorpromazin

25 Cimetidine tablet 10 10 10

26 Cotrimoxazole 480 mg 12 12

27 Dexamethason 0,5 Mg 4 10 10 4 10 10 10 10 10 3 10 10 2 10 3 2 10 10 10 10 10 3 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 5 5 3 3 3

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 4 3 3 2

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg 10 10 10

43 Ibuprofen 400 mg

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg 10 10

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg 12

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid 10 6

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10

63 Multivitamin (Omegavit) 10 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg 10 10 10

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10

71 Paracetmol 500 mg 15 10 10 10 5 10 10 10 10 10 10 10 10 10 10 2 10 10 10 2 10 4 3 10 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg 10

75 Prednison tablet 5 mg 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10 10 4 5 10 10 10 2 2 1 1 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg 10

83 Siprofloksasin 500 mg 10 10 10 10 10 10 10 10 6 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 15 10 10

88 Vitamin B Kompleks 15 10 10 10 10 10 10 2 10

89 Zinc tablet 5 10

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml 1 1

3 Amoksisilin sirup 125 mg/5 ml 1 1 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1 1

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit 1 1

5 Ketokenazol krim

6 Cloramfenicol tetes mata 1

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


AN OBAT TANGGAL 10

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

45

30

115

168

20

164

70

10

73

0
5

178

30

24

181

20

19

12

0
30

20

12

16

20

30

60
30

30

231

10

20

75

10

96
0

0
0

35

87

15

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 5 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 10 5 1 3 10

7 Antasida tablet

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 10 1 10 10 5 10 10 5 10 3 10 10

11 Asam Mefenamat 500 mg 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 10

19 Captopril 12,5 mg
20 Captopril 25 mg 10

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 5 10 10 10 5 10 5 10 3 10 10

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 12 12 6 12 12 6 12

27 Dexamethason 0,5 Mg 10 10 10 1 10 3

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg 5

38 Gliseril Guavakolat 100 mg 20 20 5 20 5 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg 10

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10

63 Multivitamin (Omegavit) 10 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10

71 Paracetmol 500 mg 10 10 5 10 5 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10 10

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 5 5 10 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol syr

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata 1

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


IAN OBAT TANGGAL 9

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

45

39

104

30

20

10

0
10

88

72

44

80

0
0

10

10

60
0

20

10

60

20

40

20

20
0

0
0

30

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg

4 Ambroxol tablet 10 10 10 10 10 10 20 10

5 Aminophylin tablet

6 Amoxicillin 500 mg

7 Antasida tablet 20 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 20 10 3 2 10 4 10 10 3 10 20 3 10 3

11 Asam Mefenamat 500 mg 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg 30

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10 10

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg 10

23 Chlorpheniramin maleat (CTM) 10 4 10 3 2 10 10 10 10 10 4 10 5 3 10 3 3 3 5 3

24 Chlorpromazin

25 Cimetidine tablet 10

26 Cotrimoxazole 480 mg 12 12 3 3 12 12 12 6 6 3 12 3 3 6 6 12

27 Dexamethason 0,5 Mg 10 4 10 10 3 2 10 10 10 12 4 10 10 10 5 3 10 3 10 3 3 10 3 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 4 10 10 10 5

31 Doxycylin tablet

32 Eritromisin 500 mg 6

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10 3 4 2 10 2 10 4 3 3 3 3 10 5

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10 10 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg 10

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10

63 Multivitamin (Omegavit) 10 10 10 10 10 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10

71 Paracetmol 500 mg 10 3 4 10 7 10 10 10 5 3 10 10 3 10 5 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 4 4

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 3 10 10 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 3 10 10 10 1 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 12

