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LEMBAR KERJA STOCK OPNAME LogisticMedik

2/4/2021 1:19

18 Jan 2021,
NO KODE NAMA BARANG 07:00:00 ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


Alkes 1
Contoh 25 02-23 25 25 OK
3 49910 ADHESIVES TAPES (STEAM) roll 7 Dec-99 7 7 OK
6 50906 ALCOHOL Swab - - Pcs 40,000 Feb-22 40,000 OK
7 51733 ALCOHOL Swab - - Pcs 76,800 Feb-23 76800 OK
8 49865 ALCOHOL Swab - - pieces 15,400 Jun-22 15600 L200
9 51461 ALCOHOL Swab (Septalkan)_CoV - - Pcs 8,400 Feb-23 8,400 8400 OK
10 49906 ALKACIDE 1L - - bottle 33 Feb-23 33 33 OK
12 49905 Alkazyme Sachet 25 mg pak 35 May-20 35 35 OK
13 49834 ALKOHOL 70 % BOTOL 100 bottle 6 May-21 6 6 6
16 51612 ALKOHOL 70 % BOTOL 1000 - - Btl 230 Feb-24 232 232 L2
17 51474 ALKOHOL 96 % 25 ltr (BLUD) - 25ltr Btl 25 Dec-99
18 50204 Anesthesi Flow Dewasa - - buah 97 Aug-23 97 97 OK
19 51721 Anesthesia Face Mask 0 (BLUD) - - Pcs 5 Aug-23 10 10 L5
20 51725 Anesthesia Face Mask 1 (BLUD) - - Pcs 5 May-23 10 10 L5
21 51722 Anesthesia Face Mask 3 (BLUD) - - - 5 Jan-24 0 0 -2
22 51723 Anesthesia Face Mask 4 (BLUD) - - Pcs 5 Jan-24 0 0 -2
30 50957 APD Set_CoV - - Set 19 Dec-99
34 51700 Apron One Plastik LP_CoV Lengan Panjang - Pcs 5,550 Dec-99
37 51701 Apron One Plastik_CoV - - Pcs 3,220 Dec-99 3310 -90
38 50512 AQUACEL AgExtra 10x10 - - Piece 20 Apr-22 20 20 OK
40 51386 Arm Sling L - - Pcs 25 Dec-99 25 25 OK
42 51350 Arm Sling M - - Pcs 34 Dec-99 35 35 -1
44 51351 Arm Sling S - - Pcs 45 Dec-99 45 45 OK
49 49884 Besmed Maxiflow Anak (Masker Oksigen) Buah 25 Dec-99 25 25 OK
50 49886 Besmed Maxiflow Bayi (Masker Oksigen) Buah 100 Dec-99 100 100 OK
51 49804 Besmed Maxiflow Dewasa (Masker Oksigen) Buah 275 Dec-99 275 275 OK
58 49793 BLADES (MESS) NO 11 - 11 PIECES 1,100 Jul-22 1,100 1100 OK
59 49794 BLADES (MESS) NO 15 - 15 PIECES 400 Jul-22 400 400 OK
64 49887 Blood Lancet - - pieces 30,200 Jun-22 30,200 30200 OK
65 50489 BLOOD STOP BS-10 - - PIECES 200 Oct-24 200 280 L80
69 49861 BLOODSET (TERUMO) - - piece 3,600 Feb-22 3,600 3600 OK
71 50463 BOWIE & DICK TEST - - Box 6 Sep-21 6 6 OK
81 50907 Catgut Chromic 2/0 - - Pcs 156 Sep-24 192 192 OK
86 51457 Catgut Chromic 3/0 Cutting - - Pcs 48 Mar-25 48 48 OK
90 49789 CATGUT PLAIN 1 (5) 75M - /meter meter 27 Oct-25 27 27 OK
93 50908 Catgut Plain 2/0 + jarum - - Pcs 96 Sep-22 120 L24
94 50269 Catgut Plain 2/0 + jarum - - PIECES 48 May-25
95 50494 CATGUT PLAIN 2/0 43 mm - - Piece 408 Sep-24 444 444 L36
98 51551 Catgut Plain 3/0 (BLUD) - - Pcs 168 Dec-22 600 600 OK
100 51782 Catgut Plain 3/0 + Needle - - Pcs 456 #N/A
103 49859 Catheter IV 18 - 18 piece 1,750 Dec-22 1800 L50
104 51763 Catheter IV 18 With Port (Terumo) - - Pcs 700 May-24 700 OK
105 50465 Catheter IV 18 With Port (Vasofix - - Pcs 1,450 Sep-23 1450 OK
107 50943 Catheter IV 20 - - Piece 3,050 Oct-23 4650 -50
108 49858 Catheter IV 20 - 20 piece 1,650 Oct-23
109 51764 Catheter IV 20 With Port (Terumo) - - Pcs 400 Oct-23 450 L50
110 50453 Catheter IV 20 With Port (Vasofix) - - piece 200 Nov-23 200 OK
112 50104 Catheter IV 22 - 22 PIECES 2,900 Nov-22 2,800 2800 L100
115 49860 Catheter IV 24 - - piece 2,350 Dec-22 2,350 2450 L100
118 50266 Catheter IV 24G With Port (Troge) Trovensite Safety - 600 Jul-24 500 -100
119 51566 Catheter IV 26 - - Pcs 300 Nov-23 1100 -400
122 50502 Catheter IV 26 With Port (Polyflex-Terumo) - - pieces 300 Nov-23
124 51459 Catheter IV 26G With Port (Troge) - - Pcs 550 Jul-24
125 50058 CATHETER MOUNT 5 Jun-22 5 5 OK
131 81849 Central Venous Catheter (CVC) Kit Triple Lumen 7FR20 10 #N/A 10 10 OK
134 50450 Cervical Collar - - Unit 63 Dec-99 63 63 OK
140 51543 Colostomy Bag (BLUD) - - Pcs 50 Dec-99 50 50 OK
142 50333 Cresotin Liquid II - - vial 1 Dec-99 -1
145 50440 Cuticell Clasic 10 x 10 - - Pcs 1,200 May-23 1,200 1200 OK
146 50441 CUTIMED Gel - 15gr Tube 20 Apr-21 20 20 OK
147 50442 CUTIMED Sorbact Swap - 7 x 9 cm Pcs 160 Apr-23 160 160 OK
162 51758 DRAINAGE BOTTLE FG 12 - - Pcs 50 Sep-24 70 L20
163 51523 DRAINAGE BOTTLE FG 12 (BLUD) - - Btl 50 Sep-24
164 51524 DRAINAGE BOTTLE FG 14 (BLUD) - - Btl 95 Sep-24 45 -50
166 50513 DUODERM ExtraThin 4x4 - - Piece 230 May-23 230 230 OK
172 50444 ECG (electrode) - - pcs 13,440 Sep-22 13,440 13440 OK
174 51398 ECG PAPER (BTL) - - Roll 70 Dec-99 70 70 OK
176 50323 ECG Paper (FUKUDA) - - box 20 Dec-99 20 20 OK
177 51358 ECG Paper (FUKUDA) (BLUD) - - Pcs 5 Dec-99 5 5 OK
178 50496 ECOSORB 1 40 mm - - Piece 24 Jan-23
179 50497 ECOSORB 2/0 37 mm - - Pieces 132 Jan-23
183 49841 ETT HVLP Cuffed, sterile 6 mm - - piece 110 Jul-23 100+
184 49843 ETT HVLP Cuffed, sterile 6.5 mm - - piece 500 Dec-23 500 OK
185 50535 ETT HVLP Cuffed, sterile 7 mm - - Pieces 70 Dec-23 90 -20
186 49845 ETT HVLP Cuffed, sterile 7.5 mm - - piece 15 Jul-23 13 -2
1 of 68
18 Jan 2021,
NO KODE NAMA BARANG 07:00:00 ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


187 49846 ETT HVLP Cuffed, sterile 8 mm - - piece 27 Feb-21 24 -2
193 49842 ETT SVLP Cuffed, sterile 6.0 mm - - piece 16 Feb-21 30 L24
194 49844 ETT SVLP Cuffed, sterile 7 mm - - piece 20 Jan-23 0 -20
195 50392 ETT SVLP Cuffed, sterile 7.5 mm - - PIECES 3 Mar-23 0 -3
196 49847 ETT SVLP Cuffed, sterile 8 mm - - piece 30 Feb-21 37 L7
197 51761 Extension Tube - - Pcs 700 Sep-25 700 700 OK
199 51550 Extension Tube 100cm (BLUD) - - Pcs 100 Nov-24 100 100 OK
216 50697 Feeding Tube 5FR 40cm - - pcs 370 May-23 390 L20
218 51570 Feeding Tube 8FR 100cm (BLUD) - - Pcs 110 Jan-23 110 OK
221 50698 Feeding Tube 8FR 40cm - - Pcs 300 Feb-23 300 OK
222 51548 Feeding Tube 8FR 40cm (BLUD) - - Pcs 70 Nov-22 50 -20
226 51427 Film X-Ray DI-HL (BLUD) - 20X25 cm Lembar 600 600 600 OK
229 50536 Film X-Ray DVE - 20X25 cm Lembar 6,500 Mar-22 6,500 6500 OK
240 50659 Folley Catheter 2 way no. 10 - - Pcs 220 Nov-22 220 220 OK
242 51465 Folley Catheter 2 way no. 10 (BLUD) - - Pcs 30 Nov-22 30 30 OK
243 49824 Folley Catheter 2 way no. 12 - 12 PIECES 730 Jul-23 730 730 OK
244 51466 Folley Catheter 2 way no. 12 (BLUD) - - Pcs 30 Jul-23 20 20 -10
246 50660 Folley Catheter 2 way no. 14 - - Pcs 480 Apr-25 630 630 L160
247 51507 Folley Catheter 2 way no. 14 - - Pcs 150 Mar-22
248 51479 Folley Catheter 2 way no. 16 - - Pcs 1,054 Sep-24 2,630 2630 OK
250 50486 Folley Catheter 2 Way No. 16 - - PIECES 1,580 Apr-25
253 51480 Folley Catheter 2 way no. 18 - - Pcs 170 Jul-24 170 170 OK
255 50487 Folley Catheter 2 Way No. 18 - - PIECES 460 Mar-22 460 460 OK
257 50661 Folley Catheter 2 way no. 8 - - Pcs 200 Mar-23 200 200 OK
260 51464 Folley Catheter 2 way no. 8 (BLUD) - - Pcs 40 Mar-23 40 40 OK
262 51606 Formaline 37 % 1 Ltr (BLUD) - - Btl 10 Apr-24 10 10 OK
264 51475 Gliserin 1 Ltr (BLUD) - 1 ltr Btl 1 Dec-99 -1
266 51478 Guedel Airway 100 mm Disp. Steril - - Pcs 115 Jul-24 115 115 OK
270 51508 Guedel Airway 60 mm Disp. Steril (BLUD) - - Pcs 30 Feb-25 30 30 OK
271 50203 Guedel Airway 70 mm Disp. Steril - 70 piece 195 Jun-22 195 195 OK
272 50456 Guedel Airway 80 mm Disp. Steril - - PCS 164 Jun-23 144 150 -14
274 51728 Guedel Airway 90 mm Disp. Steri - - Pcs 60 Sep-25 60 60 OK
276 51517 Guedel Airway 90 mm Disp. Steril (BLUD) - - Bh 20 Sep-25 20 20 OK
277 50925 Hand Rub Aseptan 5 ltr_CoV - - Btl 16 Mar-23 16 16 OK
278 71805 Hand Rub Aseptan 500 cc _CoV - - Btl 46 #N/A 48 L2
280 51702 Hand Rub Chlodine 5 ltr_CoV - - Btl 69 Apr-22 69 OK
282 51704 Hand Rub Chlodine 500 ml_CoV - - Btl 7 Apr-22
283 51488 Hand Rub Infion 50 ml_CoV - - Btl 103 May-23
286 50472 Hand Rub No Rinse 500 ml VIOREX - - Botol 150 Jun-23 150 150 OK
287 51312 Hand Rub SOFTANOL 500 ml - - Btl 383 Mar-23 379 -4
288 51487 Hand Rub Triton 5 ltr_CoV - - Btl 5 May-25 5 5 OK
289 50470 Hand Soap 5 L VIOREX - - Botol 2 Jan-22 2 3 L1
290 50471 Hand Soap 500 ml VIOREX - - Botol 7 Dec-21 7 7 OK
300 71812 Handschoon Non Steril L_CoV - - Pcs 15,800 #N/A 15800 OK
309 71810 Handschoon Non Steril M_CoV - - Pcs 11,300 #N/A 11300 OK
317 71811 Handschoon Non Steril S_CoV - - Pcs 27,500 #N/A 27500 OK
319 51741 Handschoon Obgyn Steril (Obgyn Glove) - - Psng 875 Dec-99 875 OK
325 51762 Handschoon Steril 6 - - Psng 300 Nov-24 300 OK
334 50940 Handschoon Steril 7 - - Psng 7,300 May-24 11,000 11,100 L3800
337 50941 Handschoon Steril 7,5 - - Psng 7,430 May-23 7,400 7300 -130
341 51615 Handschoon Steril 7_CoV - - Pcs 3,980 May-22 11,000
344 50939 Handschoon Steril 8 - - Psng 900 May-23 900 900 OK
352 71819 Hazmat / COVER ALL APD Standart_CoV - L&XL - 1,990 #N/A
354 51433 Hazmat / COVER ALL APD Standart_CoV - L&XL Pcs 1,793 Dec-99
362 50454 HCG TEST KEHAMILAN - - PCS 550 Jan-21 550 OK
368 50451 INDICATOR STRIPS (STEAM) - - Box 7 Nov-20 1 -6
370 51307 Infus Set Makro - - Pcs 4,200 Mar-24 4,100 4100 -100
372 49825 Infus Set Mikro - - piece 100 Jun-21 100 100 OK
381 50443 IV Dressing LEUKOMED-IV FILM - 6 x 8cm Pcs 7,600 Jun-23 7,600 7600 OK
383 51652 Jackson Rees 0,5 L (BLUD) - - Pcs 4 May-24 6 L2
384 51653 Jackson Rees 1 L (BLUD) - - Pcs 2 Aug-24 1 -1
387 51436 Kaca Mata Google_CoV - - Box 15 Dec-99
388 51526 Kaca Mata Google_CoV - - Pcs 46 Dec-99
393 49879 Kapas Pembalut 250 g - - roll 120 Oct-23 120 OK
395 50910 Kasa Hidrofil Non Steril 36m x 80cm - - Pcs 25 May-23 25 OK
397 50909 Kasa Hidrofil Non Steril 36m x 80cm - - roll 275 May-23 275 OK
398 49829 Kasa Kompres DRC 40cm x 40cm piece 2,000 Jul-22 2000 OK
399 49830 Kasa Pembalut Hidrofil DRC 4m x 10cm roll 1,660 May-22 1450 -210
400 49831 Kasa Pembalut hidrofil DRC 4m x 15cm roll 500 Jul-22 550 L50
401 49832 Kasa Pembalut Hidrofil DRC 4m x 3cm roll 250 Jun-22 250 OK
402 50267 Kasa Pembalut Hydrofil 4m x 10cm - - PIECES 40 Jul-22
403 50248 Kasa Pembalut Hydrofil 5cm x 4m - - - 950 Jul-22 950 OK
405 51361 Kasa Steril DRC 16cm x 16cm - - Box 200 May-23 200 OK
407 51471 Klip Resiko Kuning (Fall Risk) (BLUD) - - Pcs 8,000 Dec-99 8000 OK
408 51472 Klip Resiko Merah (Allergy) (BLUD) - - Pcs 500 Dec-99 500 OK
409 51473 Klip Resiko Ungu (DNR) (BLUD) - - Pcs 100 Dec-99 100 OK
413 50760 Laryngeal Mask Airway (LMA) No. 1.0 - Reusable - - P 2 Jan-23 2 2 OK
415 50759 Laryngeal Mask Airway (LMA) No. 2.0 - Reusable - - P 1 Jun-21 1 1 OK
2 of 68
18 Jan 2021,
NO KODE NAMA BARANG 07:00:00 ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


416 50762 Laryngeal Mask Airway (LMA) No. 2.5 - Reusable - - P 2 Sep-21 2 2 OK
421 50885 Leukoplast 7.5 cm x 4.5 m - - Pcs 69 Jul-22 69 69
423 51399 Leukoplast 7.5 cm x 4.5 m - - Roll 300 Jun-22 300 300 OK
424 50250 LYOSTYPT 5X8 CM - - - 24 Jul-23
425 49809 Lysol 1 liter - - bottle 68 Jun-21 68 68 OK
432 51600 Masker 3 Ply Plus Earloop (Jilbab)_CoV - - Pcs 1,650 Dec-99 51200
433 71807 Masker 3 Ply Plus Earloop (Jilbab)_CoV - - Pcs 15,700 #N/A
434 71806 Masker 3 Ply Plus Earloop_CoV - - Pcs 24,350 #N/A
436 51706 Masker 3 Ply Tie On (Tali)_CoV - - Pcs 8,550 Dec-99
440 51705 Masker N95 (1860)_CoV - - Pcs 2,448 Jan-25 4,180 4080(3616)=L464
441 51614 Masker N95 (3M_1860)_CoV - - Pcs 1,168
449 50654 Masker Nebulizer Anak - - Piece 500 Jun-23 600 L100
454 50653 Masker Nebulizer Dewasa - - Piece 1,200 Feb-25 1100 -100
457 50212 MASKER NON REBREATHING (NRBM) ADULT - - pc 1,290 Aug-23 1200 -90
459 50213 MASKER NON REBREATHING (NRBM) ANAK - - pcs 200 May-23 200 OK
460 50667 Masker Oksigen Anak Cosmo - - Pcs 300 May-23 300 300 OK
462 50493 Mesh 5x10 Re - - Piece 78 Dec-99 78 OK
464 50518 Micro centrifuge tubes 1.5 ml - - Bag 17,000 Dec-99 17000 OK
467 50336 Micropipet 1 ml - - pack/1000 8 Dec-99 8 OK
468 71815 Micropipet 10 mcl_CoV - - BOX 4 #N/A 4 OK
469 71817 Micropipet 1000 mcl_CoV - - - 10 #N/A 10 10 OK
470 71814 Micropipet 100mcl_CoV - - - 5 #N/A 5 OK
471 71816 Micropipet 20 mcl_CoV - - BOX 4 #N/A 4 OK
473 51308 Micropipet 200 mcl - - pack/1000 10 Dec-99 10 10 OK
474 71818 Micropipet 200 mcl_CoV - - BOX 5 #N/A 5 OK
476 49810 Mitella kain - - Buah 74 Dec-99 74 74 OK
481 50108 Mucus Extractor - - buah 425 Dec-25 425 425 OK
484 71813 Multi Drug Test (BLUD) - - Kit 3 #N/A 3 3 OK
485 49807 My Jelly 82 gram tube 49 Apr-21 48 48 OK
487 51429 Nasal Canul / Nasal Oxygen Bayi - - Pcs 1,000 Feb-24 1000 OK
488 50651 Nasal Canul Anak Cosmo - - Pcs 700 Feb-25 700 OK
490 50458 NASAL CANUL DEWASA COSMO MED - - Pcs 3,550 Feb-25 3700 L150
500 49852 Nasogastric tube CH 10 piece 50 Mar-25 50 50 OK
501 49853 Nasogastric tube CH 12 piece 40 Jan-23 40 40 OK
502 50752 Nasopharingeal Airway No. 6.0 - - Pcs 10 Oct-23 10 10 OK
503 50754 Nasopharingeal Airway No. 6.5 - - Pcs 10 Oct-23 10 10 OK
504 50750 Nasopharingeal Airway No. 7.0 - - Pcs 10 Oct-23 10 10 OK
505 50751 Nasopharingeal Airway No. 7.5 - - Pcs 10 Oct-23 10 10 OK
506 50753 Nasopharingeal Airway No. 8.0 - - Pcs 10 Oct-23 10 10 OK
507 50723 NEEDLE 18 G X 32 MM - - Pcs 200 Oct-23 200 200 OK
510 50721 NEEDLE 25 G X 32 MM - - Pcs 400 400 400 OK
511 50722 NEEDLE 26 G X 32 MM - - Pcs 500 500 500 OK
513 51692 NEEDLE DENTAL 30G X 21MM (BLUD) - - Pcs 600 Jun-24 600 OK
515 49896 Nierbeken Disposable 2cm, pak/10pcs - - pax 200 Jun-25 200 200 OK
518 51528 Object Glass_CoV - - Pcs 936 Dec-99 936 936 OK
519 49856 Opsite Post Op 15,5x8,5cm piece 160 Jul-22 160 160 OK
521 49855 Opsite Post Op 6,5x5cm piece 200 Oct-22 200 200 OK
606 51729 Pembalut Elastis 10 cm x 4,55 m - Policrepe - - Pcs 48 Jun-25 48 48 OK
607 50851 Pembalut Elastis 15 cm x 4,55 m - FMCrepe - - Pcs 12 May-25
608 50704 Pembalut Elastis 15 cm x 4,55 m - Policrepe - - Pcs 48 May-25 48 48 OK
610 50705 Pembalut Elastis 7,5 cm x 4,55 m - Policrepe - - Pcs 30 Aug-25 30 30 OK
613 50813 Pen Needle 31 X 5 - - Pcs 3,000 Aug-24 3,000 3000 OK
614 51644 Pen Needle 31 X 5 (BLUD) - - Pcs 200 Aug-24 200 200 OK
618 51756 PENCIL CESS ERBE - - Pcs 120 Feb-25 120 120 OK
621 50455 PERFUSOR - Tubing PCS 450 Apr-23 450 475 L25
624 50459 PHARMAFIX, (15 CM X 500 CM) - - Pcs 159 Sep-24 159 148 -11
627 50938 PHARMAFIX, (5 CM X 500CM) - - Roll 110 May-24 115 115 L5
628 50499 Plesterin elastis - - Box 52 Mar-24 54 50 -2
629 49897 Plestering Bulat Non Woven - - box 19 Sep-22 19 19 OK
632 51564 Poliban 10 cm x 2,7 (BLUD) - - Roll 24 Feb-25 24 24 OK
634 50505 Poliban 15 cm x 2,7 m - - Roll 63 Mar-25 138 141 L7
635 51565 Poliban 15 cm x 2,7 m (BLUD) - - Roll 78 Mar-25
637 50500 Poligyp 10 cm x 2,7 m - - Roll 85 Jun-23 141 141 OK
638 51560 Poligyp 10 cm x 2,7 m (BLUD) - - Roll 56 Jun-23 OK
639 50501 Poligyp 15 cm x 2,7 m - - Roll 38 Jun-23 109 109 -31
640 51562 Poligyp 15 cm x 2,7 m (BLUD) - - Roll 75 Jun-23
641 51561 Poligyp 7,5cm x 2,7 m (BLUD) - - Roll 10 Apr-23 10 10 OK
642 50706 Postofix 10x25cm - - Pcs 1,040 May-25 1,040 1040
644 50449 POUCHES FLAT 10CM/200M STERICLIN - Roll 1 Dec-22 1 1 OK
645 50708 POUCHES FLAT 15CM/200M STERICLIN - Roll 1 Dec-22 1 1 OK
646 49908 POUCHES FLAT 20CM/200M STERICLIN - roll 10 Dec-22 10 10 OK
647 50475 POUCHES FLAT 5CM/200M STERICLIN - Roll 8 Jul-23 8 8 OK
649 50707 POUCHES GUSSETTE 15X15 CM STERICLIN - Roll 1 Jul-23 1 1 OK
651 51594 Povidone Iodine (Betadine) 190 ml GargleMothwash_CoV 444 Sep-23 444 444 OK
654 51353 Povidone Iodine (Ecodine) 1000 ml - - ml 219,000 Jan-23 21000 -198000
656 49811 Povidone Iodine 30 ml - - bottle 10 Dec-99 2 -8
658 50916 Povidone Iodine 300 ml - - Btl 80 Sep-22 78 -2
671 71820 RAPID TEST CORONARY_CoV - - Pcs 725 #N/A

3 of 68
18 Jan 2021,
NO KODE NAMA BARANG 07:00:00 ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


673 71821 Rapitex CPR/PCR_CoV - - Box 6 #N/A
674 51639 Rectal Tube No. 18 / 40cm (BLUD) - - Pcs 10 Jul-23 10 10 OK
675 51640 Rectal Tube No. 20 / 40cm (BLUD) - - Pcs 10 Jul-23 10 10 OK
679 50912 Safety Box 5 ltr - - Pcs 1,295 Dec-99 1295 OK
680 51382 Safety Box 5 ltr - - Pcs 595 Dec-99 595 OK
688 51367 Sepatu Boot_CoV - - Pcs 150 0 150 OK
689 50710 Septalkan 750 ml - - Botol 26 Jun-23 28 28 L2
690 51602 Septalkan 750 ml_CoV - - Btl 75 Jun-23 75 75
691 51559 Sharp Container 7L - - Pcs 520 Dec-99 520 520 OK
695 51658 Shoe Cover_CoV - - Pcs 1,300 Dec-99 1,300 1300
696 50498 Silk 2/0 - - Pieces 84 Jan-23 84 84 OK
697 50913 Silk 2/0 +jarum 1/2 GT 35 mm - - Pcs 204 Jul-24 504 504 -24
698 49900 Silk 2/0 +jarum 1/2 GT 35 mm - 2/0 PIECES 324 Jul-24
700 50914 Silk 3/0 + jarum 1/2 GT 35mm - - Pcs 264 Sep-24 324 324 L60
703 49791 SILK BLACK 1 (4) 75M - /meter piece 75 Sep-22 75 75 ok
704 49792 SILK BLACK 2 (5) 50M - /meter piece 50 Oct-22 50 50 ok
705 49799 SILKAM BLACK 3/0 (2) 75CM DS24 piece 102 Oct-21 102 102 ok
706 50534 Skin Marker (Alphamed) - - Pieces 100 Jan-22 100 100 ok
707 50503 Skin Marker Steril - - piece 91 Feb-24 91 91 ok
712 50846 Spalk 100x10cm (BLUD) - - Pcs 60 Dec-99 60 60 ok
713 50844 Spalk 60x10cm (BLUD) - - Pcs 40 Dec-99 40 40 ok
714 50845 Spalk 70x10cm (BLUD) - - Pcs 70 Dec-99 70 70 ok
715 50842 Spalk Infus 10x5cm (BLUD) - - Pcs 250 Dec-99 210 -40
716 50843 Spalk Infus 15x5cm (BLUD) - - Pcs 70 Dec-99 80 80 L10
720 50460 SPINOCAN 25 (26) - - PCS 100 Nov-23 100 100 ok
723 50462 SPINOCAN 27 - - Pcs 800 Feb-25 700 700 ok
729 49801 SPINOCAN 29 - - piece 75 Oct-22 75 75 ok
731 50532 Spuit 0,5 ml - - Pieces 1,500 Jun-23 1,500 1500 ok
733 50713 Spuit 1 ml with Needle - - Pcs 2,501 Jan-25 2,700 2500 -1
739 51314 Spuit 10 ml with Needle - - Pcs 7,900 Jan-25 8,300 8300 L400
743 50208 Spuit 20 ml Stera - 20 ml piece 7,100 Apr-23 7,100 7100 ok
744 49802 Spuit 3 ml with Needle - - piece 48,750 Oct-25 52,910 48800 L50
746 50568 Spuit 5 ml - - Piece 3,800 Jan-25 27,600 26200 L4000
749 50572 Spuit 5 ml (TERUMO) - - Piece 22,400 Jun-23
751 51354 Spuit 50 Ecocentric Stera - - Pcs 20 Oct-22 60 60 L40
752 49873 Spuit 50 Ecocentric Stera Ecocentric - piece 100 Oct-22 100 100
755 50211 Spuit 50 ml Ecocentric 50 ml piece 280 Dec-22 240 240 -40
756 50714 Spuit 50 ml Luer Lock - - Pcs 160 May-24 160 160 OK
758 49872 Sputum Pot - - Buah 1,800 May-24 1,800 1800 OK
759 51527 Sputum Pot_CoV - - Pcs 500 Dec-99 500 500 OK
764 50419 Sterofoam Kotak - Pcs 11 Dec-99 11 11 OK
765 49815 Stikpan Plastik - - piece 68 Dec-99 68 68 OK
767 50715 Stomach Tube 12FR 125cm - - Pcs 150 May-24 150 OK
769 51547 Stomach Tube 14FR 125cm (BLUD) - - Pcs 255 Jan-25 255 OK
770 50717 Stomach Tube 16FR 125cm - - Pcs 175 May-24 175 OK
771 50718 Stomach Tube 18FR 125cm - - Pcs 80 Jun-24 90 L10
779 51544 Suction Catheter FR. 10 (BLUD) - - Pcs 80 Feb-24 80 OK
781 51469 Suction Catheter FR. 12 (BLUD) - - Pcs 20 Oct-24 50 OK
782 51541 Suction Catheter FR. 12 (BLUD) - - Pcs 30 Oct-24 OK
792 51540 Suction Catheter FR. 8 (BLUD) - - Pcs 800 Feb-25 800 OK
793 51757 SUCTION CONNECTING TUBE - - Pcs 1,100 Oct-25 1,150 1150 L50
798 50469 Surface Disinfectant 500 ml - STERICIDE - - Botol 1 Dec-99 1 1 OK
803 51707 Surgeon Cap / NURSE CUP_CoV - - Box 136 Dec-99 136 136 OK
810 51731 Surgical Gown Non Woven_CoV - - Pcs 2,400 May-25
811 51439 Surgical Gown Non Woven_CoV - L&XL Pcs 2,930 Apr-25
812 50567 Suture Needle - - Pack 30 Dec-99
817 50205 Three Way Stop Cock with Tube - - pcs 1,150 Mar-25 1,150 1150 OK
824 50123 TRANSOFIX - - PIECES 450 Oct-24 450 450 OK
827 50782 Triton C26 T-Chromic Catgut Chromic 2-0, 90 cm Round 96 Nov-24 96 96 OK
828 50781 Triton C29 T-Chromic Catgut Chromic 2, 90 cm Heavy R 996 Feb-24 916 916 -80
829 51502 Triton C29 T-Chromic Catgut Chromic 2, 90 cm Heavy R 24 Feb-24
830 50783 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round 12 May-24 12 OK
831 49917 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round 5 Sep-22
832 50452 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round 76 Jan-24 105 L29
833 50780 Triton C98 T-Chromic Catgut Chromic 1, 100 cm Blunt, 1 72 Oct-24 84 -12
834 51503 Triton C98 T-Chromic Catgut Chromic 1, 100 cm Blunt, 24 Jun-24
836 50570 Triton M49 T-Mono Polyglecaprone25 1, 90 cm Round Bo 1,092 Nov-22 1,092 1092 OK
838 50784 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse 972 Feb-23 972 972 OK
842 50785 Triton N90 T-Nylon Nylon 2-0, 76 cm Reverse Cutting, 3 48 Nov-23
844 50791 Triton P89 T-Plain Catgut Plain 1, 90 cm Round Bodied, 372 Nov-24 360 360 L12
846 50790 Triton S22 T-Silk Silk/Sutera 3-0, 76 cm Round Bodied, 24 Mar-24 24 24 OK
847 50788 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 36 Dec-24 36 36 OK
850 50789 Triton S34 T-Silk Silk/Sutera 2-0, 76 cm Reverse Cutting 72 Jun-24 60 60 -12
851 51672 TRITON T-Bond B107 - - Pcs 24 Dec-22 24 24 OK
853 51159 TRITON T-Lene 3/0 L68 - - Pcs 24 Dec-23 36 36 L12
855 51160 TRITON T-Lene 4/0 L69 - - Pcs 36 Jun-24 24 24 -12
856 51730 TRITON T-Lene 5/0 L17 Cutting - - Pcs 12 Sep-24 12 12 OK
863 50792 Triton V16 T-Vio Polyglycolide 1, 90 cm Heavy Round Bo 58 Feb-22 5 58 OK
4 of 68
18 Jan 2021,
NO KODE NAMA BARANG 07:00:00 ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


871 50859 Underpad - - Pcs 80 May-24 80 OK
873 50473 Underpad - - Pieces 4,800 May-24 4800 OK
879 49866 Urine Bag Sterile with Hanger piece 1,600 May-24 1600 OK
880 51430 Urine Bag with Hanger - - Pcs 400 Feb-22

ED Lebih dari 1, Tata yg ED Dekat di depan / di atas (FEFO)

Pelakasana II, Pelakasana I,

_________________ _________________

5 of 68
OK
NO

KUNING+HIJAU = JUMLAH SIMRS

BIRU + BARANG LEBIH


MERAH = BARANG KURANG

6 of 68
kuning = JUMLAH STOK

7 of 68
204+324+528

8 of 68
LEMBAR KERJA STOCK OPNAME LogisticMedik OK
2/4/2021 1:19 NO
18 Jan 2021,
NO KODE NAMA BARANG 07:00:00 ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


Farmasi (Obat - Obatan)
25 02-23 25 25 OK
109 51306 BETAHISTIN MESILAT Tablet 6 Mg - - Tablet 2,100 Aug-21 2,100 2000 SELISIH B KURANG 100
127 51446 CALCITRIOL (OSCAL) 0,5 mcg - - Kapsul 1,230 Apr-22 1,230 1200 SELISIH B KURANG 30
209 51778 D 10% 1/5 NS - - Btl 20 #N/A SMRS
231 50326 Devitalisasi Pasta (Non Arsen) - - kotak 2 Dec-99
377 50328 Klorfenol Kamfer Menthol ChKM - - botol 1 Nov-20 36
424 50072 MAGNESIUM SULFAT (MgSO4) 40% - - - 95 Oct-20 48 SELISIH
465 50153 METRONIDAZOLE INF 5mg/mL - - BOTOL 644 Nov-22 688 SELISIH B LEBIH 44
575 50958 Ondansentron 4 (BLUD) - - Tablet 40 Dec-21 1,390 1390 SELISIH B LEBIH 50
576 50082 Ondansentron 4 Tablet Tablet 1,300 Dec-21
81 50367 PROSOGAN INJ 30 MG - - VIAL 20 Sep-21 20 20 SELISIH B LEBIH 5
111 49965 Ringer Asetat-Malat (Asering) INFUS 500 ML So 9,648 Dec-22
131 50330 Semen Seng Fosfat ( s dan c) - - set 1 Dec-99
226 50048 VITAMIN B COMPLEX TABLET TABLET 900 Jan-21 SMRS

