RENCANA KEBUTUHAN OBAT PADA

NO NAMA OBAT SATUAN SISA STOK PER 31

DESEMBER 2020

(a)
GOLONGAN OBAT GENERIK / ESENSIAL
1 Alopurinol tablet 100 mg Tab 250
2 Alopurinol tablet 300 mg Tab
3 Aminofilin tablet 200 mg Tab
4 Aminofilin injeksi 24 mg/ml - 10 ml Amp
5 Amitriptilin HCl tab. Salut 25 mg Tab 100
6 Ampisilin serbuk injeksi 250 mg (Viccillin ) Amp
7 Amoksisilin Kaptab 500 mg Kapt 170
8 Amoksisillin 100mg Drop Amp 50
9 Amoksisilin sirup kering 125 mg / 5 ml Btl 28
10 Amoksisilin sirup kering 250 mg / 5 ml Btl
11 Amoxilin Injeksi 1000mg Vial
12 Antasida Doen tablet kombinasi Tab 1,939
13 Antasida suspensi Btl 36
14 Antibakteri doen salep kombinasi (Bacitracin) Tub 137
15 Antihemoroid doen kombinasi Suppo
16 Antifungi doen kombinasi Pot 44
17 Antimigran doen kombinasi (Ergotamin) Tab
18 Aqua proinjeksi steril, bebas pirogen Btl
19 Asam askorbat (vit c) tablet 50 mg Tab 8,050
20 Asam askorbat (vit c) tablet 250 mg Tab
21 Asetosal 80 mg Tab 2,000
22 Atropin Tab 0,5 mg Tab
23 Atropin sulfat injeksi 0,25 mg/ml - 1 ml Amp 25
24 Acetyl Cystein 200mg Kaps
25 Acyclovir Cream Tube 15
26 Acyclovir tablet 200 mg Tab
27 Acyclovir tablet 400 mg Tab
28 Ambroksol sirup Btl 200
29 Ambroksol tablet 30mg Tab 3,700
30 Asam Mefenamat tablet 500 mg Tab 5,600
31 Asam Traneksamat Tablet 500 mg Tab
32 Asam Traneksamat 100 mg/5 ml Injeksi Amp 5
33 Asam Traneksamat 250 mg/5 ml Injeksi Amp
34 Asam Traneksamat 500 mg/5 ml Injeksi Amp
35 Amlodipin 5mg Tab 900
36 Amlodipin 10 mg Tab 760
37 Asam folat tab 400 mcg Tab
38 Asam folat tab 1 mg Tab
39 Betametason krim 0,1 % Tub
40 Betahistin mesilate tablet 6 mg Tab 200
41 Bisoprolol Fumarate tab 5 mg Tab
42 Cefadroxil 500 mg kaps Kaps
43 Cefadroxil sirup kering 125 mg/5ml Btl
44 Cefadroxil sirup kering 250 mg/5ml Btl
45 Captopril tablet 12,5 mg Tab
46 Captopril tablet 25 mg Tab 2,800
47 Captopril tablet 50 mg Tab
48 Ciprofloxacin tablet 500 mg Tab 3,400
49 Cetirizine Tab 10 mg Tab 400
50 Cetirizine Sirup 5mg/5ml Btl
51 Ceptriaxon injeksi 1000 mg Vial 200
52 Cefotaxime Sodium Serb.Inj 1000 mg Vial
53 Clindamicin 150 mg Tab
54 Clindamicin 300 mg Tab
55 Cimetidin Tab
56 Deksametason inj 5 mg/ml - 1 ml Amp
57 Deksametason tablet 0,5 mg Tab 67
58 Diazepam inj 5 mg/ml - 2 ml Amp
59 Diazepam tablet 5 mg Tab
60 Diazepam tablet 2 mg Tab
61 Difenhidramin HCl inj 10 mg/ml - 1 ml Amp
62 Digoksin tablet 0,25 mg Tab
63 Diltiazem 30 mg Tab
64 Dimenhidrat Kaplet 50 mg Tab
65 Domperidone tablet 10 mg Tab
66 Domperidon suspensi 5 mg / 5 ml Btl
67 Doxycycline 100 mg Kaps
68 Efedrin HCl tablet 25 mg Tab
69 Epinefrin 1 mg/ml inj s.c/i.m Amp
70 Etakridin (rivanol) larutan 0,1 % Btl
71 Erytromicin kaplet 500 mg Kapl
72 Erytromicin Syrup 200 mg / 5 ml Botol
73 Etambutol tab 500mg ( HCL ) Tab
74 Etambutol tab 250mg ( HCL ) Tab
75 Etanol 70 % ( 1000 ML ) / Alkohol 70% Btl
76 Fenytoin Sodium 100 mg Kap
77 Fenol Gliserol Tetes Telinga 10% Btl
78 Fenobarbital injeksi 50 mg/ml - 2 ml Amp
79 Fenobarbital tablet 30 mg Tab
80 Fitomenadion (Vit K 1) Injeksi 2mg/ml Amp
81 Fitomenadion (Vit K 1) Injeksi 10mg/ml Amp 34
82 Fitomenadion (vit K 1) tablet salut 10 mg Tab
83 Furosemid tablet 40 mg Tab
84 Furosemid inj 10mg/ml amp
85 Garam Oralit 200 ml Sachet
86 Glibenklamid Tab
87 Glimepiride 2 mg Tab 650
88 Glimepiride 1 mg Tab 520
89 Gliseril guayakolat 100 mg Tab
90 Guaiafenesin 100 mg Tab
91 Gliserin / Gliserol Btl
92 Glukosa larutan infus 5 % steril Btl 54
93 Griseofulvin tablet 125 mg, micronized Tab 450
94 Griseofulvin tablet 250 mg Tab
95 Griseofulvin tablet 500 mg Tab
96 Gentamycin Sulfat Inj 2 ml Amp