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 10 10 10 10 3

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml 1 1

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1

15 Thiampenicol syr 1

16 Cetirizine syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim 1

2 Betametason salep

3 Gentamicin salep kulit 1

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga


10 Salep 2-4

11 Mikonazol krim 1 1

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata 1

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


IAN OBAT TANGGAL 8

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

90

40

118

30

30

20

0
0

10

128

10

123

175

39

72

0
0

40

10

30

70
0

20

20

120

43

44

80
0

0
12

53

0
1

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg 10

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg

4 Ambroxol tablet

5 Aminophylin tablet

6 Amoxicillin 500 mg 4 7 3 3

7 Antasida tablet 10 10 20 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 10 4 10 10 10 4 5 3 3 20 4

11 Asam Mefenamat 500 mg 10 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl 1

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg

23 Chlorpheniramin maleat (CTM) 10 10 10 5 4 10 3 4

24 Chlorpromazin

25 Cimetidine tablet 10 10 10

26 Cotrimoxazole 480 mg 6 6 12 6 12

27 Dexamethason 0,5 Mg 10 4 10 10 10 5 4 5 3 10 4

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 5 4 3 3 10 4

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg 12

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg 10

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10

63 Multivitamin (Omegavit) 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg

71 Paracetmol 500 mg 10 10 4 10 5 5 3 10 12

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 10 10 10

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 10 3 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg

79 Salbutamol 2 mg 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10 10 10 10 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 5 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml 1

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml 1

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1

15 Thiampenicol syr

16 Cetirizine Syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep 1

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga 1


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


IAN OBAT TANGGAL 6

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

10

17

60

83

30

10

0
0

56

30

42

75

10

29

0
0

10

12

10

30

20
0

10

69

30

23

10

10

50
0

0
0

25

0
0

1
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT P
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 Allopurinol 100 mg 10 10 10

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg 10 10

4 Ambroxol tablet

5 Aminophylin tablet

6 Amoxicillin 500 mg 10 2 10 10 3 3 10 7 5 3

7 Antasida tablet 20 20 20 20 20 20 10 20

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 4 4 3 10 10 10 5 3

11 Asam Mefenamat 500 mg 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg 10 10

17 Bisoprolol

18 Bromhexin tablet 8 mg 10 10 10 10 10 10

19 Captopril 12,5 mg
20 Captopril 25 mg 10 10 10

21 Captopril 50 mg

22 Cefadroxil 500 mg 10 10 10

23 Chlorpheniramin maleat (CTM) 10 10 3 10 10 5 3

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 12

27 Dexamethason 0,5 Mg 10 10 5 10 3

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 2

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg 12 12 6

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit 5 5

37 Glibenclamide 5 mg 10

38 Gliseril Guavakolat 100 mg 3 10 5 3

39 Griseofulvin tablet 125 mg 2

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 3 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin 10

55 Loperamid 10

56 Loratadine 10 mg

57 Metformin 500 mg 10

58 Meloxicam tablet 7,5 mg 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10 10 10

63 Multivitamin (Omegavit) 10 10 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg 10

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10 10 10 10

71 Paracetmol 500 mg 10 10 2 10 10 10 3 10 10 10 10 10 5

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6) 2

74 Piroxicam kapsul 20 mg 10

75 Prednison tablet 5 mg 10 2 10 3 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg 10 10

79 Salbutamol 2 mg 1

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 10 10

82 Simvastatin tablet / kaplet / salut 20 mg 10 10 10

83 Siprofloksasin 500 mg 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg

87 Thiamin HCl tablet 50 mg 10

88 Vitamin B Kompleks 10 10 10 10 10 10 10 10 10 10 10 10

89 Zinc tablet 10 10

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml

15 Thiampenicol Syr

16 Cetirizine Syr
SALEP / CREM & OBAT TETES
1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrokortison Salep Kulit

5 Ketokenazol krim

6 Cloramfenicol tetes mata

7 Cloramfenicol salep mata

8 Cloramfenicol salep kulit

9 Cloramfenikol tetes telinga 1


10 Salep 2-4

11 Mikonazol krim

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


IAN OBAT TANGGAL 5

PEMAKAIAN NOMOR
32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 Total

30

20

63

150

49

20

20

60

0
30

30

51

12

38

30

10

10

21

0
0

23

10

10

10

10

40

40
0

10

70

110

10

35

20

30

30

10
0

0
0

10

120

20

0
0

1
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT P
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg 10 10 10

