SON OBAT PKM TENGAH II

tahun 2022
KOTA : SINGKAWANG
#REF!
TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
1 2
1 Acyclovir tablet 200 mg 200 205 405
2 Acyclovir tablet 400 mg 700 184 884
3 Acyclovirkrim 5% -
4 Albendazol tablet 400 mg 300 91 391
5 Alopurinol tablet 100 mg 525 525
6 Alopurinol tablet 300 mg 680 680
7 Ambroxol tablet 30 mg 1500 824 2,324
8 Ambroxol sirup 15 mg/5 ml -
9 Aminofilina tablet 200 mg 160 160
10 Aminofilina injeksi 24 mg/ml - 10 ml -
11 Amitriptilin HCl tablet salut 25 mg 155 155
12 Amlodipin tablet 5 mg 3000 1040 470 4,510
13 Amlodipin tablet 10 mg 1200 365 65 1,630
14 Amoksisilin kapsul 250 mg 900 353 1,253
15 Amoksisilin kaplet 500 mg 1800 120 150 2,070
16 Amoksisilin sirup kering 125 mg/5 ml -
17 Amoksisilin sirup Forte 250 mg/5 ml 100 45 145
18 Ampisillin inj 1 gr -
19 Antasida DOEN tablet kombinasi : Mg 2000 560 500 3,060
20 Antasida DOEN sirup kombinasi : Mg 50 42 92
21 Anti Bakteri DOEN salep kombinasi : 50 22 72
22 Antifungi DOEN kombinasi : 13 13
23 Anti Hemoroid DOEN kombinasi 34 34
24 Antimigren DOEN tablet kombinasi : 0 -
25 Aqua pro Injeksi steril, bebas pirogen 10 4 14
26 Aquadest steril 1L -
27 Artemer injeksi 80 mg -
28 Artesunat injeksi -
29 Asam Ascorbat (Vit C) tablet 1000 mg 245 245
30 Asam Askorbat (Vit C) tablet 500 mg 2000 180 2,180
31 Asam Askorbat (Vit C) tablet 50 mg 1500 857 2,357
32 Asam Ascobat injeksi 10 10
33 Asam Folat tablet 765 765
34 Asam Mefenamat kaplet 500 mg 1800 345 2,145
35 Asam Retinoat krim 0,1 % -
36 Asam Traneksamat 250 mg/ 5 mL -
37 Asam Asetil Salisilat 80 mg (Asetosal) 55 55
38 Asering infus -
39 Asetil Sistein 200 mg 500 500
40 Attapulgite 650 mg 500 210 710
41 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml -
42 Azitromicin kapsul 250 mg -
43 Azitromicin kapsul 500 mg 573 573
44 Azitromicin injeksi IV 0,5 gram -
45 Bedaquine -
46 Benzatin Benzil Penisilin inj 2,4 juta IU/vial -

Page 1
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
47 Betametason krim 0,1 o/o 125 5 130
48 Betahistin Mesilat tablet 6 mg -
49 Bisakodil supp 10 mg 23 23
50 Bisakodil tablet 29 29
51 Bromheksin 8 mg 500 570 90 1,160
52 Capreomycin (TB MDR) -
53 Captopril 12,5 mg -
54 Captopril tablet 25 mg 1000 606 100 1,706
55 Captopril tablet 50 mg -
56 Cefotaxime injeksi -
57 Cefadroxil sirup 120 2 122
58 Cefadroxil kapsul 500 mg 500 285 785
59 Cefixime tablet 100 mg -
60 Cetrizin 10 mg 1000 245 100 1,345
61 Cetrizin sirup 100 37 137
62 Clindamycin 150 mg 170 170
63 Clindamycin 300 mg -
64 Clobazam 10 mg -
65 Clofazimine 100 mg (TB MDR) -
66 Clozapine 25 mg -
67 Cycloserin 250 mg (TB MDR) -
68 Cyprofloxacin tab 500 mg 550 550
69 Curcuma -
70 Deksametason injeksi 5 mg/ml - 1 ml 5 5
71 Deksametason tablet 0,5 mg 1000 585 1,585
72 Delamanid 50 mg (TB MDR) -
73 Diazepam injeksi 5 mg/ml - 2 ml 5 5
74 Diazepam tablet 2 mg 44.5 44.5
75 Diazepam tablet 5 mg 0 -
76 Diazepam rektal 5 mg 10 10
77 Difenhidramin HCl inj 10 mg/ml - 1 ml 9 9
78 Digoksin tablet 0,25 mg -
79 Doksisiklin kapsul 100 mg 260 260
80 Domperidon tablet 10 mg 300 340 640
81 Domperidon sirup 30 12 42
82 Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina) 7 7
83 Erytromycin 250 mg kapsul 1000 1160 2,160
84 Erytromycin 500 mg kaplet 22 22
85 Erytromycin sirup 10 8 18
86 Etakridin ( Rivanol ) larutan 0,1 o/o 5 5
87 Etambutol tablet 400 mg (TB MDR) -
88 Etambutol tablet 500 mg -
89 Etanol ( Alkohol ) 70 o/o 1 L -
90 Etanol(Alkohol) 95% 6 1 7
91 Etanol (Alkohol) 100 mL -
92 Ethionamide 250 mg (TB MDR) -
93 Favipiravir 200 mg 2200 2,200
94 Fenobarbital injeksi 50 mg/ml - 2 ml -
95 Fenobarbital tablet 30 mg -
96 Fenol Gliserol tetes telinga 10 o/o 12 12
97 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml -

Page 2
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
98 Fitomenadion (Vit.K1) injeksi 2 mg/ml - 1 ml 25 25
99 Fitomenodion (Vit.K1) tablet salut gula 10 mg 300 95 395
100 Fluferazine Decanoat inj 25mg/ml -
101 Furosemid tablet 40 mg 300 158 458
102 Furosemid injeksi -
103 Garam Oralit untuk 200 ml air 900 53 953
104 Gemfibrozil 300 mg 327 327
105 Gentamycin injeksi -
106 Gentamycin tetes mata 23 23
107 Glibenklamid tablet 5 mg 1500 782 2,282
108 Glukosa larutan infus 5 o/o -
109 Gluconas Kalsicus injeksi -
110 Griseofulvin tablet 125 mg 190 190
111 Griseofulvin tablet 250 mg -
112 Haloperidol tablet 1,5 mg 100 100
113 Haloperidol inj 5mg / ml -
114 Hidroklorotiazid (HCT) tablet 25 mg 200 259 459
115 Hidrokortison krim 2,5 o/o 48 27 75
116 Ibuprofen tablet 200 mg 260 70 330
117 Ibuprofen tablet 400 mg 1000 380 1,380
118 Ibuprofen suspensi 100 mg / 5 ml -
119 Ichtyol salep -
120 Isoniazida tablet 300 mg -
121 Isoniazida tablet 100 mg -
122 Isosorbit Dinitrat tablet sublingual 5 mg 227 227
123 KA-EN 3B larutan infus steril -
124 Kalsium Laktat (Kalk) tablet 500 mg 500 838 200 1,538
125 Kanamisin inj 1 g -
126 Karbamazepin tablet 200 mg 735 735
127 Kendal (steril water for inhalation) -
128 Ketoconazol tablet 200 mg -
129 Ketoconazol krim 50 7 57
130 Ketorolac Inj 30 mg -
131 Kloramfenikol kapsul 250 mg 98 98
132 Kloramfenikol sirup -
133 Kloramfenikol salep mata 1 % 19 9 28
134 Kloramfenikol salep kulit 2 % 48 6 54
135 Kloramfenikol tetes telinga 3 % 25 1 26
136 Kloramfenikol tetes mata 0,5 % 20 11 31
137 Klorfeniramin Maleat ( CTM ) tablet 4 mg 1000 355 1,355
138 Klorpromazin 25 mg (CPZ) 100 100
139 Klorpromazin 100 mg (CPZ) -
140 Kodein 10 mg 100 100
141 Kotrimoksazol tablet 480 mg, kombinasi 395 395
142 Kotrimoksazol tablet 960 mg forte, kombinasi 140 100 240
143 Kotrimoksazol Suspensi , kombinasi : 25 6 31
144 Kuinin Duhidroklorida injeksi 25 % - 2 ml -
145 Kuinin ( Kina ) tablet 200 mg 78 78
146 Levofloxacin 250 mg (TB MDR) -
147 Levofloxacin 750 mg 50 50
148 Levothyroxine sodium -

Page 3
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
149 Levofloxacin infus -
150 Lidokain Komp.injeksi, Kombinasi 30 25 55
151 Lidokain injeksi 2% -
152 Loperamid -
153 Loratadin tablet 10 mg 85 85
154 Magnesium Sulfat inj ( IV ) 20 % - 25 ml 2 2
155 Magnesium Sulfat inj ( IV ) 40 % - 25 ml -
156 Metformin tablet 500 mg 640 640
157 Metformin tablet 850 mg -
158 Metilergametrin Maleat inj 0,200 mg - 1 ml -
159 Metilergametrin Tablet salut 0,125 mg 100 -
160 Metilprednisolon 4 mg 400 838 1,238
161 Metoclorpramid tablet 500 50 550
162 Metoclorpramid syrup -
163 Metronidazol tablet 250 mg -
164 Metronidazol tablet 500 mg 500 400 900
165 Metronidazol inf 5 mg/ml -
166 Mikonazol krim -
167 Mineral Mix -
168 Moxifloxacin 400 mg (TB MDR) -
169 Multivitamin tablet 1500 945 2,445
170 Multivitamin sirup -
171 Natrium Bikarbonat tablet 500 mg 100 100
172 Natrium diklofenak tablet 25 mg -
173 Natrium diklofenak tablet 50 mg 850 680 350 1,880
174 Natrium Klorida larutan infus 0,9 % Steril 4 2 6
175 Nifedifin tablet 10 mg 100 100
176 Nistatin Tablet Vaginal 100.000 IU / g 81 81
177 Nistatin Tablet salut 500.000 IU -
178 Nistatin suspensi 100.000 IU / ml -
179 Obat Haji -
180 Obat Antituberkulosis / FDC Kategori 1 Dewasa 8 8
181 Obat Antituberkulosis Kategori 2 Dewasa -
182 Obat Anti Tuberkolosis Anak 5 5
183 OAT Kombipak kategori I 2 2
184 OAT Komb. PMS Azitromicin Cefixime -
185 Obat Anti Diare, Kombinasi : Kaolin 550 mg+pektin -
186 Obat Anti Malaria ( DHP ) 9 9
187 Obat Batuk Hitam ( OBH ) cairan -
188 Obat Batuk Tablet Kombinasi 585 585
189 Obat Batuk sirup Kombinasi 28 28
190 Obat Flu Kombinasi -
191 Obat Kusta MDT-Combi Anak -
192 Obat Kusta MDT-Combi Dewasa -
193 Oksimetazolin HCl tetes hidung 0,25 mg -
194 Oksitetrasiklin HCI salep mata 1 % 25 25
195 Oksitetrasiklin HCI salep 3 % -
196 Oksitosin injeksi 10 IU / ml - ml 6 6
197 Omeprazole kapsul 1000 660 1,660
198 Omeprazole inj 40 mg/ml -
199 Ondansentron tablet 4 mg -