97 Gentamycin tetes mata 0,3 % Botol
98 Gentamycin Cream Kulit Tube
99 Gemfibrozil 300 mg Kaps
100 Gentian Violet Larutan 1% Btl
101 Haloperidol tablet 0,5 mg Tab
102 Haloperidol tablet 1,5 mg Tab
103 Haloperidol tablet 5 mg Tab
104 Hidroklorotiazid (HCT) tablet 25 mg Tab 30
105 Hidrokortison krim 2,5 mg Tub 44
106 Hidrogen Peroksida 3 % Botol
107 Isoniazid tab 100 mg Tab
108 Isoniazid tab 300 mg Tab
109 Ibuprofen syr 100mg/ 5 ml Botol 34
110 Ibuprofen 200 mg Tab
111 Ibuprofen 400 mg Tab
112 Isosorbid dinitrat tablet sublingual 5 mg Tab 170
113 Ichtiol salep pot
114 Kalsium laktat (kalk) tablet 500 gram Tab 680
115 Karbamazepin tablet 200 gram Tab 30
116 Kloramfenikol kapsul 250 mg Kap
117 Kloramfenikol salep mata 1 % Tub
118 Kloramfenikol Tetes Mata 0,5 % Btl
119 Kloramfenikol Tetes Telinga 1% Btl
120 Kloramfenikol Suspensi 125 mg/5ml Btl
121 Klorfeniramin maleat (CTM) tablet 4 mg Tab 1,300
122 Kloramfenikol Salep 2% (Bufacetine) Tub
123 Klorpromazin HCl tablet salut 25 mg Tab
124 Klorpromazin HCl tablet salut 100 mg Tab
125 Klorpromazine HCL inj 25mg/ml-1 ml injeksi Amp
126 Kodein HCl tablet 10 mg Tab
127 Kotrimoksazol suspensi 480 mg/5 ml Btl
128 Kotrimoksazol suspensi Forte Btl
129 Kotrimoxazol Tablet Tab
130 Ketokonazole cream Tub
131 Ketokonazole 200mg Tab Tab
132 Lactulose 3,335 g/5ml Btl 33
133 Lansoprazole Kap 20
134 Lidokain kompositum injeksi Amp 56
135 Lisol Btl
136 Loratadine 5 mg Tab 180
137 Lar anhydrous dextrose,Nacl,Kcl,Na laktat,(K Btl
138 Lar anhydrous dextrose,Nacl,Kcl,Na laktat,(K Btl
139 Mineral Mix Sach
140 Metilergometrin maleat inj. 0,2 mg - 1 ml Amp
141 Metilergometrin maleat tablet 0,125 mg Tab
142 Miconazol 2 % cream Tub
143 Metoklopramide tablet 10 mg Tab
144 Metoklopramide Syrup Btl
145 Metoklopramide injeksi Amp 340
146 Metronidazol Tablet 250 mg tablet Tab
147 Metronidazol Tablet 500 mg tablet Tab
148 Metronidazol larutan Infus 5 mg/ml Btl 30
149 Metronidazol syrup 125 mg / 5 ml Btl
150 Metilprednisolon 4 mg Tab 760
151 Metilprednisolon 16 mg Tab
152 Metformin 500 mg Tab
153 Metformin 850 mg Tab
154 Metamizole Inj 500mg/ml Amp
155 Metamizole 500mg kaplet Kaplet
156 Magnesium Sulfat 20% (MgSo4) Vial
157 Magnesium Sulfat 40% (MgSo4) Vial
158 Natrium klorida larutan infus 0,9% steril (NaCl) Btl
159 Nistatin 100.000 iu/g tablet vaginal Tab
160 Nistatin 500.000 iu tablet salut Tab
161 Natrium diclofenak 25 mg Tab 450
162 Natrium diclofenak 50 mg Tab 670
163 Obat batuk hitam (o.b.h) cairan Btl
164 Oksitosin injeksi 10 iu/ml - ml Amp 80
165 Oksitetrasiklin Salep Kulit Tub
166 Oksitetrasiklin Salep Mata Tub
167 Omeprazole kapsul/kaplet 20 mg Kap 340
168 Ondansetron Tablet 8 Mg Tab 57
169 Parasetamol tetes 100mg/ 0,6 ml Botol 15 ml
170 Parasetamol syr 120 mg / 5 ml Btl 44
171 Parasetamol tablet 500 mg Tab 2,300
172 Papeverin 40 mg Tab
173 Petidin HCl injeksi 50 mg/ml - 2 ml Amp
174 Piridoksin HCl tablet 10 mg Tab
175 Prednison tablet 5 mg Tab
176 Primakuin tablet 15 mg Tab
177 Propiltiourasil tablet 100 mg Tab
178 Propranolol HCl tablet 10 mg Tab 100
179 Piracetam Injeksi 1g / 5 ml Vial
180 Piracetam 800 mg tab Tab
181 Pirazinamide 500mg tab tab
182 Pirantel Pamoat 125 mg Tab
183 Pirantel Pamoat 250 mg Tab
184 Pirantel Pamoat Susp 125mg/5ml btl
185 Piroksikam Tab
186 Permetrin krim (Scabimite 5% ) Tub
187 Quinine 222 mg Tab
188 Ringer laktat larutan infus steril Btl 80
189 Ranitidin tablet 150 mg Tab 20
190 Ranitidin Injeksi 50mg/2ml amp 240
191 Retinol (vitamin A) kapsul 100.000 iu Kap
192 Retinol (vitamin A) kapsul 200.000 iu Kap
193 Rifampisin kaplet 300 mg Tab
194 Rifampisin kaplet 600 mg Tab