ED Lebih dari 1, Tata yg ED Dekat di depan / di atas (FEFO)


Pelakasana II, Pelakasana I,

_________________ _________________

9 of 68
ED Lebih dari 1, Tata yg ED Dekat di depan / di atas (FEFO)
XH_ tolong disendirikan dan dicek
Rechek ED

Bln-Thn Rechek ED
Bln-Thn Sendirikan, Rechek ED
000 Cek Fisik SIMRS KS

10 of 68
LEMBAR KERJA
PEMBUATAN DATA ED BARANG
NOPEMBER 2020

Kode Nama Barang Jml ED


50809 5 in 1 Panel DOA Cassette Methamphetamin,Morphin) - Pak 0
50112 ACON Hb Hemoglobin Strip - - Strip 0
49910 ADHESIVES TAPES (STEAM) roll 9 0
50235 ALAT (GPT) FS 127019910029 - - KIT 0
50241 Albumin FS 102209910022 - - KIT 0
50906 ALCOHOL Swab - - Pcs 40,000 Feb-22
51733 ALCOHOL Swab - - Pcs 76,800 Feb-23
49865 ALCOHOL Swab - - pieces 41,600 Jun-22
51461 ALCOHOL Swab (Septalkan)_CoV - - Pcs 8,900 Feb-23
49906 ALKACIDE 1L - - bottle 40 Feb-23
51557 ALKACIDE 1L_CoV - - Btl 0
49905 Alkazyme Sachet 25 mg pak 35 May-20
49834 ALKOHOL 70 % BOTOL 100 bottle 55 May-21
49835 ALKOHOL 70 % BOTOL 1000 bottle 0
50911 ALKOHOL 70 % BOTOL 1000 - - Btl 0
51612 ALKOHOL 70 % BOTOL 1000 - - Btl 320 Feb-24
51474 ALKOHOL 96 % 25 ltr (BLUD) - 25ltr Btl 25 0
50956 ALKOHOL 96 % 25 ltr_CoV - - Liter 75 0
50204 Anesthesi Flow Dewasa - - buah 97 Aug-23
51721 Anesthesia Face Mask 0 (BLUD) - - Pcs 10 Aug-23
51725 Anesthesia Face Mask 1 (BLUD) - - Pcs 10 May-23
51722 Anesthesia Face Mask 3 (BLUD) - - - 10 Jan-24
51723 Anesthesia Face Mask 4 (BLUD) - - Pcs 10 Jan-24
51724 Anesthesia Face Mask 5 (BLUD) - - Pcs 4 Jan-24
51650 ANESTHESIA FACE MASK NO. 5 - - Pcs 0
50188 Anti-A Monoclonal Golongan Darah - 10 ml Vial 0
50190 Anti-A,B Monoclonal Golongan Darah - 10 ml Vial 0
50189 Anti-B Monoclonal Golongan Darah - 10 ml Vial 0
50191 Anti-D Duoclone Golongan Darah - 10 ml Vial 0
50928 APD Set_CoV - - Set 0
50957 APD Set_CoV - - Set 19 0
49808 Apron One Plastik - - Bag 0
50770 Apron One Plastik - - Pcs 0
50640 Apron One Plastik - - Piece 0
51700 Apron One Plastik LP_CoV Lengan Panjang - Pcs 5,940 0
51347 Apron One Plastik_CoV - - Pcs 0
51613 Apron One Plastik_CoV - - Pcs 0
51701 Apron One Plastik_CoV - - Pcs 6,949 0
50512 AQUACEL AgExtra 10x10 - - Piece 30 Apr-22
49891 Arm Sling L Buah 0
51386 Arm Sling L - - Pcs 30 0
49890 Arm Sling M Buah 0
51350 Arm Sling M - - Pcs 39 0
49889 Arm Sling S Buah 0
51351 Arm Sling S - - Pcs 45 0
50234 ASAT (GOT) FS 126019910029r - - KIT 0
50057 BACTERIAL FILTER - - - 5 Sep-20
51515 BD Vacutainer 2,7ml plus Citrate 3,2% (BLUD) - - Box 0
49884 Besmed Maxiflow Anak (Masker Oksigen) Buah 50 0
49886 Besmed Maxiflow Bayi (Masker Oksigen) Buah 100 0
49804 Besmed Maxiflow Dewasa (Masker Oksigen) Buah 275 0
50242 Bilirubin Auto Direct FS 108219910021 - - KIT 0
50239 Bilirubin Auto Total FS 108119910021 - - KIT 0
50606 BLADES (MESS) NO 10 - - Pcs 0
49793 BLADES (MESS) NO 11 - 11 PIECES 1,100 Jul-22
49794 BLADES (MESS) NO 15 - 15 PIECES 500 Jul-22
49795 BLADES (MESS) NO 20 - 20 PIECES 0
49796 BLADES (MESS) NO 23 - 23 PIECES 200 Apr-22
50111 Blood Glucose Test - - Strip 950 Jul-21
50417 Blood Lancet - - Pcs 0
49887 Blood Lancet - - pieces 30,800 Jun-22
50489 BLOOD STOP BS-10 - - PIECES 200 Oct-24
50540 BLOODSET - - Pcs 0
50399 BLOODSET - - PIECES 0
50582 BLOODSET - - Set 0
49861 BLOODSET (TERUMO) - - piece 4,250 Feb-22
50638 BLOODSET for PUMP (TERUMO) - - Set 0
50463 BOWIE & DICK TEST - - Box 6 Sep-21
51513 Buffer Pro Wright 500ml (BLUD) - - BOTOL 0
51496 Burret Cuvvete x 150 (BLUD) - - Box 0
51686 Cal LC (BLUD) - - Pak 0
51683 Calcigel (BLUD) - - Pcs 0

11
Kode Nama Barang Jml ED
51512 Cat Wright 500ml (BLUD) - - Botol 0
50495 CATGUT CHROM 2 (90cm) 48 mm - - Piece 0
49788 CATGUT CHROMIC 1 (5) 75M - /meter piece 0
49787 CATGUT CHROMIC 2 (6) 50M - /meter piece 0
50129 CATGUT CHROMIC 2 (6) 75CM HR43/26 - - PIECES 0
50907 Catgut Chromic 2/0 - - Pcs 156 Sep-24
50281 Catgut Chromic 2/0 Onemed - - PIECES 0
50608 Catgut Chromic 2/0 Round Vigilenz - - Pcs 0
50272 Catgut Chromic 2/0 SMI - - PIECES 0
50865 Catgut Chromic 3/0 Cutting - - Pcs 0
51457 Catgut Chromic 3/0 Cutting - - Pcs 216 Mar-25
50580 Catgut Chromic 3/0 Cutting - - Piece 0
49903 Catgut Chromic 3/0 Cutting - - pieces 0
50439 CATGUT PLAIN 1 (5) 75CM HR48 - - Pcs 0
49789 CATGUT PLAIN 1 (5) 75M - /meter meter 27 Oct-25
50477 CATGUT PLAIN 2 (6) 50M - /meter Piece 0
50271 Catgut Plain 2/0 (SMI) - - PIECES 0
50908 Catgut Plain 2/0 + jarum - - Pcs 96 Sep-22
50269 Catgut Plain 2/0 + jarum - - PIECES 48 May-25
50494 CATGUT PLAIN 2/0 43 mm - - Piece 408 Sep-24
50130 CATGUT PLAIN 2/0 WITH NEEDLE - - PIECES 0
50579 Catgut Plain 3/0 - - Piece 0
51551 Catgut Plain 3/0 (BLUD) - - Pcs 192 Dec-22
50270 Catgut Plain 3/0 + jarum - - PIECES 0
50131 CATGUT PLAIN 3/0 WITH NEEDLE - - PIECES 0
50942 Catheter IV 18 - - Piece 0
49859 Catheter IV 18 - 18 piece 2,150 Dec-22
51763 Catheter IV 18 With Port (Terumo) - - Pcs 700 May-24
50465 Catheter IV 18 With Port (Vasofix - - Pcs 1,700 Sep-23
50263 Catheter IV 18G - - PIECES 0
50943 Catheter IV 20 - - Piece 3,050 Oct-23
49858 Catheter IV 20 - 20 piece 2,050 Oct-23
51764 Catheter IV 20 With Port (Terumo) - - Pcs 400 Oct-23
50453 Catheter IV 20 With Port (Vasofix) - - piece 500 Nov-23
50265 Catheter IV 20G Trovensite Safety - PIECES 0
50104 Catheter IV 22 - 22 PIECES 3,200 Nov-22
49914 Catheter IV 22 (Troge) - 22 piece 0
50261 Catheter IV 22G - - PIECES 0
49860 Catheter IV 24 - - piece 2,650 Dec-22
50254 Catheter IV 24 - - PIECES 0
50264 Catheter IV 24G - - PIECES 0
50266 Catheter IV 24G With Port (Troge) Trovensite Safety - PIECE 600 Jul-24
51566 Catheter IV 26 - - Roll 400 Nov-23
50105 Catheter IV 26 With Port - 26 PIECES 0
50065 Catheter IV 26 With Port (Polyflex) - 26 PIECES 0
50502 Catheter IV 26 With Port (Polyflex-Terumo) - - pieces 500 Nov-23
50262 Catheter IV 26G - - PIECES 0
51459 Catheter IV 26G With Port (Troge) - - Pcs 550 Jul-24
50058 CATHETER MOUNT 5 Jun-22
51680 CAVIT RF 28G BOTTLE (BLUD) - - Btl 0
50389 Cement Spatulas - - PIECES 0
51747 Certofix Protect Trio V720P VCV - - Set 0
50450 Cervical Collar - - Unit 63 0
50225 Cholesterol FS 113009910029 - - KIT 0
51498 CK Frest 2 ml (BLUD) - - Kit 0
51511 CoAg Control N+P (BLUD) - - Set 0
51543 Colostomy Bag (BLUD) - - Pcs 50 0
50233 Creatinine FS 117119910029 - - KIT 0
50333 Cresotin Liquid II - - vial 1 0
50334 Cresotin Paste - - - 1 0
50436 Cuticell Clasic 10 x 10 - - Pcs 0
50440 Cuticell Clasic 10 x 10 - - Pcs 1,400 May-23
50441 CUTIMED Gel - 15gr Tube 20 Apr-21
50442 CUTIMED Sorbact Swap - 7 x 9 cm Pcs 160 Apr-23
51514 Cuvvete Segment (BLUD ) - - Box 0
50539 DARYANT-TULLE / FRAMYCETIN SULFATE - - Pcs 0
49885 Dermafix T 10x25cm piece 0
50646 Dermafix T 10x25cm - - Piece 0
50537 DFI CYBOW 10 Reagent Strip - - Piece 0
51582 DIATRO CONTROL CBC TRIPACK HIGH 3ML (BLUD) - - Vial 0
51581 DIATRO CONTROL CBC TRIPACK LOW 3ML (BLUD) - - Vial 0
51580 DIATRO CONTROL CBC TRIPACK NORMAL 3ML (BLUD) - - 0
51579 DIATRO DIFF 5P 1LTR (BLUD) - - Btl 0
51584 DIATRO DILUENT 5P 20 LTR (BLUD) - - Box 0
51583 DIATRO LYSE 5P 5 LTR (BLUD) - - Box 0
51739 Disposible specimen virus (BLUD) - - - 50 Sep-24

12
Kode Nama Barang Jml ED
50388 Double Ended Filling Instruments - - PIECES 0
51758 DRAINAGE BOTTLE FG 12 - - Pcs 50 Sep-24
51523 DRAINAGE BOTTLE FG 12 (BLUD) - - Btl 20 Sep-24
51524 DRAINAGE BOTTLE FG 14 (BLUD) - - Btl 45 Sep-24
51554 DS Rapid HIV 1/2 - - Test 0
50513 DUODERM ExtraThin 4x4 - - Piece 240 May-23
50515 DUODERM Gel 15 gr - - Tube 10 Mar-21
50514 DUODERM Gel 30 gr - - Tube 19 Nov-20
50403 ECG - - PCS 0
50095 ECG - - PIECES 0
50296 ECG (electrode) - - pcs 0
50444 ECG (electrode) - - pcs 13,680 Sep-22
50340 ECG PAPER (BTL) - - Roll 0
51398 ECG PAPER (BTL) - - Roll 76 0
51359 ECG PAPER (BTL) (BLUD) - - Roll 0
50323 ECG Paper (FUKUDA) - - box 20 0
51358 ECG Paper (FUKUDA) (BLUD) - - Pcs 5 0
50496 ECOSORB 1 40 mm - - Piece 24 Jan-23
50497 ECOSORB 2/0 37 mm - - Pieces 168 Jan-23
50584 Ecosyn 1 - - Sachet 0
50626 Ecosyn 3/0 - 75cm Cutting Sachet 0
50731 Electrode (Surefit) - - Pcs 20 Aug-20
49841 ETT HVLP Cuffed, sterile 6 mm - - piece 110 Jul-23
49843 ETT HVLP Cuffed, sterile 6.5 mm - - piece 500 Dec-23
50535 ETT HVLP Cuffed, sterile 7 mm - - Pieces 95 Dec-23
49845 ETT HVLP Cuffed, sterile 7.5 mm - - piece 25 Jul-23
49846 ETT HVLP Cuffed, sterile 8 mm - - piece 27 Feb-21
49848 ETT Plain Uncuff, sterile 2.5 mm - - piece 0
49839 ETT Plain Uncuff, sterile 3 mm - - piece 0
49840 ETT Plain Uncuff, sterile 3.5 mm - - piece 0
49842 ETT SVLP Cuffed, sterile 6.0 mm - - piece 16 Feb-21
49844 ETT SVLP Cuffed, sterile 7 mm - - piece 22 Jan-23
50392 ETT SVLP Cuffed, sterile 7.5 mm - - PIECES 10 Mar-23
49847 ETT SVLP Cuffed, sterile 8 mm - - piece 30 Feb-21
51761 Extension Tube - - Pcs 850 Sep-25
50206 Extension Tube - - piece 0
51550 Extension Tube 100cm (BLUD) - - Pcs 200 Nov-24
50831 F_Kapsul Gelatin 0 - - Pcs 0
50830 F_Kapsul Gelatin 00 - - Pcs 0
50832 F_Kapsul Gelatin 1 - - Pcs 0
50833 F_Kapsul Gelatin 2 - - Pcs 0
50834 F_Kapsul Gelatin 3 - - Pcs 0
50835 F_Kunci Trolly Emergency - - Pcs 0
50826 F_Mortir Stamper - - Pcs 0
50837 F_Plastik Klip Obat - - Pcs 0
50829 F_Plastik Obat 1 kg - - Pcs 0
50828 F_Plastik Obat 1/2 kg - - Pcs 0
50827 F_Plastik Obat 1/4 kg - - Pcs 0
50836 F_Sendok Obat - - Pcs 0
51525 FaceShield_CoV - - Pcs 0
51342 FACESHIELD_CoV PlusHelm - Pcs 0
49876 Feeding Tube 5FR 40cm Buah 0
50697 Feeding Tube 5FR 40cm - - pcs 400 May-23
51546 Feeding Tube 5FR 40cm (BLUD) - - Pcs 0
51570 Feeding Tube 8FR 100cm (BLUD) - - Pcs 110 Jan-23
49877 Feeding Tube 8FR 40cm Buah 0
50594 Feeding Tube 8FR 40cm - - Pcs 0
50698 Feeding Tube 8FR 40cm - - Pcs 300 Feb-23
51548 Feeding Tube 8FR 40cm (BLUD) - - Pcs 70 Nov-22
50277 Feeding Tube FR 5 - - KIT 0
50278 Feeding Tube FR 6 - - KIT 0
50282 Feeding Tube FR 8 - - KIT 0
51427 Film X-Ray DI-HL (BLUD) - 20X25 cm Lembar 0
51623 Film X-Ray DI-HL (BLUD) - 20X25 cm Lembar 450 Sep-21
50227 Film X-Ray DVE - 20X25 cm Lembar 0
50536 Film X-Ray DVE - 20X25 cm Lembar 6,500 Mar-22
51738 Filter Tip Hepaxin 1000ul (BLUD) - - - 2 0
51736 Filter Tip Hepaxin 100ul (BLUD) - - - 1 0
51735 Filter Tip Hepaxin 10ul (BLUD) - - - 1 0
51737 Filter Tip Hepaxin 200ul (BLUD) - - - 1 0
50478 Flashback Blood Collection Needle - - piece 0
50545 Fokus Anti HIV 1/2 Casseette 3 line - - Tes 0
50530 Fokus Anti HIV 1/2 Cassette - - Tes 0
50420 Fokus Anti HIV 1/2 Cassette - - Test 0
50421 Fokus RPR Antingen Test - - Test 0
50546 Fokus Syphilis Cassette TPHA - - Sachet 0

13
Kode Nama Barang Jml ED
50659 Folley Catheter 2 way no. 10 - - Pcs 220 Nov-22
50338 Folley Catheter 2 way no. 10 - FR 10 Pcs 0
51465 Folley Catheter 2 way no. 10 (BLUD) - - Pcs 30 Nov-22
49824 Folley Catheter 2 way no. 12 - 12 PIECES 730 Jul-23
51466 Folley Catheter 2 way no. 12 (BLUD) - - Pcs 30 Jul-23
50605 Folley Catheter 2 way no. 14 - - Pcs 0
50660 Folley Catheter 2 way no. 14 - - Pcs 500 Apr-25
51507 Folley Catheter 2 way no. 14 - - Pcs 150 Mar-22
51479 Folley Catheter 2 way no. 16 - - Pcs 1,304 Sep-24
50482 Folley Catheter 2 way no. 16 - - piece 0
50486 Folley Catheter 2 Way No. 16 - - PIECES 1,580 Apr-25
50404 Folley Catheter 2 way no. 16 - 16 PCS 0
49822 Folley Catheter 2 way no. 16 - 16 PIECES 0
51480 Folley Catheter 2 way no. 18 - - Pcs 170 Jul-24
50483 Folley Catheter 2 way no. 18 - - piece 0
50487 Folley Catheter 2 Way No. 18 - - PIECES 620 Mar-22
49823 Folley Catheter 2 way no. 18 - 18 PIECES 0
50661 Folley Catheter 2 way no. 8 - - Pcs 200 Mar-23
50636 Folley Catheter 2 way no. 8 - - Set 0
50339 Folley Catheter 2 way no. 8 - FR 8 PCS 0
51464 Folley Catheter 2 way no. 8 (BLUD) - - Pcs 40 Mar-23
50322 Folley Catheter 3 way 16 - - pcs 30 Jun-20
51606 Formaline 37 % 1 Ltr (BLUD) - - Btl 10 Apr-24
51475 Gliserin 1 Ltr (BLUD) - 1 ltr Btl 1 0
50224 Glucose GOD FS 125009910029 - - KIT 0
51478 Guedel Airway 100 mm Disp. Steril - - Pcs 25 Jul-24
49882 Guedel Airway 100 mm Disp. Steril - - piece 0
50201 Guedel Airway 40 mm Disp. Steril - 40 piece 0
50202 Guedel Airway 50 mm Disp. Steril - 50 piece 0
51508 Guedel Airway 60 mm Disp. Steril (BLUD) - - Pcs 30 Feb-25
50203 Guedel Airway 70 mm Disp. Steril - 70 piece 195 Jun-22
50456 Guedel Airway 80 mm Disp. Steril - - PCS 184 Jun-23
49880 Guedel Airway 80 mm Disp. Steril - - piece 0
51728 Guedel Airway 90 mm Disp. Steri - - Pcs 80 Sep-25
49881 Guedel Airway 90 mm Disp. Steril - - piece 0
51517 Guedel Airway 90 mm Disp. Steril (BLUD) - - Bh 20 Sep-25
50925 Hand Rub Aseptan 5 ltr_CoV - - Btl 16 Mar-23
50133 Hand Rub Aseptan 500 cc + pump liquid 500 cc Botol 0
51702 Hand Rub Chlodine 5 ltr_CoV - - Btl 20 Apr-22
51703 Hand Rub Chlodine 5 ltr_CoV - - Btl 10 Apr-22
51704 Hand Rub Chlodine 500 ml_CoV - - Btl 21 Apr-22
51488 Hand Rub Infion 50 ml_CoV - - Btl 103 May-23
51364 Hand Rub Marwa 250 ml_CoV - 250 ml Btl 0
50516 Hand Rub No Rinse 5 L VIOREX - - Botol 0
50472 Hand Rub No Rinse 500 ml VIOREX - - Botol 150 Jun-23
51312 Hand Rub SOFTANOL 500 ml - - Btl 421 Mar-23
51487 Hand Rub Triton 5 ltr_CoV - - Btl 7 May-25
50470 Hand Soap 5 L VIOREX - - Botol 3 Jan-22
50471 Hand Soap 500 ml VIOREX - - Botol 7 Dec-21
50110 Hand Soap OneScrub 5 liter - - Botol 0
50134 Hand Soap OneScrub 500 cc + dispenser - 500 cc Botol 0
51341 HANDRUB 100 ML_CoV - - Btl 0
50542 Handschoon Non Steril L - - Pcs 0
50825 Handschoon Non Steril L - - Pcs 0
49862 Handschoon Non Steril L - - pieces 0
50394 Handschoon Non Steril L - - pieces 0
51768 Handschoon Non Steril L - - Psng 5,000 May-23
51345 Handschoon Non Steril L_CoV - - Pcs 2,000 Feb-25
50543 Handschoon Non Steril M - - Pcs 0
50670 Handschoon Non Steril M - - Pcs 0
50746 Handschoon Non Steril M - - Pcs 0
49863 Handschoon Non Steril M - - pieces 0
50395 Handschoon Non Steril M - - pieces 0
51770 Handschoon Non Steril M - - Psng 10,000 Jun-23
50765 Handschoon Non Steril M - CS - - Pcs 0
51346 Handschoon Non Steril M_CoV - - Pcs 11,000 Feb-25
50538 Handschoon Non Steril S - - Pcs 0
50744 Handschoon Non Steril S - - Pcs 0
49864 Handschoon Non Steril S - - pieces 0
50511 Handschoon Non Steril S - - Pieces 0
51769 Handschoon Non Steril S - - Psng 15,000 Jun-23
51438 Handschoon Non Steril S_CoV - - Pcs 0
51568 Handschoon Non Steril S_CoV - - Pcs 1,900 Jun-23
49813 Handschoon Obgyn Steril (Obgyn Glove) - - pasang 0
51741 Handschoon Obgyn Steril (Obgyn Glove) - - Psng 25 0
51387 Handschoon Obgyn Steril (Obgyn Glove)_CoV - - Pcs 0

14
Kode Nama Barang Jml ED
50769 Handschoon Obgyn Steril 7 (Surgeon Glove) - - Pcs 0
50768 Handschoon Obgyn Steril 7.5 (Surgeon Glove) - - Pcs 0
50363 Handschoon Steril 6 - - piece 0
50658 Handschoon Steril 6 - - piece 0
51762 Handschoon Steril 6 - - Psng 300 Nov-24
50364 Handschoon Steril 6,5 - - piece 0
50506 Handschoon Steril 6,5 - - pieces 0
51748 Handschoon Steril 6,5 - - Psng 50 Jun-25
51774 Handschoon Steril 6,5 - - Psng 300 Mar-24
50872 Handschoon Steril 6,5 (DHD) - - Pcs 0
50929 Handschoon Steril 6,5 Plus - - Pcs 0
50656 Handschoon Steril 7 - - Piece 0
50507 Handschoon Steril 7 - - pieces 0
50940 Handschoon Steril 7 - - Psng 8,500 May-24
49836 Handschoon Steril 7 Latex 7 pasang 0
50657 Handschoon Steril 7,5 - - Piece 0
50941 Handschoon Steril 7,5 - - Psng 8,000 May-23
51749 Handschoon Steril 7,5 - - Psng 0
49837 Handschoon Steril 7,5 Latex 7.5 pasang 0
51743 Handschoon Steril 7,5_CoV - - Psng 30 0
51615 Handschoon Steril 7_CoV - - Pcs 5,000 May-22
50593 Handschoon Steril 8 - - Pasang 0
50771 Handschoon Steril 8 - - Pcs 0
50939 Handschoon Steril 8 - - Psng 1,200 May-23
49838 Handschoon Steril 8 Latex 8 pasang 0
51740 Handschoon Steril 8_CoV - - Pcs 0
51696 Harness for CPAP Mask - - Pcs 0
51726 Harness For CPAP Mask (BLUD) - - Pcs 19 0
50948 Hazmat (BLUD) - -- Pcs 0
51319 Hazmat / COVER ALL APD Reuse (BLUD) - - Set 0
51368 Hazmat / COVER ALL APD Reuse_CoV - - Pcs 11 0
51348 Hazmat / COVER ALL APD Standart_CoV - L&XL Pcs 0
51433 Hazmat / COVER ALL APD Standart_CoV - L&XL Pcs 3,893 0
51366 Hazmat / COVER ALL APD_CoV - Colors Pcs 0
51388 Hazmat / RainCoat_CoV - - Pcs 0
51389 Hazmat BSI OneCare_CoV - - Pcs 0
51325 Hazmat_CoV - - Pcs 0
51326 Hazmat_CoV - - Pcs 0
50368 HBsAg Strip - - - 0
50117 HCG TEST KEHAMILAN - - PCS 0
50454 HCG TEST KEHAMILAN - - PCS 650 Jan-21
50229 HDL-C Immuno FS 135219910920 - - KIT 0
49904 HOSPITECH ID BAND ADULT / CHILD (BLUE. PINK, YELLOW, 0
50391 Impression Tray set solid set of 12pc - - PIECES 0
49911 INDICATOR STRIPS (STEAM) box 0
50451 INDICATOR STRIPS (STEAM) - - Box 8 Nov-20
50824 Infus Set Makro - - Pcs 0
51307 Infus Set Makro - - Pcs 4,500 Mar-24
49826 Infus Set Makro - 20 tts piece 100 Mar-24
49825 Infus Set Mikro - - piece 400 Jun-21
50547 Intec One Step Anti HIV 1&2 Tri Line Test Card - - Sachet 0
51642 Intec One Step Anti HIV 1&2 Tri Line Test Card - - Test 0
50059 INTUBATION STYLET 2.5 - 4.5 MM 0
50755 INTUBATION STYLET 2.5 - 4.5 MM - - Pcs 7 May-24
50060 INTUBATION STYLET 8.5 - 10 MM 0
50756 INTUBATION STYLET 8.5 - 10 MM - - Pcs 7 Feb-24
49871 IV Dressing (DERMAFIX S IV) - - PIECES 0
50426 IV Dressing DERMAFIX IV ADVANCE - 7 X 9 pcs 0
50443 IV Dressing LEUKOMED-IV FILM - 6 x 8cm Pcs 8,600 Jun-23
50256 IV Dressing Tegaderm (dermafix iv) - - PIECES 0
51652 Jackson Rees 0,5 L (BLUD) - - Pcs 15 May-24
51653 Jackson Rees 1 L (BLUD) - - Pcs 2 Aug-24
51654 Jackson Rees 2 L (BLUD) - - Pcs 9 Jun-24
51646 Jackson Rees 2 L Dewasa - - Pcs 0
51436 Kaca Mata Google_CoV - - Box 22 0
51526 Kaca Mata Google_CoV - - Pcs 46 0
50923 Kantong Darah (BLUD) - - Bag 0
49827 Kapas Berlemak DRC 500gr roll 0
50245 Kapas Pembalut 250 g - - - 0
49879 Kapas Pembalut 250 g - - roll 123 Oct-23
49828 Kasa Hidrofil DRC 2m x 80cm piece 0
50910 Kasa Hidrofil Non Steril 36m x 80cm - - Pcs 25 May-23
50107 Kasa Hidrofil Non Steril 36m x 80cm - - roll 0
50909 Kasa Hidrofil Non Steril 36m x 80cm - - roll 275 May-23
49829 Kasa Kompres DRC 40cm x 40cm piece 2,000 Jul-22
49830 Kasa Pembalut Hidrofil DRC 4m x 10cm roll 1,760 May-22

15
Kode Nama Barang Jml ED
49831 Kasa Pembalut hidrofil DRC 4m x 15cm roll 550 Jul-22
49832 Kasa Pembalut Hidrofil DRC 4m x 3cm roll 250 Jun-22
50267 Kasa Pembalut Hydrofil 4m x 10cm - - PIECES 140 Jul-22
50248 Kasa Pembalut Hydrofil 5cm x 4m - - - 950 Jul-22
49833 Kasa Steril DRC 16cm x 16cm Box 0
51361 Kasa Steril DRC 16cm x 16cm - - Box 300 May-23
51555 KHB HIV (1+2) Antibody Cassette - - Test 0
51471 Klip Resiko Kuning (Fall Risk) (BLUD) - - Pcs 8,000 0
51472 Klip Resiko Merah (Allergy) (BLUD) - - Pcs 500 0
51473 Klip Resiko Ungu (DNR) (BLUD) - - Pcs 100 0
50760 Laryngeal Mask Airway (LMA) No. 1.0 - Reusable - - Pcs 2 Jan-23
50764 Laryngeal Mask Airway (LMA) No. 1.5 - Reusable - - Pcs 0
50759 Laryngeal Mask Airway (LMA) No. 2.0 - Reusable - - Pcs 1 Jun-21
50762 Laryngeal Mask Airway (LMA) No. 2.5 - Reusable - - Pcs 2 Sep-21
50758 Laryngeal Mask Airway (LMA) No. 3.0 - Reusable - - Pcs 0
50761 Laryngeal Mask Airway (LMA) No. 4.0 - Reusable - - Pcs 0
50763 Laryngeal Mask Airway (LMA) No. 5.0 - Reusable - - Pcs 0
50230 LDL-C Select FS 141219910921 - - KIT 0
50885 Leukoplast 7.5 cm x 4.5 m - - Pcs 24 Jul-22
49854 Leukoplast 7.5 cm x 4.5 m roll 0
51399 Leukoplast 7.5 cm x 4.5 m - - Roll 300 Jun-22
50250 LYOSTYPT 5X8 CM - - - 24 Jul-23
49809 Lysol 1 liter - - bottle 69 Jun-21
50955 Masker 3 Ply Karet_CoV - - Pcs 0
51343 Masker 3 Ply Karet_CoV - - Pcs 500 0
51599 Masker 3 Ply Karet_CoV - - Pcs 5,600 0
49820 Masker 3 Ply Plus Earloop - - Pieces 0
50778 Masker 3 Ply Plus Earloop (Jilbab) - - Pcs 0
50927 Masker 3 Ply Plus Earloop (Jilbab) - - Pcs 0
51600 Masker 3 Ply Plus Earloop (Jilbab)_CoV - - Pcs 9,750 0
50745 Masker 3 Ply Tie On (Tali) - - Pcs 0
51706 Masker 3 Ply Tie On (Tali)_CoV - - Pcs 10,000 0
50611 Masker N95 - - Box 0
50953 Masker N95 - - Pcs 0
49902 Masker N95 - - PIECES 0
51705 Masker N95 (1860)_CoV - - Pcs 2,878 Jan-25
51614 Masker N95 (3M_1860)_CoV - - Pcs 0
51385 Masker N95 (3MVFLEX)_CoV - - Pcs 0
51558 Masker N95 (3MVFLEX)_CoV - - Pcs 0
50954 Masker N95 (OneMed)_CoV - - Pcs 0
51317 Masker N95 (Wilson801)_CoV - - Pcs 0
49895 Masker Nebulizer Anak - - Buah 0
50447 Masker Nebulizer AnaK - - Pcs 0
50654 Masker Nebulizer Anak - - Piece 500 Jun-23
50433 Masker Nebulizer Anak - - Set 0
49894 Masker Nebulizer Dewasa - - Buah 0
50446 Masker Nebulizer Dewasa - - Pcs 0
50566 Masker Nebulizer Dewasa - - Pcs 0
50653 Masker Nebulizer Dewasa - - Piece 1,200 Feb-25
50408 Masker Nebulizer Dewasa - - PIECES 0
50061 MASKER NON REBREATHING (NRBM) ADULT - - pcs 0
50212 MASKER NON REBREATHING (NRBM) ADULT - - pcs 1,490 Aug-23
50062 MASKER NON REBREATHING (NRBM) ANAK - - - 0
50213 MASKER NON REBREATHING (NRBM) ANAK - - pcs 300 May-23
50667 Masker Oksigen Anak Cosmo - - Pcs 300 May-23
50492 Mesh 5x10 - - Piece 0
50493 Mesh 5x10 Re - - Piece 78 0
51684 Micro Brush (BLUD) - - Pak 0
50518 Micro centrifuge tubes 1.5 ml - - Bag 21,000 0
50187 Micro centrifuge tubes 1.5 ml - - pcs 0
50772 Micro centrifuge tubes 2 ml - - Pcs 0
50336 Micropipet 1 ml - - pack/1000 9 0
50335 Micropipet 200 mcl - - pack/1000 0
51308 Micropipet 200 mcl - - pack/1000 13 0
49810 Mitella kain - - Buah 74 0
49798 Monosyn Undyed 3/0 (2) 70 CM ds19 (M) piece 0
50445 Monosyn Undyed 3/0 (2) 70 CM DS24 - - Pcs 0
50457 Monosyn Violet 1 (4) 90 CM HR40S (M) - - Sachet 0
49797 Monosyn Violet 1 (4) 90 CM HR48 (M) piece 0
50108 Mucus Extractor - - buah 425 Dec-25
50858 Mucus Extractor - Onemed-Serenity Pcs 0
50259 Mucus Extractor (onemed) - - PIECES 0
49807 My Jelly 82 gram tube 57 Apr-21
50434 Nasal Canul / Nasal Oxygen Anak - - Pcs 0
51429 Nasal Canul / Nasal Oxygen Bayi - - Pcs 1,100 Feb-24
50651 Nasal Canul Anak Cosmo - - Pcs 700 Feb-25