Page 4
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
200 Ondansentron injeksi 4 mg / 2 ml -
201 Oseltamivir tablet 75 mg 400 400
202 P-Aminosalysilate Sodium 5, 52 gr (PAS) (TB MDR) -
203 Parasetamol sirup 120 mg / 5 ml 145 5 150
204 Parasetamol tablet 500 mg 1000 1760 400 1600 4,760
205 Parasetamol drop 7 48 55
206 Parasetamol Infus -
207 Perak Sulfadiazin krim 10 10
208 Permetrin krim 5% 30 10 40
209 Pirantel tablet 125 mg 200 76 276
210 Pirantel sirup 125 mg / 5 ml 30 3 33
211 Pirazinamid tablet 500 mg -
212 Piridoksin HCI (Vit. B6 ) tablet 10 mg -
213 Piridoksin HCI (Vit. B6 ) tablet 100 mg (TB MDR) -
214 Piridoksin HCI (Vit. B6 ) tablet 25 mg (TB MDR) 2282 2,282
215 Pirimetamin 25 mg -
216 Povidon lodida 10 % 30 ml 19 19
217 Povidon lodida 10 % 300 ml 4 4
218 Povidon lodida 10 % 60 ml -
219 Prednison tablet 5 mg 420 420
220 Primakuin tablet 15 mg 100 100
221 Prokain Benzil Penisilin injeksi 3 juta IU/Vial -
222 Prokain Penisilin G injeksi 3 gr -
223 Propiltiourasil tablet 100 mg 300 300
224 Propranolol HCl tablet 40 mg -
225 Ranitidine tablet 150 mg -
226 Ranitidine injeksi -
227 Remdesivir inj -
228 Retinol ( Vitamin A ) kapsul 100.000 IU -
229 Retinol ( Vitamin A ) kapsul 200.000 IU 77 77
230 Rifampisin kapsul 300 mg -
231 Rifampisin kapsul 450 mg -
232 Ringer laktat larutan infus steril 5 5
233 Risperidon 2 mg -
234 Salbutamol tablet 2 mg 577 577
235 Salbutamol tablet 4 mg 300 153 453
236 Salbutamol Nebules 2,5 mg ( Ventolin ) 15 15
237 Salep 2 - 4, Kombinasi : Asam Salisilat 2 % + 20 11 31
238 Salisil Bedak 2 % 12 13 25
239 Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I ) 1 1
240 Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S ) -
241 Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) -
242 Serum Anti Rabies (SAR) -
243 Simetidin 10 mg -
244 Sianokobalamin (Vit.B12) tablet 50 mcg 1200 300 444 1,944
245 Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml 30 30
246 Simvastatin tablet 10 mg 500 1330 1,830
247 Simvastatin tablet 20 mg 500 790 1,290
248 Spironolakton 25 mg -
249 Streptomicin inj -
250 Sukralfat 500 mg -

Page 5
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
251 Sulfasetamida Natrium tetes mata 15 % -
252 Tablet tambah Darah Kombinasi 3000 585 3,585
253 Tetrakain HCI tetes mata 0,5 % -
254 Tetraksklin HCI Kapsul 250 mg -
255 Tetraksklin HCI Kapsul 500 mg -
256 Theofilin 150 mg 500 500
257 Thiamfenikol 500 mg -
258 Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml -
259 Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg 800 234 100 1,134
260 Trifluoerazine tablet -
261 Triheksifenidil Hidroklorida tablet 2 mg 162 162
262 Tuberkulin PPD RI 23 SS (TB MDR) -
263 Vitamin B Kompleks tablet 2700 300 353 3,353
264 Vitamin D 5000 IU -
265 Vitamin D 1000 IU 640 640
266 Zinc tablet 1000 242 80 1,322
267 Zinkid sirup 35 1 36
268 Aplicator Pengoles -
269 Artikulating paper -
270 Bahan Tampal Gigi Komposit (A2) -
271 Bahan Tampal Gigi Komposit (A3) -
272 Bahan Tampal Gigi Komposit (A3,5) -
273 Bahan Tampal Gigi Sementara ( Dentorit ) -
274 Bonding + Etsa (G. Bond) -
275 Celuloid Strip -
276 Dentin Conditioner 6 g -
277 Etil Klorida semprot 2 2
278 Eugenol cairan 2 2
279 Forinokresol ( Pengganti TKF ) -
280 Glass Ionomer Cement (GC IX) -
281 Glass Ionomer Cair -
282 Kalium Hidroksida Pasta ( Calsidor ) -
283 Kapas gigi -
284 Klorfenol kamfer Menthol ( CHKM ) -
285 Semen seng Fosfat serbuk dan cairan -
286 Silver Amalgam serbuk 65 - 75 % -
287 Spons Gelatin 1 x 1 x 1 cm -
288 Temporary Stopping Flatcher serbuk dan cair -
289 Tricresol -
290 Vaselin Putih -
291 Alat suntik sekali pakai 0,05 ml 130 130
292 Alat suntik sekali pakai 0,5 ml 100 500 600
293 Alat suntik sekali pakai 1 ml 70 70
294 Alat suntik sekali pakai 3 ml 225 5 230
295 Alat suntik sekali pakai 5 ml 110 10 98 218
296 Alat suntik sekali pakai 10 ml 220 220
297 Apron 10 10
298 APD Paket -
299 Benang Tali Pusat -
300 Bisturi No. 10 -
301 Bisturi No. 20 -