195 Salbutamol tablet 2 mg Tab 10
196 Salbutamol tablet 4 mg Tab 200
197 Salbutamol 2mg/5ml Syr Btl
198 Salep 2-4 kombinasi Pot
199 Salisil bedak 2 % Ktk
200 Serum anti bisa ular polivalen inj. 5 ml (abu I) Vial 5
201 Serum anti tatanus inj. 1.500 iu/ampul (a.t.s I ) Amp
202 Sianokobalamin (Vit. B12) inj. 500 mcg/ml Amp
203 Sianokobalamin (Vit. B12) tablet 50 mcg Tab 300
204 Simvastatin tablet 10 mg Tab
205 Simvastatin tablet 20 mg Tab
206 Spironolactone 100 mg Tab
207 Spironolactone 25 mg Tab
208 Tablet tambah darah Tab 3,200
209 Tetrasiklin 250 mg Tab
210 Tetrasiklin 500 mg Tab
211 Tiamin HCl (Vit. B1) inj. 100 mg/ml - 1 ml Amp
212 Tiamin HCl monohidrat (Vit. B1) tablet 50 mg Tab
213 Triheksifenidil hidroklorida tablet 2 mg Tab
214 Thiamfenikol tab 500 mg Amp
215 Vitamin B kompleks tablet Tab 5,600
216 Wida Bes Btl
217 Yodium povidon larutan 10 % 30 ml Btl 1
218 Yodium povidon larutan 10 % 60 ml Btl 2
219 Yodium povidon larutan 10 % 300 ml Btl 2
220 Zink Tablet 20 mg Tab
221 Zinc Sulfate Sirup 20mg/5ml Btl
GOLONGAN OBAT GIGI
Anastetik Lokal Gigi Kombinasi (Lidocain 2%
amp
222 +epinerin 1:80.000)
Cholorophenol camphor menthol (chkm) Set
223 Cal Excel Kotak
224 Calform - RC Kotak
Ceivtron( tambalan sementara ) ktk
225 Devitalisasi Arsen Kotak
226 Devitalisasi pasta (non arsen) caustinerf forte kotak
Etil klorida semprot Kaleng
227 Eugenol cairan Btl
227 Elite Cement Kotak
228 Flour Kaplet
228 Formokresol Botol
229 kalsium hidroksida pasta tube
230 Glass Ionomer Cement (GK-Fuji IX) Kotak
230 Iodoform paste Ktk
Mummifying pasta / tempophore btl
231 Oco ktk
232 Resin Set
232 Semen Seng Fosfat serbuk dan cairan kotak
233 Spons gelatin Cubicles 1 x 1 x 1 Cm Ktk
234 Temporary stopingfletcher serbuk dan cairan Set
234 Trikresol formalin (TKF) cairan Btl
GOLONGAN OBAT BAHAN HABIS PAKAI
235 Alkohol Swab Pcs 230
236 Asam Asetat 6% Btl
237 Anti septic Poliwash (Chlorhexidine) Botol
238 Aseptic Gel Botol 10
239 Antiseptic dan Desinfektan (Odex) Botol
240 Blood Lancet Kotak
241 Catgut/benang bedah no.2/0 Plain Sak 15
242 Catgut/benang bedah no.2/0 Chromic Sak 16
243 Catgut/benang bedah no.3/0 Plain Sak 15
244 Catgut/benang bedah no. 3/0 chromic Sak 12
245 Disposable Syringe 1 cc pcs 33
246 Disposable Syringe 2,5 cc pcs 45
247 Disposable Syringe 3 cc Pcs 45
248 Disposable Syringe 5 cc pcs 23
249 Disposable Syringe 10 cc pcs 4
250 Disposable Syringe 20 cc pcs
251 Elastic band roll
252 Folley catheter no.16 Pcs 6
253 Folley catheter no.18 pcs 6
254 Folley catheter no.20 Pcs 6
255 Infus set anak pcs 33
256 Infus set dewasa pcs 43
257 IV Catheter No. 26 G Pcs 130
258 IV Catheter No. 24 G Pcs 230
259 IV Catheter No. 22 G Pcs 130
260 IV Catheter No 20G Pcs
261 IV Catheter No 18 G Pcs 15
262 Kapas berlemak 500 gram Bks 12
263 Kapas pembalut/absorben 250 gram Bks 2
264 Kapas pembalut 250 gram Bks
265 Kasa kompres 40cm /40 cm Rol
266 Kasa Steril 16x16 cm kotak 12
267 Kasa pembalut 36 m x 80 cm Rol
268 Kasa pembalut 40 m x 80 cm Rol
269 Kasa pembalut 2m x 80 cm Rol 12
270 Kasa Pembalut 40 m x 40 cm Rol
271 Kasa pembalut hidrofil 4 m x 10 cm Rol
272 Kasa pembalut 4 m x 15 cm Rol
273 Kasa Pembalut hidrofil 4 x 3 Rol
274 Kasa Pembalut hidrofil 3,6m x 12cm Rol
275 Kasa Pembalut hidrofil 3,6m x 15cm Rol
276 Kasa Pembalut hidrofil 3,6m x 10cm Rol
277 Kasa steril Kasa Steril 10 x 10, 8ply, 1x10's Pcs
278 Mask Surgical (Earloop/Hijab/Tie On) Pcs
279 Mask Nasal Oxygen Cannula Infant (anak) Pcs
280 Mask Nasal Oxygen Cannula Adult (dewasa) Pcs
281 Masker N95 Pcs
282 Nasal Oksigen Canula Dewasa Pcs
283 Nebulizer Masker Infant Pcs