16
Kode Nama Barang Jml ED
50064 NASAL CANUL DEWASA COSMO MED - - - 0
50458 NASAL CANUL DEWASA COSMO MED - - Pcs 4,050 Feb-25
50258 Nasal Canul Neonat - - PIECES 0
50873 NASAL CANUL NEONATAL COSMO - - Pcs 0
50063 NASAL CANUL NEONATAL COSMO MED - - - 0
49805 Nasal Oxygen Anak - Oxyflow - - piece 0
49875 Nasal Oxygen Bayi - Oxyflow - - piece 0
49806 Nasal Oxygen Dewasa - Oxyflow - - piece 0
50774 Nasal Oxygen size L (Adult) - - Pcs 0
50775 Nasal Oxygen size M (Child) - - Pcs 0
50280 Nasal Oxygen size S (Neonatus) - - PIECES 0
49852 Nasogastric tube CH 10 piece 50 Mar-25
49853 Nasogastric tube CH 12 piece 40 Jan-23
50752 Nasopharingeal Airway No. 6.0 - - Pcs 10 Oct-23
50754 Nasopharingeal Airway No. 6.5 - - Pcs 10 Oct-23
50750 Nasopharingeal Airway No. 7.0 - - Pcs 10 Oct-23
50751 Nasopharingeal Airway No. 7.5 - - Pcs 10 Oct-23
50753 Nasopharingeal Airway No. 8.0 - - Pcs 10 Oct-23
50723 NEEDLE 18 G X 32 MM - - Pcs 200 Oct-23
50720 NEEDLE 23 G X 32 MM - - Pcs 0
50199 NEEDLE 23 G X 32 MM - - piece 0
50721 NEEDLE 25 G X 32 MM - - Pcs 0
50722 NEEDLE 26 G X 32 MM - - Pcs 0
50719 NEEDLE 30 G X 32 MM - - Pcs 0
51692 NEEDLE DENTAL 30G X 21MM (BLUD) - - Pcs 600 Jun-24
51499 Neoplastine Cl+ 2 ml (BLUD) - - Kit 0
49896 Nierbeken Disposable 2cm, pak/10pcs - - pax 200 Jun-25
50418 Object Glass - - Pcs 0
49893 Object Glass Frosted 7150, box isi 72 - - PIECES 0
51528 Object Glass_CoV - - Pcs 936 0
49856 Opsite Post Op 15,5x8,5cm piece 200 Jul-22
49857 Opsite Post Op 25x10cm piece 0
49855 Opsite Post Op 6,5x5cm piece 200 Oct-22
51251 ORM One third tubuler 5 hole atau 1/3 tubular plate (BLUD) 0
51298 ORM Acrylic set (BLUD) Pcs 0
51263 ORM Broad Plate 12 hole (BLUD) Pcs 0
51186 ORM Cancelous screw 4,0 16mm self tapping (BLUD) Pcs 0
51208 ORM Cortical screw 3,5 14mm Self tapping (BLUD) Pcs 0
51162 ORM Cortical screw 3,5 16mm (BLUD) Pcs 0
51209 ORM Cortical screw 3,5 16mm Self tapping (BLUD) Pcs 0
51163 ORM Cortical screw 3,5 18mm (BLUD) Pcs 0
51210 ORM Cortical screw 3,5 18mm Self tapping (BLUD) Pcs 0
51213 ORM Cortical screw 3,5 24mm Self tapping (BLUD) Pcs 0
51217 ORM Cortical screw 3,5 32mm Self tapping (BLUD) Pcs 0
51222 ORM Cortical screw 4,5 24mm Self tapping (BLUD) Pcs 0
51223 ORM Cortical screw 4,5 26mm Self tapping (BLUD) Pcs 0
51224 ORM Cortical screw 4,5 28mm Self tapping (BLUD) Pcs 0
51363 ORM Drill Bit (BLUD) - - Pcs 0
51299 ORM Drill bit dia. 2.5 mm (BLUD) Pcs 0
51285 ORM Kwire ø 1,2 mm (BLUD) Pcs 0
51287 ORM Kwire ø 1,6 mm (BLUD) Pcs 0
51289 ORM Kwire ø 2,0 mm (BLUD) Pcs 0
51257 ORM Proximal Humeral Plate 3 hole Right (BLUD) Pcs 0
51234 ORM S Plate Clavicula 8 hole Kiri (BLUD) - - Pcs 0
51295 ORM SCHANZ SCREW dia 4.5 x 150 (BLUD) Pcs 0
51246 ORM Small DCP 6 hole (BLUD) Pcs 0
51291 ORM Snare SS wire 0,8 mm (BLUD) Pcs 0
51290 ORM Snare SS wire 1,0 mm (BLUD) Pcs 0
51157 OTR ACRYLIC LIQUID (BLUD) Pcs 0
51158 OTR ACRYLIC POWDER (BLUD) Pcs 0
51327 OTR BIPOLAR CUP (BLUD) - - Pcs 0
51120 OTR BROAD DCP PLATE 10 HOLE (BLUD) Pcs 0
51121 OTR BROAD DCP PLATES 11 HOLES (BLUD) Pcs 0
51119 OTR BROAD DCP PLATES 9 HOLE (BLUD) Pcs 0
50978 OTR CANCELLOUS BONE SCREW 3.5MM, LENGTH 16MM (B 0
50979 OTR CANCELLOUS BONE SCREW 3.5MM, LENGTH 18MM (B 0
50980 OTR CANCELLOUS BONE SCREW 3.5MM, LENGTH 20MM (B 0
50977 OTR CANCELLOUS SCREW 14MM LENGTH, FULL THREAD ( 0
51079 OTR CANCELLOUS SCREW 6.5MM, FULLY THREAD, LENGT 0
51518 OTR CANCELLOUS SCREW 6.5MM, FULLY THREAD, LENGTH 0
51697 OTR CANULATED SCREW DIA. 7,0 MM, No. 70 FULL THREAD 0
51699 OTR CANULATED SCREW DIA. 7,0 MM, No. 75 1/3 THREAD ( 0
51698 OTR CANULATED SCREW DIA. 7,0 MM, No. 75 FULL THREAD 0
51460 OTR CEMENTLESS STEM (BLUD) - - Set 0
51063 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 26M 0
51064 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 28M 0

17
Kode Nama Barang Jml ED
51065 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 30M 0
51066 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 32M 0
51067 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 34M 0
51068 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 36M 0
51069 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 38M 0
51609 OTR CORTICAL SCREW DIA.1,5 MM, L.8 MM (BLUD) - - Pcs 0
51610 OTR CORTICAL SCREW DIA.2,0 MM, L.10 MM (BLUD) - - Pc 0
50962 OTR CORTICAL SCREW DIA.3,5 MM, L.14 MM, SELF-TAPPIN 0
50963 OTR CORTICAL SCREW DIA.3,5 MM, L.16 MM, SELF-TAPPIN 0
50964 OTR CORTICAL SCREW DIA.3,5 MM, L.18 MM, SELF-TAPPIN 0
50965 OTR CORTICAL SCREW DIA.3,5 MM, L.20 MM, SELF-TAPPIN 0
51062 OTR CORTICAL SCREW DIA.4,5 MM, L.22 MM (BLUD) Pcs 0
51775 OTR CORTICAL SCREW DIA.4,5 MM, L.24 MM (BLUD) - - Pc 0
51023 OTR DCP - SMALL FRAGMENT PLATE 5 HOLE (BLUD) Pc 0
51621 OTR DCP - SMALL FRAGMENT PLATE 6 HOLE (BLUD) - - P 0
51340 OTR Drill Bit (BLUD) - - Pcs 0
51328 OTR FEMORAL HEAD (BLUD) - - Pcs 0
51125 OTR K-WIRE BOTH END POINTED 0,8 x 310 MM (BLUD) P 0
51126 OTR K-WIRE BOTH END POINTED 1,0 x 310 MM (BLUD) P 0
51127 OTR K-WIRE BOTH END POINTED 1,2 x 310 MM (BLUD) P 0
51128 OTR K-WIRE BOTH END POINTED 1,4 x 310 MM (BLUD) P 0
51129 OTR K-WIRE BOTH END POINTED 1,6 x 310 MM (BLUD) P 0
51130 OTR K-WIRE BOTH END POINTED 1,8 x 310 MM (BLUD) P 0
51131 OTR K-WIRE BOTH END POINTED 2,0 x 310 MM (BLUD) P 0
51608 OTR MINI L PLATE 4 HOLE 2 x 2 (BLUD) - - Pcs 0
51108 OTR NARROW DCP PLATE 8 HOLE (BLUD) Pcs 0
51156 OTR SCHANZ SCREW 4,5MM, THREAD 25MM, LENGTH 150M 0
51056 OTR S-CLAVICLE PLATES 9 HOLES RIGHT, STAINLESS (BL 0
51029 OTR T-PLATE SMALL 1 X 10MM 4 HOLES (BLUD) Pcs 0
51693 OTR WASHER RING DIA 7,0 (BLUD) - - Pcs 0
51742 OTR_PALACOS MV + GENTAMICIN 40 GR PLUS MIXING BOW 0
49850 Pembalut Elastis 10 cm x 4,55 m - Policrepe - - roll 0
51729 Pembalut Elastis 10 cm x 4,55 m - Policrepe - - Pcs 73 Jun-25
50851 Pembalut Elastis 15 cm x 4,55 m - FMCrepe - - Pcs 12 May-25
50704 Pembalut Elastis 15 cm x 4,55 m - Policrepe - - Pcs 60 May-25
49851 Pembalut Elastis 15 cm x 4,55 m - Policrepe - - roll 0
50705 Pembalut Elastis 7,5 cm x 4,55 m - Policrepe - - Pcs 30 Aug-25
49849 Pembalut Elastis 7,5 cm x 4,55 m - Policrepe - - roll 0
50297 Pen Needle 31 X 5 - - pcs 0
50813 Pen Needle 31 X 5 - - Pcs 3,000 Aug-24
51644 Pen Needle 31 X 5 (BLUD) - - Pcs 700 Aug-24
51627 Pen Needle 32 X 4 - - Pcs 0
50729 PENCIL CESS (blade electrode) - - Pcs 0
50252 PENCIL CESS ERBE - - - 0
51756 PENCIL CESS ERBE - - - 140 Feb-25
50573 PENCIL CESS ERBE - - Piece 0
50096 PERFUSOR - - PIECES 0
50455 PERFUSOR - Tubing PCS 500 Apr-23
51476 Perhidrol / H2O2 25 Ltr (BLUD) - - Btl 5 0
49913 PHARMAFIX, (15 CM X 500 CM) box 0
50459 PHARMAFIX, (15 CM X 500 CM) - - Pcs 178 Sep-24
51577 PHARMAFIX, (15 CM X 500 CM) (BLUD) - - Roll 40 Sep-24
49912 PHARMAFIX, (5 CM X 500CM) box 0
50938 PHARMAFIX, (5 CM X 500CM) - - Roll 115 May-24
50499 Plesterin elastis - - Box 56 Mar-24
49897 Plestering Bulat Non Woven - - box 23 Sep-22
50387 Pluggers - 1/2 Schilder (DENTAL DD162-1) - - PIECES 0
51564 Poliban 10 cm x 2,7 (BLUD) - - Roll 36 Feb-25
50504 Poliban 10 cm x 2,7 m - - Roll 0
50505 Poliban 15 cm x 2,7 m - - Roll 72 Mar-25
51565 Poliban 15 cm x 2,7 m (BLUD) - - Roll 78 Mar-25
51563 Poliban 7,5 cm x 2,7 m (BLUD) - - Roll 12 Mar-25
50500 Poligyp 10 cm x 2,7 m - - Roll 96 Jun-23
51560 Poligyp 10 cm x 2,7 m (BLUD) - - Roll 56 Jun-23
50501 Poligyp 15 cm x 2,7 m - - Roll 48 Jun-23
51562 Poligyp 15 cm x 2,7 m (BLUD) - - Roll 75 Jun-23
51561 Poligyp 7,5cm x 2,7 m (BLUD) - - Roll 10 Apr-23
50706 Postofix 10x25cm - - Pcs 1,230 May-25
51553 Postofix 10x25cm (BLUD) - - Pcs 0
50449 POUCHES FLAT 10CM/200M STERICLIN - Roll 1 Dec-22
50708 POUCHES FLAT 15CM/200M STERICLIN - Roll 1 Dec-22
49908 POUCHES FLAT 20CM/200M STERICLIN - roll 10 Dec-22
50475 POUCHES FLAT 5CM/200M STERICLIN - Roll 8 Jul-23
49909 POUCHES FLAT 7.5CM/200M STERICLIN - roll 0
50707 POUCHES GUSSETTE 15X15 CM STERICLIN - Roll 1 Jul-23
49907 POUCHES GUSSETTE 25X6.5 CM STERICLIN - roll 0

18
Kode Nama Barang Jml ED
51594 Povidone Iodine (Betadine) 190 ml GargleMothwash_CoV - - B 576 Sep-23
50794 Povidone Iodine (Betadine) 60 ml - - Btl 0
50863 Povidone Iodine (Betadine) 60 ml - - Btl 0
51353 Povidone Iodine (Ecodine) 1000 ml - - ml 240,000 Jan-23
50132 POVIDONE IODINE 10% 300 ML - - BOTOL 0
49811 Povidone Iodine 30 ml - - bottle 10 0
49892 Povidone Iodine 300 ml bottle 0
50916 Povidone Iodine 300 ml - - Btl 80 Sep-22
49812 Povidone Iodine 60 ml - - bottle 0
50795 Povidone Iodine 60 ml - - Btl 0
50915 Povidone Iodine 60 ml - - Btl 0
51682 Pulp-X (BLUD) - - Pak 0
51318 RAPID TEST CORONARY - - Tes 0
51691 RAPID TEST CORONARY (BLUD) - - Pcs 0
51716 RAPID TEST CORONARY (BLUD) - - Pcs 0
51437 RAPID TEST CORONARY_CoV - - Pcs 0
51571 RAPID TEST CORONARY_CoV - - Pcs 0
51759 RAPID TEST CORONARY_CoV - - Pcs 0
51344 RAPID TEST CORONARY_CoV - - Tes 0
51639 Rectal Tube No. 18 / 40cm (BLUD) - - Pcs 10 Jul-23
51640 Rectal Tube No. 20 / 40cm (BLUD) - - Pcs 10 Jul-23
49888 Safety Box dus 0
50912 Safety Box 5 ltr - - Pcs 1,445 0
51382 Safety Box 5 ltr - - Pcs 600 0
51685 Saliva Ejector (BLUD) - - Pak 0
50192 Salmonella Paratyphi AH Widal Test - 5 ml Vial 0
50193 Salmonella Paratyphi BH Widal Test - 5 ml Vial 0
50194 Salmonella Typhi H Widal Test - 5 ml Vial 0
50195 Salmonella Typhi O Widal Test 1 5 ml Vial 0
50198 SD Bioline HIV 1/2 3.0 - - tes 0
50423 SD Bioline HIV 1/2 3.0 - - Test 0
51367 Sepatu Boot_CoV - - Pcs 150 0
50710 Septalkan 750 ml - - Botol 30 Jun-23
51602 Septalkan 750 ml_CoV - - Btl 79 Jun-23
51559 Sharp Container 7L - - Pcs 550 0
50135 Sharp Container 7L - 7 l Buah 5 0
49899 Shoe Cover - - Pcs 0
51431 Shoe Cover_CoV - - Pcs 0
51658 Shoe Cover_CoV - - Pcs 4,100 0
50498 Silk 2/0 - - Pieces 84 Jan-23
50913 Silk 2/0 +jarum 1/2 GT 35 mm - - Pcs 240 Jul-24
49900 Silk 2/0 +jarum 1/2 GT 35 mm - 2/0 PIECES 324 Jul-24
50274 Silk 3/0 + jarum 1/2 GT 35mm - - PIECES 0
50914 Silk 3/0 + jarum 1/2 GT 35mm - - Pcs 372 Sep-24
50886 Silk 3/0 +jarum 1/2 GT 25 mm - - Pcs 0
49901 Silk 3/0 +jarum 1/2 GT 35 mm - 3/0 PIECES 0
49791 SILK BLACK 1 (4) 75M - /meter piece 75 Sep-22
49792 SILK BLACK 2 (5) 50M - /meter piece 50 Oct-22
49799 SILKAM BLACK 3/0 (2) 75CM DS24 piece 102 Oct-21
50534 Skin Marker (Alphamed) - - Pieces 100 Jan-22
50503 Skin Marker Steril - - piece 91 Feb-24
51516 Snappack ( BLUD ) - - Box 0
51677 SOFLEX DIAMOND SPIRAL CEE/MEA (BLUD) - - Pcs 0
51676 SOFLEX PREPOLISH SPIRAL CEE/MEA (BLUD) - - Pcs 0
51681 SOF-LEX XTHIN MEDIUM DISC (BLUD) - - Pack 0
50846 Spalk 100x10cm (BLUD) - - Pcs 60 0
50844 Spalk 60x10cm (BLUD) - - Pcs 50 0
50845 Spalk 70x10cm (BLUD) - - Pcs 90 0
50842 Spalk Infus 10x5cm (BLUD) - - Pcs 340 0
50843 Spalk Infus 15x5cm (BLUD) - - Pcs 90 0
49814 Spalk Kayu - - Buah 0
50460 SPINOCAN 25 - - PCS 125 Nov-23
49790 SPINOCAN 25 - - piece 0
50097 SPINOCAN 25 - 25 PIECES 0
50461 SPINOCAN 26 - - Pcs 0
50098 SPINOCAN 26 - - PIECES 0
50462 SPINOCAN 27 - - Pcs 800 Feb-25
49800 SPINOCAN 27 - - piece 0
50877 SPINOCAN 27 (BLUD) - - Pcs 0
50861 SPINOCAN 27 (Egemen) - - Pcs 0
50918 SPINOCAN 27 (Egemen) (BLUD) - - Pcs 0
51467 SPINOCAN 27 (Egemen) (BLUD) - - Pcs 0
49801 SPINOCAN 29 - - piece 75 Oct-22
51489 SPIROMETER MOUTHPIECE - - Pcs 500 0
51490 SPIROMETRY FLOWMIR DISPOSABLE TURBINE - - Pcs 40 0
50531 Spuit 0,05 ml - - Pieces 0

19
Kode Nama Barang Jml ED
50532 Spuit 0,5 ml - - Pieces 1,500 Jun-23
50125 SPUIT 1 CC - - PIECES 0
50713 Spuit 1 ml with Needle - - Pcs 3,801 Jan-25
51313 Spuit 1 ml with Needle - - Pcs 0
50102 Spuit 1 ml with Needle - 1 cc PIECES 0
50214 Spuit 1 ml with Needle - 1 ML pcs 0
50209 Spuit 10 ml with Needle - 10 ml piece 0
49869 Spuit 10 ml with Needle - - Buah 0
51314 Spuit 10 ml with Needle - - Pcs 11,300 Jan-25
50712 Spuit 10 ml with Needle - - Pcs` 0
50257 Spuit 10 ml with Needle - - PIECES 0
49870 Spuit 20 ml Stera - - piece 0
50208 Spuit 20 ml Stera - 20 ml piece 7,400 Apr-23
49802 Spuit 3 ml with Needle - - piece 11,050 Oct-25
50398 Spuit 5 ml - - PIECES 0
50568 Spuit 5 ml - - Piece 7,900 Jan-25
50255 Spuit 5 ml (STERA) - - PIECES 0
50106 Spuit 5 ml (Stera) - 5 cc pieces 0
50572 Spuit 5 ml (TERUMO) - - Piece 4,600 Jun-23
49868 Spuit 5 ml with Needle - - Buah 0
51354 Spuit 50 Ecocentric Stera - - Pcs 20 Oct-22
49873 Spuit 50 Ecocentric Stera Ecocentric - piece 100 Oct-22
50448 Spuit 50 ml (Catheter Tip) - - piece 60 Dec-22
50099 Spuit 50 ml (Syringe Pump) - - piece 0
50211 Spuit 50 ml Ecocentric 50 ml piece 280 Dec-22
50714 Spuit 50 ml Luer Lock - - Pcs 410 May-24
50210 Spuit 50 ml Luer Lock - 50 ml piece 0
49872 Sputum Pot - - Buah 2,200 May-24
51527 Sputum Pot_CoV - - Pcs 500 0
51497 STA CaCl 0,025 M (BLUD) - - Vial 0
51500 Steel Ball (BLUD) - - Pak 0
50384 Sterofoam - - - 0
50419 Sterofoam Kotak - Pcs 11 0
49815 Stikpan Plastik - - piece 68 0
49878 Stomach Tube 12FR 125cm Buah 0
50715 Stomach Tube 12FR 125cm - - Pcs 160 May-24
50716 Stomach Tube 14FR 125cm - - pcs 0
51547 Stomach Tube 14FR 125cm (BLUD) - - Pcs 275 Jan-25
50717 Stomach Tube 16FR 125cm - - Pcs 205 May-24
50718 Stomach Tube 18FR 125cm - - Pcs 80 Jun-24
50276 Stomach Tube 85cm No.16 - - KIT 0
50279 Stomach Tube 85cm No.16 - - PIECES 0
50275 Stomach Tube 85cm No.18 - - KIT 0
50066 STOMACH TUBE NO 16 - - PIECES 0
50637 STOMACH TUBE NO 16 - - Set 0
49817 Suction Catheter FR. 10 - 10 piece 0
51468 Suction Catheter FR. 10 (BLUD) - - Pcs 0
51544 Suction Catheter FR. 10 (BLUD) - - Pcs 80 Feb-24
49816 Suction Catheter FR. 12 - 12 piece 0
51469 Suction Catheter FR. 12 (BLUD) - - Pcs 20 Oct-24
51541 Suction Catheter FR. 12 (BLUD) - - Pcs 30 Oct-24
51494 Suction Catheter FR. 14 - - Pcs 20 Apr-24
50207 Suction Catheter FR. 14 - 14 piece 0
51542 Suction Catheter FR. 14(BLUD) - - Pcs 80 Aug-24
50766 Suction Catheter FR. 6 - - Pcs 0
50464 Suction Catheter FR. 8 - - Pcs 0
50767 Suction Catheter FR. 8 - - Pcs 0
49818 Suction Catheter FR. 8 - 8 piece 0
51540 Suction Catheter FR. 8 (BLUD) - - Pcs 1,000 Feb-25
50405 Suction Catheter FR.6 - - Pcs 0
49874 Suction Catheter FR.6 - 6 piece 0
51757 SUCTION CONNECTING TUBE - - - 1,350 Oct-25
50655 SUCTION CONNECTING TUBE - - Piece 0
50249 SUCTION CONNECTING TUBE - - PIECES 0
51333 SUCTION CONNECTING TUBE (BLUD) - - Pcs 0
50468 Surface Disinfectant 5 L - STERICIDE 3 - - Botol 0
50469 Surface Disinfectant 500 ml - STERICIDE - - Botol 1 0
49898 Surgeon Cap box 0
50427 Surgeon Cap / NURSE CUP - - Box 0
51365 Surgeon Cap / NURSE CUP_CoV - - Box 0
51657 Surgeon Cap / NURSE CUP_CoV - - Box 25 0
51707 Surgeon Cap / NURSE CUP_CoV - - Box 150 0
49819 Surgical Gown Non Woven - - piece 0
50617 Surgical Gown Non Woven - - piece 0
50672 Surgical Gown Non Woven L - - Pak 0
51352 Surgical Gown Non Woven L, XL - - Pcs 0

20
Kode Nama Barang Jml ED
50674 Surgical Gown Non Woven M - - Pak 0
50673 Surgical Gown Non Woven XL - - Pak 0
51731 Surgical Gown Non Woven_CoV - - Pcs 2,000 May-25
51439 Surgical Gown Non Woven_CoV - L&XL Pcs 3,331 Apr-25
50567 Suture Needle - - Pack 30 0
51536 Syphilis Ab Rapid Test - - Pcs 0
50422 Syphilis Ab Rapid Test - - Test 0
50390 Syringes for Anasthesia (Stainless Steel Syringe) - - PIECES 0
50100 three way - - PIECES 0
50205 Three Way Stop Cock with Tube - - pcs 1,550 Mar-25
51552 Three Way Stop Cock with Tube (BLUD) - - Pcs 50 Mar-25
50386 TOFFELEMIRE (DENTAL SD281-1 Matrix Band) - - PIECES 0
50240 Total Protein FS 12311 99 10 022 - - KIT 0
51532 TRACHEOSTOMY KIT 6.0 MM (BLUD) - - Pcs 0
51533 TRACHEOSTOMY KIT 7.0 MM (BLUD) - - Pcs 0
51534 TRACHEOSTOMY KIT 7.5 MM (BLUD) - - Pcs 0
50123 TRANSOFIX - - PIECES 700 Oct-24
51643 Trepocheck Syphilis Test - - Test 0
50228 Triglycerides FS 157109910029 - - KIT 0
50782 Triton C26 T-Chromic Catgut Chromic 2-0, 90 cm Round Bodied 108 Nov-24
50781 Triton C29 T-Chromic Catgut Chromic 2, 90 cm Heavy Round Bo 996 Feb-24
51502 Triton C29 T-Chromic Catgut Chromic 2, 90 cm Heavy Round B 24 Feb-24
50783 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round Bodied 12 May-24
49917 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round Bodied 5 Sep-22
50452 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round Bodied 76 Jan-24
50780 Triton C98 T-Chromic Catgut Chromic 1, 100 cm Blunt, 1/2 cir 72 Oct-24
51503 Triton C98 T-Chromic Catgut Chromic 1, 100 cm Blunt, 1/2 cir 24 Jun-24
49922 Triton M49 T-Mono Polyglecaprone25 1, 90 cm Round Bodied, 1 0
50570 Triton M49 T-Mono Polyglecaprone25 1, 90 cm Round Bodied, 1 1,212 Nov-22
51504 Triton M49 T-Mono Polyglecaprone25 1, 90 cm Round Bodied, 0
50784 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse Cutti 1,092 Feb-23
50571 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse Cutti 0
51463 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse Cutti 0
50786 Triton N32 T-Nylon Nylon 3-0, 76 cm Reverse Cutting, 3/8 circ 0
50785 Triton N90 T-Nylon Nylon 2-0, 76 cm Reverse Cutting, 3/8 circ 48 Nov-23
50787 Triton P180 T-Plain Catgut Plain 2-0, 90 cm Round Bodied, 1/2 0
50791 Triton P89 T-Plain Catgut Plain 1, 90 cm Round Bodied, 1/2 ci 492 Nov-24
51505 Triton P89 T-Plain Catgut Plain 1, 90 cm Round Bodied, 1/2 c 0
50790 Triton S22 T-Silk Silk/Sutera 3-0, 76 cm Round Bodied, 1/2 cir 24 Mar-24
50788 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1/2 cir 48 Dec-24
49915 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1/2 cir 0
51506 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1/2 ci 0
50789 Triton S34 T-Silk Silk/Sutera 2-0, 76 cm Reverse Cutting, 3/8 72 Jun-24
51672 TRITON T-Bond B107 - - Pcs 24 Dec-22
49916 TRITON T-Chromic Catgut 2-0, 90 cm S26 - - piece 0
51159 TRITON T-Lene 3/0 L68 - - Pcs 24 Dec-23
50620 TRITON T-Lene 4/0 L18 Cutting - - Sachet 48 Dec-24
51160 TRITON T-Lene 4/0 L69 - - Pcs 48 Jun-24
51730 TRITON T-Lene 5/0 L17 Cutting - - Pcs 36 Sep-24
50622 TRITON T-Lene 5/0 L17 Cutting - - Sachet 0
49919 TRITON T-Lene Polyvinylidene 2-0, 76 cm L20 - - piece 0
49918 TRITON T-Lene Polyvinylidene 3-0 L19 - 3/0 piece 0
50621 TRITON T-Mono 5/0 M53 Cutting - - Sa 0
50619 TRITON T-Vio 4/0 V2 Round - - Sachet 0
49920 Triton V15 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodied, 0
50792 Triton V16 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodied, 58 Feb-22
49921 Triton V16 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodied, 0
50236 TruCal U 591009910064 Kalibrator Universal - - KIT 0
50237 TruLab L 590209910065 level 1 Kontrol Lipid - - KIT 0
50238 TruLab N 590009910061 Kontrol Normal - - KIT 0
50600 Tuberculin PPD RT 23 SSI - - Vial 0
50601 Tuberculin PPD RT 23 SSI - - Vial 0
50859 Underpad - - Pcs 80 May-24
49867 Underpad piece 0
50473 Underpad - - Pieces 4,800 May-24
50231 Urea FS 131019910029 - - KIT 0
51538 Uric Acid FS (BLUD) - - Kit 0
50226 Uric Acid FS 130219910029 - - KIT 0
49821 Urinal Plastik + Tutup - - Buah 0
50246 URINBAG STERILE - - - 0
49866 Urine Bag Sterile with Hanger piece 1,800 May-24
51430 Urine Bag with Hanger - - Pcs 600 Feb-22
49883 USG Gel 250ml bottle 64 Oct-19
51355 USG Gel 250ml - - Btl 12 Oct-19
50109 USG Gel 5L - - botol 0
50517 USG Paper 110 HG - - PIECES 18 0

21
Kode Nama Barang Jml ED
51765 USG Paper 110 HG - - Pcs 136 0
50402 USG Paper 110 HG - 110x80 Roll 0
50244 Vaccum Purple Cap EDTA - 3 ml Tube 0
51400 Vaccum Purple Cap EDTA - 3 ml Tube 16,200 Oct-21
50474 Vaccum Purple Cap EDTA BD - - Pcs 0
51357 Vaccum Tube EDTA K-3 3ml (BLUD) - - Pack 4 Sep-21
51356 Vaccum Tube Gel PET 3ml (BLUD) - - Pack 0
50197 Vaccum Tube Sterile EDTA K-3 - 3 ml pack 0
50196 Vaccum Tube Sterile SST (W/Gel) - 4 ml pack 0
50735 Vacuum Tube Sodium Citrat - - Tube 300 Feb-21
50736 Vacuum TUBE STERILE GEL & CLOT ACTIVATOR, PLASTIC, 0
49803 VICRYL RAP UND 90CM 2/0 V-34 - - Box 108 Aug-21
50424 Vikia HIV 1/2 - - Test 0
51647 Viral Transport System (SwabVTM) - - Pcs 200 Jul-21
51649 Viral Transport System (SwabVTM) - - Pcs 500 Jul-21
51569 Viral Transport System (SwabVTM)_CoV - - Pcs 0
51477 Viral Transport System (SwabVTM)_CoV - - Tes 0
50533 WFI 1000 ML - - BOTOL 0
51732 XD_ Masker N95 - - Pcs 0
51452 XD_Face Shield - - Pcs 0
51450 XD_HAND SOAP 400 ML - - Pcs 0
51451 XD_HAND SOAP 5 L - - Btl 0
51455 XD_Handschoon Non Steril M - - Pcs 0
51432 XD_Hazmat / COVER ALL APD Standart_CoV - - Pcs 2,185 0
51397 XD_Hazmat / COVER ALL APD Standart_CoV - - Set 0
51454 XD_Hazmat Standart - - Pcs 0
51453 XD_Masker 3 Ply Karet - - Pcs 0
51456 XD_Sepatu Boot - - Pcs 0
51377 XD_Viral Transport System (SwabVTM)_CoV - 3ml Tes 554 0
51407 XH_ALCOHOL Swab - - Pcs 0
51611 XH_APD Set - - Set 80 0
51417 XH_Apron One Plastik - - Pcs 0
51403 XH_Desinfektan 5 L - - Btl 0
51420 XH_Desinfektan/Sippol/H2O2 25 L - - Btl 0
51418 XH_FACESHIELD - - Pcs 59 0
51416 XH_Hand Rub 1 L - - Btl 0
51424 XH_Hand Rub 100 ml Liq/Gel - - Pcs 0
51404 XH_Hand Rub 5 L Cair/Gel - - Pcs 0
51755 XH_Hand Soap 400 ml - - Pcs 32 0
51425 XH_Hand Soap 5 liter - - Btl 0
51754 XH_Hand Soap 80 gr Batang - Pcs 377 0
51410 XH_Handschoon Non Steril L - - Pcs 3,500 Feb-20
51411 XH_Handschoon Non Steril M - - Pcs 0
51412 XH_Handschoon Non Steril S - - Pcs 0
51616 XH_Handschoon Steril - - Pcs 20 0
51415 XH_Handschoon_Karet - - Pcs 10 0
51414 XH_Hazmat - - Pcs 0
51423 XH_Hazmat / RainCoat - - Pcs 0
51409 XH_Head Cup - - Pcs 0
51619 XH_Kaca Mata Google - - Box 12 0
51402 XH_Masker 3 Ply - - Pcs 100 0
51413 XH_Masker N95 - - Pcs 0
51406 XH_Masker Non Medis - - Pcs 0
51620 XH_Popok Dewasa - - Pcs 400 0
51421 XH_Sepatu Boat - - Pasang 20 0
51617 XH_Shoe Cover - - pasang 0
51618 XH_Shoe Cover APD - - Pcs 0
51401 XH_Surgeon Cap / NURSE CUP - - Pcs 0
51408 XH_Surgical Gown - - Pcs 0
51419 XH_Termal Gun - - Pcs 9 0
51669 XP_FACESHIELD - - Pcs 50 0
51670 XP_Masker 3 Ply Tie On (Tali) - - Pcs 0
51607 XRS_Hazmat PRT (BLUD) - - Pcs 0
50341 XYLOCAINE JELLY 2% - - pcs 0
50479 Yellow Cap SST - Vacutainer Serum - 4 ml Pie 0
50243 Yellow Cap SST - Vacutainer Serum - 4 ml Tube 0
51678 Z250 XT REST SYR 3G LA/APAC/MEA A 3,5 (BLUD) - - Pcs 0
51679 Z250 XT REST SYR 3G LA/APAC/MEA A3 (BLUD) - - Pcs 0
51661 Ziehl-Neelsen - - Pak 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50331 3M ESPE CAVIT - - botol 5 Aug-21
49950 3M ESPE Cavit SET 0