Page 6
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
302 Blade Holder / Handle Scaple -
303 Catgut / Benang bedah No. 2/0 -
304 Catgut / Benang bedah No. 3/0 12 12
305 Coverall / Baju Anti virus 230 10 240
306 Daryantull/Bioplacentontulle 10 10
307 Dermafix S IV 10 10
308 Face Shield 400 400
309 Folley Catch No. 16 -
310 Folley Catch No. 18 -
311 Hand Sanitizer 100 mL -
312 Hand Sanitizer 500 mL 7 7
313 Hand Sanitizer 1 L -
314 Hand Sanitizer 5 L 2 2
315 Infusion set anak 6 1 7
316 Infusion set dewasa 5 5
317 Infuset Y 5 5
318 IV. Cateter No. 18 G 5 5
319 IV. Cateter No. 20 G 5 5
320 IV. Cateter No. 22 G -
321 IV. Cateter No. 22 G Plus 2 2
322 IV. Cateter No. 24 G 5 5
323 IV. Cateter No. 26 G 4 4
324 Gown -
325 Kaca Mata Google 3 3
326 Kapas 500 gram -
327 Kapas pembalut / Absorben 250 gram -
328 Kapas 100 gram 15 0 15
329 Kasa Kompres 40 / 40 steril 77 77
330 Kasa Pembalut 2 m x 80 cm 10 10
331 Kasa Pembalut Hidrofil 4 m x 5 cm 20 20
332 Kasa Pembalut Hidrofil 4 m x 10 cm -
333 Kasa Pembalut Hidrofil 4 m x 15 cm -
334 Kasa Hidrofil Steril ukuran 16 x 16 cm 16 16
335 Kantong Mayat -
336 Kondom -
337 Larutan Desinfektan spray 2 2 4
338 Lidi IVA -
339 Lisol, mengandung Kresol tersabun 50 % 6 6
340 Masker EARLOOP 1000 1,000
341 Masker HEADLOOP -
342 Masker Kain -
343 Masker Robot 2 2
344 Masker Nebulizer Anak 11 11

345 Masker Nebulizer Dewasa 2 2

346 Masker oksigen anak -
347 Masker oksigen dewasa -
348 Masker N95 60 60
349 Nasal canula O2 anak -
350 Nasal canula O2 dewasa -
351 Needle Blood (HIV) 100 100
352 Nurse Caps -

Page 7
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
353 Paket obat Covid -
354 Papsmear Kit Uk. M -
355 Papsmear Kit Uk. L -
356 Plester 5 yards x 2 inch -
357 Plester 5 x 500 cm 8 8
358 Plester Hipoalergenik / kertas 3 3
359 Plester untuk iv. cath (leukomed iv) -
360 Polypropylen 5/0 DS 16 mm -
361 Safety Box 23 2 25
362 Sarung Tangan ukuran S 1100 100 100 1,300
363 Sarung Tangan ukuran M 700 300 1,000
364 Sarung Tangan ukuran L -
365 Sarung Tangan Ginekolog uk. M 0 -
366 Sarung Tangan Steril 7 1/2 250 250
367 Sarung Tangan Nitril Ukuran M -
368 Selang Untuk Nebu -
369 Sepatu Boot -
370 Silk No.2/0 dgn jarum bedah -
371 Silk No.3/0 dgn jarum bedah 12 12
372 Spekulum uk. M -
373 Spekulum uk. L -
374 Stomach Tube Dewasa -
375 Stomach Tube Anak -
376 Suction Catheter + Finger Fr 10 -
377 Suction Catheter + Finger Fr 12 -
378 Test Kehamilan 250 70 320
379 Transfusi Set -
380 Umbilical cord clem 8 8
381 Under Pad 10 10
382 Urine bag 5 5
383 Vacutainer Standart Yellow (HIV) 100 100
384 Abbott Cleaner -
385 Abbott Lyse -
386 Abbott Diluent -
387 Alkazyme 25 mg 45 45
388 Alkacid 1 L 1 1
389 Alkohol Swap 1300 400 1,700
390 Autoclick -
391 Blood Cell Counter -
392 Blood Lancet 400 400
393 Blood Lancet Safe-T (HIV) 250 250
394 Box Objek Glass -
395 Cairan Pembersih / Pemutih -
396 Cotton Swab -
397 Catridge GenXpert -
398 Cell Clean -
399 Cellpack 20 mL -
400 Cover Glass 188 188
401 Creatinine ( Fotometer ) -
402 Creatosil / Dempul -
403 Dengue NS1 Test 33 33