4 Ambroxol tablet 1 10 10 3 4 10 10 10 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 5 2 10 3 5 10 10 2 10 10 4

7 Antasida tablet 10 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 5 10 5 20 4

11 Asam Mefenamat 500 mg

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg 10

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg 10

23 Chlorpheniramin maleat (CTM) 5 10 1 10 10 3 4 10 6 2 10 10 4

24 Chlorpromazin

25 Cimetidine tablet

26 Cotrimoxazole 480 mg 10

27 Dexamethason 0,5 Mg 10 10 3 10 10 10 2

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10 10 10

44 Isosorbit Dinitrat 5 mg 10

45 Kalsium Laktat 500 mg

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg 10

58 Meloxicam tablet 7,5 mg

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg

63 Multivitamin (Omegavit) 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10

71 Paracetmol 500 mg 5 10 10 2 6 10 10 10 10 6

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 5 1 3 4

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg 10 10 10 10

79 Salbutamol 2 mg

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg 10 10

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol 500 mg 10 10 10

87 Thiamin HCl tablet 50 mg 10 10

88 Vitamin B Kompleks 5 10 10 4 2 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1

15 Thiampenicol Syr

16 Cetirizine Syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit

4 Hidrocortison Salep Kulit

5 Ketokenazol krim

6 Kloramfenikol tetes mata

7 Kloramfenikol Salep Mata

8 Kloramfenikol Salep Kulit

9 Kloramfenikol tetes telinga


10 salep 2-4

11 Mikonazol krim / salep 2 % (\Nitrat)

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


IAN OBAT TANGGAL 4

PEMAKAIAN NOMOR
32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 Total

30

78

71

20

44

10

0
0

10

85

10

55

10

0
0

30

10

10

10
0

10

79

13

40

20

10
0

0
30

20

61

0
0

0
0

0
0

0
0

0
0

0
0

0
0

0
DAFTAR PEMAKAIAN OBAT TAN

NO NAMA OBAT P
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32

1 Allopurinol 100 mg

2 Amlodipin tablet 5 mg

3 Amlodipin tablet 10 mg 10 10 10

4 Ambroxol tablet 10 2 10 10

5 Aminophylin tablet

6 Amoxicillin 500 mg 2 3 4 5 10 2 10 10 10

7 Antasida tablet 10 20 10

8 Antalgin / Methampiron 500 mg

9 Asam asetilsalisilat (asetosal)

10 Asam Askorbat (Vitamin C) tablet 50 mg 2 3 4 10 10 20 10 10 10

11 Asam Mefenamat 500 mg 10 10

12 Asiklovir tablet / kapsul / kaplet 400 mg

13 Asiklovir tablet 200 mg

14 Attapulgite 600 mg tablet

15 Bedak Salicyl

16 Betahistin metasilat 6 mg

17 Bisoprolol

18 Bromhexin tablet 8 mg

19 Captopril 12,5 mg
20 Captopril 25 mg

21 Captopril 50 mg

22 Cefadroxil 500 mg 10 10 10 10 10

23 Chlorpheniramin maleat (CTM) 2 4 10 5 10 10 10 2 10 10 10

24 Chlorpromazin

25 Cimetidine tablet 10

26 Cotrimoxazole 480 mg 9 12 12

27 Dexamethason 0,5 Mg 2 3 5 10 10 10 10 10 2 10 10 10