22
Kode Nama Barang Jml ED
50802 ACARBOSE 100 MG - - Tablet 19,500 May-22
50145 ACARBOSE TAB 50 MG - - TABLET 0
51695 ACETYLCYSTEIN (RESFAR) 200MG/ML - - Btl 214 May-22
51482 ACETYLCYSTEIN (RESFAR) 200MG/ML_CoV - - Btl 348 Sep-22
50896 ACETYLCYSTEIN 200 MG (BLUD) - - Kapsul 0
49925 ACETYLCYSTEIN 200 MG KAPS Kapsul 0
51374 ACETYLCYSTEIN 200 MG KAPS - - Kapsul 25,800 Feb-22
50905 ACETYLCYSTEIN 200MG/ML - - Btl 0
51598 ACETYLCYSTEIN 600 MG (L-ACYS)_CoV - - Tablet Efferv 2,790 Aug-22
51302 ACTRAPID HM 100 IU/ML - 10 ml ml 150 Feb-22
49923 ACYCLOVIR CREAM - - Cream 0
50892 ACYCLOVIR CREAM (BLUD) - - Tube 25 Jan-22
49951 ACYCLOVIR TABLET 400 MG TABLET 250 Jan-24
50930 ACYCLOVIR TABLET 400 MG - - Tablet 400 Jan-24
50200 ADALAT OROS 30mg - - TABLET 990 Jun-22
51375 ADALAT OROS 30mg - - TABLET 1,830 Sep-22
50931 Albendazole 400 - - Tablet 0
50894 Albumin Behring 20%-50ml - - Btl 0
49946 ALBUNORM 25% 100 ML Botol 0
51371 Alerfed Tablet (BLUD) - - Tablet 1,800 Mar-22
50686 Alinamin-F Tablet - - Tablet 6,000 Jul-22
49952 ALLOPURINOL TABLET 100 MG TABLET 0
50864 ALLOPURINOL TABLET 100 MG - - Tablet 1,000 May-21
51531 ALLOPURINOL TABLET 100 MG (BLUD) - - Tablet 2,800 Jul-23
50615 Alpara Tab - - Tablet 0
50726 Alpara Tab - - Tablet 0
51624 Alpara Tab (BLUD) - - Tablet 4,500 Dec-22
50727 Alprazolam 0,5 mg tablet - - Tablet 2,500 Dec-22
50382 Alprazolam tablet 1 mg - - tablet 0
51376 Alprazolam tablet 1 mg - - tablet 1,500 Aug-22
50067 AMBROXOL - - tablet 0
50685 Ambroxol 15mg/5ml Sirup - - Btl 240 Sep-21
50648 Ambroxol 30 mg Tab - - Tablet 200 Sep-21
50300 Ambroxol tab 30 mg - - TABLET 6,600 Oct-20
51590 AMINOFLUID INF - - Btl 0
50136 AMINOFLUID INF - 500 ML SOFTBAG 10 Sep-21
50409 Aminophyllin tab 200 mg - - TABLET 0
50875 Aminophyllin tab 200 mg - - TABLET 0
50933 Aminophyllin tab 200 mg - - TABLET 600 May-21
50854 AMINOPHYLLINE INJEKSI 24 MG/ML - - Amp 0
50932 AMINOPHYLLINE INJEKSI 24 MG/ML - - Amp 780 Nov-21
49953 AMINOPHYLLINE INJEKSI 24 MG/ML AMPUL 0
50607 AMINOPHYLLINE INJEKSI 24 MG/ML - - AMPUL 0
50174 AMINOSTERIL INFANT 6% - - BOTOL 0
51651 AMIODARON 50mg/ml (BLUD) - - Amp 90 Nov-21
51529 AMIODARON 50mg/ml (BLUD) - - Ampul 0
50509 AMIODARON INJ - - Amp 0
50793 AMIODARON INJ - - Amp 0
49954 AMITRIPTYLINE TABLET 25 MG TABLET 200 May-21
50900 AMITRIPTYLINE TABLET 25 MG - - Tablet 500 Nov-20
50348 Amlodipin 10 mg tablet - - TABLET 0
50901 Amlodipin 10 mg tablet - - TABLET 11,400 Dec-21
49955 AMLODIPINE TABLET 5 MG TABLET 0
50902 AMLODIPINE TABLET 5 MG - - Tablet 9,900 Sep-21
50852 AMOXICILLIN 125 MG/5 ML DS (Solpenox) - - Btl 0
51522 AMOXICILLIN SIRUP 125mg/5ml (BLUD) - 60ml Botol 230 Mar-23
49957 AMOXICILLIN SIRUP KERING 125 MG/5 ML BOTTLE 0
50347 Amoxicillin susp 125mg/5 ml - - BOTOL 0
49956 AMOXICILLIN TAB 500 MG TABLET 0
50068 AMPICILIN 1G INJ - - vial 0
50378 Ampicillin serbuk injeksi 1 g - - vial 2,200 Apr-22
51501 ANADIUM (BLUD) - - Kaplet 810 Feb-23
49926 ANBACIM INJ 1GR/CEFUROXIM INJ - - Vial 0
49958 ANTASIDA DOEN SUSPENSI BOTOL 0
50624 ANTASIDA DOEN SUSPENSI - - Botol 250 May-21
49959 ANTASIDA DOEN TABLET 400 MG TABLET 0
50625 ANTASIDA DOEN TABLET 400 MG - - Tablet 2,700 Jun-22
49960 ANTIHEMOROID SUPPOSITORIA SUPP 10 Nov-21
51485 ANTIHEMOROID SUPPOSITORIA - - Supp 50 Jan-22
51335 APIALYS DROP 10 ML (BLUD) - - Btl 265 Feb-22
51334 APIALYS SYR 100 ML (BLUD) - - Btl 50 Jan-22
50728 Ardium 500 mg Tablet - - Tablet 0
49961 ARTICULATING PAPER STRIP 0
49962 ASAM MEFENAMAT TABLET 500 MG TABLET 0
50431 ASAM MEFENAMAT TABLET 500 MG - - Tablet 0
50529 ASAM MEFENAMAT TABLET 500 MG - - Tablet 0

23
Kode Nama Barang Jml ED
51588 ASAM MEFENAMAT TABLET 500 MG - - Tablet 0
51771 ASAM MEFENAMAT TABLET 500 MG - - Tablet 17,300 Sep-22
51373 ASAM MEFENAMAT TABLET 500 MG (BLUD) - - Tablet 0
51603 ASAM MEFENAMAT TABLET 500 MG (BLUD) - - Tablet 0
50069 ASAM TRANEXAMAT 500 - - tablet 0
51622 ASAM TRANEXAMAT 500 (Lexatrans) (BLUD) - - Kaplet 4,200 Jul-22
51589 ASAM TRANEXAMAT 500 (PLASMINEX) - - Tablet 0
50603 ASAM TRANEXAMAT INJEKSI 250 Mg - - Amp 390 Jan-21
50435 ASAM TRANEXAMAT INJEKSI 500 Mg - - Amp 0
50597 ASAM TRANEXAMAT INJEKSI 500 Mg - - Amp 0
49963 ASAM TRANEXAMAT INJEKSI 500 Mg AMPUL 0
51332 ASAM TRANEXAMAT INJEKSI 500 Mg (BLUD) - - Amp 160 Dec-22
51660 Ascorbic Acid (LAVIT-C 500) 500mg/5ml_CoV - - Amp 1,600 Jun-22
49927 ATORVASTATIN 20 MG Tablet 0
51303 ATORVASTATIN 20 MG - - Tablet 960 Dec-21
51694 Atrakurium 10mg/ml (TRAMUS) injeksi - - Amp 0
50223 Atrakurium 10mg/ml injeksi - 2,5 ml Ampul 0
50183 ATROPIN INJ - - AMPUL 0
51378 ATROPINE INJEKSI 0.25 MG/ML - - Amp 500 Oct-21
49966 ATROPINE INJEKSI 0.25 MG/ML AMPUL 0
51305 AVODART DUTASTERID 0,5 MG - - Kapsul 2,400 Sep-23
50154 AZITHROMYCIN SYR 200mg/5mL - - BOTOL 0
50163 AZITHROMYCIN TAB 500MG - - TABLET 880 Jun-22
50410 Benzatin Benzil Penicillin inj 2.4jt IU - - VIAL 0
50138 BEROTEC HBr AEROSOL 100mcg/puff - - DUS 100 Nov-21
49967 BETAHISTIN MESILAT Tablet 6 Mg TABLET 0
51306 BETAHISTIN MESILAT Tablet 6 Mg - - Tablet 2,850 Aug-21
49968 BETAMETASON CREAM 0,1 % TUBE 0
51659 BFLUID 500 ml - - Btl 100 Jun-22
49928 BIOPLACENTON CREAM Cream 0
50304 BIOPLACENTON GEL - - TUBE 0
50650 BIOPLACENTON GEL - - TUBE 0
51509 BIOQUINONE (BLUD) - - Pcs 450 Mar-22
50219 BISAKODIL TABLET 5MG - - TABLET 0
50124 BISOPROLOL 5 MG - - TABLET 0
51586 BISOPROLOL 5 MG - - TABLET 1,600 May-22
50383 BRICASMA INJ 0,5 mg/ml - - ampul 25 Feb-21
51545 BRICASMA INJ 0,5 mg/ml (BLUD) - - Amp 180 Jan-22
51349 BRICASMA INJ 0,5 mg/ml (Respule) - - Amp 0
50742 Bromheksin Sirup (Lexavon) - - Btl 0
50251 Bupivacain (BUCAIN SPINAL) 0,5% + D 8% - - - 0
50884 Bupivacain (BUCAIN SPINAL) 0,5% + D 8% - (BLUD) - - Amp 170 Dec-23
50344 Bupivacain 0,5% + D 8% - - AMPUL 0
51336 CAL 95 (BLUD) - - Kaplet 0
51446 CALCITRIOL (OSCAL) 0,5 mcg - - Kapsul 2,310 Apr-22
50876 CALCIUM GLUCONATE INJEKSI 100 MG - - Amp 0
51360 CALCIUM GLUCONATE INJEKSI 100 MG - - Amp 24 Jan-21
49970 CALCIUM GLUCONATE INJEKSI 100 MG - - AMPUL 0
50803 CANDESARTAN 16 MG - - Tablet 4,320 Jan-22
50152 CANDESARTAN 8 MG - - TABLET 0
50618 CANDESARTAN 8 MG - - TABLET 14,040 Dec-21
49929 CAPTOPRIL 12.5 TABLET Tablet 0
49971 CAPTOPRIL TABLET 25 MG TABLET 5,400 Sep-23
49972 CARBAMAZEPINE TABLET 200 MG TABLET 400 Sep-22
49973 CEFADROXIL CAPSUL 500 MG KAPSUL 0
50652 CEFADROXIL CAPSUL 500 MG - - Kapsul 800 Sep-21
51331 CEFADROXIL CAPSUL 500 MG (BLUD) - - Kapsul 3,000 Nov-24
50371 Cefadroxil Sirup Kering 125 mg/5ml - - BOTOL 830 Sep-21
51395 Cefadroxil Sirup Kering 125 mg/5ml - - Btl 40 Apr-23
49974 CEFADROXYL Sirup Kering 125 BOTOL 0
50346 Cefazolin 1g - - VIAL 2,740 Jan-22
50840 Cefazolin 1g - - Vial 0
50847 Cefazolin 1g (BLUD) - - Vial 0
50694 Cefixim 100mg/5ml Syr - - Botol 0
51379 Cefixim 100mg/5ml Syr - 30ml Btl 1,370 Apr-22
50298 Cefixim 200 mg - - kaplet 14,430 Mar-22
50949 Cefixim 200 mg (BLUD) - - Tablet 0
50076 Cefixim Kapsul Kapsul 0
50804 Cefotaxim 1g - - Vial 3,650 Jun-21
50349 Cefotaxim inj 1g - - VIAL 0
50609 Cefotaxim injeksi 0,5 g - - Vial 250 Jan-21
50411 Cefotaxim injeksi 1g - - VIAL 0
50428 Cefotaxim injeksi 1g - - VIAL 0
49975 CEFOTAXIME INJEKSI 1 G VIAL 0
50805 Ceftriaxon 1 gr - - Vial 7,890 Jul-22
50077 Ceftriaxon Inj Ampul 0

24
Kode Nama Barang Jml ED
50177 CEFUROXIM SODIUM 0,750 INJ - - VIAL 0
50184 CETADOP-DOPAMINE INJ 40mg/ml - - AMPUL 245 Mar-22
50342 CETIRIZIN 10 MG - - TABLET 2,500 Sep-21
50689 CETIRIZIN 5mg/ml-60ml - - Botol 135 Jun-21
50749 Channa Ekstrak Kapsul - - Kapsul 0
51372 Channa Ekstrak Kapsul (BLUD) - - Kapsul 2,340 Apr-23
50161 CHLORAMPHENICOL EYE OINT 1% - - TUBE 216 Mar-21
49976 CHLORAMPHENICOL SALEP MATA 1% TUBE 0
50165 CHLORHEXIDINE GLUCONATE 0.2% (PERIO KIN SPRAY) - 29 Feb-21
50924 CHLOROQUIN 150 (BLUD) - - Tablet 0
49977 CHLORPHENIRAMINE (CTM) 4 MG TABLET - - TABLET 400 Apr-21
50777 CHLORPHENIRAMINE (CTM) 4 MG TABLET - - Tablet 2,700 1-Apr
50806 CHLORPROMAZIN HCL 100 MG (CPZ) - - Tablet 0
49978 CHLORPROMAZIN HCL 100 MG (CPZ) TABLET - - TABLET 0
50807 CIPROFLOXACIN 0,2% INF - 100ml Botol 500 Jun-21
50899 CIPROFLOXACIN 500 MG (BLUD) - - Tablet 0
51322 CIPROFLOXACIN 500 MG (BLUD) - - Tablet 1,600 Feb-25
50148 CIPROFLOXACIN HCl INF 2mg/ml - - VIAL 96 Jun-21
49930 CIPROFLOXACIN INF 200 Vial 0
49979 CIPROFLOXACIN TABLET 500 MG TABLET 0
50635 CITICOLINE (BRAINACT 500) INJ - - AMP 0
50303 Citicoline 250 mg/2ml Inj - - AMPUL 0
51520 Citicoline 250 mg/2ml Inj (BLUD) - - Ampul 90 Feb-22
50683 Citicoline 250mg/2ml - - Amp 0
50695 CITICOLINE 500 TAB - - Tablet 0
51521 CITICOLINE 500 TAB (BLUD) - - Tablet 100 Oct-21
50438 CITICOLINE INJ - - Amp 0
50121 CITICOLINE INJ - - AMPUL 0
50120 CITICOLINE TAB - - TABLET 0
50139 CLINDAMICYN CAPS 150 MG - - KAPSUL 0
50366 Clindamycin hydrochloride 300 mg - - kapsul 1,000
50903 Clonidin 0,15 - - Tablet 300 Sep-22
50119 CLOPIDOGREL (CPG) 75 MG - - TABLET 12,780 Mar-21
49931 CO AMOXSIKLAV TAB 625 - - Tablet 0
49980 CODEINE TABLET 10 MG TABLET 0
50466 CODEINE TABLET 10 MG - - Tablet 6,800 Jan-23
50078 COLSANCETIN INJ - - Vial 0
50375 Colsansetin inj 1g - - vial 30 Nov-20
49981 COMBIVENT UDV INHALER - - VIAL 5,200 Jun-21
50143 CONCOR 1.25 MG - - TABLET 0
51380 CONCOR 2.5 MG - - Tablet 0
51573 CONCOR 2.5 MG (BLUD) - - Tablet 4,200 Apr-22
49982 COTRIMOKSAZOLE SUSPENSI 200 MG + 40 MG BOTOL 40 Jul-20
51597 COTRIMOKSAZOLE SUSPENSI 200 MG + 40 MG - - Btl 80 Nov-22
49983 COTRIMOKSAZOLE TABLET 400 MG + 80 MG TABLET 1,000 Dec-22
50881 D 10 % INF - - Btl 530 Nov-22
50088 D 10 % INF - 500 ML Botol 0
50352 D 10% 1/5 NS - - BOTOL 20
50871 D 40 % (BLUD) - - Fls 0
51434 D 40 % (BLUD) - - Fls 360 Mar-22
50089 D 40 % (Glukosa 40 %) - - Botol 0
50351 D 40% (Dextrose 40 %) - - BOTOL 0
50415 D5 1/2 NS inf - - BOTOL 1,600 Jan-21
50053 D5 1/2 NS INF INFUS 500 ML BOTOL 0
50253 D5 1/4 NS - 500 ML BOTOL 0
50416 D5 1/4 NS inf - 500 ML BOTOL 0
50051 D5 1/4 NS INF INFUS 500 ML BOTOL 1,740 Feb-25
51396 D5 INF - - Btl 380 Dec-22
50052 D5 INF INFUS 500 ML BOTOL 0
50232 D5-NS - 500 ml Botol 380 Dec-21
49932 DARYANT-TULLE / FRAMYCETIN SULFATE Lembar 0
50324 Dental Bonding - - botol 0
50325 Dental Composit Set - - set 0
50329 Dental Stain Remover (Poliren No.1) - - botol 0
50173 DEPAKOTE 250mg - - TABLET 1,000 Jun-22
49933 DEPAKOTE ER 250 Tablet 0
50922 DEPAKOTE ER 500 - - Tablet 0
50146 DESOXIMETASONE CR 0.25% - - TUBE 0
50294 Devitalisasi Pasta (Non Arsen) - - kotak 0
50326 Devitalisasi Pasta (Non Arsen) - - kotak 2 0
49984 DEXAMETHASON INJEKSI 5 MG/ML AMPUL 0
50583 DEXAMETHASON INJEKSI 5 MG/ML - - Ampul 481 Apr-22
49985 DEXAMETHASONE TABLET 0.5 MG TABLET 0
51428 DEXAMETHASONE TABLET 0.5 MG - - Tablet 0
51667 DEXAMETHASONE TABLET 0.5 MG (BLUD) - - Tablet 2,600 Jun-25
50808 DIAZEPAM 5 MG/2ML - 2ml Amp 200 Sep-21

25
Kode Nama Barang Jml ED
50070 DIAZEPAM INJ 5MG - - - 0
50361 Diazepam tab 2mg - - TABLET 0
50687 Diazepam tab 2mg - - TABLET 11,300 Nov-23
49986 DIGOXIN TABLET 0,25 MG TABLET 0
51381 DIGOXIN TABLET 0,25 MG - - Tablet 200 Jan-22
49987 DIMENHYDRINATE TABLET 50 MG TABLET 0
51760 DIMENHYDRINATE TABLET 50 MG - - Tablet 300 Nov-22
50319 Dionicol syr (thiamphenicol) - - BOTOL 47 Sep-21
50730 DIPHENHYDRAMINE INJEKSI 10 MG/ML - - Amp 1,050 Jan-22
49988 DIPHENHYDRAMINE INJEKSI 10 MG/ML AMPUL 0
50149 DOBUTAMIN INJ 50mg/mL - - AMPUL 40 Sep-22
50412 DOMPERIDON SUSP 5 MG/5 ML - - BOTOL 0
49989 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL 420 Sep-21
49990 Domperidon tab 10 mg - - TABLET 0
50396 Domperidon tab 10 mg - - TABLET 0
50397 Domperidon tab 10 mg - - TABLET 3,600 Mar-23
49934 DOPAMET 250 Tablet 15,200 Sep-22
50168 DULCOLAX SUPP 10 mg - - SUPP 20 Oct-21
49935 DULCOLAX SUPP 5MG Supp 0
50610 DULCOLAX SUPP 5MG - - Supp 5 Jun-22
50157 DUROGESIC 25MCG/H - - PATCH 0
51655 DUROGESIC 25MCG/H - - PATCH 0
50552 Efavirenz (EFV) 600 mg - - Tablet 0
51626 Eperisone HCl 50 (Relaxon) (BLUD) - - Tablet 1,800 May-22
50343 Ephedrin HCl inj - - AMPUL 1,680 Oct-21
50090 Ephedrin Inj. - - Ampul 0
49991 EPHINEPRIN INJEKSI 0.1 % AMPUL 200 Jan-21
50179 ERYTHROMICYN CAPS 500mg - - KAPSUL 100 Aug-21
51440 ERYTHROMICYN CAPS 500mg - - KAPSUL 1,300 Aug-21
49992 ERYTHROMYCIN CAPSUL 250 MG KAPSUL 0
49993 ERYTHROMYCIN SIRUP KERING 200 MG/5 ML BOTOL 360 Dec-20
50598 Ethambutol 250 Tablet - - Tablet 600 Dec-23
50732 Ethambutol 500 Tablet - - Tablet 0
50947 Ethambutol 500 Tablet (BLUD) - - Tablet 200 Mar-24
50358 Etil Klorida (Endo-Ice) Spray - - BOTOL 10
50268 Etil Klorida Spray - - BOTOL 21
50295 Eugenol Cairan - - BOTOL 0
50904 F_Kapsul Gelatin 2 - - Pcs 0
50181 FARGOXIN INJ - - AMPUL 0
50113 FDC ANAK - - PAK 0
50548 FDC ANAK - - PAK 0
50550 FDC ANAK - - PAK 0
50114 FDC KAT. 1 - - PAK 0
50562 FDC KAT. 1 - - Paket 0
50158 FENTANYL INJ 0.05mg/mL - - AMPUL 0
51744 FENTANYL INJ 0.05mg/mL (BLUD) - - Ampul 90 May-22
50682 Ferriz Sirup - - Btl 25 May-22
50162 FLUCONAZOLE TAB 150MG - - TABLET 0
50814 FOLIC ACID 400 MCG (Profolat) - - Tablet 900 Aug-21
49994 FOLIC ACID TABLET 1 MG TABLET 0
50690 FOLIC ACID TABLET 1 MG - - TABLET 1,600 Jun-21
49936 FRESOFOL 1 % INJ Ampul 285 Aug-21
50071 FUROSEMID INJ - - - 0
50150 FUROSEMID INJ 10mg/mL - - AMPUL 825 Jan-22
49995 FUROSEMIDE TABLET 40 MG TABLET 0
50733 FUROSEMIDE TABLET 40 MG - - Tablet 0
50866 FUROSEMIDE TABLET 40 MG - - Tablet 8,800 Dec-23
51483 Gabapentin 300 (BLUD) - - Tablet 2,400 Jun-23
50734 Gabapentin 300 Tablet - - Tablet 0
51648 Gamunex-C 10 % Inf_CoV - 50 ml Btl 7 Sep-22
50662 Gelofusine Inf - - Btl 90 Sep-22
49996 GEMFIBROZIL KAPSUL 300 MG KAPSUL 0
49937 GENTAMISIN INJ 40 MG/ML Ampul 100 Oct-20
50585 GENTAMISIN INJ 40 MG/ML - - Ampul 0
51641 GENTAMISIN INJ 40 MG/ML (BLUD) - - Amp 400 Jul-22
50350 Gentamisin Salep Kulit 0.1% - - TUBE 0
50663 Gentamisin Salep Kulit 0.1% - - TUBE 140 Sep-22
50220 GENTAMISIN SALEP MATA 0,3% - - TUBE 240 Mar-24
50127 GENTAMYCIN EYE DROP 0.3% - - BOTOL 0
50327 Glass Ionomer cement ART - - set 0
50810 GLIMEPIRID 1 MG - - Tablet 0
51674 GLIMEPIRID 1 MG (BLUD) - - Tablet 3,200 Jun-22
49938 GLIMEPIRID 2 MG - - Tablet 0
49997 GLIMEPIRID 2 MG - - Tablet 12,000 1-Aug
50811 GLIMEPIRID 3 MG - - Tablet 0
50628 GLIMEPIRID 4 MG - - TABLET 12,250 Jun-23

26
Kode Nama Barang Jml ED
50151 GLIQUIDONE TAB 30mG - - TABLET 0
51393 GLIQUIDONE TAB 30mG - - TABLET 5,200 Sep-21
49998 GRISEOFULVIN 125 TABLET TABLET 0
49999 HALOPERIDOL TABLET 0,5 MG TABLET 100 Mar-23
50000 HALOPERIDOL TABLET 1,5 MG TABLET 0
50172 HARNAL OCAS 0.4 mg - - TABLET 0
51394 HARNAL OCAS 0.4 mg - - TABLET 2,340 Jul-22
50737 Hepagard Kapsul - - Kapsul 0
51593 Hepagard Kapsul (BLUD) - - Dus 450 Aug-22
51666 Heparin Sodium 5000 IU/ml_CoV - - Vial 320 Aug-21
50140 HERBESSER CD 100 - - KAPSUL 600 Nov-22
50141 HERBESSER CD 200 - - KAPSUL 0
49939 HERBESSER INJ 50 MG Ampul 0
50142 HERBESSER INJEKSI 50 MG - - VIAL 10 Feb-22
51370 Hustadin Sirup (BLUD) - 60ml Btl 40 Feb-22
51595 HYDROCHLOROQUIN (FARNELTIK) 200_CoV - - Tablet 1,050 Oct-22
50001 HYDROCHLORTIAZIDE Tablet 25 Mg TABLET 0
51665 Hydrocortison (Fartison) 100mg_CoV - - Vial 394 May-22
50393 Hydrocortison Cream 2.5% - - TUBE 0
50738 Hydrocortison Cream 2.5% - - TUBE 0
50284 HYDROMAL inf - - softbag 24 May-20
51549 Hyoscine-N-Butilbromide 20 mg/ml (BLUD) - - Amp 400 Mar-22
50664 Hyoscine-N-Butilbromide 20 mg/ml Inj - - Amp 0
50305 Hyoscine-N-Butilbromide 20 mg/ml Inj - - AMPUL 0
50691 IBUPROFEN 100mg/5ml Syrup - - Botol 240 Nov-20
50003 IBUPROFEN TABLET 200 MG TABLET 0
50002 IBUPROFEN TABLET 400 MG TABLET 0
51663 IBUPROFEN TABLET 400 MG (BLUD) - - Tablet 4,800 Feb-22
50681 Iohexol 140 - 350 mg Iodium / mL (350 mg, 50 mL) - - Botol 10 Jun-21
50642 Iopamiro 370 50 ml - - Botol 3 Sep-23
50586 Isoniazid 100 Tablet - - Tablet 0
50587 Isoniazid 300 Tablet - - Tablet 0
50740 Isoniazid 300 Tablet - - Tablet 0
50946 Isoniazid 300 Tablet (BLUD) - - Tablet 0
50218 ISOSORBIDE DINITRAT INJ 1mg/ml - - AMPUL 0
50897 ISOSORBIDE DINITRATE 5 MG (BLUD) - - Tablet 0
51664 ISOSORBIDE DINITRATE 5 MG (BLUD) - - Tablet 5,500 Jun-22
50004 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 1,700 Apr-22
50488 KAEN 3B INF - - Botol 2,360 Feb-23
50005 KAEN 3B INF - 500 ML BOTOL 0
49940 KAEN 4A INF - 500 ML Botol 0
49941 KAEN 4B INF - 500 ML Botol 20 Apr-21
49942 KAEN MG3 INF - 500 ML Botol 20 Mar-22
51708 KALITAKE 5 gr - - Sachet 360 Aug-23
50293 Kalsium Hidroksida Pasta - - kotak 0
50359 Kalsium Hidroksida Pasta (Calplus) - - box 3 Sep-21
50321 Kalsium Laktat (Kalk) - - tablet 0
51486 Kalsium Laktat (Kalk) 500 mg - -- Tablet 14,200 Feb-23
50091 KCl - - flash 0
50085 ketamin inj vial 123 Sep-21
50006 KETOCONAZOLE CREAM 2 % TUBE 0
50935 KETOCONAZOLE CREAM 2 % - - Tube 0
50286 ketoconazole tab 200 mg - - TABLET 400 Jan-22
50936 ketoconazole tab 200 mg - - TABLET 100 Jan-22
51752 ketoconazole tab 200 mg - - TABLET 0
51458 KETOROLAC 30MG/ML - - Amp 3,200 Nov-22
50185 KETOROLAC INJ - - AMPUL 0
49943 KIDMIN 7.2 % INF Botol 310 Feb-21
50292 Klorfenol Kamfer Menthol (ChKM) - - BOTOL 0
50328 Klorfenol Kamfer Menthol ChKM - - botol 1 Nov-20
50549 Kombipak Kategori I - - Pak 0
50144 KSR TAB 600 MG - - TABLET 0
51384 KSR TAB 600 MG - - TABLET 500 Nov-22
51675 KSR TAB 600 MG (BLUD) - - Tablet 2,000 Feb-22
50079 Lactobacillus Granul (LACBON) - - Sachet 0
50307 Lactobacillus Pulv (LACTO-B/L-BIO) - - Sachet 0
50437 Lactobacillus Pulv (L-BIO) - - Sachet 0
51337 Lactobacillus Pulv (L-BIO) (BLUD) - - Sachet 360 Feb-22
50354 Lactobacillus Tablet (LACBON) - - Tablet 0
50741 Lactobacillus Tablet (LACBON) - - Tablet 2,000 May-22
50365 Lactulose/ Laktulosa syr 3,335 g/5 mL (G) - - BOTOL 143 Oct-21
51753 Lamivudin 100 (HEPLAV) - - Tablet 60 Oct-20
50822 Lamivudin 100 Tablet - - Tablet 0
50553 Lamivudine 300 mg - - Tablet 0
50285 Lansoprazole - - capsul 0
50882 Lansoprazole 30 mg - - Kapsul 19,000 Sep-24

27
Kode Nama Barang Jml ED
50588 Levofloksasin 500 mg - - Tablet 2,550 Jun-21
50400 Levofloksasin inf 5 mg/mL - - Btl 552 Oct-22
51656 Levofloksasin inf 5 mg/mL - - Btl 56 Oct-22
51383 Levotiroksin 100 mcg (EUTHYROX) - - Tablet 1,200 Aug-22
51689 Lidocain + Epinephrin (Xylestesin) Inj (BLUD) - 1,7 ml Karpul 0
50007 LIDOCAINE COMPOSITUM INJEKSI AMPUL 0
50379 LIDOCAINE COMPOSITUM INJEKSI - - AMPUL 986 Oct-21
51772 LIDOCAINE COMPOSITUM INJEKSI - - AMPUL 100 Oct-21
50385 Lidocaine HCl 2% Injeksi - - AMPUL 1,100 Aug-22
50665 Lidodex Inj 5% - - Amp 0
50101 Lidodex Inj 5% - - AMPUL 0
50857 Lidodex Inj 5% (BLUD) - - Amp 175 Apr-24
50092 Lidodex Inj. - - AMPUL 0
51441 LISINOPRIL 10 MG - - Tablet 400 Jan-21
50666 LOPERAMID HCL 2 MG TABLET -- - Tablet 0
50008 LOPERAMID HCL TABLET 2 MG TABLET 0
50308 LOPERAMID tab - - TABLET 1,600 Sep-22
50812 Loratadin 10 mg - - Tablet 4,600 Aug-22
50589 Loratadin Tablet - - Tablet 2,600 Jun-23
51605 Lovenox 6000 Inj - - Vial 0
51713 M_Channa Ekstrak Kapsul (BLUD) - - BTL 0
51712 M_Microgynon Tab (BLUD) - - BOX 0
51711 M_Povidone Iodine (Betadine) 100 ml GargleMothwash (BLUD 0
51714 M_Povidone Iodine (Betadine) 190 ml GargleMothwas - - BO 0
51710 M_Povidone Iodine (Betadine) 190 ml GargleMothwash (BLUD 0
50137 MAGNESIUM SULFAT (MgSO4) 20% - - AMPUL 0
50072 MAGNESIUM SULFAT (MgSO4) 40% - - - 300 Oct-20
49944 MANITOL 20 % 250 ML INF Botol 70 Jul-21
50680 Mecobalamin 500 mcg/ml Inj - - Amp 222 Oct-21
50310 Mecobalamin 500 mcg/ml Inj - - AMPUL 0
50080 Mecobalamin Inj - -- Ampul 0
51585 Meloxicam 15 mg (BLUD) - - Tablet 3,400 Jul-23
50700 Meloxicam 15 Tablet - - Tablet 0
50425 MEROPENEM 1GR INJ - - Vial 0
51422 MEROPENEM 1GR INJ - - Vial 0
51709 MEROPENEM 1GR INJ - - Vial 0
51727 MEROPENEM 1GR INJ (BLUD) - - - 60 Feb-22
50528 Metamizol Na - - Ampul 18,600 Oct-21
50260 Metamizol Na (ANTRAIN) - - Amp 0
50311 Metamizol Na (ANTRAIN) - - Amp 0
50649 Metamizol Na (ANTRAIN) - - Amp 450 May-21
50337 Metamizol Na (NORAGES) - - Amp 0
50056 Metamizol Na (SANTAGESIK) - - Amp 0
50491 Metamizol Na (SANTAGESIK) - - Amp 0
50565 Metamizol Na (SANTAGESIK) - - Amp 0
50009 METFORMIN TABLET 500 MG TABLET 0
50926 METFORMIN TABLET 500 MG - - Tablet 28,000 Feb-22
51426 METHISOPRINOL 500 MG (BLUD) - - Tablet 4,150 Jun-23
50073 METHYL PREDNISOLON INJ 125 - - - 0
50485 METHYL PREDNISOLON INJ 125 - - Tablet 1,032 Oct-21
50430 METHYL PREDNISOLON INJ 125 - - VIAL 0
50743 METHYL PREDNISOLON INJ 125 - - VIAL 2,760 Feb-22
50888 Methylergometrin 0,2 mg/ml - - Amp 6,100 Feb-23
50010 Methylergometrin 0,2 mg/ml - - AMPUL 0
50011 METHYLERGOMETRINE TABLET 0,125 MG TABLET 100 Apr-23
50937 METHYLERGOMETRINE TABLET 0,125 MG - - Tablet 1,500 Jun-23
51443 METHYLPREDNISOLONE TABLET 16 MG - - Tablet 4,100 Feb-24
50012 METHYLPREDNISOLONE TABLET 4 MG TABLET 0
50823 METHYLPREDNISOLONE TABLET 4 MG - - Tablet 21,500 May-22
50773 METOCLOPRAMIDE (SOTATIC) 5 MG/ML - - Amp 0
50796 METOCLOPRAMIDE (SOTATIC) 5 MG/ML - - Amp 0
50013 METOCLOPRAMIDE 10 MG/2 ML - 2 ml AMPUL 0
50014 METOCLOPRAMIDE 10 MG/2 ML - 2 ml AMPUL 8,670 Oct-21
50841 METOCLOPRAMIDE 10 MG/2 ML - 2 ml AMPUL 0
50015 METOCLOPRAMIDE TABLET 10 MG TABLET 600 Jun-21
51442 METOTREKSAT (RHEU - TREX ) 2,5 MG - - Tablet 400 Jan-22
51481 METRONIDAZOLE 125 MG SUSP - - Btl 99 Jun-23
50153 METRONIDAZOLE INF 5mg/mL - - BOTOL 868 Nov-22
50616 METRONIDAZOLE TABLET 250 MG - - TABLET 0
50016 METRONIDAZOLE TABLET 500 MG TABLET 0
51773 METRONIDAZOLE TABLET 500 MG - - Tablet 3,000 Aug-25
50856 METRONIDAZOLE TABLET 500 MG (BLUD) - - TAB 400 Jun-24
51690 MEYLON 8,4% INJ - - Fls 0
51751 MEYLON 8,4% INJ (BLUD) - - Fls 102 Apr-22
50017 MICONAZOLE CREAM 2 % TUBE 48 Sep-21
51776 Microgest 100 mg Kapsul (BLUD) - - Kapsul 120 Jan-21