Page 8
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
404 Dengue IgG/IgM -
405 Dengue Combo (NS1 dan IgG/IgM) -
406 GOT (ASAT) (Fotometer) 1 1
407 GPT (ALT) (Fotometer) 1 1
408 Jelly USG -
409 Kartu Golongan Darah -
410 Kertas Saring -
411 Kertas EKG -
412 Larutan Asam Klorida 0,1 N / HCl -
413 Larutan Asam Sulfosalisilat 20 % -
414 Larutan Benedict -
415 Larutan Eosin 2 % -
416 Larutan Etanol Asam -
417 Larutan Giemsa Stain -
418 Larutan Hidrogen Peroksida / H2O2 -
419 Larutan Kalium Hidroksida / KOH -
420 Larutan Karbol Fuksin -
421 Larutan Lugol 1-2% -
422 Larutan Metilen Biru -
423 Larutan Na.Sitrat -
424 Larutan Resekker -
425 Larutan Truk -
426 Metanol -
427 Micro Capiler Heparin -
428 Micro pipet -
429 Minyak Emersi -
430 Object Glass 900 900
431 Pipet Lekosit -
432 Pipet Trombosit -
433 Poch Pack D II -
434 Poch Pack L II -
435 Pot Sputum 7 7
436 Pot Urine 99 99
437 Rak Tabung Reaksi -
438 Rapid test Antigen Covid 36 36
439 Rapid Test Covid-19 45 45
440 Rapid Test Malaria Pf (RDT) 60 60
441 Rapid Test Sifilis 130 130
442 Rapid Test HIV I (R1) SD 125 125
443 Rapid Test HIV II (R2) FOCUS 24 24
444 Rapid Test HIV 1/2 cassete (R3) 24 24
445 Reagen Golongan Darah Anti-AB(Monoclonal) 1 1
446 Reagen Golongan Darah Anti-A (Monoclonal) 1 1
447 Reagen Golongan Darah Anti-B (Monoclonal) 1 1
448 Reagen Golongan Darah Anti-D (Duoclone) 1 1
449 Reagen Ziehl Neelsen 2 2
450 RPR Syphilis -
451 Sabun Cair Antiseptik/Hand Scrub 4 5 9
452 Salmonella Paratype A-H -
453 Salmonella Paratype A-O -
454 Salmonella Paratype B-H -
455 Salmonella Paratype B-O -

Page 9
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
456 Salmonella Paratype C-H -
457 Salmonella Paratype C-O -
458 Salmonella Paratype H -
459 Salmonella Paratype O -
460 Serum Control High (Hematologi) -
461 Serum Control Low (Hematologi) -
462 Serum Control Normal (Hematologi) -
463 Serum Control ( Fotometer ) -
464 SFRI Cleaner -
465 SFRI Lyse -
466 SFRI Diuent -
467 Steril Pouch uk 9 cm x 26 cm -
468 Steril Pouch uk 10 cm x 200 m 4 4
469 Steril Pouch uk 15 cm x 200 m 4 4
470 Strip Asam Urat ( Autocheck ) -
471 Strip Asam Urat ( Benecheck ) -
472 Strip Asam Urat ( Easy touch ) -
473 Strip Asam Urat ( Nesco ) -
474 Strip Glukosa ( Accucheck ) -
475 Strip Glukosa ( Autocheck ) 0 -
476 Strip Glukosa ( Benecheck ) -
477 Strip Glukosa ( Easy touch ) -
478 Strip Glukosa ( Nesco ) -
479 Strip HB Cek Digital ( Easy Touch ) -
480 Strip HB Cek Digital ( Mission ) 125 125
481 Strip HbsAg 200 200
482 Strip Anti HbsAg -
483 Strip Lipid Panel -
484 Strip Total Kolesterol ( Autocheck ) -
485 Strip Total Kolesterol ( Benecheck ) -
486 Strip Total Kolesterol ( Easy touch ) -
487 Strip Total Kolesterol ( Nesco ) -
488 Strip Trigliserida ( Accutrend ) -
489 Strip Trigliserida ( Panel ) -
490 Strip Urine Tes 255 255
491 Strip Urine Gluco Protein Tes 70 70
492 Stromatolyser WH -
493 Tabung Reaksi 3 ml -
494 Tabung EDTA 5 cc 115 115
495 Tabung Ves-tec -
496 Thermal paper -
497 Tip untuk micropipet -
498 Torniquit -
499 Urea (Fotometer) 1 1
500 VTM with 2 flaked swab 65 65
501 Hyperhep -
502 Vaksin Anti Rabies (VAR) 1 1
503 Vaksin BOPV (Polio Oral) 1 1
504 Vaksin IPV ( Polio injeksi) 18 18
505 Vaksin MR & Pelarut 19 19
506 Vaksin Hepatitis B 15 15
507 Vaksin DPT-HB-Hib 50 50
508 Vaksin Td 81 81
509 Vaksin DT 42 42

Page 10
 TOTAL
NO LPLPO 2022 GUDANG K. OBAT LANSIA K3 LAB p. tindakan IMUNISASI sisa Stok
exp
26/2 26/2 26/2 4-Mar 2-Mar 4-Mar 4-Mar
510 Vaksin BCG 15 15
511 ADS 0,5 mL -
512 ADS 0,3 ml -
513 ADS 3 ml -
514 Alkohol Swab -
515 Safety box -
516 Vaksin Covid 19 Multidose (10 dosis) -
517 Vaksin Corovac @ 2 Dosis -
518 Vaksin Covid 19 Singel Dose (sinovac) -
519 Vaksin Astra Zeneca -
520 Vaksin Plizer -
521 Pelarut Nacl -
522 DEPO 3 BULAN 15 15
523 SPUIT 3CC 61 61
524 SUSUK KB 18 18
525 KONDOM 56 56
526 IUD COPPER T 7 7
527 Pil kb 127 127
528 ALBENDAZOLE SYR 20 10 30

Singkawang, 5 Maret 2022

Koordinator Farmasi

LASTARI, S. Farm. Apt

NIP. 19840401 200903 2 007

Page 11
 SON OBAT PKM TENGAH II
tahun 2022
KOTA : SINGKAWANG
#REF!