284 Nebulizer Masker Adult Pcs
285 Optime 2/0 Pcs
286 Optime 3/0 Pcs
287 Polid Aid/ Enzymax Instrument Cleaner 1000 Botol
288 Pembalut gips 3 inchi Rol
289 Pap Smear kit Steril (L) set
290 Pap Smear kit Steril (M) set 1,200
291 Pap Smear kit Steril (S) set
292 Pharmafix 15x 500 cm Rol
293 Pharmafix 5x 500 cm Rol
294 Pharmafix 10x 500 cm Rol 200
295 Sarung Tangan Non Steril Ukuran S pcs 200
296 Sarung Tangan Non Steril Ukuran M pcs
297 Sarung Tangan Non Steril Ukuran L Pcs
298 Sarung Tangan Steril (Surgical gloves) 7,5 Pair
299 Sarung Tangan Steril (Surgical gloves) 6.5 Pair
300 Sarung Tangan Steril (Surgical gloves) 7 Pair 180
301 Sarung Tangan Steril (Surgical gloves) 8 Pair 179
302 Surgical Blade No 15 Pcs
303 Surgical Blade No 11 Pcs
304 Surgical Blade No 20 Pcs
305 Silk (benang bedah sutera) no. 3/0 Box
306 Stik Kolesterol box 10
307 Stik Asam Urat box 10
308 Stik Gula Darah box 10
309 Spekulum Vagina Ukuran S Set
310 Spekulum Vagina Ukuran M Set
311 Spekulum Vagina Ukuran L Set
312 Steril Lubricant Jelly Botol
313 Ultrasonic gel 250 ml Galon 5
314 Umbilical Cord Nylon OM Pcs
315 Underpad Pcs
316 Urine bag Steril Pcs
317 VTM (Virus Transport Media) Set
GOLONGAN OBAT PROGRAM MALARIA
318 Artesunate Inj, vial 60 mg / ml vial
319 Abate Botol
320 Bactivec Botol
321 Blood Lancet Kotak
322 Cynoff 25 UL Botol
323 Giemsa Botol
324 Imersion Oil Botol
325 Kaca Slide (objek glass frosted 7105 one) Pcs
326 Kuinin (kina) tab 222 mg tablet
327 LABORATORY KID PAKET
328 Mikroskop + Box Nikon Eclipse E-100 Unit
329 Malation Liter
330 Obat Anti Malaria DHP (Dihydroartemisinin) Tablet
331 Primakuin tab 15 mg tablet
332 Rapid Test Malaria (pf/PAN) combo Test
333 RDT DBD Combo TEST
334 Slide Box Buah
335 Kotak Slide BUAH
336 Sipermetrin zeta 15 UL Galon
GOLONGAN OBAT PROGRAM FILARIASIS
337 Albendazole 400 mg tablet
338 Albendazole 200 mg / 5 ml sirup Botol
339 Dietil karbamazepin Sitrat tab 100 mg tablet
GOLONGAN OBAT PROGRAM TB PARU
340 Catridge TCM Buah
341 Isoniazid tab 300 mg Tab
342 Isoniazid tab 100 mg Tab
343 Masker Surgical pcs
344 Obat Anti tuberkulosis FDC Kategori Harian Paket
345 Obat Anti tuberkulosis FDC I Paket 5
346 Obat Anti tuberkulosis FDC II Paket
347 Obat Anti tuberkulosis Anak Paket
348 Obat Anti TBC FDC Kombipak kategori I Paket
349 Pot Sputum pot
350 Reagen Zn kit
GOLONGAN OBAT PROGRAM DIARE
351 Garam Oralit 200 ml Sac
352 ZINK Tablet 200 mg tablet
GOLONGAN OBAT PROGRAM ISPA
353 mineral Mix Pcs
354 Pulse Oxtmetri Portable Unit
355 Sound Timer Unit
GOLONGAN OBAT PROGRAM KUSTA
356 MB.Dewasa blister
357 MB. Anak blister
358 PB.Dewasa blister
359 PB.Anak blister
GOLONGAN OBAT PROGRAM IMUNISASI
360 ADS .0,05 ml Pcs
361 ADS.0,5 ml pcs
362 ADS 5 ml pcs
363 BCG (10 doses) vial
364 DT vial
365 DPT-HB-HIB vial
366 HB-PID vial
367 HEPATITIS B DEWASA syringe
368 HBIG Amp
369 IPV Polio vial
370 Polio BOVP 10 doses vial
371 Spidol Pen Marker Pcs
372 Safety box Pcs
373 Rabies Immune Globulin (Human) Vial
374 Tuberkulin Inj vial
375 TD vial
376 VAR (Verorab) Amp
377 Vaksin Measles and Rubella 10 DS vial
378 Vaksin Influenza Vial
379 Vaksin Meningitis Vial
GOLONGAN OBAT PROGRAM GIZI
380 Ampisilin Serbuk injeksi i.m/i.v 1000mg vial
381 Besi (II) Sulphate (Tablet tambah darah Ibu Ni Tab
382 Diazepam injeksi 5 mg/ml Amp
383 Fenobarbital 50 mg injeksi Amp
384 Gentamisin Sulfat Injeksi 40 mg/ml Amp
385 Glukonas Kalsikus 1 gr Amp
386 Iodine Test Btl
387 Mineral Mix Sach
388 Magnesium Sulfat 40% (MgSo4) Btl
389 MP ASI Biskuit Bks 300
390 Oksitetrasiklin Salep Mata Tub
391 Prokain Penisillin 3 juta IU vial