28
Kode Nama Barang Jml ED
50313 MICROLAX - - TUBE 0
50679 Microlax Enema - - Pcs 0
51604 Microlax Enema (BLUD) - - Tube 60 Jun-22
50086 Miloz ampul 0
50797 Miloz 5mg/5ml - - Amp 0
51444 Miloz 5mg/5ml - - Amp 420 Nov-22
50018 MINIASPI 80 MG - - TABLET 0
50320 MINIASPI 80 MG - - TABLET 0
50887 MINIASPI 80 MG - - TABLET 0
51309 MINIASPI 80 MG - - TABLET 11,200 Jan-22
50103 Misoprostol (Gastrul) Tablet 200 mg - - tablet 0
50575 Misoprostol (Gastrul) Tablet 200 mg - - tablet 0
50891 Misoprostol (Gastrul) Tablet 200 mg - (BLUD) - - Tablet 0
51369 Misoprostol (Proster) Tablet 200 mg - (BLUD) - - Tablet 180 Jan-22
50312 Misoprostol Tablet 200 mg - - TABLET 0
50696 Misoprostol Tablet 200 mg - - TABLET 0
51310 MOKSIFLOKSASIN (MOXIMED) 400 MG - - Tablet 600 Feb-22
51304 MOKSIFLOKSASIN INFUS 1,6 MG/ML - 400MG/250ML Btl 0
50164 MOLASMA TAB (TERBUTALINE SULFAT) 2.5MG - - TABLET 0
50614 MOLEXFLU TAB - - TABLET 500 Aug-20
50429 Morphin 10mg/ml - - Amp 0
51673 Morphin 10mg/ml - - Amp 0
50216 Morphin 10mg/ml - - Ampul 0
50860 Morphin 10mg/ml (BLUD) - - Amp 0
51715 Morphin 10mg/ml (BLUD) - - Amp 50 Feb-22
50159 MST CONTINUS 10 MG TAB - - TABLET 0
51717 MST CONTINUS 10 MG TAB (BLUD) - - Tablet 540 Nov-21
50160 MST CONTINUS 15 MG TAB - - TABLET 0
51718 MST CONTINUS 15 MG TAB (BLUD) - - Tablet 240 May-23
51493 Multivitamin (Becom-C)_CoV - - Tablet 0
51596 Multivitamin (Corvita)_CoV - - Tablet 0
51435 Multivitamin (Enfavit)_CoV - - Tablet 2,400 May-23
50647 Multivitamin (Solvitron) Kapsul - - Kapsul 0
51601 Multivitamin plus Glutation (Glutafit)_CoV - - Tablet 3,200 Jun-22
50867 NATRIUM DIKLOFENAK TABLET 50 MG - - Ta 5,000 Aug-21
50019 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 0
50868 NATRIUM DIKLOFENAK TABLET 50 MG - - Tablet 50 Jan-21
50678 Nebacetin 5 g Powder - - Btl 0
50169 NEOSTIGMIN 0.5mg/ml - - AMPUL 0
51320 NEOSTIGMIN 0.5mg/ml (BLUD) - - Amp 35 Aug-21
50699 Neurotropik (Ikaneuron) Inj - - Amp 0
50850 Neurotropik (Ikaneuron) Inj - 3ml Amp 0
50578 Neurotropik (Ikaneuron) Tablet - - Tablet 0
50639 Neurotropik (Ikaneuron) Tablet - - Tablet 0
50739 Neurotropik (Ikaneuron) Tablet - - Tablet 0
51484 Neurotropik (Mersibion 5000) Inj (BLUD) - - Amp 370 Jul-22
51668 Neurotropik (Molaneuron) Tablet (BLUD) - - Tablet 5,800 Jun-22
50554 Nevirapine (NVP) 200 mg - - Tablet 0
50345 New Antides 600 mg tab - - TABLET 1,500 Sep-21
50020 NEW ANTIDES TABLET 600 MG TABLET 0
50147 NICARDIPIN INJ 1mg/ml - - AMPUL 0
51574 NICARDIPIN INJ 1mg/ml (BLUD) - - Amp 420 Aug-21
50839 NIFEDIPIN 10 MG - - Tablet 0
51567 NIFEDIPIN 10 MG - - Tablet 0
50869 NIFEDIPIN 10 MG (BLUD) - - Tablet 0
51575 NIFEDIPIN 10 MG (BLUD) - - Tablet 7,600 May-24
49945 NIFEDIPIN 10 Mg TABLET Tablet 0
50021 NIFEDIPINE TABLET 10 MG TABLET 0
50604 NITROKAF RETARD 2.5 MG - - TABLET 1,900 Nov-21
50186 NOREPHINEPRIN INJ - - AMPUL 0
51462 Norestil 5 mg - - Tablet 270 Feb-22
50302 Novaheksin (Bromheksin) 8 mg tab - - TABLET 0
50757 Novaheksin (Bromheksin) 8 mg tab - - TABLET 0
51492 NS 0,9 % INF 500 ML - - Btl 2,415 Apr-23
50039 NS 0,9 % INF 500 ML - 500 ML BOTOL 0
50376 NS 0,9% 100 ml - - - 0
50490 NS 100 ML INF - - Botol 0
50541 NS 100 ML INF - - Botol 0
50574 NS 100 ML INF - - Botol 0
50634 NS 100 ML INF - - Botol 0
50702 NS 100 ML INF - - Botol 0
50122 NS 100 ML INF - - POUCH 0
51510 NS 100 ML INF (BLUD) - - BTL 240 Jun-22
50093 NS 3 % - - Botol 0
50355 NS 3% (500ml) - - BOTOL 1 Nov-22
51591 NS 3% (500ml) - - Btl 0

29
Kode Nama Barang Jml ED
50701 Nulacta Kapsul - - Kapsul 0
50299 Nystatin Drop 100.000 unit/m - Cazetin - - BOTOL 0
50849 Nystatin Drop 100.000 unit/ml - 12ml Btl 0
51321 Nystatin Drop 100.000 unit/ml (BLUD) - - Btl 260 Feb-22
50022 NYSTATIN TABLET VAGINAL 100.000 IU TABLET 0
50291 O.C.O Cairan - - BOTOL 0
50561 OAT KAT 1 (Kombipak) - - Paket 0
50314 Obat Batuk Hitam (OBH) - - BOTOL 0
50898 OMEPRAZOLE (OMZ) 20 MG (BLUD) - - Kapsul 0
51645 OMEPRAZOLE (OMZ) 20 MG (BLUD) - - Kapsul 0
50287 OMEPRAZOLE (OMZ) 20 MG KAP - - capsul 0
50023 OMEPRAZOLE (OMZ) 20 MG KAP - - KAPSUL 0
50779 OMEPRAZOLE (OMZ) 20 MG KAP - - KAPSUL 0
50510 Omeprazole (OMZ) Inj - - Amp 4,800 Oct-21
50081 Omeprazole (OMZ) Inj - - Ampul 0
50155 Omeprazole (OMZ) Inj - - VIAL 6,730 Nov-20
51311 ONBREZ BREEZHALER INDAKATEROL IH 300 MCG - - Pac 960 Mar-22
50958 Ondansentron 4 (BLUD) - - Tablet 40 Dec-21
50082 Ondansentron 4 Tablet Tablet 1,300 Dec-21
51445 Ondansentron 4mg/2ml Inj - - Amp 6,621 Jan-22
50083 Ondansentron Inj Ampul 0
50432 ORALIT SERBUK - - Sachet 200 Jul-23
50247 ORALIT SERBUK (DUS @100 SACH @4129g) - - SACHET 0
50563 OSELTAMIVIR 75_CoV - - Tablet 400 May-24
50356 Oxytetracyclin salep kulit 3% - - TUBE 50 Aug-21
50357 Oxytetracyclin salep mata 1% - - TUBE 50 Jul-21
50880 OXYTOCIN (SANTOCYN) 10 iu/ml - - Amp 0
50025 OXYTOCIN 10 iu/ml - - AMPUL 0
50026 OXYTOCIN 10 iu/ml - - AMPUL 0
50630 OXYTOCIN 10 iu/ml - - AMPUL 5,000 Oct-22
50316 Pantocain 0.5 % Tetes Mata - - BOTOL 0
50684 Pantocain 0.5 % Tetes Mata - - Btl 10 May-22
51556 PARASETAMOL (PORO) 125mg (BLUD) - - Supp 110 Mar-22
50631 PARASETAMOL DROP 100mg/ml - - Botol 32 Jul-21
50283 PARASETAMOL INFUS 10 mg/mL - - BOTOL 399 Aug-22
50668 PARASETAMOL INFUS 10 mg/mL - - Btl 1,544 Aug-22
50027 PARASETAMOL SIRUP 120mg/5ml - - BOTOL 0
50413 PARASETAMOL SIRUP 120mg/5ml - - BOTOL 1,211 Mar-22
50028 PARASETAMOL TABLET 500 MG - - TABLET 25,000 May-22
50315 PARASETAMOL TABLET 500 MG - - TABLET 0
51592 PARASETAMOL TABLET 500 MG - - TABLET 0
51662 PARASETAMOL TABLET 500 MG (BLUD) - - Tablet 1,000 Aug-24
51447 PEROSSAL - - Pil 60 Mar-22
50883 Pethidin 50 mg/ml - - Amp 0
50087 Pethidin 50 mg/ml - 2 ml Ampul 0
50838 Pethidin 50 mg/ml - 2 ml Ampul 0
50895 Pethidin 50 mg/ml (BLUD) - 2ml Amp 100 Feb-22
50688 PHENITOIN (KUTOIN) CAPS 100 MG - - Kapsul 0
51519 PHENITOIN (KUTOIN) CAPS 100 MG (BLUD) - - Kapsul 200 Apr-22
50879 PHENITOIN 50mg/ml - 2 ml Amp 0
50178 PHENITOIN 50mg/ml - 2 ml AMPUL 15 May-22
51687 PHENITOIN 50mg/ml (BLUD) - - Amp 60 May-22
50407 PHENITOIN CAPS 100 MG - - capsul 6,500 Sep-21
50217 Phenobarbital 200 mg/2ml (Sibital) - - Ampul 0
50377 Phenobarbital 50 mg/ml injeksi - - ampul 210 Dec-21
50029 PHENOBARBITAL TABLET 30 MG TABLET 0
50627 PHENOBARBITAL TABLET 30 MG - - Tablet 100 Feb-22
50301 PHYTOMENADIONE 10 MG/ML INJEKSI - - AMPUL 0
51324 PHYTOMENADIONE 2 MG/ML (BLUD) - - Amp 240 Oct-21
50613 PHYTOMENADIONE 2 MG/ML INJEKSI - - Amp 1,290 Jan-22
50030 PHYTOMENADIONE 2 MG/ML INJEKSI - - AMPUL 0
50031 PHYTOMENADIONE TABLET SALUT GULA 10 MG - - TABL 0
50692 PHYTOMENADIONE TABLET SALUT GULA 10 MG - - TABL 0
51628 PHYTOMENADIONE TABLET SALUT GULA 10 MG - - TABL 1,200 Nov-21
50644 Pioglitazone 15 mg Tablet - - Tablet 90 Apr-21
50645 Pioglitazone 30 mg Tablet - - Tablet 450 Jun-21
50776 Piracetam 1200 Tablet - - Tablet 0
50703 Piracetam 3 gram Inj - - Amp 40 Jul-21
50094 Piracetam 3 gram Inj - - AMPUL 0
50317 Piracetam 3 gram Inj - - AMPUL 0
50632 Piroxicam 20 mg Tablet - - Tablet 0
50381 PLASBUMIN inj 20% 100 mL - - botol 30 Dec-21
50862 PLASBUMIN inj 20% 100 mL - - Btl 0
50380 PLASBUMIN inj 25% 100 mL - - botol 16 Apr-22
50032 PREDNISONE TABLET 5 MG - - TABLET 0
50508 PREDNISONE TABLET 5 MG - - TABLET 0

30
Kode Nama Barang Jml ED
50591 PREDNISONE TABLET 5 MG - - Tablet 200 Jan-22
51338 PROMAVIT SOFTCAP (BLUD) - - Kapsul 2,040 May-22
50033 PROPANOLOL 10 MG - - TABLET 0
50677 PROPANOLOL 10 MG - - TABLET 0
50815 PROPANOLOL 10 MG - - TABLET 0
50893 PROPANOLOL 10 MG - - TABLET 0
51491 PROPANOLOL 40 MG - - Tablet 0
50874 PROPYLTHIOURACIL (PTU) 100 MG (BLUD) - - Tablet 0
51576 PROPYLTHIOURACIL (PTU) 100 MG (BLUD) - - Tablet 1,400 Jan-24
50367 PROSOGAN INJ 30 MG - - VIAL 420 Sep-21
50074 PULMICORT RESP 0.25 MG - - AMPUL 0
50950 PULMICORT RESP 0.5MG/ML - - Pcs 1,000 Sep-21
50798 PULMICORT RESP 0.5MG/ML - 2ml Pcs 0
50360 Pulperyl (Cresotin Liq 1) - - BOTOL 2 Sep-20
50816 Pyrazinamide 500 mg - - Tablet 0
51530 Pyrazinamide 500 mg (BLUD) - - Tablet 1,700 Feb-23
50599 Pyrazinamide 500 Tablet - - Tablet 0
50467 Ranitidin 25 mg/ml Injeksi - - Amp 0
50669 Ranitidin 25 mg/ml Injeksi - - Amp 1,900 Apr-21
51362 Ranitidin 25 mg/ml Injeksi - - Amp 6,600 Oct-20
50034 Ranitidin 25 mg/ml Injeksi - - Ampul 0
50817 RANITIDINE 150 MG - - Tablet 0
50870 RANITIDINE 150 MG (BLUD) - - Tablet 0
51625 RANITIDINE 150 MG (BLUD) - - Tablet 11,200 Jul-22
50035 RANITIDINE TABLET 150 MG TABLET 0
50484 RANITIDINE TABLET 150 MG - - Tablet 0
50288 RD-5 INF - - BOTOL 0
51470 REBONE (BLUD) - - Kaplet 600 Feb-23
50353 Reco (Chloramphenicol) tetes telinga 3% - - BOTOL 30 Nov-21
51766 Remdesivir 100 mg/Inj (COFIVOR)_CoV - - Vial 54 Aug-21
50853 RETAPHYL SR 300 - - TAB 0
51448 RETAPHYL SR 300 - - Tablet 6,300 Feb-25
50878 Rifampisin 300 mg - - Tablet 0
50921 Rifampisin 450 mg - - Tablet 0
50633 Rifampisin 600 mg Tablet - - Tablet 0
51323 Rifampisin 600 mg Tablet (BLUD) - - Tablet 400 Dec-23
49965 Ringer Asetat-Malat (Asering) INFUS 500 ML SoftBag 9,840 Dec-22
49964 Ringer Asetat-Malat (ASERING) INFUS 500 ML Botol 0
51316 Ringer Asetat-Malat (WIDA-BES) - - Btl 140 Dec-21
50036 RL INF - - BOTOL 0
50945 RL INF - - Btl 1,620 Aug-23
50215 Rocuronium 50mg/5ml - - Vial 0
50373 Rocuronium inj 10 mg/ml - - ampul 54 Oct-20
50629 Ropivacaine (NAROPIN) Injeksi - - Ampul 60 Oct-20
51390 SALBUTAMOL 100 MCG (SALBULIN) INHALER - - Btl 435 Jan-23
50037 SALBUTAMOL TABLET 2 MG TABLET 0
50693 SALBUTAMOL TABLET 2 MG - - Tablet 1,100 Dec-23
50592 Salep 2-4 - - Botol 18 Nov-23
50481 Scabimite 5 % Cream 10 G - - Tube 11 Mar-21
49947 SCANLUX 370/50 Botol 0
50306 SCOPMA TAB - - TABLET 0
50581 SCOPMA TAB - - Tablet 0
50709 SCOPMA TAB - - Tablet 0
50330 Semen Seng Fosfat ( s dan c) - - set 1 0
50711 Sequest 4g/sach - - Sachet 0
50167 SERETID 25/50 mcg - - CAN 0
50643 SERETID 50/250 mcg - - Can 0
50951 SERETID 50/250 mcg - - Can 40 Jun-21
50118 Serum Anti Bisa Ular (SABU) - - VIAL 0
50855 Serum Anti Bisa Ular (SABU) - - VIAL 96 Sep-23
49969 Serum Anti Tetanus (BIOSAT) 1.5 180 IE/ML - - VIAL 140 Jun-22
50156 Serum Anti Tetanus (TETAGAM) - - PFS 0
50309 SIMVASTATIN 10 MG TAB - - TABLET 0
51391 SIMVASTATIN 10 MG TAB - - TABLET 1,680 Oct-21
49948 SIMVASTATIN 10 TABLET Tablet 0
50671 SIMVASTATIN 20 TABLET - - TAB 0
50038 SIMVASTATIN TABLET 10 MG TABLET 0
50369 Sodium Valproate syr 250 mg/5 ml - - BOTOL 220 May-22
50180 SOJOURN SEVOFLURAN - - BOTOL 0
50577 SOJOURN SEVOFLURAN - 250 ml ml 10,250 Apr-23
50595 SOLOSTAR PEN APIDRA - - Pen 0
49949 SOLOSTAR PEN APIDRA Set 1,000 Jun-21
50176 SOLOSTAR PEN LANTUS - - - 570 Sep-22
50596 SOLOSTAR PEN LANTUS - - Pen 0
50362 SPIRIVA Tiotropium - - Dus 0
50818 SPIRONOLACTONE 100 MG - - Tablet 4,700 Aug-21

31
Kode Nama Barang Jml ED
50221 SPIRONOLACTONE TABLET 25MG - - TABLET 0
51392 SPIRONOLACTONE TABLET 25MG - - TABLET 9,500 Jan-22
50480 STESOLID 10 RECT - - Rect 100 Dec-22
50401 STESOLID 5 RECT - - Rect 0
50569 STESOLID 5 RECT - - Enema 190 Apr-22
50075 STESOLID RECT 5 0
50372 Sucralfate/ Sukralfat Susp 500mg/5ml - - botol 2,200 Jun-22
50801 Sucralfate/ Sukralfat Susp 500mg/5ml - 100ml Btl 0
50848 Sucralfate/ Sukralfat Susp 500mg/5ml (BLUD) - 100ml Btl 50 May-21
50040 SULFADIAZINE SILVER CREAM 10 MG TUBE 114 May-21
51449 SUPLASYN 20mg/2ml - - Tube 50 Jun-22
50115 SUPRAFENID supp 100 mg - - SUPP 0
50370 SUPRAFENID supp 100mg - - SUPP 0
50919 SUPRAFENID supp 100mg - - SUPP 0
50476 SYMBICORT 160/4.5 - - - 0
50576 SYMBICORT 160/4.5 - - Btl 0
50819 SYMBICORT 160/4.5 - - Btl 0
50920 SYMBICORT 160/4.5 - - Btl 0
50952 SYMBICORT 160/4.5 - - Btl 120 Feb-22
51745 SYMBICORT 160/4.5 60 (BLUD) - - - 0
50171 SYMBICORT 80/4.5 (60) - - - 0
50041 TABLET TAMBAH DARAH TABLET 0
50527 TABLET TAMBAH DARAH - - TABLET 30,800 Aug-21
50889 Telmisartan (MICARDIS) 40 mg - - Tablet 800 Dec-22
50890 Telmisartan (MICARDIS) 80 mg - - Tablet 500 Mar-23
50551 Tenofovir 300 + Lamivudine 300 + Efavirene 600 (Triple FDC) A 0
50555 Tenovofir (FTC) 300 mg - - Tablet 0
49924 TERREL 100 ML - - ml 5,600 Jan-21
50182 TERREL 250ml - - BOTOL 0
50406 TERREL 250ml - - ml 3,000 Jun-23
50724 Thiamfenicol (Dionicol) 500 mg caps - - Kapsul 500 Jul-21
50318 Thiamfenicol 500 mg caps - - capsul 0
51315 THYROZOL / TIAMAZOL10 MG - - Tablet 0
51572 THYROZOL / TIAMAZOL10 MG (BLUD) - - Kaplet 1,400 Nov-22
50042 TOKOVIN KAPTAB 100 MG KAPSUL 0
51734 Tramadol 50 mg (BLUD) - - Tablet 2,800 Nov-21
50747 Tramadol 50mg/ml inj - - Amp 445 May-22
50289 Tramadol 50mg/ml inj - - AMPUL 0
50676 Tremenza tab - - Tablet 1,700 Jun-22
50374 Tremenza tab - -- tablet 0
50043 TRICRESOL - FORMALIN CAIRAN BOTOL 0
50332 Tricresol-Formalin - - botol 1 Feb-21
50290 Trihexyfenidil tab 2mg - - TABLET 0
50602 URSODEOXYCHOLIC ACID (UDCA) 250 MG - - TABLET 0
50820 URSODEOXYCHOLIC ACID (UDCA) 250 MG - - TABLET 4,800 Feb-22
50725 Utrogestan 100 Oral/Vag - - Kapsul 0
51339 Utrogestan 100 Oral/Vag (BLUD) - - Kapsul 0
50522 VAKSIN BCG - - VIAL 0
50521 VAKSIN DPT/HB/HiB - PENTABIO - - VIAL 0
50524 VAKSIN DT - - VIAL 0
50544 VAKSIN HB UNIJECT - - Sach 0
50116 VAKSIN HB UNIJECT - - SACHET 0
51633 VAKSIN HB UNIJECT - - SACHET 0
50523 VAKSIN HB UNIJECT - - VIAL 0
50414 VAKSIN HB UNIJECT 0.5ml - - PIECES 0
50519 VAKSIN HB-iG - HYPERHEP - - Dus 0
50558 VAKSIN HB-iG - HYPERHEP - - Dus 0
51539 VAKSIN HB-iG - HYPERHEP (BLUD) - - Dus 0
50526 VAKSIN MR - Measles Rubella - - VIAL 0
50520 VAKSIN POLIO - - VIAL 0
50525 VAKSIN TD - - VIAL 0
50044 VALDIMEX INJEKSI 5 MG/ML AMPUL 0
50748 Valsartan 160 Tablet - - Tablet 540 Jun-21
50799 Ventolin Neb 2.5mg/2.5ml - 2.5ml Pcs 0
50800 Ventolin Neb 2.5mg/2.5ml - 2.5ml Pcs 0
50084 Viccilin SX Inj - - Vial 0
50166 VICCILLIN SX 1.5 g INJ - - VIAL 630 Dec-22
51720 VipAlbumin Kapsul - -- Kapsul 0
50045 VITAMIN A KAPSUL LUNAK 100.000 IU KAPSUL 100 Oct-20
50046 VITAMIN A KAPSUL LUNAK 200.000 IU KAPSUL 50 Jan-21
50047 VITAMIN B 1 Tablet 50 mg TABLET 0
50821 VITAMIN B COMPLEX - - Tablet 400 Jan-21
50048 VITAMIN B COMPLEX TABLET TABLET 900 Jan-21
51495 VITAMIN B12 (CYANOCOBALAMIN) 50 MCG - - TABLET 4,600 May-25
50623 VITAMIN B12 (CYANOCOBALAMIN) INJ - - Amp 0
50934 VITAMIN B12 (CYANOCOBALAMIN) INJ - - Amp 300 Nov-21

32
Kode Nama Barang Jml ED
50126 VITAMIN B12 (CYANOCOBALAMIN) INJ - - VIAL 0
50049 VITAMIN B6 TABLET 10 MG TABLET 0
50917 VITAMIN B6 TABLET 10 MG - - Tablet 0
51537 VITAMIN B6 TABLET 10 MG - - Tablet 6,700 Mar-22
50050 VITAMIN C TABLET 50 MG TABLET 0
50944 VITAMIN C TABLET 50 MG - - Tablet 14,300 Jun-22
50175 VOLUVEN 6% (HES) - - BOTOL 0
50641 WFI 1000 ML - - Botol 0
51750 WFI 1000 ML (BLUD) - - Btl 270 May-23
50590 WFI 25 ML - - Flas 17,496 Jun-22
50024 WFI 25 ML - - VIAL 0
51634 XD_Favipiravir 200 Tablet - - Tablet 300 Sep-21
51629 XH_ACETYLCYSTEIN 600 MG (MEMUCIL) - - Tab 0
51719 XH_British Propolis - - BTL 19 0
51631 XH_Dexketoprofen (SIMPROFEN) 25 - - Tablet 0
51630 XH_Esomeprazole (SIMPRAZOL) 40 mg - - Vial 0
50564 XH_IBUPROFEN 400 (Peinlos) INJ - - Vial 30 0
51405 XH_Multivitamin Tablet - - Pcs 0
51632 XH_Rebamipid (REBAMAX) 100 - - Tablet 0
50560 XP_CHLOROQUIN 150 - - Tablet 500 Feb-25
51671 XP_OSELTAMIVIR 75 - - Kapsul 600 May-24
50559 XP_OSELTAMIVIR 75 - - Tablet 0
50170 XYLOCAIN SPRAY 10% - - BOTOL 0
50557 Zidovudine (ZDV) 100 mg - - Tablet 0
50556 Zidovudine (ZDV) 300 mg + Lamivudine (3TC) 150 mg - - Tabl 0
50675 ZINC 20mg/5ml Sirup - - Btl 1
50612 ZINC Pro Drop 10mg/5ml - - Botol 145 Mar-21

33
LEMBAR KERJA STOCK OPNAME DepoFarmasiRawatJalan
2/4/2021 1:19

27 Des 2019,
NO KODE NAMA BARANG 12:21:14 ED HARI I HARI II

KS FISIK SELISIH KS FISIK SELISIH

3 50512 AQUACEL AgExtra 10x10 - - Piece 4


6 49889 Arm Sling S Buah 1
8 49793 BLADES (MESS) NO 11 - 11 PIECES 60
9 49794 BLADES (MESS) NO 15 - 15 PIECES 43
10 49795 BLADES (MESS) NO 20 - 20 PIECES 82
11 49796 BLADES (MESS) NO 23 - 23 PIECES 100
14 50580 Catgut Chromic 3/0 Cutting - - Piece 6
15 50269 Catgut Plain 2/0 + jarum - - PIECES 2
16 50579 Catgut Plain 3/0 - - Piece 2
17 49859 Catheter IV 18 - 18 piece 1
19 50440 Cuticell Clasic 10 x 10 - - Pcs 97
20 50513 DUODERM ExtraThin 4x4 - - Piece 10
21 50515 DUODERM Gel 15 gr - - Tube 6
22 50514 DUODERM Gel 30 gr - - Tube 5
25 50486 Folley Catheter 2 Way No. 16 - - PIECES 21
31 49837 Handschoon Steril 7,5 Latex 7.5 pasang 40
34 49833 Kasa Steril DRC 16cm x 16cm Box 5
37 50447 Masker Nebulizer AnaK - - Pcs 5
38 50433 Masker Nebulizer Anak - - Set 1
39 50408 Masker Nebulizer Dewasa - - PIECES 1
43 50297 Pen Needle 31 X 5 - - pcs 56
45 49850 Policrepe Pembalut Elastis 10 cm x 4,55 m roll 2
46 49851 Policrepe Pembalut Elastis 15 cm x 4,55 m roll 1
47 49849 Policrepe Pembalut Elastis 7,5 cm x 4,55 m roll 2
49 49811 Povidone Iodine 30 ml - - bottle 12
51 49900 Silk 2/0 +jarum 1/2 GT 35 mm - 2/0 PIECES 9
52 49901 Silk 3/0 +jarum 1/2 GT 35 mm - 3/0 PIECES 18
53 50531 Spuit 0,05 ml - - Pieces 100
54 50532 Spuit 0,5 ml - - Pieces 100
55 50713 Spuit 1 ml with Needle - - Pcs 15
57 50209 Spuit 10 ml with Needle - 10 ml piece 62
60 49802 Spuit 3 ml with Needle - - piece 80
61 50106 Spuit 5 ml (Stera) - 5 cc pieces 76
66 50123 TRANSOFIX - - PIECES 25
67 50620 TRITON T-Lene 4/0 L18 Cutting - - Sachet 2
70 49866 Urine Bag Sterile with Hanger piece 11
77 50802 ACARBOSE 100 MG - - Tablet 799 Aug-21
78 50145 ACARBOSE TAB 50 MG - - TABLET 2,375 Jun-21
79 49925 ACETYLCYSTEIN 200 MG KAPS Kapsul 732 Jul-20
81 49951 ACYCLOVIR TABLET 400 MG TABLET 167 Jul-22
82 50200 ADALAT OROS 30mg - - TABLET 253 Mar-21
83 50686 Alinamin-F Tablet - - Tablet 110 Jul-22
84 49952 ALLOPURINOL TABLET 100 MG TABLET 395 Apr-20
85 50727 Alprazolam 0,5 mg tablet - - Tablet 100 Jan-22
86 50382 Alprazolam tablet 1 mg - - tablet 30 Oct-19
88 50685 Ambroxol 15mg/5ml Sirup - - Btl 6 Sep-21
89 50648 Ambroxol 30 mg Tab - - Tablet 260
91 50409 Aminophyllin tab 200 mg - - TABLET 90
92 49954 AMITRIPTYLINE TABLET 25 MG TABLET 54 Apr-21
94 49955 AMLODIPINE TABLET 5 MG TABLET 709 Sep-20
95 50347 Amoxicillin susp 125mg/5 ml - - BOTOL 5 Nov-20
96 49956 AMOXICILLIN TAB 500 MG TABLET 221 Sep-21
98 50624 ANTASIDA DOEN SUSPENSI - - Botol 11 May-21
99 49959 ANTASIDA DOEN TABLET 400 MG TABLET 40 Apr-20
101 49960 ANTIHEMOROID SUPPOSITORIA SUPP 10 Jun-21
102 50728 Ardium 500 mg Tablet - - Tablet 68 May-23
105 50529 ASAM MEFENAMAT TABLET 500 MG - - Tablet 507 Oct-20
106 50069 ASAM TRANEXAMAT 500 - - tablet 215 Apr-22
107 49927 ATORVASTATIN 20 MG Tablet 387 May-20
109 50138 BEROTEC HBr AEROSOL 100mcg/puff - - DUS 7 Jan-21
110 49967 BETAHISTIN MESILAT Tablet 6 Mg TABLET 160 Aug-20
111 49968 BETAMETASON CREAM 0,1 % TUBE 24 Jun-20
112 49928 BIOPLACENTON CREAM Cream 2 Feb-20
114 50124 BISOPROLOL 5 MG - - TABLET 302 Jul-20
115 50742 Bromheksin Sirup (Lexavon) - - Btl 4 Sep-22
116 50803 CANDESARTAN 16 MG - - Tablet 500 Aug-21
117 50152 CANDESARTAN 8 MG - - TABLET 641 Aug-21
119 49971 CAPTOPRIL TABLET 25 MG TABLET 194 Nov-22
120 49972 CARBAMAZEPINE TABLET 200 MG TABLET 100 May-23
122 49973 CEFADROXIL CAPSUL 500 MG KAPSUL 150 Apr-20
123 50371 Cefadroxil Sirup Kering 125 mg/5ml - - BOTOL 9 Sep-21
125 50694 Cefixim 100mg/5ml Syr - - Botol 8 Jul-21
126 50298 Cefixim 200 mg - - kaplet 299 Oct-20
127 50689 CETIRIZIN 5mg/ml-60ml - - Botol 5 May-21
128 50342 CETIRIZIN TAB - - TABLET 243 Aug-20
129 50749 Channa Ekstrak Kapsul - - Kapsul 100 Mar-21
130 49976 CHLORAMPHENICOL SALEP MATA 1% TUBE 10 May-20
132 49977 CHLORPHENIRAMINE (CTM) 4 MG TABLET - - TABLE 185 Mar-21
133 50806 CHLORPROMAZIN HCL 100 MG (CPZ) - - Tablet 100