NO LPLPO 2022
exp

1 2
1 Acyclovir tablet 200 mg 205
2 Acyclovir tablet 400 mg 184
3 Acyclovirkrim 5% 0
4 Albendazol tablet 400 mg 91
5 Alopurinol tablet 100 mg 525
6 Alopurinol tablet 300 mg 680
7 Ambroxol tablet 30 mg 824
8 Ambroxol sirup 15 mg/5 ml 0
9 Aminofilina tablet 200 mg 160
10 Aminofilina injeksi 24 mg/ml - 10 ml 0
11 Amitriptilin HCl tablet salut 25 mg 155
12 Amlodipin tablet 5 mg 1510
13 Amlodipin tablet 10 mg 430
14 Amoksisilin kapsul 250 mg 353
15 Amoksisilin kaplet 500 mg 270
16 Amoksisilin sirup kering 125 mg/5 ml 0
17 Amoksisilin sirup Forte 250 mg/5 ml 45
18 Ampisillin inj 1 gr 0
19 Antasida DOEN tablet kombinasi : Mg 1060
20 Antasida DOEN sirup kombinasi : Mg 42
21 Anti Bakteri DOEN salep kombinasi : 22
22 Antifungi DOEN kombinasi : 13
23 Anti Hemoroid DOEN kombinasi 34
24 Antimigren DOEN tablet kombinasi : 0
25 Aqua pro Injeksi steril, bebas pirogen 0
26 Aquadest steril 1L 0
27 Artemer injeksi 80 mg 0
28 Artesunat injeksi 0
29 Asam Ascorbat (Vit C) tablet 1000 mg 245
30 Asam Askorbat (Vit C) tablet 500 mg 180
31 Asam Askorbat (Vit C) tablet 50 mg 857
32 Asam Ascobat injeksi 10
33 Asam Folat tablet 765
34 Asam Mefenamat kaplet 500 mg 345
35 Asam Retinoat krim 0,1 % 0
36 Asam Traneksamat 250 mg/ 5 mL 0
37 Asam Asetil Salisilat 80 mg (Asetosal) 55
38 Asering infus 0
39 Asetil Sistein 200 mg 500
40 Attapulgite 650 mg 210
41 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml 0
42 Azitromicin kapsul 250 mg 0
43 Azitromicin kapsul 500 mg 573
44 Azitromicin injeksi IV 0,5 gram 0
45 Bedaquine 0
46 Benzatin Benzil Penisilin inj 2,4 juta IU/vial 0

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NO LPLPO 2022
exp

47 Betametason krim 0,1 o/o 5

48 Betahistin Mesilat tablet 6 mg 0
49 Bisakodil supp 10 mg 23
50 Bisakodil tablet 29
51 Bromheksin 8 mg 660
52 Capreomycin (TB MDR) 0
53 Captopril 12,5 mg 0
54 Captopril tablet 25 mg 706
55 Captopril tablet 50 mg 0
56 Cefotaxime injeksi 0
57 Cefadroxil sirup 2
58 Cefadroxil kapsul 500 mg 285
59 Cefixime tablet 100 mg 0
60 Cetrizin 10 mg 345
61 Cetrizin sirup 37
62 Clindamycin 150 mg 170
63 Clindamycin 300 mg 0
64 Clobazam 10 mg 0
65 Clofazimine 100 mg (TB MDR) 0
66 Clozapine 25 mg 0
67 Cycloserin 250 mg (TB MDR) 0
68 Cyprofloxacin tab 500 mg 550
69 Curcuma 0
70 Deksametason injeksi 5 mg/ml - 1 ml 5
71 Deksametason tablet 0,5 mg 585
72 Delamanid 50 mg (TB MDR) 0
73 Diazepam injeksi 5 mg/ml - 2 ml 5
74 Diazepam tablet 2 mg 44.5
75 Diazepam tablet 5 mg 0
76 Diazepam rektal 5 mg 10
77 Difenhidramin HCl inj 10 mg/ml - 1 ml 9
78 Digoksin tablet 0,25 mg 0
79 Doksisiklin kapsul 100 mg 260
80 Domperidon tablet 10 mg 340
81 Domperidon sirup 12
82 Epinefrin HCl/Bitartrat (Epinefrina / Adrenalina) 7
83 Erytromycin 250 mg kapsul 1160
84 Erytromycin 500 mg kaplet 22
85 Erytromycin sirup 8
86 Etakridin ( Rivanol ) larutan 0,1 o/o 0
87 Etambutol tablet 400 mg (TB MDR) 0
88 Etambutol tablet 500 mg 0
89 Etanol ( Alkohol ) 70 o/o 1 L 0
90 Etanol(Alkohol) 95% 0
91 Etanol (Alkohol) 100 mL 0
92 Ethionamide 250 mg (TB MDR) 0
93 Favipiravir 200 mg 2200
94 Fenobarbital injeksi 50 mg/ml - 2 ml 0
95 Fenobarbital tablet 30 mg 0
96 Fenol Gliserol tetes telinga 10 o/o 12
97 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml 0