28 Diazepam 2 Mg

29 Digoxin Tablet

30 Domperidon tablet 10 mg 10 10

31 Doxycylin tablet

32 Eritromisin 500 mg

33 Eritromisin 250 mg

34 Fitomenadione tablet

35 Furosemid 40 mg

36 Garam Oralit

37 Glibenclamide 5 mg

38 Gliseril Guavakolat 100 mg 2 3 10 20 5 10

39 Griseofulvin tablet 125 mg

40 Haloperidol tablet 0,5 mg

41 Hidroklorotiazid tab 25 mg
42 Hyoscine N Butylbromide 10mg

43 Ibuprofen 400 mg 10

44 Isosorbit Dinitrat 5 mg

45 Kalsium Laktat 500 mg 10

46 Kalium Diklofenak 25 mg

47 Kalium Diklofenak 50 mg

48 Karbamazepin kaplet 200 mg

49 Ketokonazole tablet 200 mg

50 Klindamisin kapsul 300 mg 12 12

51 Kloramfenikol kapsul 250 mg

52 Kodein 10 mg

53 Kodein 20 mg

54 Kombinasi : Kaolin + Pektin

55 Loperamid

56 Loratadine 10 mg

57 Metformin 500 mg

58 Meloxicam tablet 7,5 mg 10 10

59 Meloxicam tablet 15 mg

60 Metoklopramid 10 mg

61 Metronidazol tablet 250 mg

62 Metronidazol tablet 500 mg 10 10

63 Multivitamin (Omegavit) 10 10 10 10
64 N-asetil sistein kapsul 200 mg

65 Natrium Bikarbonat

66 Natrium diklofenak 25 mg

67 Natrium diklofenak 50 mg

68 Nifedipin tablet

69 Obat Antispasmodik/ Spasminal

70 Omeprazol kapsul 20 mg 10 10 10 10

71 Paracetmol 500 mg 3 10 10 10 10 10 10

72 Pirantel tablet score (base) 125 mg

73 Piridoxin (vit B6)

74 Piroxicam kapsul 20 mg

75 Prednison tablet 5 mg 4 10 10

76 Propanolol

77 Propylthiouracyl

78 Ranitidine 150 mg 10

79 Salbutamol 2 mg 2 10 10

80 Sianokobalamin Tablet

81 Simvastatin scored tablet 10 mg

82 Simvastatin tablet / kaplet / salut 20 mg

83 Siprofloksasin 500 mg 10
84 Tablet SF

85 Tetrasiklin kapsul 250 mg


86 Tiamfenikol kapsul

87 Thiamin HCl tablet 50 mg

88 Vitamin B Kompleks 10 20 10 10 20 2 10 10 10 10 10

89 Zinc tablet

SIRUP

1 Ambroxol syrup 15mg

2 Amoxilin drops 100 mg/ml

3 Amoksisilin sirup 125 mg/5 ml

4 Antasida Sirup/ Maagel Syr

5 Cefadroxil syrup kering 125mg/5ml

6 Domperidon Suspensi/ Vesperum

7 Eritromisin sirup kering 200 mg / 5 ml

8 Ibuprofen Suspensi

9 Kombinasi : Kaolin + Pektin suspensi

10 Kotrimoksasol sirup

11 Multivitamin Anak 1 1

12 Obat batuk hitam

13 Parasetamol drop 100 mg/ml btl @15 ml

14 Parasetamol sirup 120 mg / ml 1 1

15 Thiampenicol Syr

16 Cetirizine Syr

SALEP / CREM & OBAT TETES


1 Acyclovir krim

2 Betametason salep

3 Gentamicin salep kulit 1 1

4 Hydrocortisone Salep Kulit

5 Ketokenazol krim

6 Kloramfenikol tetes mata

7 Kloramfenikol salep mata

8 Kloramfenikol salep kulit

9 Kloramfenikol tetes telinga


10 salep 2-4 1

11 Mikonazol krim / salep 2 % (\Nitrat)

12 Oksitetrasiklin Salep Kulit

13 Oksitetrasiklin HCl salep 3% mata

INJEKSI / SUPPOSITORIA / JELLY

1 Air untuk Injeksi 25 ml

2 Atropin Injeksi 1ml

3 Ceftriaxon injeksi

4 Cholorpromazin injeksi 5 mg/ml

5 Deksametason injeksi

6 Diazepam larutan rektal 5 mg / 2,5 mL

7 Diazepam injeksi

8 Difenhidramin Injeksi