392 Phytomenadion 2 mg/ml Amp
393 Vitamin A 200.000 IU Kap 20
394 Vitamin A 100.000 IU Kap 38
GOLONGAN OBAT PROGRAM KIA
395 Ampicillin Inj Vial
396 Calsium Gluconas 100 mg/ml Injeksi Amp
397 Deteksi tes kehamilan Paket
398 Diazepam inj 5 mg/ ml amp
399 Fitomenadion 10 mg/ vit K inj amp
400 Glukonas Kalsikus 1 00 mg Amp
401 Gentamicin 80 mg inj amp
402 Implant KB buah
403 IV catheter 18 pcs
404 Masker Ibu Bersalin Pcs
405 Methylergometrin Injeksi 0,2 mg/1 ml Amp
406 Metil ergometrine Maleat 125 mg tablet tab
407 Mg Sulfat 20% 25 ml Vial
408 Mg Sulfat 40% 25 ml Vial
409 Natrium Tiroksin / Tyhrax tab tab
410 Oksitosin Inj 10 IU 1 ml amp
411 Prokain Penisiline 3 ml unit inj Vial
412 Progesteron Depot Inj 1 ml Vial
413 Pil KB Kombinasi cycles
414 Urine Strip strip
GOLONGAN OBAT PROGRAM JIWA
415 Amitripilin HCL 25 mg tablet tablet
416 Fluoksetin 10 mg tablet tablet
417 Haloperidol 0,5 mg Tab
418 Haloperidol 1.5 mg Tab
419 Haloperidol 5 mg Tab
420 Haloperidol inj 5 mg/ml ampul
421 Haloperidol dekanoat inj 50 mg/ml ampul
422 Imipramin HCL 25 mg tablet tablet
423 Karbamazepin 200 mg Tab
424 Klobazam 10 mg tablet tablet
425 Klorpromazin 100 mg tablet tablet
426 Klozapin 25 mg tablet tablet
427 Metadon HCL 50 mg/5 ml btl 1 L
428 Risperidon 2 mg Tablet tablet
429 Triheksifenidil hidroklorida tablet 2 mg Tab
430 Trifluoperazine HCL 5 mg tablet tablet
GOLONGAN OBAT PROGRAM HIV
431 Azithromicyn 1000mg + Cefixime 400mg Paket
432 Benzatin Penicillin 2,4 Juta IU vial
433 Blue Tipe (Mikropipet) Pcs
434 Efavirenz 600 mg Tab
435 Fluconazole Tab
436 Human Hexagon Sypilis Test
437 Kondom Sutra Pcs
438 Lubricant Sutra Pcs
439 Latex Sarung Tangan Pcs
440 Mycamine (micafungin) 50 mg amp
441 Rapid I (SD Bioline HIV 1/2.) Pcs
442 Rapid 2 HIV Pcs
443 Rapid Test HIV 3 Pcs
444 Alere Determine HIV-1/2 Set
445 Alere Determine Combo 20T Set
446 Rapid Test HCV Test
447 Rapid Test HBSAg Test
448 RPR Sypilis Test
449 RPR Sypilis RB Test
450 Swab Desinfektan Pcs
451 Swab Desinfektan (Descoderm) Pcs
452 Tipe Ukuran 61 Pcs
453 Tipe Ukuran 60 Pcs
454 Yellow Tipe (mikropipet) Pcs
GOLONGAN OBAT TAMBAHAN
455 Asifit Tab
456 Atapulgit (New Antides ) Tab
457 Bromheksin tablet 8 mg (HUSTAB ) Tab
458 Bisacodyl 5 mg Tab 300
459 Bisacodyl suppositoria Supp
460 Counterpain cream tube
461 Curcuma FTC Tab
462 Dextamine Tab
463 Dextamine syr Btl
464 Ester C Tab
465 FG Troches tab
466 Hefagard Kap
467 Hyperil (Ramipril 5 mg) Tab
468 Hyosine N Butil Bromide (Spashy) Tab
469 Imunos Kap
470 Imboost Kap
471 Kloramfenikol Tetes Mata (RECO ) Btl
472 Kloramfenikol Tetes Telinga 1% (RECO) Btl
473 Kaolin Pektin (Novadiar syrup ) btl
474 Loperamid tab
475 Levetran salep Pot
476 Noza Tab
477 Nifedipine (Adalat Oros) Tab
478 Metoklopramide Syrup (Primpen sirup 5 mg/5m Btl
479 Metamizol 500 mg / ml Injeksi (Norages) Amp
480 Ondansetron Injeksi Amp
481 Osteotin Tab
482 Obat Flu Batuk Anak (Pimtracol syrup) Botol
483 Obat Flu Batuk Anak (Solafluz syrup) Botol
484 Obat Flu Batuk Neonatus (baby Cough) Btl
485 Obat Flu Batuk Anak (Hufagrip) Btl
486 Salbutamol 2 mg (Lasal) Tab
487 Salbutamol Inhalasi (Salbulin) Kotak
488 Sakatonik abc tab
489 Stesolid Rectal (Diazepam enema 5mg/2,5 ml) tube
490 Tensigard Tab
491 Thromboflash Tube
492 Thrombopob tube
493 Triheksifenidil hidroklorida tablet 2 mg (Hexym Tab
494 Vitamin Neutropik (Bioron) Tab
495 Vitamin Tambah Darah (Hemafort) Tab
496 Vitamin Anak (Tialisin syrup) btl
497 Vitamin Anak (Curviplex) btl
498 Vitamin Dewasa (Becefort tablet ) Tab
499 Vital Ear Drop Botol
500 Ventolin Nebules 2,5 mg Amp
501 Valisanbe (Diazepam Inj) Amp