Page 13
NO LPLPO 2022
exp

98 Fitomenadion (Vit.K1) injeksi 2 mg/ml - 1 ml 25

99 Fitomenodion (Vit.K1) tablet salut gula 10 mg 95
100 Fluferazine Decanoat inj 25mg/ml 0
101 Furosemid tablet 40 mg 158
102 Furosemid injeksi 0
103 Garam Oralit untuk 200 ml air 53
104 Gemfibrozil 300 mg 327
105 Gentamycin injeksi 0
106 Gentamycin tetes mata 23
107 Glibenklamid tablet 5 mg 782
108 Glukosa larutan infus 5 o/o 0
109 Gluconas Kalsicus injeksi 0
110 Griseofulvin tablet 125 mg 190
111 Griseofulvin tablet 250 mg 0
112 Haloperidol tablet 1,5 mg 100
113 Haloperidol inj 5mg / ml 0
114 Hidroklorotiazid (HCT) tablet 25 mg 259
115 Hidrokortison krim 2,5 o/o 27
116 Ibuprofen tablet 200 mg 330
117 Ibuprofen tablet 400 mg 380
118 Ibuprofen suspensi 100 mg / 5 ml 0
119 Ichtyol salep 0
120 Isoniazida tablet 300 mg 0
121 Isoniazida tablet 100 mg 0
122 Isosorbit Dinitrat tablet sublingual 5 mg 227
123 KA-EN 3B larutan infus steril 0
124 Kalsium Laktat (Kalk) tablet 500 mg 1038
125 Kanamisin inj 1 g 0
126 Karbamazepin tablet 200 mg 735
127 Kendal (steril water for inhalation) 0
128 Ketoconazol tablet 200 mg 0
129 Ketoconazol krim 7
130 Ketorolac Inj 30 mg 0
131 Kloramfenikol kapsul 250 mg 98
132 Kloramfenikol sirup 0
133 Kloramfenikol salep mata 1 % 9
134 Kloramfenikol salep kulit 2 % 6
135 Kloramfenikol tetes telinga 3 % 1
136 Kloramfenikol tetes mata 0,5 % 11
137 Klorfeniramin Maleat ( CTM ) tablet 4 mg 355
138 Klorpromazin 25 mg (CPZ) 100
139 Klorpromazin 100 mg (CPZ) 0
140 Kodein 10 mg 100
141 Kotrimoksazol tablet 480 mg, kombinasi 395
142 Kotrimoksazol tablet 960 mg forte, kombinasi 240
143 Kotrimoksazol Suspensi , kombinasi : 6
144 Kuinin Duhidroklorida injeksi 25 % - 2 ml 0
145 Kuinin ( Kina ) tablet 200 mg 78
146 Levofloxacin 250 mg (TB MDR) 0
147 Levofloxacin 750 mg 50
148 Levothyroxine sodium 0

Page 14
NO LPLPO 2022
exp

149 Levofloxacin infus 0

150 Lidokain Komp.injeksi, Kombinasi 30
151 Lidokain injeksi 2% 0
152 Loperamid 0
153 Loratadin tablet 10 mg 85
154 Magnesium Sulfat inj ( IV ) 20 % - 25 ml 2
155 Magnesium Sulfat inj ( IV ) 40 % - 25 ml 0
156 Metformin tablet 500 mg 640
157 Metformin tablet 850 mg 0
158 Metilergametrin Maleat inj 0,200 mg - 1 ml 0
159 Metilergametrin Tablet salut 0,125 mg 100 0
160 Metilprednisolon 4 mg 838
161 Metoclorpramid tablet 50
162 Metoclorpramid syrup 0
163 Metronidazol tablet 250 mg 0
164 Metronidazol tablet 500 mg 400
165 Metronidazol inf 5 mg/ml 0
166 Mikonazol krim 0
167 Mineral Mix 0
168 Moxifloxacin 400 mg (TB MDR) 0
169 Multivitamin tablet 945
170 Multivitamin sirup 0
171 Natrium Bikarbonat tablet 500 mg 100
172 Natrium diklofenak tablet 25 mg 0
173 Natrium diklofenak tablet 50 mg 1030
174 Natrium Klorida larutan infus 0,9 % Steril 0
175 Nifedifin tablet 10 mg 100
176 Nistatin Tablet Vaginal 100.000 IU / g 81
177 Nistatin Tablet salut 500.000 IU 0
178 Nistatin suspensi 100.000 IU / ml 0
179 Obat Haji 0
180 Obat Antituberkulosis / FDC Kategori 1 Dewasa 0
181 Obat Antituberkulosis Kategori 2 Dewasa 0
182 Obat Anti Tuberkolosis Anak 0
183 OAT Kombipak kategori I 2
184 OAT Komb. PMS Azitromicin Cefixime 0
185 Obat Anti Diare, Kombinasi : Kaolin 550 mg+pektin 0
186 Obat Anti Malaria ( DHP ) 9
187 Obat Batuk Hitam ( OBH ) cairan 0
188 Obat Batuk Tablet Kombinasi 585
189 Obat Batuk sirup Kombinasi 28
190 Obat Flu Kombinasi 0
191 Obat Kusta MDT-Combi Anak 0
192 Obat Kusta MDT-Combi Dewasa 0
193 Oksimetazolin HCl tetes hidung 0,25 mg 0
194 Oksitetrasiklin HCI salep mata 1 % 25
195 Oksitetrasiklin HCI salep 3 % 0
196 Oksitosin injeksi 10 IU / ml - ml 6
197 Omeprazole kapsul 660
198 Omeprazole inj 40 mg/ml 0
199 Ondansentron tablet 4 mg 0