34 of 68
27 Des 2019,
NO KODE NAMA BARANG 12:21:14 ED HARI I HARI II

KS FISIK SELISIH KS FISIK SELISIH

134 49978 CHLORPROMAZIN HCL 100 MG (CPZ) TABLET - - TA 98


135 49979 CIPROFLOXACIN TABLET 500 MG TABLET 186 Mar-20
136 50695 CITICOLINE 500 TAB - - Tablet 80
137 50139 CLINDAMICYN CAPS 150 MG - - KAPSUL 300 Aug-20
138 50366 Clindamycin hydrochloride 300 mg - - kapsul 110 Nov-20
139 50119 CLOPIDOGREL (CPG) 75 MG - - TABLET 570 Mar-21
142 50466 CODEINE TABLET 10 MG - - Tablet 393 Jun-22
143 49981 COMBIVENT UDV INHALER - - VIAL 8 Nov-20
144 50143 CONCOR 1.25 MG - - TABLET 50 May-21
145 49982 COTRIMOKSAZOLE SUSPENSI 200 MG + 40 MG BO 7 Aug-20
146 49983 COTRIMOKSAZOLE TABLET 400 MG + 80 MG TABLE 401 Mar-21
150 50173 DEPAKOTE 250mg - - TABLET 130 May-20
151 50146 DESOXIMETASONE CR 0.25% - - TUBE 10 Jul-20
152 49984 DEXAMETHASON INJEKSI 5 MG/ML AMPUL 4 Jan-20
153 49985 DEXAMETHASONE TABLET 0.5 MG TABLET 118 May-20
155 50687 Diazepam tab 2mg - - TABLET 210 Oct-21
156 49986 DIGOXIN TABLET 0,25 MG TABLET 190 Apr-20
157 49987 DIMENHYDRINATE TABLET 50 MG TABLET 138 Dec-22
158 50319 Dionicol syr (thiamphenicol) - - BOTOL 9 Sep-21
159 49988 DIPHENHYDRAMINE INJEKSI 10 MG/ML AMPUL 6 Dec-19
160 50412 DOMPERIDON SUSP 5 MG/5 ML - - BOTOL 7 Mar-20
162 49990 Domperidon tab 10 mg - - TABLET 142 Aug-20
163 49934 DOPAMET 250 Tablet 516 Sep-22
164 50168 DULCOLAX SUPP 10 mg - - SUPP 17 Oct-21
166 50179 ERYTHROMICYN CAPS 500mg - - KAPSUL 35 Mar-22
168 49993 ERYTHROMYCIN SIRUP KERING 200 MG/5 ML BOTO 5 Jul-20
169 50598 Ethambutol 250 Tablet - - Tablet 86 Dec-23
172 50550 FDC ANAK - - PAK 3
173 50114 FDC KAT. 1 - - PAK 6
174 50682 Ferriz Sirup - - Btl 6
175 50162 FLUCONAZOLE TAB 150MG - - TABLET 50 Feb-20
176 50814 FOLIC ACID 400 MCG (Profolat) - - Tablet 500 Jun-21
178 50690 FOLIC ACID TABLET 1 MG - - TABLET 370 Jun-21
179 49995 FUROSEMIDE TABLET 40 MG TABLET 219 Apr-21
180 50733 FUROSEMIDE TABLET 40 MG - - Tablet 600 Sep-21
181 50734 Gabapentin 300 Tablet - - Tablet 156 Jul-21
182 49996 GEMFIBROZIL KAPSUL 300 MG KAPSUL 100 Jul-20
183 50350 Gentamisin Salep Kulit 0.1% - - TUBE 1 Aug-22
184 50663 Gentamisin Salep Kulit 0.1% - - TUBE 12 Nov-22
185 50220 GENTAMISIN SALEP MATA 0,3% - - TUBE 3 Apr-22
186 50127 GENTAMYCIN EYE DROP 0.3% - - BOTOL 8 Aug-20
187 50810 GLIMEPIRID 1 MG - - Tablet 170 Jul-22
188 49938 GLIMEPIRID 2 mg TABLET - - Tablet 1,420 Jun-21
189 50811 GLIMEPIRID 3 MG - - Tablet 200 Jul-22
190 50628 GLIMEPIRID 4 MGTABLET - - TABLET 1,176 Oct-22
192 50172 HARNAL OCAS 0.4 mg - - TABLET 64 Apr-21
193 50140 HERBESSER CD 100 - - KAPSUL 210 May-22
194 50141 HERBESSER CD 200 - - KAPSUL 60 Jun-20
195 50001 HYDROCHLORTIAZIDE Tablet 25 Mg TABLET 79
196 50393 Hydrocortison Cream 2.5% - - TUBE 23 Mar-21
198 50691 IBUPROFEN 100mg/5ml Syrup - - Botol 5 Nov-20
199 50003 IBUPROFEN TABLET 200 MG TABLET 300 Mar-20
201 50586 Isoniazid 100 Tablet - - Tablet 100 Feb-20
203 50740 Isoniazid 300 Tablet - - Tablet 157 May-21
204 50004 ISOSORBIDE DINITRATE TABLET 5 MG TABLET 703 Dec-21
205 50321 Kalsium Laktat (Kalk) - - tablet 690 Jun-22
206 50006 KETOCONAZOLE CREAM 2 % TUBE 9 Mar-20
207 50286 ketoconazole tab 200 mg - - TABLET 135 Oct-20
209 50549 Kombipak Kategori I - - Pak 2
210 50144 KSR TAB 600 MG - - TABLET 103 May-21
211 50307 Lactobacillus Pulv (LACTO-B/L-BIO) - - Sachet 36 Apr-20
213 50354 Lactobacillus Tablet (LACBON) - - Tablet 26
214 50365 Lactulose/ Laktulosa syr 3,335 g/5 mL (G) - - BOTOL 2 Mar-20
215 50822 Lamivudin 100 Tablet - - Tablet 30
216 50285 Lansoprazole - - capsul 510 Oct-22
217 50588 Levofloksasin Tablet - - Tablet 150 Jul-21
219 50379 LIDOCAINE COMPOSITUM INJEKSI - - AMPUL 14 Jun-21
221 50308 LOPERAMID tab - - TABLET 90 Jul-22
222 50589 Loratadin Tablet - - Tablet 323 Apr-22
224 50080 Mecobalamin Inj - -- Ampul 2 Mar-22
225 50700 Meloxicam 15 Tablet - - Tablet 220 May-23
227 50311 Metamizol Na (ANTRAIN) - - Amp 6 Apr-20
229 50009 METFORMIN TABLET 500 MG TABLET 2,782 Sep-20
231 50011 METHYLERGOMETRINE TABLET 0,125 MG TABLET 153 Jul-22
232 50012 METHYLPREDNISOLONE TABLET 4 MG TABLET 404 Jul-22
233 50823 METHYLPREDNISOLONE TABLET 4 MG - - Tablet 500
234 50015 METOCLOPRAMIDE TABLET 10 MG TABLET 250 Jun-21
235 50616 METRONIDAZOLE TABLET 250 MG - - TABLET 160 Jun-20
237 50017 MICONAZOLE CREAM 2 % TUBE 2 Sep-21
240 50018 MINIASPI TABLET 80 MG TABLET 939 Aug-20
243 50696 Misoprostol Tablet 200 mg - - TABLET 10 Jun-21
244 50164 MOLASMA TAB (TERBUTALINE SULFAT) 2.5MG - - TA 60 Dec-19
35 of 68
27 Des 2019,
NO KODE NAMA BARANG 12:21:14 ED HARI I HARI II

KS FISIK SELISIH KS FISIK SELISIH

245 50614 MOLEXFLU TAB - - TABLET 100 Aug-20


246 50159 MST CONTINUS 10 MG TAB - - TABLET 34 Jun-20
247 50647 Multivitamin (Solvitron) Kapsul - - Kapsul 570 Jul-20
248 50019 NATRIUM DIKLOFENAK TABLET 50 MG TABLET 172 Jun-21
249 50678 Nebacetin 5 g Powder - - Btl 2 Jul-23
250 50699 Neurotropik (Ikaneuron) Inj - - Amp 4 Jan-21
252 50739 Neurotropik (Ikaneuron) Tablet - - Tablet 365 Feb-20
253 50020 NEW ANTIDES TABLET 600 MG TABLET 165 Aug-21
256 50604 NITROKAF RETARD 2.5 MG - - TABLET 50 May-21
258 50757 Novaheksin (Bromheksin) 8 mg tab - - TABLET 120 Sep-21
259 50039 NS 0,9 % INF 500 ML - 500 ML BOTOL 11 Feb-24
261 50701 Nulacta Kapsul - - Kapsul 54 May-21
262 50314 Obat Batuk Hitam (OBH) - - BOTOL 5 Sep-21
263 50287 OMEPRAZOLE (OMZ) 20 MG KAP - - capsul 210 Oct-20
265 50779 OMEPRAZOLE (OMZ) 20 MG KAP - - KAPSUL 600
267 50082 Ondansentron 4 Tablet Tablet 140 Jan-21
268 50083 Ondansentron Inj Ampul 1 Jun-20
270 50356 Oxytetracyclin salep kulit 3% - - TUBE 25 Sep-21
271 50357 Oxytetracyclin salep mata 1% - - TUBE 24 Jul-21
272 50631 PARASETAMOL DROP 100mg/ml - - Botol 4 Jul-21

36 of 68
LEMBAR KERJA STOCK OPNAME DepoFarmasiSen
2/4/2021

ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

1 50906 ALCOHOL Swab - - Pcs 0 Feb-22


2 49865 ALCOHOL Swab - - pieces 0 Jun-22
3 49835 ALKOHOL 70 % BOTOL 1000 bottle 0 Dec-99
4 50911 ALKOHOL 70 % BOTOL 1000 - - Btl 8 Dec-99
5 51612 ALKOHOL 70 % BOTOL 1000 - - Btl 3 Feb-24
6 51474 ALKOHOL 96 % 25 ltr (BLUD) - 25ltr Btl 0 Dec-99
7 50204 Anesthesi Flow Dewasa - - buah 0 Aug-23
8 51724 Anesthesia Face Mask 5 (BLUD) - - Pcs 3 Jan-24
9 51650 ANESTHESIA FACE MASK NO. 5 - - Pcs 0 Dec-99
10 50770 Apron One Plastik - - Pcs 0 Dec-99
11 50512 AQUACEL AgExtra 10x10 - - Piece 10 Apr-22
12 49891 Arm Sling L Buah 0 Dec-99
13 51386 Arm Sling L - - Pcs 5 Dec-99
14 49890 Arm Sling M Buah 0 Dec-99
15 51350 Arm Sling M - - Pcs 4 Dec-99
16 49889 Arm Sling S Buah 0 Dec-99
17 50057 BACTERIAL FILTER - - - 1 Sep-20
18 49884 Besmed Maxiflow Anak (Masker Oksigen) Buah 1 Dec-99
19 49886 Besmed Maxiflow Bayi (Masker Oksigen) Buah 14 Dec-99
20 49804 Besmed Maxiflow Dewasa (Masker Oksigen) Buah 65 Dec-99
21 50606 BLADES (MESS) NO 10 - - Pcs 55 Dec-99
22 49793 BLADES (MESS) NO 11 - 11 PIECES 111 Jul-22
23 49794 BLADES (MESS) NO 15 - 15 PIECES 116 Jul-22
24 49795 BLADES (MESS) NO 20 - 20 PIECES 0 Dec-99
25 49796 BLADES (MESS) NO 23 - 23 PIECES 123 Apr-22
26 49887 Blood Lancet - - pieces 98 Jun-22
27 50489 BLOOD STOP BS-10 - - PIECES 0 Oct-24
28 50540 BLOODSET - - Pcs 0 Dec-99
29 50399 BLOODSET - - PIECES 0 Dec-99
30 50582 BLOODSET - - Set 0 Dec-99
31 49861 BLOODSET (TERUMO) - - piece 220 Feb-22
32 50495 CATGUT CHROM 2 (90cm) 48 mm - - Piece 0 Dec-99
33 49788 CATGUT CHROMIC 1 (5) 75M - /meter piece 0 Dec-99
34 49787 CATGUT CHROMIC 2 (6) 50M - /meter piece 0 Dec-99
35 50129 CATGUT CHROMIC 2 (6) 75CM HR43/26 - - PIECES 0 Dec-99
36 50907 Catgut Chromic 2/0 - - Pcs 14 Sep-24
37 50281 Catgut Chromic 2/0 Onemed - - PIECES 0 Dec-99
38 50608 Catgut Chromic 2/0 Round Vigilenz - - Pcs 0 Dec-99
39 50272 Catgut Chromic 2/0 SMI - - PIECES 0 Dec-99
40 50865 Catgut Chromic 3/0 Cutting - - Pcs 0 Dec-99
41 51457 Catgut Chromic 3/0 Cutting - - Pcs 18 Mar-25
42 50580 Catgut Chromic 3/0 Cutting - - Piece 0 Dec-99
43 49903 Catgut Chromic 3/0 Cutting - - pieces 0 Dec-99
44 50439 CATGUT PLAIN 1 (5) 75CM HR48 - - Pcs 0 Dec-99
45 49789 CATGUT PLAIN 1 (5) 75M - /meter meter 0 Oct-25
46 50477 CATGUT PLAIN 2 (6) 50M - /meter Piece 0 Dec-99
47 50271 Catgut Plain 2/0 (SMI) - - PIECES 0 Dec-99
48 50269 Catgut Plain 2/0 + jarum - - PIECES 0 May-25
49 50494 CATGUT PLAIN 2/0 43 mm - - Piece 0 Sep-24
50 50130 CATGUT PLAIN 2/0 WITH NEEDLE - - PIECES 0 Dec-99
51 50579 Catgut Plain 3/0 - - Piece 0 Dec-99
52 51551 Catgut Plain 3/0 (BLUD) - - Pcs 18 Dec-22
53 50270 Catgut Plain 3/0 + jarum - - PIECES 0 Dec-99
54 50131 CATGUT PLAIN 3/0 WITH NEEDLE - - PIECES 0 Dec-99
55 50942 Catheter IV 18 - - Piece 0 Dec-99
56 49859 Catheter IV 18 - 18 piece 197 Dec-22
57 50465 Catheter IV 18 With Port (Vasofix - - Pcs 28 Sep-23
58 50263 Catheter IV 18G - - PIECES 0 Dec-99
59 50943 Catheter IV 20 - - Piece 37 Oct-23
60 49858 Catheter IV 20 - 20 piece 0 Oct-23
61 51764 Catheter IV 20 With Port (Terumo) - - Pcs 90 Oct-23
62 50453 Catheter IV 20 With Port (Vasofix) - - piece 143 Nov-23
63 50265 Catheter IV 20G Trovensite Safety - PIECES 0 Dec-99
64 50104 Catheter IV 22 - 22 PIECES 287 Nov-22
65 49914 Catheter IV 22 (Troge) - 22 piece 0 Dec-99
66 50261 Catheter IV 22G - - PIECES 0 Dec-99
67 49860 Catheter IV 24 - - piece 186 Dec-22
68 50254 Catheter IV 24 - - PIECES 0 Dec-99
69 50264 Catheter IV 24G - - PIECES 0 Dec-99
70 50266 Catheter IV 24G With Port (Troge) Trovensite Safety - 0 Jul-24
71 50105 Catheter IV 26 With Port - 26 PIECES 0 Dec-99
72 50065 Catheter IV 26 With Port (Polyflex) - 26 PIECES 0 Dec-99
73 50502 Catheter IV 26 With Port (Polyflex-Terumo) - - pieces 70 Nov-23
74 50262 Catheter IV 26G - - PIECES 0 Dec-99
75 51459 Catheter IV 26G With Port (Troge) - - Pcs 52 Jul-24
76 50058 CATHETER MOUNT 1 Jun-22
77 51747 Central Venous Catheter (CVC) Kit Protect Trio V720P CV 0 Dec-99
78 50450 Cervical Collar - - Unit 8 Dec-99
79 50436 Cuticell Clasic 10 x 10 - - Pcs 0 Dec-99

37 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

80 50440 Cuticell Clasic 10 x 10 - - Pcs 63 May-23


81 50441 CUTIMED Gel - 15gr Tube 14 Apr-21
82 50442 CUTIMED Sorbact Swap - 7 x 9 cm Pcs 20 Apr-23
83 49885 Dermafix T 10x25cm piece 0 Dec-99
84 50646 Dermafix T 10x25cm - - Piece 0 Dec-99
85 50513 DUODERM ExtraThin 4x4 - - Piece 24 May-23
86 50515 DUODERM Gel 15 gr - - Tube 18 Mar-21
87 50514 DUODERM Gel 30 gr - - Tube 7 Nov-20
88 50403 ECG - - PCS 0 Dec-99
89 50095 ECG - - PIECES 0 Dec-99
90 50296 ECG (electrode) - - pcs 0 Dec-99
91 50444 ECG (electrode) - - pcs 14 Sep-22
92 50496 ECOSORB 1 40 mm - - Piece 13 Jan-23
93 50497 ECOSORB 2/0 37 mm - - Pieces 20 Jan-23
94 50584 Ecosyn 1 - - Sachet 0 Dec-99
95 50626 Ecosyn 3/0 - 75cm Cutting Sachet 0 Dec-99
96 49841 ETT HVLP Cuffed, sterile 6 mm - - piece 0 Jul-23
97 49843 ETT HVLP Cuffed, sterile 6.5 mm - - piece 0 Dec-23
98 50535 ETT HVLP Cuffed, sterile 7 mm - - Pieces 0 Dec-23
99 49845 ETT HVLP Cuffed, sterile 7.5 mm - - piece 0 Jul-23
100 49846 ETT HVLP Cuffed, sterile 8 mm - - piece 0 Feb-21
101 49848 ETT Plain Uncuff, sterile 2.5 mm - - piece 0 Dec-99
102 49839 ETT Plain Uncuff, sterile 3 mm - - piece 0 Dec-99
103 49840 ETT Plain Uncuff, sterile 3.5 mm - - piece 0 Dec-99
104 49842 ETT SVLP Cuffed, sterile 6.0 mm - - piece 0 Feb-21
105 49844 ETT SVLP Cuffed, sterile 7 mm - - piece 0 Jan-23
106 51761 Extension Tube - - Pcs 63 Sep-25
107 50206 Extension Tube - - piece 0 Dec-99
108 51550 Extension Tube 100cm (BLUD) - - Pcs 0 Nov-24
109 50831 F_Kapsul Gelatin 0 - - Pcs 0 Dec-99
110 50830 F_Kapsul Gelatin 00 - - Pcs 0 Dec-99
111 50832 F_Kapsul Gelatin 1 - - Pcs 0 Dec-99
112 50833 F_Kapsul Gelatin 2 - - Pcs 0 Dec-99
113 50834 F_Kapsul Gelatin 3 - - Pcs 0 Dec-99
114 50835 F_Kunci Trolly Emergency - - Pcs 0 Dec-99
115 50826 F_Mortir Stamper - - Pcs 0 Dec-99
116 50837 F_Plastik Klip Obat - - Pcs 0 Dec-99
117 50829 F_Plastik Obat 1 kg - - Pcs 0 Dec-99
118 50828 F_Plastik Obat 1/2 kg - - Pcs 0 Dec-99
119 50827 F_Plastik Obat 1/4 kg - - Pcs 0 Dec-99
120 50836 F_Sendok Obat - - Pcs 0 Dec-99
121 71784 Feeding Tube 3,5FR 35cm - - Pcs 3 #N/A
122 49876 Feeding Tube 5FR 40cm Buah 0
123 50697 Feeding Tube 5FR 40cm - - pcs 0 May-23
124 51546 Feeding Tube 5FR 40cm (BLUD) - - Pcs 0
125 51570 Feeding Tube 8FR 100cm (BLUD) - - Pcs 0 Jan-23
126 49877 Feeding Tube 8FR 40cm Buah 0
127 50594 Feeding Tube 8FR 40cm - - Pcs 0
128 50698 Feeding Tube 8FR 40cm - - Pcs 0 Feb-23
129 51548 Feeding Tube 8FR 40cm (BLUD) - - Pcs 36 Nov-22
130 50277 Feeding Tube FR 5 - - KIT 2
131 50278 Feeding Tube FR 6 - - KIT 0
132 50282 Feeding Tube FR 8 - - KIT 0
133 50659 Folley Catheter 2 way no. 10 - - Pcs 8 Nov-22
134 50338 Folley Catheter 2 way no. 10 - FR 10 Pcs 2
135 51465 Folley Catheter 2 way no. 10 (BLUD) - - Pcs 15 Nov-22
136 49824 Folley Catheter 2 way no. 12 - 12 PIECES 40 Jul-23
137 51466 Folley Catheter 2 way no. 12 (BLUD) - - Pcs 8 Jul-23
138 50605 Folley Catheter 2 way no. 14 - - Pcs 0
139 50660 Folley Catheter 2 way no. 14 - - Pcs 7 Apr-25
140 51479 Folley Catheter 2 way no. 16 - - Pcs 78 Sep-24
141 50482 Folley Catheter 2 way no. 16 - - piece 0
142 50486 Folley Catheter 2 Way No. 16 - - PIECES 0 Apr-25
143 50404 Folley Catheter 2 way no. 16 - 16 PCS 0
144 49822 Folley Catheter 2 way no. 16 - 16 PIECES 0
145 51480 Folley Catheter 2 way no. 18 - - Pcs 1 Jul-24
146 50483 Folley Catheter 2 way no. 18 - - piece 0
147 50487 Folley Catheter 2 Way No. 18 - - PIECES 55 Mar-22
148 49823 Folley Catheter 2 way no. 18 - 18 PIECES 0
149 50661 Folley Catheter 2 way no. 8 - - Pcs 16 Mar-23
150 50636 Folley Catheter 2 way no. 8 - - Set 0
151 50339 Folley Catheter 2 way no. 8 - FR 8 PCS 0
152 50322 Folley Catheter 3 way 16 - - pcs 0 Jun-20
153 51478 Guedel Airway 100 mm Disp. Steril - - Pcs 9 Jul-24
154 49882 Guedel Airway 100 mm Disp. Steril - - piece 0
155 50201 Guedel Airway 40 mm Disp. Steril - 40 piece 3
156 50202 Guedel Airway 50 mm Disp. Steril - 50 piece 4
157 50203 Guedel Airway 70 mm Disp. Steril - 70 piece 2 Jun-22
158 50456 Guedel Airway 80 mm Disp. Steril - - PCS 9 Jun-23
159 49880 Guedel Airway 80 mm Disp. Steril - - piece 0
160 51728 Guedel Airway 90 mm Disp. Steri - - Pcs 3 Sep-25
161 49881 Guedel Airway 90 mm Disp. Steril - - piece 0
38 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

162 51517 Guedel Airway 90 mm Disp. Steril (BLUD) - - Bh 2 Sep-25


163 50133 Hand Rub Aseptan 500 cc + pump liquid 500 cc Botol 0
164 51488 Hand Rub Infion 50 ml_CoV - - Btl 3 May-23
165 50516 Hand Rub No Rinse 5 L VIOREX - - Botol 0
166 50472 Hand Rub No Rinse 500 ml VIOREX - - Botol 0 Jun-23
167 50471 Hand Soap 500 ml VIOREX - - Botol 0 Dec-21
168 50134 Hand Soap OneScrub 500 cc + dispenser - 500 cc Botol 0
169 50542 Handschoon Non Steril L - - Pcs 0
170 50825 Handschoon Non Steril L - - Pcs 0
171 49862 Handschoon Non Steril L - - pieces 0
172 50394 Handschoon Non Steril L - - pieces 0
173 51768 Handschoon Non Steril L - - Psng 0 May-23
174 51345 Handschoon Non Steril L_CoV - - Pcs 0 Feb-25
175 50670 Handschoon Non Steril M - - Pcs 0
176 50746 Handschoon Non Steril M - - Pcs 0
177 49863 Handschoon Non Steril M - - pieces 0
178 50395 Handschoon Non Steril M - - pieces 0
179 51770 Handschoon Non Steril M - - Psng 0 Jun-23
180 50765 Handschoon Non Steril M - CS - - Pcs 0
181 51346 Handschoon Non Steril M_CoV - - Pcs 0 Feb-25
182 50744 Handschoon Non Steril S - - Pcs 0
183 49864 Handschoon Non Steril S - - pieces 0
184 50511 Handschoon Non Steril S - - pieces 0
185 51769 Handschoon Non Steril S - - Psng 0 Jun-23
186 51438 Handschoon Non Steril S_CoV - - Pcs 0
187 51568 Handschoon Non Steril S_CoV - - Pcs 0 Jun-23
188 49813 Handschoon Obgyn Steril (Obgyn Glove) - - pasang 0
189 51741 Handschoon Obgyn Steril (Obgyn Glove) - - Psng 14 Dec-99
190 51387 Handschoon Obgyn Steril (Obgyn Glove)_CoV - - Pcs 0
191 50769 Handschoon Obgyn Steril 7 (Surgeon Glove) - - Pcs 0
192 50768 Handschoon Obgyn Steril 7.5 (Surgeon Glove) - - Pcs 0
193 50363 Handschoon Steril 6 - - piece 0
194 50658 Handschoon Steril 6 - - piece 0
195 50364 Handschoon Steril 6,5 - - piece 0
196 50506 Handschoon Steril 6,5 - - pieces 0
197 50872 Handschoon Steril 6,5 (DHD) - - Pcs 0
198 50929 Handschoon Steril 6,5 Plus - - Pcs 0
199 50656 Handschoon Steril 7 - - Piece 0
200 50507 Handschoon Steril 7 - - pieces 0
201 50940 Handschoon Steril 7 - - Psng 25 May-24
202 49836 Handschoon Steril 7 Latex 7 pasang 0
203 50657 Handschoon Steril 7,5 - - Piece 0
204 50941 Handschoon Steril 7,5 - - Psng 62 May-23
205 49837 Handschoon Steril 7,5 Latex 7.5 pasang 0
206 51743 Handschoon Steril 7,5_CoV - - Psng 30 Dec-99
207 51615 Handschoon Steril 7_CoV - - Pcs 0 May-22
208 50593 Handschoon Steril 8 - - Pasang 0
209 50771 Handschoon Steril 8 - - Pcs 0
210 50939 Handschoon Steril 8 - - Psng 92 May-23
211 49838 Handschoon Steril 8 Latex 8 pasang 0
212 51696 Harness for CPAP Mask - - Pcs 0
213 51726 Harness For CPAP Mask (BLUD) - - Pcs 4 Dec-99
214 50948 Hazmat (BLUD) - -- Pcs 0
215 51433 Hazmat / COVER ALL APD Standart_CoV - L&XL Pcs 55 Dec-99
216 50454 HCG TEST KEHAMILAN - - PCS 142 Jan-21
217 49904 HOSPITECH ID BAND ADULT / CHILD (BLUE. PINK, YE 0
218 50824 Infus Set Makro - - Pcs 0
219 51307 Infus Set Makro - - Pcs 195 Mar-24
220 49826 Infus Set Makro - 20 tts piece 34 Mar-24
221 49825 Infus Set Mikro - - piece 126 Jun-21
222 50059 INTUBATION STYLET 2.5 - 4.5 MM 0
223 50755 INTUBATION STYLET 2.5 - 4.5 MM - - Pcs 1 May-24
224 50060 INTUBATION STYLET 8.5 - 10 MM 0
225 50756 INTUBATION STYLET 8.5 - 10 MM - - Pcs 1 Feb-24
226 49871 IV Dressing (DERMAFIX S IV) - - PIECES 0
227 50426 IV Dressing DERMAFIX IV ADVANCE - 7 X 9 pcs 4
228 50443 IV Dressing LEUKOMED-IV FILM - 6 x 8cm Pcs 888 Jun-23
229 50256 IV Dressing Tegaderm (dermafix iv) - - PIECES 0
230 51652 Jackson Rees 0,5 L (BLUD) - - Pcs 0 May-24
231 51654 Jackson Rees 2 L (BLUD) - - Pcs 3 Jun-24
232 51646 Jackson Rees 2 L Dewasa - - Pcs 0
233 50245 Kapas Pembalut 250 g - - - 1
234 49879 Kapas Pembalut 250 g - - roll 0 Oct-23
235 49830 Kasa Pembalut Hidrofil DRC 4m x 10cm roll 69 May-22
236 49831 Kasa Pembalut hidrofil DRC 4m x 15cm roll 60 Jul-22
237 50267 Kasa Pembalut Hydrofil 4m x 10cm - - PIECES 1 Jul-22
238 50248 Kasa Pembalut Hydrofil 5cm x 4m - - - 0 Jul-22
239 49833 Kasa Steril DRC 16cm x 16cm Box 0
240 51361 Kasa Steril DRC 16cm x 16cm - - Box 66 May-23
241 50764 Laryngeal Mask Airway (LMA) No. 1.5 - Reusable - - Pcs 0
242 50759 Laryngeal Mask Airway (LMA) No. 2.0 - Reusable - - Pcs 0 Jun-21
243 50762 Laryngeal Mask Airway (LMA) No. 2.5 - Reusable - - Pcs 0 Sep-21
39 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

244 50758 Laryngeal Mask Airway (LMA) No. 3.0 - Reusable - - Pcs 0
245 50761 Laryngeal Mask Airway (LMA) No. 4.0 - Reusable - - Pcs 0
246 50763 Laryngeal Mask Airway (LMA) No. 5.0 - Reusable - - Pcs 0
247 50250 LYOSTYPT 5X8 CM - - - 0 Jul-23
248 51343 Masker 3 Ply Karet_CoV - - Pcs 0 Dec-99
249 51599 Masker 3 Ply Karet_CoV - - Pcs 0 Dec-99
250 49820 Masker 3 Ply Plus Earloop - - Pieces 0
251 50778 Masker 3 Ply Plus Earloop (Jilbab) - - Pcs 0
252 50927 Masker 3 Ply Plus Earloop (Jilbab) - - Pcs 0
253 51600 Masker 3 Ply Plus Earloop (Jilbab)_CoV - - Pcs 0 Dec-99
254 50745 Masker 3 Ply Tie On (Tali) - - Pcs 0
255 51705 Masker N95 (1860)_CoV - - Pcs 0 Jan-25
256 51614 Masker N95 (3M_1860)_CoV - - Pcs 0
257 51558 Masker N95 (3MVFLEX)_CoV - - Pcs 0
258 50954 Masker N95 (OneMed)_CoV - - Pcs 0
259 49895 Masker Nebulizer Anak - - Buah 0
260 50447 Masker Nebulizer AnaK - - Pcs 25
261 50433 Masker Nebulizer Anak - - Set 69
262 49894 Masker Nebulizer Dewasa - - Buah 0
263 50446 Masker Nebulizer Dewasa - - Pcs 0
264 50653 Masker Nebulizer Dewasa - - Piece 80 Feb-25
265 50408 Masker Nebulizer Dewasa - - PIECES 0
266 50061 MASKER NON REBREATHING (NRBM) ADULT - - pcs 0
267 50212 MASKER NON REBREATHING (NRBM) ADULT - - pcs 75 Aug-23
268 50062 MASKER NON REBREATHING (NRBM) ANAK - - - 0
269 50213 MASKER NON REBREATHING (NRBM) ANAK - - pcs 147 May-23
270 50492 Mesh 5x10 - - Piece 0
271 50493 Mesh 5x10 Re - - Piece 0 Dec-99
272 49810 Mitella kain - - Buah 5 Dec-99
273 49798 Monosyn Undyed 3/0 (2) 70 CM ds19 (M) piece 0
274 50445 Monosyn Undyed 3/0 (2) 70 CM DS24 - - Pcs 0
275 50457 Monosyn Violet 1 (4) 90 CM HR40S (M) - - Sachet 0
276 49797 Monosyn Violet 1 (4) 90 CM HR48 (M) piece 0
277 50108 Mucus Extractor - - buah 0 Dec-25
278 50858 Mucus Extractor - Onemed-Serenity Pcs 0
279 50259 Mucus Extractor (onemed) - - PIECES 0
280 49807 My Jelly 82 gram tube 0 Apr-21
281 50434 Nasal Canul / Nasal Oxygen Anak - - Pcs 0
282 51429 Nasal Canul / Nasal Oxygen Bayi - - Pcs 0 Feb-24
283 50651 Nasal Canul Anak Cosmo - - Pcs 0 Feb-25
284 50064 NASAL CANUL DEWASA COSMO MED - - - 0
285 50458 NASAL CANUL DEWASA COSMO MED - - Pcs 127 Feb-25
286 50258 Nasal Canul Neonat - - PIECES 0
287 50873 NASAL CANUL NEONATAL COSMO - - Pcs 0
288 50063 NASAL CANUL NEONATAL COSMO MED - - - 0
289 49805 Nasal Oxygen Anak - Oxyflow - - piece 0
290 49875 Nasal Oxygen Bayi - Oxyflow - - piece 0
291 49806 Nasal Oxygen Dewasa - Oxyflow - - piece 1
292 50774 Nasal Oxygen size L (Adult) - - Pcs 0
293 50775 Nasal Oxygen size M (Child) - - Pcs 0
294 50280 Nasal Oxygen size S (Neonatus) - - PIECES 0
295 50723 NEEDLE 18 G X 32 MM - - Pcs 96 Oct-23
296 50720 NEEDLE 23 G X 32 MM - - Pcs 31
297 50199 NEEDLE 23 G X 32 MM - - piece 0
298 50721 NEEDLE 25 G X 32 MM - - Pcs 0
299 50722 NEEDLE 26 G X 32 MM - - Pcs 0
300 50719 NEEDLE 30 G X 32 MM - - Pcs 85
301 49896 Nierbeken Disposable 2cm, pak/10pcs - - pax 99 Jun-25
302 49856 Opsite Post Op 15,5x8,5cm piece 0 Jul-22
303 49857 Opsite Post Op 25x10cm piece 0
304 49855 Opsite Post Op 6,5x5cm piece 0 Oct-22
305 51298 ORM Acrylic set (BLUD) Pcs 0
306 51162 ORM Cortical screw 3,5 16mm (BLUD) Pcs 0
307 51209 ORM Cortical screw 3,5 16mm Self tapping (BLUD) Pcs 0
308 51163 ORM Cortical screw 3,5 18mm (BLUD) Pcs 0
309 51363 ORM Drill Bit (BLUD) - - Pcs 0
310 51299 ORM Drill bit dia. 2.5 mm (BLUD) Pcs 0
311 51234 ORM S Plate Clavicula 8 hole Kiri (BLUD) - - Pcs 0
312 51295 ORM SCHANZ SCREW dia 4.5 x 150 (BLUD) Pcs 0
313 51246 ORM Small DCP 6 hole (BLUD) Pcs 0
314 51327 OTR BIPOLAR CUP (BLUD) - - Pcs 0
315 51120 OTR BROAD DCP PLATE 10 HOLE (BLUD) Pcs 0
316 51460 OTR CEMENTLESS STEM (BLUD) - - Set 0
317 51063 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 0
318 51064 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 0
319 51065 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 0
320 51066 OTR CORTEX SCREW 4.5MM, SELF TAPPING, LENGTH 0
321 51340 OTR Drill Bit (BLUD) - - Pcs 0
322 51328 OTR FEMORAL HEAD (BLUD) - - Pcs 0