9 Epinephrine injeksi

10 Fitomenadione injeksi

11 Furosemid injeksi i.v/i.m. 10 mg/ml

12 Lidocain Inj (Lidocain HCL 2%)

13 Magnesium sulfat injeksi 40%

14 Metilergometrin injeksi 0,2 mg/ml

15 Oksitosin inj 10 UI/ml

16 Omeprazole Injeksi 40 mg / 10 ml

17 Vitamin B12 injeksi 500 mcg

18 Xylocaine Jelly 2%

CAIRAN

1 Glukosa larutan infus 10 %

2 Glukosa larutan infus 5 % Steril

3 Nacl 0,9%

4 Ringer Laktat

BMHP / ALKES

1 Alat suntik 1 ml

2 Alat suntik 2,5 ml

3 Alat suntik 3 ml

4 Alat suntik 5 ml

5 Alat suntik 10 ml

6 Alcohol swab
7 Alkohol 70 % 100 ml

8 Alkohol 70 % 1000 ml

9 Alkohol 70 % 300 ml

10 Blood lancet

11 Blood transfusion set

12 Catgut chromic 2/0 + jarum 1/2 GT 35 mm

13 Catgut chromic 3/0 + jarum 1/2 GT 35 mm

14 Dermafix S IV

15 Dermafix T 5 x 7 cm

16 Disposible 0,5 ml

17 Disposible 0,05 ml

18 Ethyl Chlorida semprot

19 Eugenol cairan

20 Folly catheter 2 way No 16

21 Folly catheter 2 way No 18

22 Folly catheter 2 way No 20

23 Folly catheter 2 way No 22

24 Folly catheter 2 way No 24

25 Folly catheter ped no. 6

26 Folly catheter ped no. 8

27 Folly catheter ped no. 10

28 Hanscun steril No.6,5


29 Hanscun steril No.7

30 Hanscun steril No.7,5

31 Hanscun steril No.8

32 Hanscun Non steril No.7

33 Hanscun Non steril (saveglove Examination)

34 HIV test strip

35 Hydrex Surgical Scrub 500 ml

36 Infusion Set Anak

37 Infusion Set Dewasa

38 IV Catheter No.18

39 IV Catheter 20G x 1/4"

40 IV Catheter No.22

41 IV Catheter 24G x 3/4"

42 Kalsium hidroksida pasta

43 Kasa hidrofil 36 x 80 cm

44 Kapas Pembalut 250 g

45 Kasa Pembalut 2m x 80cm

46 Kasa Pembalut Hidrofil 4 X 5 cm

47 Kasa Pembalut Hidrofil 4 X 10 cm

48 Kasa Pembalut Hidrofil 4 X 15 cm

49 Kasa steril 16 x 16 cm

50 Lisol 1 L
51 My Jelly 82 gram

52 Nasal Oksigen Anak

53 Nasal Oksigen Bayi

54 Nasal Oksigen Dewasa

55 Nurse cap

56 Objek glas

57 OneScrub 500cc + dispenser

58 Plastik klip uk. 4 x 6

59 Plester 5 yeard X 2 Inchi

60 Povidon Iodin 30 ml

61 Povidon Iodin 500 ml

62 Povidon lodida larutan 10 % 60 ml

63 Povidon iodida larutan 10%

64 Povidon iodida larutan 10%

65 Rivanol 300 cc

66 Scalpel Blades No. 10

67 Scalpel Blades No. 11

68 Scalpel Blades No. 15

69 Surgical blade no. 21

70 Semen seng fosfat serbuk dan cairan

71 Silk 2/0 + Jarum 1/2 GT 35 mm


72 Silk 3/0 + Jarum 1/2 GT 35 mm

73 Surgical Mask Earloop

74 Sputum Pot

75 TERUMO SAFEED Feeding tube 16(125cm)

76 TERUMO SAFEED Feeding tube 8 Fr 40cm

77 Test Hamil

78 Umbilical Cord Klem Steril Nylon

79 Urine bag

80 Uritest Reagen Strip 11 G


IAN OBAT TANGGAL 3

PEMAKAIAN NOMOR
33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Total

30

32

56

40

79

20

0
0

50

83

10

33

92

20

50

0
0

10

10

24

20

20

40
0

40

63

24

10

22

10
0

0
0

122

0
0

0
1

0
0

0
0

0
0

0
0

0
0

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