Mengetahui
Plh. Kepala Puskesmas

Haryanto, SKM
NIP. 19830312 201001 1 010
BAT PADA FASILITAS KESEHATAN TINGKAT PERTAMA (FK

PENGADAAN TAHUN PEMAKAIAN RATA- SISA STOK PER 31 PREDIKSI SISA STOK 31
2021 RATA PER BULAN DESEMBER 2021 DESEMBER 2021
SELAMA 2021

(b) (c) (d) (e) = (a)+(b)-(12x(c))

2,000 100 120 1,050

- -
- -
5 - 3 5
1,000 50 500 500
50 - 44 50
5,000 200 2,770
2 3 26
120 12 20 4
50 4 -
- -
4,000 400 298 1,139
700 50 76 136
10 17
20 2 20 (4)
3 8
200 17 -
55 - 10 55
1,500 446 4,198
- -
100 800
- -
20 3 9
300 1 288
25 3 10 4
- -
- -
50 20 1 10
1,000 - 4,700
2,000 500 270 1,600
500 30 500 140
30 3 30 5
- -
- -
1,400 317 380 (1,504)
3,000 300 45 160
 - -
200 17 -
- -
62 (544)
- -
300 43 100 (216)
50 4 5 2
- -
2,000 29 430 1,652
200 400
3,000 200 600
1,500 200 2,500
500 42 10 396
50 20 30 (190)
230 19 200
240 7 2 156
500 6 100 428
- -
- -
325 20 85
3,000 170 1,027
- -
- -
- -
- -
- -
1,500 125 480 -
1,000 83 350 -
22 (264)
50 - 50
- -
- -
3 9 (105)
1 (12)
200 - 200 200
100 8 -
200 17 -
- -
6 1 3 -
8 (96)
5 1 (7)
- -
- -
30 3 -
39 3 37
100 15 (80)
800 42 296
85 32 (299)
 50 (600)
1,000 83 -
1,000 83 654
1,000 83 520
500 7 416
6 (72)
50 4 -
180 23 37 (42)
500 103 (286)
- -
- -
- -
19 (228)
20 2 -
1,800 150 810 -
1 (12)
400 33 -
400 33 400 -
600 50 260 -
- 30
11 (88)
- -
- -
- -
60 5 46 34
- -
4,000 265 800 820
100 12 50 126
15 1 3
500 50 430 580
500 42 280 30
- -
384 18 192 168
- -
10 - 10
- -
8,000 196 2,600 6,948
48 - 48
- -
- -
- -
- -
150 3 114
1,200 100 710 -
- -
250 9 142
200 10 80
2 9
 100 8 20
360 20 176
- -
1,000 25 880
60 4 10 12
- -
- -
12 1 12 -
1,200 8 700 1,104
48 3 12
- -
50 4 -
300 30 280
- -
500 30 140
2 6
- -
2,000 595 -
- -
3,000 33 700 2,604
- -
- -
130 11 12 -
10 1 10 -
- -
60 4 12
- -
500 17 296
1,000 100 290 250
500 50 20 570
48 2 24
15 5 11 35
- -
300 15 300 120
3,200 200 100 1,140
300 21 105
- -
100 10 80 24
2,500 300 500 1,200
- -
- -
- -
500 3 300 464
- -
300 33 300 (96)
- 100
- -
- -
 - -
500 42 -
- -
- -
200 15 20
- -
600 50 400 -
760 44 246 312
300 25 120 20
380 42 116
200 17 (4)
2,200 80 1,240
- -
- -
700 25 200 410
500 17 496
- -
- -
- -
3 - 2 8
- -
230 19 -
500 60 320 80
800 48 224
- -
- -
- -
35,600 3,000 6,430 2,800
100 - 100 100
500 42 -
30 1 18
- -
500 42 170 -
100 6 28
1,500 183 800 4,904
- -
12 2 12 (11)
- 2
10 - 10 12
- -
68 1 20 56
-