40 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

323 51126 OTR K-WIRE BOTH END POINTED 1,0 x 310 MM (BLUD) 0
324 51127 OTR K-WIRE BOTH END POINTED 1,2 x 310 MM (BLUD) 0
325 51129 OTR K-WIRE BOTH END POINTED 1,6 x 310 MM (BLUD) 0
326 49850 Pembalut Elastis 10 cm x 4,55 m - Policrepe - - roll 0
327 50704 Pembalut Elastis 15 cm x 4,55 m - Policrepe - - Pcs 3 May-25
328 49851 Pembalut Elastis 15 cm x 4,55 m - Policrepe - - roll 0
329 50705 Pembalut Elastis 7,5 cm x 4,55 m - Policrepe - - Pcs 7 Aug-25
330 49849 Pembalut Elastis 7,5 cm x 4,55 m - Policrepe - - roll 0
331 50297 Pen Needle 31 X 5 - - pcs 0
332 50813 Pen Needle 31 X 5 - - Pcs 0 Aug-24
333 51644 Pen Needle 31 X 5 (BLUD) - - Pcs 33 Aug-24
334 51627 Pen Needle 32 X 4 - - Pcs 0
335 50729 PENCIL CESS (blade electrode) - - Pcs 0
336 50252 PENCIL CESS ERBE - - - 0
337 50573 PENCIL CESS ERBE - - Piece 0
338 50096 PERFUSOR - - PIECES 0
339 49913 PHARMAFIX, (15 CM X 500 CM) box 0
340 51564 Poliban 10 cm x 2,7 (BLUD) - - Roll 3 Feb-25
341 50504 Poliban 10 cm x 2,7 m - - Roll 0
342 50505 Poliban 15 cm x 2,7 m - - Roll 0 Mar-25
343 51565 Poliban 15 cm x 2,7 m (BLUD) - - Roll 5 Mar-25
344 50500 Poligyp 10 cm x 2,7 m - - Roll 9 Jun-23
345 51560 Poligyp 10 cm x 2,7 m (BLUD) - - Roll 1 Jun-23
346 50501 Poligyp 15 cm x 2,7 m - - Roll 0 Jun-23
347 50706 Postofix 10x25cm - - Pcs 20 May-25
348 51553 Postofix 10x25cm (BLUD) - - Pcs 0
349 51594 Povidone Iodine (Betadine) 190 ml GargleMothwash_CoV 39 Sep-23
350 50794 Povidone Iodine (Betadine) 60 ml - - Btl 0
351 50863 Povidone Iodine (Betadine) 60 ml - - Btl 0
352 51353 Povidone Iodine (Ecodine) 1000 ml - - ml 1,000 Jan-23
353 50132 POVIDONE IODINE 10% 300 ML - - BOTOL 0
354 49811 Povidone Iodine 30 ml - - bottle 0 Dec-99
355 49892 Povidone Iodine 300 ml bottle 0
356 49812 Povidone Iodine 60 ml - - bottle 0
357 50795 Povidone Iodine 60 ml - - Btl 0
358 50915 Povidone Iodine 60 ml - - Btl 0
359 49888 Safety Box dus 0
360 50135 Sharp Container 7L - 7 l Buah 0 Dec-99
361 50498 Silk 2/0 - - Pieces 0 Jan-23
362 50913 Silk 2/0 +jarum 1/2 GT 35 mm - - Pcs 35 Jul-24
363 49900 Silk 2/0 +jarum 1/2 GT 35 mm - 2/0 PIECES 0 Jul-24
364 50274 Silk 3/0 + jarum 1/2 GT 35mm - - PIECES 0
365 50914 Silk 3/0 + jarum 1/2 GT 35mm - - Pcs 22 Sep-24
366 50886 Silk 3/0 +jarum 1/2 GT 25 mm - - Pcs 0
367 49901 Silk 3/0 +jarum 1/2 GT 35 mm - 3/0 PIECES 13
368 49791 SILK BLACK 1 (4) 75M - /meter piece 0 Sep-22
369 49792 SILK BLACK 2 (5) 50M - /meter piece 0 Oct-22
370 49799 SILKAM BLACK 3/0 (2) 75CM DS24 piece 0 Oct-21
371 50846 Spalk 100x10cm (BLUD) - - Pcs 8 Dec-99
372 50844 Spalk 60x10cm (BLUD) - - Pcs 0 Dec-99
373 50845 Spalk 70x10cm (BLUD) - - Pcs 0 Dec-99
374 50842 Spalk Infus 10x5cm (BLUD) - - Pcs 4 Dec-99
375 50843 Spalk Infus 15x5cm (BLUD) - - Pcs 6 Dec-99
376 49814 Spalk Kayu - - Buah 7
377 49790 SPINOCAN 25 - - piece 0
378 50097 SPINOCAN 25 - 25 PIECES 0
379 50460 SPINOCAN 25 (26) - - PCS 0 Nov-23
380 50461 SPINOCAN 26 - - Pcs 0
381 50098 SPINOCAN 26 - - PIECES 0
382 50462 SPINOCAN 27 - - Pcs 0 Feb-25
383 49800 SPINOCAN 27 - - piece 0
384 50877 SPINOCAN 27 (BLUD) - - Pcs 0
385 50861 SPINOCAN 27 (Egemen) - - Pcs 0
386 50918 SPINOCAN 27 (Egemen) (BLUD) - - Pcs 0
387 51467 SPINOCAN 27 (Egemen) (BLUD) - - Pcs 8
388 50531 Spuit 0,05 ml - - Pieces 100
389 50532 Spuit 0,5 ml - - Pieces 100 Jun-23
390 50125 SPUIT 1 CC - - PIECES 0
391 50713 Spuit 1 ml with Needle - - Pcs 294 Jan-25
392 51313 Spuit 1 ml with Needle - - Pcs 0
393 50102 Spuit 1 ml with Needle - 1 cc PIECES 0
394 50214 Spuit 1 ml with Needle - 1 ML pcs 0
395 50209 Spuit 10 ml with Needle - 10 ml piece 0
396 49869 Spuit 10 ml with Needle - - Buah 0
397 51314 Spuit 10 ml with Needle - - Pcs 150 Jan-25
398 50712 Spuit 10 ml with Needle - - Pcs` 0
399 50257 Spuit 10 ml with Needle - - PIECES 0
41 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

400 49870 Spuit 20 ml Stera - - piece 0


401 50208 Spuit 20 ml Stera - 20 ml piece 132 Apr-23
402 49802 Spuit 3 ml with Needle - - piece 0 Oct-25
403 50398 Spuit 5 ml - - PIECES 0
404 50568 Spuit 5 ml - - Piece 539 Jan-25
405 50255 Spuit 5 ml (STERA) - - PIECES 0
406 50106 Spuit 5 ml (Stera) - 5 cc pieces 0
407 50572 Spuit 5 ml (TERUMO) - - Piece 0 Jun-23
408 49868 Spuit 5 ml with Needle - - Buah 0
409 51354 Spuit 50 Ecocentric Stera - - Pcs 29 Oct-22
410 49873 Spuit 50 Ecocentric Stera Ecocentric - piece 2 Oct-22
411 50448 Spuit 50 ml (Catheter Tip) - - piece 53 Dec-22
412 50099 Spuit 50 ml (Syringe Pump) - - piece 0
413 50211 Spuit 50 ml Ecocentric 50 ml piece 2 Dec-22
414 50714 Spuit 50 ml Luer Lock - - Pcs 87 May-24
415 50210 Spuit 50 ml Luer Lock - 50 ml piece 0
416 50384 Sterofoam - - - 0
417 49815 Stikpan Plastik - - piece 1 Dec-99
418 49878 Stomach Tube 12FR 125cm Buah 0
419 50715 Stomach Tube 12FR 125cm - - Pcs 14 May-24
420 50716 Stomach Tube 14FR 125cm - - pcs 0
421 51547 Stomach Tube 14FR 125cm (BLUD) - - Pcs 9 Jan-25
422 50717 Stomach Tube 16FR 125cm - - Pcs 16 May-24
423 50718 Stomach Tube 18FR 125cm - - Pcs 0 Jun-24
424 50276 Stomach Tube 85cm No.16 - - KIT 0
425 50279 Stomach Tube 85cm No.16 - - PIECES 16
426 50275 Stomach Tube 85cm No.18 - - KIT 1
427 50066 STOMACH TUBE NO 16 - - PIECES 0
428 50637 STOMACH TUBE NO 16 - - Set 68
429 49817 Suction Catheter FR. 10 - 10 piece 0
430 51468 Suction Catheter FR. 10 (BLUD) - - Pcs 0
431 51544 Suction Catheter FR. 10 (BLUD) - - Pcs 0 Feb-24
432 49816 Suction Catheter FR. 12 - 12 piece 0
433 51469 Suction Catheter FR. 12 (BLUD) - - Pcs 0 Oct-24
434 51541 Suction Catheter FR. 12 (BLUD) - - Pcs 20 Oct-24
435 51494 Suction Catheter FR. 14 - - Pcs 34 Apr-24
436 50207 Suction Catheter FR. 14 - 14 piece 0
437 51542 Suction Catheter FR. 14(BLUD) - - Pcs 13 Aug-24
438 50766 Suction Catheter FR. 6 - - Pcs 0
439 50464 Suction Catheter FR. 8 - - Pcs 0
440 50767 Suction Catheter FR. 8 - - Pcs 0
441 49818 Suction Catheter FR. 8 - 8 piece 0
442 51540 Suction Catheter FR. 8 (BLUD) - - Pcs 40 Feb-25
443 50405 Suction Catheter FR.6 - - Pcs 0
444 49874 Suction Catheter FR.6 - 6 piece 0
445 51757 SUCTION CONNECTING TUBE - - Pcs 0 Oct-25
446 50655 SUCTION CONNECTING TUBE - - Piece 0
447 50249 SUCTION CONNECTING TUBE - - PIECES 0
448 51333 SUCTION CONNECTING TUBE (BLUD) - - Pcs 0
449 51352 Surgical Gown Non Woven L, XL - - Pcs 20
450 51439 Surgical Gown Non Woven_CoV - L&XL Pcs 1 Apr-25
451 50100 three way - - PIECES 0
452 50205 Three Way Stop Cock with Tube - - pcs 27 Mar-25
453 51552 Three Way Stop Cock with Tube (BLUD) - - Pcs 0 Mar-25
454 50123 TRANSOFIX - - PIECES 43 Oct-24
455 50782 Triton C26 T-Chromic Catgut Chromic 2-0, 90 cm Round B 0 Nov-24
456 50781 Triton C29 T-Chromic Catgut Chromic 2, 90 cm Heavy Rou 0 Feb-24
457 51502 Triton C29 T-Chromic Catgut Chromic 2, 90 cm Heavy Ro 0 Feb-24
458 49917 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round Bo 0 Sep-22
459 50452 Triton C96 T-Chromic Catgut Chromic 2-0, 76 cm Round Bo 17 Jan-24
460 49922 Triton M49 T-Mono Polyglecaprone25 1, 90 cm Round Bodi 0
461 50570 Triton M49 T-Mono Polyglecaprone25 1, 90 cm Round Bodi 0 Nov-22
462 50784 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse C 0 Feb-23
463 50571 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse C 0
464 51463 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse 3
465 50786 Triton N32 T-Nylon Nylon 3-0, 76 cm Reverse Cutting, 3/8 11
466 50785 Triton N90 T-Nylon Nylon 2-0, 76 cm Reverse Cutting, 3/8 0 Nov-23
467 50787 Triton P180 T-Plain Catgut Plain 2-0, 90 cm Round Bodied 0
468 50791 Triton P89 T-Plain Catgut Plain 1, 90 cm Round Bodied, 1 0 Nov-24
469 50788 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1/ 0 Dec-24
470 49915 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1/ 0
471 50789 Triton S34 T-Silk Silk/Sutera 2-0, 76 cm Reverse Cutting, 9 Jun-24
472 49916 TRITON T-Chromic Catgut 2-0, 90 cm S26 - - piece 0
473 51159 TRITON T-Lene 3/0 L68 - - Pcs 0 Dec-23
474 50620 TRITON T-Lene 4/0 L18 Cutting - - Sachet 0 Dec-24
475 51160 TRITON T-Lene 4/0 L69 - - Pcs 4 Jun-24
476 50622 TRITON T-Lene 5/0 L17 Cutting - - Sachet 2
42 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

477 49919 TRITON T-Lene Polyvinylidene 2-0, 76 cm L20 - - piece 0


478 49918 TRITON T-Lene Polyvinylidene 3-0 L19 - 3/0 piece 0
479 50621 TRITON T-Mono 5/0 M53 Cutting - - Sa 0
480 50619 TRITON T-Vio 4/0 V2 Round - - Sachet 0
481 49920 Triton V15 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodi 0
482 50792 Triton V16 T-Vio Polyglycolide 1, 90 cm Heavy Round Bod 11 Feb-22
483 49921 Triton V16 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodi 0
484 71782 UMBILICAL CATH NO 4 - - Pcs 5 #N/A
485 50859 Underpad - - Pcs 18 May-24
486 49867 Underpad piece 0
487 50473 Underpad - - Pieces 0 May-24
488 49821 Urinal Plastik + Tutup - - Buah 0
489 50246 URINBAG STERILE - - - 0
490 49866 Urine Bag Sterile with Hanger piece 170 May-24
491 51430 Urine Bag with Hanger - - Pcs 0 Feb-22
492 50533 WFI 1000 ML - - BOTOL 0
493 51410 XH_Handschoon Non Steril L - - Pcs 0 Feb-20
494 51411 XH_Handschoon Non Steril M - - Pcs 0
495 51412 XH_Handschoon Non Steril S - - Pcs 0
496 51402 XH_Masker 3 Ply - - Pcs 0 Dec-99
497 51413 XH_Masker N95 - - Pcs 0
498 50341 XYLOCAINE JELLY 2% - - pcs 0
499 0 0 0
500 0 0 0
501 0 0 0
502 0 0 0
503 0 0 0
504 50802 ACARBOSE 100 MG - - Tablet 1,250 May-22
505 50145 ACARBOSE TAB 50 MG - - TABLET 0
506 51695 ACETYLCYSTEIN (RESFAR) 200MG/ML - - Btl 55 May-22
507 51482 ACETYLCYSTEIN (RESFAR) 200MG/ML_CoV - - Btl 0 Sep-22
508 50896 ACETYLCYSTEIN 200 MG (BLUD) - - Kapsul 0
509 49925 ACETYLCYSTEIN 200 MG KAPS Kapsul 0
510 51374 ACETYLCYSTEIN 200 MG KAPS - - Kapsul 487 Feb-22
511 50905 ACETYLCYSTEIN 200MG/ML - - Btl 0
512 51598 ACETYLCYSTEIN 600 MG (L-ACYS)_CoV - - Tablet Effe 262 Aug-22
513 51302 ACTRAPID HM 100 IU/ML - 10 ml ml 0 Feb-22
514 49923 ACYCLOVIR CREAM - - Cream 0
515 50892 ACYCLOVIR CREAM (BLUD) - - Tube 36 Jan-22
516 49951 ACYCLOVIR TABLET 400 MG TABLET 204 Jan-24
517 50200 ADALAT OROS 30mg - - TABLET 72 Jun-22
518 51375 ADALAT OROS 30mg - - Tablet 0 Sep-22
519 50931 Albendazole 400 - - Tablet 14
520 50894 Albumin Behring 20%-50ml - - Btl 4
521 51371 Alerfed Tablet (BLUD) - - Tablet 175 Mar-22
522 50686 Alinamin-F Tablet - - Tablet 227 Jul-22
523 49952 ALLOPURINOL TABLET 100 MG TABLET 0
524 50864 ALLOPURINOL TABLET 100 MG - - Tablet 334 May-21
525 51531 ALLOPURINOL TABLET 100 MG (BLUD) - - Tablet 0 Jul-23
526 50615 Alpara Tab - - Tablet 0
527 50726 Alpara Tab - - Tablet 0
528 51624 Alpara Tab (BLUD) - - Tablet 175 Dec-22
529 50727 Alprazolam 0,5 mg tablet - - Tablet 106 Dec-22
530 50382 Alprazolam tablet 1 mg - - tablet 0
531 51376 Alprazolam tablet 1 mg - - tablet 130 Aug-22
532 50067 AMBROXOL - - tablet 0
533 50685 Ambroxol 15mg/5ml Sirup - - Btl 24 Sep-21
534 50648 Ambroxol 30 mg Tab - - Tablet 179 Sep-21
535 50300 Ambroxol tab 30 mg - - TABLET 0 Oct-20
536 51590 AMINOFLUID INF - - Btl 0
537 50136 AMINOFLUID INF - 500 ML SOFTBAG 0 Sep-21
538 50409 Aminophyllin tab 200 mg - - TABLET 0
539 50875 Aminophyllin tab 200 mg - - TABLET 0
540 50933 Aminophyllin tab 200 mg - - TABLET 150 May-21
541 50854 AMINOPHYLLINE INJEKSI 24 MG/ML - - Amp 0
542 50932 AMINOPHYLLINE INJEKSI 24 MG/ML - - Amp 10 Nov-21
543 49953 AMINOPHYLLINE INJEKSI 24 MG/ML AMPUL 0
544 50607 AMINOPHYLLINE INJEKSI 24 MG/ML - - AMPUL 0
545 50174 AMINOSTERIL INFANT 6% - - BOTOL 0
546 51651 AMIODARON 50mg/ml (BLUD) - - Amp 6 Nov-21
547 51529 AMIODARON 50mg/ml (BLUD) - - Ampul 2
548 50509 AMIODARON INJ - - Amp 0
549 50793 AMIODARON INJ - - Amp 0
550 49954 AMITRIPTYLINE TABLET 25 MG TABLET 100 May-21
551 50900 AMITRIPTYLINE TABLET 25 MG - - Tablet 3 Nov-20
552 50348 Amlodipin 10 mg tablet - - TABLET 0
553 50901 Amlodipin 10 mg tablet - - TABLET 684 Dec-21
43 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

554 49955 AMLODIPINE TABLET 5 MG TABLET 0


555 50902 AMLODIPINE TABLET 5 MG - - Tablet 351 Sep-21
556 50852 AMOXICILLIN 125 MG/5 ML DS (Solpenox) - - Btl 0
557 51522 AMOXICILLIN SIRUP 125mg/5ml (BLUD) - 60ml Botol 6 Mar-23
558 49957 AMOXICILLIN SIRUP KERING 125 MG/5 ML BOTTLE 0
559 50347 Amoxicillin susp 125mg/5 ml - - BOTOL 0
560 49956 AMOXICILLIN TAB 500 MG TABLET 4,344
561 50068 AMPICILIN 1G INJ - - vial 0
562 50378 Ampicillin serbuk injeksi 1 g - - vial 62 Apr-22
563 51501 ANADIUM (BLUD) - - Kaplet 87 Feb-23
564 49926 ANBACIM INJ 1GR/CEFUROXIM INJ - - Vial 0
565 49958 ANTASIDA DOEN SUSPENSI BOTOL 0
566 50624 ANTASIDA DOEN SUSPENSI - - Botol 0 May-21
567 49959 ANTASIDA DOEN TABLET 400 MG TABLET 0
568 50625 ANTASIDA DOEN TABLET 400 MG - - Tablet 318 Jun-22
569 49960 ANTIHEMOROID SUPPOSITORIA SUPP 6 Nov-21
570 51485 ANTIHEMOROID SUPPOSITORIA - - Supp 10 Jan-22
571 51335 APIALYS DROP 10 ML (BLUD) - - Btl 29 Feb-22
572 51334 APIALYS SYR 100 ML (BLUD) - - Btl 13 Jan-22
573 50728 Ardium 500 mg Tablet - - Tablet 5
574 49962 ASAM MEFENAMAT TABLET 500 MG TABLET 0
575 50431 ASAM MEFENAMAT TABLET 500 MG - - Tablet 0
576 50529 ASAM MEFENAMAT TABLET 500 MG - - Tablet 0
577 51588 ASAM MEFENAMAT TABLET 500 MG - - Tablet 0
578 51771 ASAM MEFENAMAT TABLET 500 MG - - Tablet 1,006 Sep-22
579 51373 ASAM MEFENAMAT TABLET 500 MG (BLUD) - - Tablet 0
580 51603 ASAM MEFENAMAT TABLET 500 MG (BLUD) - - Tablet 0
581 50069 ASAM TRANEXAMAT 500 - - tablet 0
582 51622 ASAM TRANEXAMAT 500 (Lexatrans) (BLUD) - - Kaplet 317 Jul-22
583 51589 ASAM TRANEXAMAT 500 (PLASMINEX) - - Tablet 0
584 50603 ASAM TRANEXAMAT INJEKSI 250 Mg - - Amp 302 Jan-21
585 50435 ASAM TRANEXAMAT INJEKSI 500 Mg - - Amp 0
586 50597 ASAM TRANEXAMAT INJEKSI 500 Mg - - Amp 0
587 49963 ASAM TRANEXAMAT INJEKSI 500 Mg AMPUL 0
588 51332 ASAM TRANEXAMAT INJEKSI 500 Mg (BLUD) - - Amp 85 Dec-22
589 51660 Ascorbic Acid (LAVIT-C 500) 500mg/5ml_CoV - - Amp 103 Jun-22
590 49927 ATORVASTATIN 20 MG Tablet 0
591 51303 ATORVASTATIN 20 MG - - Tablet 230 Dec-21
592 51694 Atrakurium 10mg/ml (TRAMUS) injeksi - - Amp 0
593 71795 Atrakurium 10mg/ml (TRAMUS) injeksi - - Amp 0 #N/A
594 50223 Atrakurium 10mg/ml injeksi - 2,5 ml Ampul 0
595 50183 ATROPIN INJ - - AMPUL 0
596 51378 ATROPINE INJEKSI 0.25 MG/ML - - Amp 149 Oct-21
597 49966 ATROPINE INJEKSI 0.25 MG/ML AMPUL 0
598 51305 AVODART DUTASTERID 0,5 MG - - Kapsul 180 Sep-23
599 50154 AZITHROMYCIN SYR 200mg/5mL - - BOTOL 0
600 50163 AZITHROMYCIN TAB 500MG - - TABLET 71 Jun-22
601 50410 Benzatin Benzil Penicillin inj 2.4jt IU - - VIAL 7
602 50138 BEROTEC HBr AEROSOL 100mcg/puff - - DUS 2 Nov-21
603 49967 BETAHISTIN MESILAT Tablet 6 Mg TABLET 0
604 51306 BETAHISTIN MESILAT Tablet 6 Mg - - Tablet 393 Aug-21
605 49968 BETAMETASON CREAM 0,1 % TUBE 44
606 51659 BFLUID 500 ml - - Btl 0 Jun-22
607 49928 BIOPLACENTON CREAM Cream 5
608 50304 BIOPLACENTON GEL - - TUBE 0
609 50650 BIOPLACENTON GEL - - TUBE 14
610 51509 BIOQUINONE (BLUD) - - Pcs 174 Mar-22
611 50219 BISAKODIL TABLET 5MG - - TABLET 0
612 50124 BISOPROLOL 5 MG - - TABLET 0
613 51586 BISOPROLOL 5 MG - - TABLET 316 May-22
614 50383 BRICASMA INJ 0,5 mg/ml - - ampul 7 Feb-21
615 51545 BRICASMA INJ 0,5 mg/ml (BLUD) - - Amp 0 Jan-22
616 51349 BRICASMA INJ 0,5 mg/ml (Respule) - - Amp 0
617 50742 Bromheksin Sirup (Lexavon) - - Btl 0
618 50251 Bupivacain (BUCAIN SPINAL) 0,5% + D 8% - - - 0
619 50884 Bupivacain (BUCAIN SPINAL) 0,5% + D 8% - (BLUD) - - 0 Dec-23
620 50344 Bupivacain 0,5% + D 8% - - AMPUL 0
621 51336 CAL 95 (BLUD) - - Kaplet 0
622 51446 CALCITRIOL (OSCAL) 0,5 mcg - - Kapsul 151 Apr-22
623 51360 CALCIUM GLUCONATE INJEKSI 100 MG - - Amp 8 Jan-21
624 49970 CALCIUM GLUCONATE INJEKSI 100 MG - - AMPUL 1
625 50803 CANDESARTAN 16 MG - - Tablet 1,220 Jan-22
626 50152 CANDESARTAN 8 MG - - TABLET 0
627 50618 CANDESARTAN 8 MG - - TABLET 1,578 Dec-21
628 49929 CAPTOPRIL 12.5 TABLET Tablet 0
629 49971 CAPTOPRIL TABLET 25 MG TABLET 333 Sep-23
630 49972 CARBAMAZEPINE TABLET 200 MG TABLET 334 Sep-22
44 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

631 49973 CEFADROXIL CAPSUL 500 MG KAPSUL 0


632 50652 CEFADROXIL CAPSUL 500 MG - - Kapsul 176 Sep-21
633 50371 Cefadroxil Sirup Kering 125 mg/5ml - - BOTOL 0 Sep-21
634 51395 Cefadroxil Sirup Kering 125 mg/5ml - - Btl 0 Apr-23
635 49974 CEFADROXYL Sirup Kering 125 BOTOL 0
636 50346 Cefazolin 1g - - VIAL 46 Jan-22
637 50840 Cefazolin 1g - - Vial 0
638 50847 Cefazolin 1g (BLUD) - - Vial 0
639 50694 Cefixim 100mg/5ml Syr - - Botol 0
640 51379 Cefixim 100mg/5ml Syr - 30ml Btl 18 Apr-22
641 50298 Cefixim 200 mg - - kaplet 418 Mar-22
642 50949 Cefixim 200 mg (BLUD) - - Tablet 0
643 50076 Cefixim Kapsul Kapsul 0
644 50804 Cefotaxim 1g - - Vial 0 Jun-21
645 50349 Cefotaxim inj 1g - - VIAL 0
646 50609 Cefotaxim injeksi 0,5 g - - Vial 201 Jan-21
647 50411 Cefotaxim injeksi 1g - - VIAL 0
648 50428 Cefotaxim injeksi 1g - - VIAL 0
649 49975 CEFOTAXIME INJEKSI 1 G VIAL 0
650 50805 Ceftriaxon 1 gr - - Vial 130 Jul-22
651 50077 Ceftriaxon Inj Ampul 0
652 50177 CEFUROXIM SODIUM 0,750 INJ - - VIAL 60
653 50184 CETADOP-DOPAMINE INJ 40mg/ml - - AMPUL 22 Mar-22
654 50342 CETIRIZIN 10 MG - - TABLET 444 Sep-21
655 50689 CETIRIZIN 5mg/ml-60ml - - Botol 33 Jun-21
656 50749 Channa Ekstrak Kapsul - - Kapsul 0
657 51372 Channa Ekstrak Kapsul (BLUD) - - Kapsul 287 Apr-23
658 50161 CHLORAMPHENICOL EYE OINT 1% - - TUBE 24 Mar-21
659 49976 CHLORAMPHENICOL SALEP MATA 1% TUBE 1
660 50924 CHLOROQUIN 150 (BLUD) - - Tablet 0
661 49977 CHLORPHENIRAMINE (CTM) 4 MG TABLET - - TABLE 639 Apr-21
662 50806 CHLORPROMAZIN HCL 100 MG (CPZ) - - Tablet 122
663 49978 CHLORPROMAZIN HCL 100 MG (CPZ) TABLET - - TA 0
664 50899 CIPROFLOXACIN 500 MG (BLUD) - - Tablet 166
665 51322 CIPROFLOXACIN 500 MG (BLUD) - - Tablet 188 Feb-25
666 50148 CIPROFLOXACIN HCl INF 2mg/ml - - VIAL 37 Jun-21
667 49930 CIPROFLOXACIN INF 200 Vial 0
668 49979 CIPROFLOXACIN TABLET 500 MG TABLET 0
669 50635 CITICOLINE (BRAINACT 500) INJ - - AMP 0
670 50303 Citicoline 250 mg/2ml Inj - - AMPUL 0
671 51520 Citicoline 250 mg/2ml Inj (BLUD) - - Ampul 65 Feb-22
672 50683 Citicoline 250mg/2ml - - Amp 0
673 50695 CITICOLINE 500 TAB - - Tablet 0
674 51521 CITICOLINE 500 TAB (BLUD) - - Tablet 37 Oct-21
675 50438 CITICOLINE INJ - - Amp 0
676 50121 CITICOLINE INJ - - AMPUL 0
677 50120 CITICOLINE TAB - - TABLET 0
678 50139 CLINDAMICYN CAPS 150 MG - - KAPSUL 0
679 50366 Clindamycin hydrochloride 300 mg - - kapsul 30
680 50903 Clonidin 0,15 - - Tablet 137 Sep-22
681 50119 CLOPIDOGREL (CPG) 75 MG - - TABLET 407 Mar-21
682 49931 CO AMOXSIKLAV TAB 625 - - Tablet 0
683 49980 CODEINE TABLET 10 MG TABLET 0
684 50466 CODEINE TABLET 10 MG - - Tablet 171 Jan-23
685 50078 COLSANCETIN INJ - - Vial 0
686 50375 Colsansetin inj 1g - - vial 18 Nov-20
687 49981 COMBIVENT UDV INHALER - - VIAL 55 Jun-21
688 50143 CONCOR 1.25 MG - - TABLET 157
689 51380 CONCOR 2.5 MG - - Tablet 0
690 51573 CONCOR 2.5 MG (BLUD) - - Tablet 533 Apr-22
691 49982 COTRIMOKSAZOLE SUSPENSI 200 MG + 40 MG BO 0 Jul-20
692 51597 COTRIMOKSAZOLE SUSPENSI 200 MG + 40 MG - - Btl 36 Nov-22
693 49983 COTRIMOKSAZOLE TABLET 400 MG + 80 MG TABLE 473 Dec-22
694 50881 D 10 % INF - - Btl 51 Nov-22
695 50088 D 10 % INF - 500 ML Botol 0
696 50352 D 10% 1/5 NS - - BOTOL 0
697 51778 D 10% 1/5 NS - - Btl 12 #N/A
698 50871 D 40 % (BLUD) - - Fls 0
699 51434 D 40 % (BLUD) - - Fls 48 Mar-22
700 50089 D 40 % (Glukosa 40 %) - - Botol 0
701 50415 D5 1/2 NS inf - - BOTOL 28 Jan-21
702 50053 D5 1/2 NS INF INFUS 500 ML BOTOL 0
703 50253 D5 1/4 NS - 500 ML BOTOL 0
704 50416 D5 1/4 NS inf - 500 ML BOTOL 0
705 50051 D5 1/4 NS INF INFUS 500 ML BOTOL 1 Feb-25
706 51396 D5 INF - - Btl 71 Dec-22
707 50052 D5 INF INFUS 500 ML BOTOL 0
45 of 68
ED
NO KODE NAMA BARANG 09/12/2020 08:42:09 AM
DataLogMed HARI I HARI II