Page 15
NO LPLPO 2022
exp

200 Ondansentron injeksi 4 mg / 2 ml 0

201 Oseltamivir tablet 75 mg 400
202 P-Aminosalysilate Sodium 5, 52 gr (PAS) (TB MDR) 0
203 Parasetamol sirup 120 mg / 5 ml 5
204 Parasetamol tablet 500 mg 2160
205 Parasetamol drop 7
206 Parasetamol Infus 0
207 Perak Sulfadiazin krim 10
208 Permetrin krim 5% 10
209 Pirantel tablet 125 mg 76
210 Pirantel sirup 125 mg / 5 ml 3
211 Pirazinamid tablet 500 mg 0
212 Piridoksin HCI (Vit. B6 ) tablet 10 mg 0
213 Piridoksin HCI (Vit. B6 ) tablet 100 mg (TB MDR) 0
214 Piridoksin HCI (Vit. B6 ) tablet 25 mg (TB MDR) 2282
215 Pirimetamin 25 mg 0
216 Povidon lodida 10 % 30 ml 0
217 Povidon lodida 10 % 300 ml 0
218 Povidon lodida 10 % 60 ml 0
219 Prednison tablet 5 mg 420
220 Primakuin tablet 15 mg 100
221 Prokain Benzil Penisilin injeksi 3 juta IU/Vial 0
222 Prokain Penisilin G injeksi 3 gr 0
223 Propiltiourasil tablet 100 mg 0
224 Propranolol HCl tablet 40 mg 0
225 Ranitidine tablet 150 mg 0
226 Ranitidine injeksi 0
227 Remdesivir inj 0
228 Retinol ( Vitamin A ) kapsul 100.000 IU 0
229 Retinol ( Vitamin A ) kapsul 200.000 IU 77
230 Rifampisin kapsul 300 mg 0
231 Rifampisin kapsul 450 mg 0
232 Ringer laktat larutan infus steril 0
233 Risperidon 2 mg 0
234 Salbutamol tablet 2 mg 577
235 Salbutamol tablet 4 mg 153
236 Salbutamol Nebules 2,5 mg ( Ventolin ) 15
237 Salep 2 - 4, Kombinasi : Asam Salisilat 2 % + 11
238 Salisil Bedak 2 % 13
239 Serum Anti Bisa Ular Polivalen injeksi 5 ml ( ABU I ) 1
240 Serum Anti Difteri injeksi 20.000 IU/Vial ( A.D.S ) 0
241 Serum Anti Tetanus injeksi 1.500 IU/ampul ( A.T.S ) 0
242 Serum Anti Rabies (SAR) 0
243 Simetidin 10 mg 0
244 Sianokobalamin (Vit.B12) tablet 50 mcg 744
245 Sianokobalamin (Vit.B12) injeksi 500 mcg/ml - 1ml 30
246 Simvastatin tablet 10 mg 1330
247 Simvastatin tablet 20 mg 790
248 Spironolakton 25 mg 0
249 Streptomicin inj 0
250 Sukralfat 500 mg 0

Page 16
NO LPLPO 2022
exp

251 Sulfasetamida Natrium tetes mata 15 % 0

252 Tablet tambah Darah Kombinasi 585
253 Tetrakain HCI tetes mata 0,5 % 0
254 Tetraksklin HCI Kapsul 250 mg 0
255 Tetraksklin HCI Kapsul 500 mg 0
256 Theofilin 150 mg 0
257 Thiamfenikol 500 mg 0
258 Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml 0
259 Tiamin HCI/Mononitrat (Vit.B1) tablet 50 mg 334
260 Trifluoerazine tablet 0
261 Triheksifenidil Hidroklorida tablet 2 mg 162
262 Tuberkulin PPD RI 23 SS (TB MDR) 0
263 Vitamin B Kompleks tablet 653
264 Vitamin D 5000 IU 0
265 Vitamin D 1000 IU 640
266 Zinc tablet 322
267 Zinkid sirup 1
268 Aplicator Pengoles
269 Artikulating paper
270 Bahan Tampal Gigi Komposit (A2)
271 Bahan Tampal Gigi Komposit (A3)
272 Bahan Tampal Gigi Komposit (A3,5)
273 Bahan Tampal Gigi Sementara ( Dentorit )
274 Bonding + Etsa (G. Bond)
275 Celuloid Strip
276 Dentin Conditioner 6 g
277 Etil Klorida semprot
278 Eugenol cairan
279 Forinokresol ( Pengganti TKF )
280 Glass Ionomer Cement (GC IX)
281 Glass Ionomer Cair
282 Kalium Hidroksida Pasta ( Calsidor )
283 Kapas gigi
284 Klorfenol kamfer Menthol ( CHKM )
285 Semen seng Fosfat serbuk dan cairan
286 Silver Amalgam serbuk 65 - 75 %
287 Spons Gelatin 1 x 1 x 1 cm
288 Temporary Stopping Flatcher serbuk dan cair
289 Tricresol
290 Vaselin Putih
291 Alat suntik sekali pakai 0,05 ml
292 Alat suntik sekali pakai 0,5 ml
293 Alat suntik sekali pakai 1 ml
294 Alat suntik sekali pakai 3 ml
295 Alat suntik sekali pakai 5 ml
296 Alat suntik sekali pakai 10 ml
297 Apron
298 APD Paket
299 Benang Tali Pusat
300 Bisturi No. 10
301 Bisturi No. 20

Page 17