-
-
- -
- -
- -
- -
 - -
- -
9 1 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
1,500 171 340 (322)
- -
- -
5 1 3
- -
- -
1 3
1 35 4
1 34 3
1 120 -
800 50 44 233
1,400 83 449
2 21
500 4 330 475
22 2 12 2
200 17 -
- -
10 1 6 6
20 2 16 6
20 1 18 14
68 8 25 5
80 6 20 51
50 - 16 180
150 23 26 104
200 12 28 186
120 10 -
2 1 2 5
3 1 2 3
3 0 3 2
- -
 10 - 10 10
5 1 1 5
- -
2 - 2
10 1 10
- -
- -
- -
25 2 20 -
- -
- -
10 1 10 -
- -
- -
17 1 7 -
20 2 16 -
- -
- -
- -
- 10 -
- -
- -
- -
- -
- -
5 50 5 605
- -
5 - 5 5
20 1 12 8
15 8 8 119
20 10 100 100
- -
- -
400 25 100
100 - 100
400 33 180
10 59
100 - 90 100
100 - 87 100
- -
- -
24 - 3 34
17 - 1 27
17 - 1 27
- -
- - -
- - -
- - -
 16 1 5
13 (156)
- -
20 2 18 -
- -
-
- -
- -
- -
- -
- -
- -
- -
- -
- -
1 0 1 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
6,400 533 2,010 -
257 14 127 89
- -
-
- -
100 8 100 -
- -
- -
- -
20 2 5
3 0 -
- -
- -
- -
- -
-
1,800 100 1,400 600
- -
-
- -
- -
 - -
-
39 3 2 -
- -
- -
- -
-
1,200 50 33 600
11,100 14 45 -
- -
90 8 10 -
87 1 12 -
60 5 3 -
- -
- -
- -
- -
88 7 28 -
- -
12 - 1 12
18 2 -
- -
2 -
- -
- -
- -
- -
-
- -
16,800 117 3,540 -
- -
- -
- -
- -
- -
17 -
30 3 -
11 168
- -
- -
- -
3,000 120 120 1,580
600 50 6 38
-
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 -
- -
- -
- -
100 8 -
-
- -
- -
- -
1,500 125 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
- -
- -
- -
- -
- -
- -
60 5 -
- -
- -
- -
50 4 -
- -
- -
- -
 - -
- -
- -
- -
50 4 -
- -
- -
- -
- -
- -
-
42 -
- -
600 50 -
300 25 300
1 (12)
- -
- -
- -
- -
- -
- -
- -
- -
600 50 -
- -
- -
- -
- -
- -
400 3 364
356 8 140 260
2,500 20 50 2,260
- -
1 -
100 8 -
- -
- -
- -
- -
- -
240 11 42 108
- -
5 0 5 -
- -
- -
2 (24)
- -
 - -
200 6 128
- -
- -
120 10 18 -
- -
- -
- -
- -
- -
T PERTAMA (FKTP) TAHUN 2022
1

JUMLAH KEBUTUHAN RENCANA KEBUTUHAN RENCANA PENGADAAN KETERANGAN

TAHUN 2022 TAHUN 2022 TAHUN 2022

(f) = (c) x 18 (g) = (f) - (e) (h) (i)