KS FISIK SELISIH KS FISIK

708 50232 D5-NS - 500 ml Botol 71 Dec-21


709 49932 DARYANT-TULLE / FRAMYCETIN SULFATE Lembar 0
710 50173 DEPAKOTE 250mg - - TABLET 636 Jun-22
711 49933 DEPAKOTE ER 250 Tablet 0
712 50922 DEPAKOTE ER 500 - - Tablet 0
713 50146 DESOXIMETASONE CR 0.25% - - TUBE 0
714 49984 DEXAMETHASON INJEKSI 5 MG/ML AMPUL 0
715 50583 DEXAMETHASON INJEKSI 5 MG/ML - - Ampul 132 Apr-22
716 49985 DEXAMETHASONE TABLET 0.5 MG TABLET 0
717 51428 DEXAMETHASONE TABLET 0.5 MG - - Tablet 0
718 51667 DEXAMETHASONE TABLET 0.5 MG (BLUD) - - Tablet 99 Jun-25
719 50808 DIAZEPAM 5 MG/2ML - 2ml Amp 30 Sep-21
720 50070 DIAZEPAM INJ 5MG - - - 0
721 50361 Diazepam tab 2mg - - TABLET 0
722 50687 Diazepam tab 2mg - - TABLET 178 Nov-23
723 49986 DIGOXIN TABLET 0,25 MG TABLET 0
724 51381 DIGOXIN TABLET 0,25 MG - - Tablet 191 Jan-22
725 49987 DIMENHYDRINATE TABLET 50 MG TABLET 0
726 51760 DIMENHYDRINATE TABLET 50 MG - - Tablet 60 Nov-22
727 50319 Dionicol syr (thiamphenicol) - - BOTOL 5 Sep-21
728 50730 DIPHENHYDRAMINE INJEKSI 10 MG/ML - - Amp 105 Jan-22
729 49988 DIPHENHYDRAMINE INJEKSI 10 MG/ML AMPUL 0
730 50149 DOBUTAMIN INJ 50mg/mL - - AMPUL 15 Sep-22
731 50412 DOMPERIDON SUSP 5 MG/5 ML - - BOTOL 0
732 49989 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL 0 Sep-21
733 49990 Domperidon tab 10 mg - - TABLET 0
734 50396 Domperidon tab 10 mg - - TABLET 0
735 50397 Domperidon tab 10 mg - - TABLET 203 Mar-23
736 49934 DOPAMET 250 Tablet 321 Sep-22
737 50168 DULCOLAX SUPP 10 mg - - SUPP 15 Oct-21
738 49935 DULCOLAX SUPP 5MG Supp 0
739 50157 DUROGESIC 25MCG/H - - PATCH 0
740 51655 DUROGESIC 25MCG/H - - Patch 13
741 50552 Efavirenz (EFV) 600 mg - - Tablet 150
742 51626 Eperisone HCl 50 (Relaxon) (BLUD) - - Tablet 180 May-22
743 50343 Ephedrin HCl inj - - AMPUL 4 Oct-21
744 50090 Ephedrin Inj. - - Ampul 27
745 49991 EPHINEPRIN INJEKSI 0.1 % AMPUL 16 Jan-21
746 50179 ERYTHROMICYN CAPS 500mg - - KAPSUL 171 Aug-21
747 49992 ERYTHROMYCIN CAPSUL 250 MG KAPSUL 0
748 49993 ERYTHROMYCIN SIRUP KERING 200 MG/5 ML BOTO 73 Dec-20
749 50598 Ethambutol 250 Tablet - - Tablet 280 Dec-23
750 50732 Ethambutol 500 Tablet - - Tablet 0
751 50947 Ethambutol 500 Tablet (BLUD) - - Tablet 308 Mar-24
752 50904 F_Kapsul Gelatin 2 - - Pcs 1,000
753 50181 FARGOXIN INJ - - AMPUL 13
754 50113 FDC ANAK - - PAK 0
755 50550 FDC ANAK - - PAK 6
756 50114 FDC KAT. 1 - - PAK 0
757 50562 FDC KAT. 1 - - Paket 0
758 50158 FENTANYL INJ 0.05mg/mL - - AMPUL 0
759 51744 FENTANYL INJ 0.05mg/mL (BLUD) - - Ampul 37 May-22

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SELISIH

55 of 68
HARI II

SELISIH

56 of 68
IFRSG_DoeL
PERESEPAN (PEMAKAIAN) OBAT DAN ALKES (BMHP) RSUD GRATI
Periode 1 Januari - 30 September 2019
###
Kode
No
Barang

Farmasi (Obat - Obatan)

1 50331 8/1/2021
2 49950
3 50145 6/1/2021
4 49925 7/1/2020
5 49923
6 49951 7/1/2022
7 50200 3/1/2021
8 49946
9 49952 4/1/2020
10 50615 7/1/2021
11 50382 10/1/2019
12 50067
13 50300 10/1/2020
14 50136 7/1/2020
15 50409
16 49953
17 50607 7/1/2021
18 50174 2/2/2020
19 50509 1/1/2020
20 49954 4/1/2021
21 50348 9/1/2020
22 49955 9/1/2020
23 49957
24 50347 11/1/2020
25 49956 9/1/2021
26 50068
27 50378 11/1/2022
28 49926
29 49958 5/1/2021
30 50624
31 49959 4/1/2020
32 50625
33 49960 6/1/2021
34 49961
35 49962
36 50431
37 50529 10/1/2020
38 50069 4/1/2022
39 50603 1/1/2021
40 50435
41 50597
42 49963
43 49927 5/1/2020
44 50223 12/1/2019
45 50183 7/1/2020
46 49966
47 50154
48 50163 6/1/2022
49 50410 10/1/2020
50 50138 5/1/2020
51 49967 8/1/2020
52 49968 6/1/2020
53 49928
54 50304
IFRSG_DoeL
Kode
No
Barang
55 50219
56 50124 7/1/2020
57 50383 4/1/2020
58 50251
59 50344 1/1/2022
60 49970 3/3/2020
61 50152 6/1/2020
62 50618
63 49929
64 49971 11/1/2022
65 49972 5/1/2023
66 50299 10/1/2020
67 49973 4/1/2020
68 50371 9/1/2021
69 49974
70 50346 9/1/2020
71 50298 10/1/2020
72 50076
73 50349
74 50609 5/1/2021
75 50411
76 50428 7/1/2020
77 49975
78 50077 4/1/2021
79 50177 4/1/2020
80 50184 4/1/2021
81 50342 8/1/2020
82 50161 3/1/2021
83 49976 5/1/2020
84 50165 2/1/2021
85 49977 3/1/2021
86 49978
87 50148 3/3/2020
88 49930
89 49979 3/3/2020
90 50635
91 50303
92 50438
93 50121
94 50120
95 50139 8/1/2020
96 50366 11/1/2020
97 50119 3/1/2021
98 49931
99 49980
100 50466 6/1/2022
101 50078
102 50375 10/1/2021
103 49981 11/1/2020
104 50143 5/1/2021
105 49982 8/1/2020
106 49983 3/1/2021
107 50623
108 50126
109 50088 8/1/2020
110 50352 8/1/2021
111 50089 5/1/2020
112 50415 1/1/2020
113 50053
114 50253 12/1/2021
115 50416
IFRSG_DoeL
Kode
No
Barang
116 50051
117 50052 8/1/2020
118 50232 6/1/2021
119 49932
120 50324 5/1/2020
121 50325
122 50329 6/1/2020
123 50173 5/1/2020
124 49933
125 50146 7/1/2020
126 50294
127 50326 6/1/2021
128 49984 1/1/2020
129 50583 1/1/2020
130 49985 5/1/2020
131 50070 10/1/2021
132 50361 3/1/2021
133 49986 4/1/2020
134 49987 12/1/2022
135 50319 9/1/2021
136 49988 12/1/2019
137 50149 2/2/2020
138 50412 3/3/2020
139 49989
140 49990 8/1/2020
141 50396 4/1/2021
142 50397
143 49934 12/1/2020
144 50168 10/1/2021
145 49935
146 50610 6/1/2022
147 50157 1/1/2020
148 50343 9/1/2021
149 50090
150 49991 9/1/2020
151 50179 3/1/2022
152 49992
153 49993 7/1/2020
154 50598 12/1/2023
155 50358 7/1/2020
156 50268 3/1/2020
157 50295
158 50181 7/1/2020
159 50113
160 50548
161 50114
162 50158 4/1/2021
163 50162 2/2/2020
164 49994
165 49936 11/1/2021
166 50071 11/1/2020
167 50150 11/1/2020
168 49995 4/1/2021
169 49996 7/1/2020
170 49937 10/1/2020
171 50585 10/1/2020
172 50350 8/1/2022
173 50220 4/1/2022
174 50127 8/1/2020
175 50327 4/1/2020
176 49938 6/1/2021
IFRSG_DoeL
Kode
No
Barang
177 50628
178 49997
179 50151 7/1/2020
180 49998 2/1/2020
181 49999 3/1/2023
182 50000 3/1/2023
183 50172 4/1/2021
184 50140
185 50141 6/1/2020
186 49939
187 50142 9/1/2020
188 50001
189 50393 3/1/2021
190 50284 9/1/2020
191 50305
192 50003 3/3/2020
193 50002 4/1/2021
194 50642
195 50586 2/1/2020
196 50587
197 50218 2/1/2020
198 50004 12/1/2021
199 50488 3/1/2022
200 50005
201 49940
202 49941 4/1/2021
203 49942 3/1/2022
204 50293
205 50359 9/1/2021
206 50321 6/1/2022
207 50091 5/1/2020
208 50085 9/1/2021
209 50006 3/3/2020
210 50286 10/1/2020
211 50185 10/1/2020
212 49943
213 50292
214 50328 11/1/2022
215 50549
216 50144 5/1/2021
217 50079
218 50307 4/1/2020
219 50437
220 50354
221 50365 3/1/2020
222 50285 10/1/2022
223 50400 10/1/2020
224 50588 7/1/2021
225 50007 6/1/2021
226 50379 6/1/2021
227 50385 8/1/2022
228 50101
229 50092
230 50008
231 50308 7/1/2022
232 50589 4/1/2022
233 50137 9/1/2020
234 50072 11/1/2020
235 49944 5/1/2021
236 50310
237 50080 3/1/2022
IFRSG_DoeL
Kode
No
Barang
238 50425 8/1/2020
239 50528 4/1/2021
240 50260
241 50311 4/1/2020
242 50337
243 50056
244 50491
245 50565
246 50009 9/1/2020
247 50073
248 50485 10/1/2021
249 50430
250 50010 12/1/2019
251 50011 7/1/2022
252 50012 3/1/2021
253 50014 5/1/2022
254 50013
255 50015 6/1/2021
256 50153
257 50616 6/1/2020
258 50016 8/1/2019
259 50017 9/1/2021
260 50313
261 50086 9/1/2021
262 50320 9/1/2020
263 50018 9/1/2019
264 50103
265 50575
266 50312
267 50164 12/1/2019
268 50614 8/1/2020
269 50429 7/1/2021
270 50216
271 50159 6/1/2020
272 50160 5/1/2020
273 50019 12/1/2019
274 50169 3/1/2020
275 50578 2/1/2020
276 50639
277 50345 9/1/2021
278 50020 8/1/2021
279 50147 2/2/2020
280 49945 8/1/2021
281 50021 8/1/2021
282 50604 5/1/2021
283 50186 6/1/2020
284 50302 10/1/2020
285 50039 2/1/2024
286 50376
287 50490
288 50541
289 50574 5/1/2021
290 50634
291 50122
292 50093 7/1/2020
293 50355 7/1/2020
294 50022 8/1/2020
295 50291
296 50314 9/1/2021
297 50287 10/1/2020
298 50023
IFRSG_DoeL
Kode
No
Barang
299 50510 11/1/2020
300 50081
301 50155 11/1/2020
302 50082 1/1/2021
303 50083 6/1/2020
304 50432 7/1/2023
305 50247 7/1/2023
306 50356 8/1/2021
307 50357 7/1/2021
308 50026
309 50025 3/1/2021
310 50630
311 50316 8/1/2021
312 50631
313 50283 4/1/2022
314 50027
315 50413 3/1/2020
316 50028 5/1/2020
317 50315
318 50087
319 50407
320 50217
321 50377 12/1/2021
322 50029 7/1/2023
323 50627
324 50178 3/1/2020
325 50301 9/1/2019
326 50613 2/1/2021
327 50030
328 50031 9/1/2019
329 50644
330 50645
331 50094 1/1/2021
332 50317 1/1/2021
333 50632
334 50381 3/1/2021
335 50380 11/1/2021
336 50032
337 50508 1/1/2021
338 50591 1/1/2021
339 50033 4/1/2021
340 50367 9/1/2021
341 50074 8/1/2020
342 50360 9/1/2020
343 50599 4/1/2024
344 50467
345 50034 12/1/2019
346 50035
347 50484 5/1/2020
348 50288 6/1/2020
349 50353 11/1/2021
350 50633
351 49964 3/1/2020
352 49965 3/1/2020
353 50036 8/1/2023
354 50215 10/1/2020
355 50373 9/1/2019
356 50629
357 50037 1/1/2022
358 50592 1/1/2023
359 50481 3/1/2021
IFRSG_DoeL
Kode
No
Barang
360 49947
361 50306 7/1/2020
362 50581 7/1/2020
363 50330 3/1/2021
364 50167 5/1/2020
365 50643
366 50118 8/1/2020
367 49969 11/1/2020
368 50156
369 50309
370 49948
371 50038 8/1/2020
372 50369 7/1/2021
373 50180
374 50577 4/1/2023
375 50595
376 49949 9/1/2020
377 50176 9/1/2021
378 50596
379 50362 12/1/2019
380 50221 4/1/2020
381 50480 3/1/2022
382 50401 4/1/2022
383 50569 4/1/2022
384 50075
385 50372 11/1/2020
386 50040 5/1/2021
387 50115
388 50370 8/1/2021
389 50476
390 50576 3/1/2020
391 50171 4/1/2020
392 50041
393 50527 3/1/2020
394 49924
395 50182
396 50406 6/1/2023
397 50318 3/1/2022
398 50042
399 50289 3/1/2022
400 50374
401 50043
402 50332 2/1/2021
403 50290 8/1/2020
404 50602 4/1/2021
405 50522 9/1/2021
406 50521 4/1/2020
407 50524 5/1/2021
408 50544 8/1/2020
409 50116
410 50523
411 50414
412 50519 8/1/2021
413 50526 3/1/2020
414 50520 11/1/2020
415 50525 5/1/2021
416 50044
417 50084
418 50166 3/1/2021
419 50045 11/1/2020
420 50046 1/1/2021
IFRSG_DoeL
Kode
No
Barang
421 50047 7/1/2021
422 50048
423 50049 11/1/2019
424 50050 3/3/2020
425 50175 6/1/2021
426 50641
427 50590 7/1/2022
428 50024 1/1/2022
429 50170 4/1/2020
430 50612 3/1/2021
431 50054 4/1/2020
LEMBAR KERJA STOCK OPNAME Farm_OK
2/4/2021 1:19

19 Jun
NO KODE NAMA BARANG 2020,09:00:00
ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


Alkes 1
Contoh 25 02-23 25 25 NO
2 49834 ALKOHOL 70 % BOTOL 100 bottle 2
4 51612 ALKOHOL 70 % BOTOL 1000 - - Btl 4
5 50204 Anesthesi Flow Dewasa - - buah 1
7 51723 Anesthesia Face Mask 4 (BLUD) - - Pcs 5
11 51386 Arm Sling L - - Pcs 4
12 51350 Arm Sling M - - Pcs 5
13 51351 Arm Sling S - - Pcs 4
14 50057 BACTERIAL FILTER - - - 6
15 50606 BLADES (MESS) NO 10 - - Pcs 93
16 49793 BLADES (MESS) NO 11 - 11 PIECES 94
17 49794 BLADES (MESS) NO 15 - 15 PIECES 110
19 49796 BLADES (MESS) NO 23 - 23 PIECES 99
20 50489 BLOOD STOP BS-10 - - PIECES 3
21 49861 BLOODSET (TERUMO) - - piece 32
22 49788 CATGUT CHROMIC 1 (5) 75M - /meter piece 52
23 50907 Catgut Chromic 2/0 - - Pcs 21
24 50608 Catgut Chromic 2/0 Round Vigilenz - - Pcs 76
25 49789 CATGUT PLAIN 1 (5) 75M - /meter meter 41
26 50269 Catgut Plain 2/0 + jarum - - PIECES 96
27 50494 CATGUT PLAIN 2/0 43 mm - - Piece 10
28 51782 Catgut Plain 3/0 + Needle - - Pcs 24
29 50942 Catheter IV 18 - - Piece 161
30 50465 Catheter IV 18 With Port (Vasofix - - Pcs 37
31 49858 Catheter IV 20 - 20 piece 33
32 50453 Catheter IV 20 With Port (Vasofix) - - piece 38
33 50104 Catheter IV 22 - 22 PIECES 50
34 49860 Catheter IV 24 - - piece 50
35 51459 Catheter IV 26G With Port (Troge) - - Pcs 50
36 50058 CATHETER MOUNT 4
37 50440 Cuticell Clasic 10 x 10 - - Pcs 88
38 51523 DRAINAGE BOTTLE FG 12 (BLUD) - - Btl 5
39 51524 DRAINAGE BOTTLE FG 14 (BLUD) - - Btl 3
40 50514 DUODERM Gel 30 gr - - Tube 4
41 50444 ECG (electrode) - - Pcs 10
42 50496 ECOSORB 1 40 mm - - Piece 25
43 50497 ECOSORB 2/0 37 mm - - Pieces 23
44 50731 Electrode (Surefit) - - Pcs 19
45 49841 ETT HVLP Cuffed, sterile 6 mm - - piece 6
46 49843 ETT HVLP Cuffed, sterile 6.5 mm - - piece 10
47 50535 ETT HVLP Cuffed, sterile 7 mm - - Pieces 8
48 49845 ETT HVLP Cuffed, sterile 7.5 mm - - piece 3
49 49846 ETT HVLP Cuffed, sterile 8 mm - - piece 5
50 49848 ETT Plain Uncuff, sterile 2.5 mm - - piece 12
51 49839 ETT Plain Uncuff, sterile 3 mm - - piece 9
52 49840 ETT Plain Uncuff, sterile 3.5 mm - - piece 7
53 49842 ETT SVLP Cuffed, sterile 6.0 mm - - piece 3
54 49844 ETT SVLP Cuffed, sterile 7 mm - - piece 7
55 50392 ETT SVLP Cuffed, sterile 7.5 mm - - PIECES 10
56 50206 Extension Tube - - piece 86
57 50659 Folley Catheter 2 way no. 10 - - Pcs 10
58 51479 Folley Catheter 2 way no. 16 - - Pcs 29
59 50486 Folley Catheter 2 Way No. 16 - - PIECES 1
60 51480 Folley Catheter 2 way no. 18 - - Pcs 7
61 50487 Folley Catheter 2 Way No. 18 - - PIECES 9
62 51464 Folley Catheter 2 way no. 8 (BLUD) - - Pcs 10
64 50201 Guedel Airway 40 mm Disp. Steril - 40 piece 14
65 50202 Guedel Airway 50 mm Disp. Steril - 50 piece 20
66 51508 Guedel Airway 60 mm Disp. Steril (BLUD) - - Pcs 16
67 50203 Guedel Airway 70 mm Disp. Steril - 70 piece 20
68 50456 Guedel Airway 80 mm Disp. Steril - - PCS 1
69 51728 Guedel Airway 90 mm Disp. Steri - - Pcs 5
73 49863 Handschoon Non Steril M - - pieces 20
75 51769 Handschoon Non Steril S - - Psng 630
77 51568 Handschoon Non Steril S_CoV - - Pcs 1,000
79 51741 Handschoon Obgyn Steril (Obgyn Glove) - - Psng 23
81 50658 Handschoon Steril 6 - - Piece 73
84 51774 Handschoon Steril 6,5 - - Psng 207
85 50929 Handschoon Steril 6,5 Plus - - Pcs 1
88 50941 Handschoon Steril 7,5 - - Psng 136
91 51615 Handschoon Steril 7_CoV - - Pcs 269
92 50939 Handschoon Steril 8 - - Psng 140
94 51696 Harness for CPAP Mask - - Pcs 1
95 51368 Hazmat / COVER ALL APD Reuse_CoV - - Pcs 11
96 51433 Hazmat / COVER ALL APD Standart_CoV - L&XL Pcs 103
97 51307 Infus Set Makro - - Pcs 88
98 50059 INTUBATION STYLET 2.5 - 4.5 MM 2
99 50060 INTUBATION STYLET 8.5 - 10 MM 1
100 50443 IV Dressing LEUKOMED-IV FILM - 6 x 8cm Pcs 69
101 51646 Jackson Rees 2 L Dewasa - - Pcs 3

65 of 68
19 Jun
NO KODE NAMA BARANG 2020,09:00:00
ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


102 49879 Kapas Pembalut 250 g - - roll 1
103 49830 Kasa Pembalut Hidrofil DRC 4m x 10cm roll 45
105 50759 Laryngeal Mask Airway (LMA) No. 2.0 - Reusable - - Pcs 1
106 50758 Laryngeal Mask Airway (LMA) No. 3.0 - Reusable - - Pcs 1
107 50761 Laryngeal Mask Airway (LMA) No. 4.0 - Reusable - - Pcs 1
108 50250 LYOSTYPT 5X8 CM - - - 23
110 51600 Masker 3 Ply Plus Earloop (Jilbab)_CoV - - Pcs 38
111 51706 Masker 3 Ply Tie On (Tali)_CoV - - Pcs 552
112 51705 Masker N95 (1860)_CoV - - Pcs 23
113 51614 Masker N95 (3M_1860)_CoV - - Pcs 54
116 50212 MASKER NON REBREATHING (NRBM) ADULT - - pcs 137
117 50213 MASKER NON REBREATHING (NRBM) ANAK - - pcs 94
118 50493 Mesh 5x10 Re - - Piece 27
119 49810 Mitella kain - - Buah 20
121 50651 Nasal Canul Anak Cosmo - - Pcs 88
122 50458 NASAL CANUL DEWASA COSMO MED - - Pcs 36
124 50723 NEEDLE 18 G X 32 MM - - Pcs 100
125 49856 Opsite Post Op 15,5x8,5cm piece 77
126 49855 Opsite Post Op 6,5x5cm piece 96
203 51729 Pembalut Elastis 10 cm x 4,55 m - Policrepe - - Pcs 16
204 50704 Pembalut Elastis 15 cm x 4,55 m - Policrepe - - Pcs 9
205 49849 Pembalut Elastis 7,5 cm x 4,55 m - Policrepe - - roll 6
207 51756 PENCIL CESS ERBE - - Pcs 9
208 51476 Perhidrol / H2O2 25 Ltr (BLUD) - - Btl 5
210 50499 Plesterin elastis - - Box 1
211 51564 Poliban 10 cm x 2,7 (BLUD) - - Roll 8
212 50505 Poliban 15 cm x 2,7 m - - Roll 6
214 51563 Poliban 7,5 cm x 2,7 m (BLUD) - - Roll 6
215 50500 Poligyp 10 cm x 2,7 m - - Roll 14
217 50501 Poligyp 15 cm x 2,7 m - - Roll 10
218 51562 Poligyp 15 cm x 2,7 m (BLUD) - - Roll 25
219 51561 Poligyp 7,5cm x 2,7 m (BLUD) - - Roll 10
220 50706 Postofix 10x25cm - - Pcs 40
228 49792 SILK BLACK 2 (5) 50M - /meter piece 29
229 49790 SPINOCAN 25 - - piece 65
230 50460 SPINOCAN 25 (26) - - PCS 2
232 50462 SPINOCAN 27 - - Pcs 19
235 49801 SPINOCAN 29 - - piece 23
236 50713 Spuit 1 ml with Needle - - Pcs 136
238 51314 Spuit 10 ml with Needle - - Pcs 277
239 50208 Spuit 20 ml Stera - 20 ml piece 44
240 49802 Spuit 3 ml with Needle - - piece 531
241 50568 Spuit 5 ml - - Piece 2
242 50572 Spuit 5 ml (TERUMO) - - Piece 129
243 51354 Spuit 50 Ecocentric Stera - - Pcs 35
244 50448 Spuit 50 ml (Catheter Tip) - - piece 20
245 50714 Spuit 50 ml Luer Lock - - Pcs 37
246 50715 Stomach Tube 12FR 125cm - - Pcs 8
247 50718 Stomach Tube 18FR 125cm - - Pcs 7
248 50637 STOMACH TUBE NO 16 - - Set 16
249 51468 Suction Catheter FR. 10 (BLUD) - - Pcs 3
252 51542 Suction Catheter FR. 14(BLUD) - - Pcs 76
253 51757 SUCTION CONNECTING TUBE - - Pcs 98
256 51439 Surgical Gown Non Woven_CoV - L&XL Pcs 31
258 51552 Three Way Stop Cock with Tube (BLUD) - - Pcs 92
259 51532 TRACHEOSTOMY KIT 6.0 MM (BLUD) - - Pcs 2
260 51533 TRACHEOSTOMY KIT 7.0 MM (BLUD) - - Pcs 2
261 51534 TRACHEOSTOMY KIT 7.5 MM (BLUD) - - Pcs 2
262 50123 TRANSOFIX - - PIECES 57
263 50782 Triton C26 T-Chromic Catgut Chromic 2-0, 90 cm Round Bo 37
265 51502 Triton C29 T-Chromic Catgut Chromic 2, 90 cm Heavy Rou 29
266 50570 Triton M49 T-Mono Polyglecaprone25 1, 90 cm Round Bodi 49
268 50784 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse C 58
269 51463 Triton M51 T-Mono Polyglecaprone25 3-0, 76 cm Reverse 2
270 50786 Triton N32 T-Nylon Nylon 3-0, 76 cm Reverse Cutting, 3/8 10
271 50785 Triton N90 T-Nylon Nylon 2-0, 76 cm Reverse Cutting, 3/8 19
272 50791 Triton P89 T-Plain Catgut Plain 1, 90 cm Round Bodied, 1/ 56
274 50790 Triton S22 T-Silk Silk/Sutera 3-0, 76 cm Round Bodied, 1/ 10
275 50788 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1/ 11
276 51506 Triton S25 T-Silk Silk/Sutera 2-0, 76 cm Round Bodied, 1 - 1
277 51672 TRITON T-Bond B107 - - Pcs 2
278 51159 TRITON T-Lene 3/0 L68 - - Pcs 14
279 50620 TRITON T-Lene 4/0 L18 Cutting - - Sachet 41
281 51730 TRITON T-Lene 5/0 L17 Cutting - - Pcs 23
282 50622 TRITON T-Lene 5/0 L17 Cutting - - Sachet 2
283 49920 Triton V15 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodi 2
284 50792 Triton V16 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodi 51
285 49921 Triton V16 T-Vio Polyglycolide 1, 90 cm Heavy Round Bodi 3
287 50473 Underpad - - Pieces 6
288 49866 Urine Bag Sterile with Hanger piece 168
289 49803 VICRYL RAP UND 90CM 2/0 V-34 - - Box 8
298 50932 AMINOPHYLLINE INJEKSI 24 MG/ML - - Amp 22
299 51529 AMIODARON 50mg/ml (BLUD) - - Ampul 12

66 of 68
19 Jun
NO KODE NAMA BARANG 2020,09:00:00
ED HARI I HARI II

SIMRS KS FISIK SELISIH KS FISIK SELISIH


300 51622 ASAM TRANEXAMAT 500 (Lexatrans) (BLUD) - - Kaplet - 44
304 71794 ASAM TRANEXAMAT INJEKSI 500 Mg (BLUD) - - Amp 40
309 50884 Bupivacain (BUCAIN SPINAL) 0,5% + D 8% - (BLUD) - - 6
310 50346 Cefazolin 1g - - VIAL 9
311 50184 CETADOP-DOPAMINE INJ 40mg/ml - - AMPUL 21
312 50881 D 10 % INF - - Btl 20
313 50051 D5 1/4 NS INF INFUS 500 ML BOTOL 58
314 50052 D5 INF INFUS 500 ML BOTOL 13
315 50583 DEXAMETHASON INJEKSI 5 MG/ML - - Ampul 8
317 50149 DOBUTAMIN INJ 50mg/mL - - AMPUL 20
318 49934 DOPAMET 250 Tablet 74
319 50168 DULCOLAX SUPP 10 mg - - SUPP 50
320 51655 DUROGESIC 25MCG/H - - Patch 5
321 50343 Ephedrin HCl inj - - AMPUL 27
323 49991 EPHINEPRIN INJEKSI 0.1 % AMPUL 43
325 51744 FENTANYL INJ 0.05mg/mL (BLUD) - - Ampul 2
326 49936 FRESOFOL 1 % INJ Ampul 30
327 50150 FUROSEMID INJ 10mg/mL - - AMPUL 95
328 50662 Gelofusine Inf - - Btl 11
330 51641 GENTAMISIN INJ 40 MG/ML (BLUD) - - Amp 23
331 50220 GENTAMISIN SALEP MATA 0,3% - - TUBE 23
332 50085 ketamin inj vial 9
333 51458 KETOROLAC 30MG/ML - - Amp 162
334 50379 LIDOCAINE COMPOSITUM INJEKSI - - AMPUL 19
336 50137 MAGNESIUM SULFAT (MgSO4) 20% - - AMPUL 2
337 71797 MAGNESIUM SULFAT (MgSO4) 20%(BLUD) - - - 6
338 50072 MAGNESIUM SULFAT (MgSO4) 40% - - - 7
340 50649 Metamizol Na (ANTRAIN) - - Amp 144
342 50888 Methylergometrin 0,2 mg/ml - - Amp 90
343 50014 METOCLOPRAMIDE 10 MG/2 ML - 2 ml AMPUL 30
345 51604 Microlax Enema (BLUD) - - Tube 18
348 51444 Miloz 5mg/5ml - - Amp 19
349 50891 Misoprostol (Gastrul) Tablet 200 mg - (BLUD) - - Tablet 49
351 51715 Morphin 10mg/ml (BLUD) - - Amp 3
353 51320 NEOSTIGMIN 0.5mg/ml (BLUD) - - Amp 60
354 50869 NIFEDIPIN 10 MG (BLUD) - - Tablet 85
355 50186 NOREPHINEPRIN INJ - - AMPUL 14
356 51492 NS 0,9 % INF 500 ML - - Btl 84
360 51445 Ondansentron 4mg/2ml Inj - - Amp 4
361 50630 OXYTOCIN 10 iu/ml - - AMPUL 109
363 50668 PARASETAMOL INFUS 10 mg/mL - - Btl 21
364 51447 PEROSSAL - - Pil 29
366 50895 Pethidin 50 mg/ml (BLUD) - 2ml Amp 21
367 50613 PHYTOMENADIONE 2 MG/ML INJEKSI - - Amp 23
368 50669 Ranitidin 25 mg/ml Injeksi - - Amp 100
370 71796 RD-5 INF (BLUD) - - - 71
371 51316 Ringer Asetat-Malat (WIDA-BES) - - Btl 18
372 50945 RL INF - - Btl 21
375 50577 SOJOURN SEVOFLURAN - 250 ml ml 1,550
376 49924 TERREL 100 ML - - ml 100
377 50406 TERREL 250ml - - ml 1,090
378 50747 Tramadol 50mg/ml inj - - Amp 4
379 50175 VOLUVEN 6% (HES) - - BOTOL 13
380 50590 WFI 25 ML - - Flas 89

67 of 68
RUMAH SAKIT UMUM DAERAH GRATI
INSTALASI FARMASI

LEMBAR KERJA STOCK OPNAME_FLOORSTOCK RAWAT INAP PINERE


TRIBULAN IV 2020 2/4/2021 1:19

SISA STOCK NILAI SIM-RS SELISIH


NO KODE NAMA BARANG HARGA SIM-RS
SISA FISIK
(Rp) (Pakai)
1 2 3 4 5 6=4X5 7 8=5-7

25,212,640.09
2 49865 ALCOHOL Swab - - pieces 160.50 6,000 963,000.00
3 51461 ALCOHOL Swab (Septalkan)_CoV - - Pcs 1,290.91 200 258,182.00
6 51612 ALKOHOL 70 % BOTOL 1000 - - Btl 27,500.00 6 165,000.00
11 51701 Apron One Plastik_CoV - - Pcs 2,681.90 1,070 2,869,633.00
13 51398 ECG PAPER (BTL) - - Roll 78,000.00 1 78,000.00
15 51342 FACESHIELD_CoV PlusHelm - Pcs 150,000.00 35 5,250,000.00
19 51703 Hand Rub Chlodine 5 ltr_CoV - - Btl 400,000.00 5 2,000,000.00
20 51704 Hand Rub Chlodine 500 ml_CoV - - Btl 69,750.00 2 139,500.00
39 51526 Kaca Mata Google_CoV - - Pcs 65,000.00 15 975,000.00
44 50885 Leukoplast 7.5 cm x 4.5 m - - Pcs 37,371.00 14 523,194.00
55 51558 Masker N95 (3MVFLEX)_CoV - - Pcs 150,000.00 53 7,950,000.00
58 49807 My Jelly 82 gram tube 29,549.00 2 59,098.00
60 50459 PHARMAFIX, (15 CM X 500 CM) - - Pcs 47,000.00 5 235,000.00
61 51577 PHARMAFIX, (15 CM X 500 CM) (BLUD) - - Roll 47,000.00 2 94,000.00
65 50912 Safety Box 5 ltr - - Pcs 14,500.00 75 1,087,500.00
68 51602 Septalkan 750 ml_CoV - - Btl 150,924.00 1 150,924.00
72 51658 Shoe Cover_CoV - - Pcs 1,520.00 1,000 1,520,000.00
75 51657 Surgeon Cap / NURSE CUP_CoV - - Box 30,354.55 12 364,254.54
76 51707 Surgeon Cap / NURSE CUP_CoV - - Box 30,354.55 1 30,354.55
77 51439 Surgical Gown Non Woven_CoV - L&XL Pcs 50,000.00 10 500,000.00
86 51407 XH_ALCOHOL Swab - - Pcs 0.00 900 0.00
89 51418 XH_FACESHIELD - - Pcs 0.00 16 0.00
96 51402 XH_Masker 3 Ply - - Pcs 0.00 250 0.00
98 51620 XH_Popok Dewasa - - Pcs 0.00 80 0.00
103 51719 XH_British Propolis - - BTL 0.00 19 0.00

Sumber : SIMRS Grati


Grati, 31 Desember 2020
Kepala Ruangan/Poli/Pj. Floorstock
Rawat Inap Pinere

___________________________

Catatan: Harap dikembalikan ke Logistik Farmasi maksimal Sabtu 26 Desember 2020 10.00 68 of 68

Mohon tidak Ngebon 28 Des 2020 - 2 Jan 2021. Ngebon Mulai 4 Jan 2021

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