1,800 - 1000
- - 500
- - 300
- - 50
900 400 300
- - 20
3,600 830 4600
36 - 100
216 212 300
75 75 200
- - 20
7,200 6,061 2500
900 764 1500
180 163 50
36 40 10
54 46 50
300 300 600
- - 100
8,028 3,830 1000
- - 500
1,800 1,000 500
- - 200
54 45 20
18 - 200
54 50 200
- - 500
- - 600
360 350 100
- - 500
9,000 7,400 3000
540 400 300
45 40 200
- - 100
- - 50
5,706 7,210 4500
5,400 5,240 800
 - - 500
300 300 2000
- - 150
1,116 1,660 900
- - 300
774 990 500
72 70 80
- - 50
522 - 500
3,600 3,200 500
3,600 3,000 500
3,600 1,100 500
756 - 3000
360 550 250
345 145 100
126 (30) 100
108 - 500
- -
- - 200
360 275 300
3,060 2,033 1000
- - 10
- - 100
- - 100
- - 100
- - 200
2,250 2,250 100
1,500 - 500
396 - 500
- - 100
- - 200
- - 200
162 267 50
18 30 15
- - 500
150 150 20
300 - 100
- - 100
9 9 5
144 240 200
18 25 10
- - 60
- - 300
45 45 50
54 - 100
270 - 500
756 - 500
576 875 500
 900 1,500 1000
1,500 - 800
1,494 840 500
1,500 980
126 - 500
108 - 500
75 75 50
414 456 500
1,854 2,140 500
- - 500
- -
- - 30
342 570 100
30 30 50
2,700 2,700 200
18 30 20
600 600
600 600
900 900
- - 500
198 - 100
- -
- - 100
- - 100
90 56 100
- -
4,770 3,950 4500
216 90 200
18 15 50
900 320 5000
750 720 200
- - 200
324 156 100
- - 100
- - 50
- - 100
3,528 - 5000
- - 50
- - 100
- -
- - 30
- - 100
54 - 100
1,800 1,800 100
- - 500
162 20 100
180 100 200
36 27 20
 150 130 1000
360 184 500
- - 20
450 - 500
72 60 300
- - 100
- -
18 18 50
144 - 500
54 42 200
- - 500
75 75 100
540 260 100
- -
540 400 800
36 30 100
- - 150
10,710 10,710 3000
- -
594 - 500
- - 500
- - 500
195 195 200
15 - 20
- - 50
72 60 400
- - 100
306 - 100
1,800 1,550 2000
900 330 3000
36 12 50
90 - 300
- - 100
270 150 150
3,600 2,460 10000
378 - 300
- - 400
180 156 600
5,400 4,200 15000
- - 300
- - 50
- - 2000
54 - 800
- -
594 690 100
- - 300
- - 50
- - 200
 - -
750 750
- -
- -
270 - 1000
- - 50
900 -
792 480 650
450 430 3000
756 640 650
306 310 200
1,440 200 200
- - 500
- - 500
450 - 500
306 - 1000
- - 50
- - 50
- - 50
- - 5
- - 6
345 345 150
1,080 1,000 6000
864 640 500
- - 500
- - 300
- - 200
54,000 51,200 15000
- - 300
750 750
18 - 100
- - 5000
750 750 300
108 80 1500
3,294 - 8000
- - 50
36 47 50
- (2) 10
- - 5
- - 2000
18 (38) 100
- -
100
- -
- - 1
- - 1
- - 1
- - 1
 - - 1
- - 1
14 14 4
- - 1
- - 1
- -
- - 1
- -
- - 1
- -
- -
- -
- - 1
- - 1
- - 1
- - 1
- - 1
- -
3,078 3,400 1500
- - 5
- - 50
18 15 50
- - 100
- - 30
18 15 30
18 14 30
18 15 50
18 18 50
900 667 2000
1,494 1,045 2000
36 15 2000
72 - 1500
36 34 100
300 300 100
- - 20
15 9 30
30 24 30
18 4 30
144 139 300
108 57 500
- - 200
414 310 500
216 30 200
180 180 400
18 13 200
18 15 10
5 3 10
- -
 - - 50
18 13 50
- - 15
- - 10
18 8 30
- - 300
- - 300
- - 300
38 38 200
- - 300
- - 300
15 15 300
- - 200
- - 8000
26 26 5
30 30 5
- - 2000
- - 50
- - 10
- - 15
- - 100
- - 200
- -
- - 10
- - 5
900 295 5
- - 5
- - 50
18 10 50
144 25 50
180 80 1500
- - 2000
- - 2000
450 350 500
- - 500
600 420 200
180 121 1500
- - 100
- - 200
- - 100
- - 500
- - 10
- - 5
- - 5
- -
- -
- -
- -
 24 19 5
234 390 100
- -
30 - 30
- -
- -
- - 12
- -
- -
- -
- -
- -
- -
- -
- -
2 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9,600 9,600 600
252 163 150
- -
- -
- -
150 150
- -
- -
- -
30 25 25
5 5
- - 1
- -
- - 25
- -
- -
1,800 - 700
- -
- -
- -
- -
 - -
- -
59 59
- -
- -
- -
- -
900 300 600
252 252 300
- -
135 135 40
18 18 20
90 90 50
- - 65
- -
- -
- - 20
132 132 75
- -
- -
27 -
- -
36 36 40
- -
- - 25
- -
- -
- -
- -
2,106 2,106 2500
- -
- -
- -
- -
- - 4
306 306
45 45
198 30
- -
- -
- - 300
2,160 580 500
900 862 300
- -
- -
- - 10
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
36 36 200
- -
- -
- -
150 150 200
- -
- - 1000
- -
- -
2,250 - 1000
- -
- -
- -
- -
- - 500
- - 100
- -
- -
- -
- -
- - 1000
- -
- -
- -
- -
- -
- -
- -
- -
90 90
- -
- -
- -
75 75
- -
- -
- -
 - -
- -
- - 10
- - 10
75 75
- -
- -
- -
- -
- -
- -
756 756 1000
- - 700
900 900 1000
450 -
18 30 10
- - 20
- - 500
- - 500
- - 100
- - 1000
- - 500
- -
- -
900 900
- - 500
- - 500
- -
- - 20
- - 150
54 - 300
144 - 50
360 - 2000
- - 200
18 18 200
150 150 300
- - 200
- -
- - 200
- - 200
- - 100
198 90 200
- - 5
8 8 10
- - 700
- -
36 60 500
- - 12
 - - 12
108 - 1000
- - 2000
- - 2000
180 180 300
- - 300
- - 500
- - 200
- - 200
- - 0

Bakau, 07 Januari 2022

Pengelola Obat Puskesmas

Rudianor, A.Md.Farm
NIP. 19910510 201403 1 002