Pengeluaran Jan Jun

Pengeluaran IFK ke Puskesmas Tabanan I
Kode No Nama Obat Satuan

Januari Pebruari Maret April
1 2 3 4 6 15
A1 1 Acyclovir Salep Tube 50 50
A2 2 Acyclovir 400 mg Tab Tablet 300
A3 3 Air raksa dental use Botol
A4 4 Albendazol 400 mg tab Tablet 6000
A5 5 Alprazolam 0.5 mg Tablet
A6 6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet 300
A7 7 Ambroxol syr Botol 50 50
A8 8 Ambroxol tab 30 mg / Promukus Tablet 1000 100 3000
A9 9 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul
A10 10 Aminofilna tablet 200 mg Tablet
A11 11 Amitriptilina hcl tablet salut 25 mg Tablet
A12 12 Amoksilina kapsul 500 mg Tablet 5000 2000
A13 13 Amoksilna sirup kering 125 mg/ 5 mg Botol 48
A14 14 Antasida doen tablet kombinasi Tablet 3000
A15 15 Anti hemmoroid suppositoria Supp 2000 20
A16 16 Aqua pro injeksi streril. Bebas priogen 20 ml Vial
A17 17 Aquadest steril 500 ml Botol 5
A18 18 As salisilat 2% + belerang endap 4%(2-4 salep Pot
A19 19 As. Benzoat 3 % + as salisilat 6%(whitefield) Pot
A20 20 Asam askorbat (Vit. C) tablet 50 mg Tablet 1000
A21 21 Asam mefenamat 500 mg Tablet 3000
A22 22 Asetosal 100 mg Tablet
A23 23 Asetosal tablet 500 mg Tablet
A24 24 Atropina sulfat injeksi 0 .25 mg / ml - 1 ml Ampul
A25 25 Basitrasin Polimiksin Tube
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 100 11900
A27 27 Betahistin tab Tablet 1000
A28 28 Betametazon salep kulit Tube 96
A29 29 Captopril 12.5 mg tablet Tablet
A30 30 Captopril 25 mg tablet Tablet 1000
A31 31 Carbamazepina 200 mg talet Tablet
A32 32 Cefadroxil 125mg/5ml Sirup Botol 60
A33 33 Cefadroxill 500 mg tablet Tablet
A34 34 Cefotaxim 1 gr Injeksi Ampul
A35 35 Cetirizin10 mg tab Tablet
A36 36 Cimetidine/Selestidin Tablet 1000
A37 37 Ciprofloxazin tablet 500 mg Tablet
A38 38 Deksametason injeksi 5 mg / ml - 1 ml Ampul 1000
A39 39 Deksametason tablet 0.5 mg Tablet 2000 100
A40 40 Devitalisasi pasta Tube 5000
A41 41 Diazepam 5 mg Tablet 1
A42 42 Diazepam injeksi 5 mg / ml - 2 ml Ampul
A43 43 Diazepam tablet 2 mg Tablet
A44 44 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul
A45 45 Digoksina tablet 0. 25 mg Tablet
A46 46 Domperidon tablet 10 mg Tablet
A47 47 Doxycicline 100 mg tab Tablet
A48 48 Efedrina HCL (efedrina) tablet 25 mg Tablet
A49 49 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul
A50 50 Ergotamina tartrat 1 mg + kofeina 50 mg tab Tablet 15
A51 51 Erytromysin 200mg/5ml Syrup Botol
A52 52 Erytromysin tablet 500 mg Tablet
A53 53 Etakridina (rivanol) larutan 0.1 % Botol
A54 54 Etil klorida semprot Botol 10 20
A55 55 Eugenol cairan Botol
A56 56 Fenobarbital inj 50 mg /ml -2ml Ampul 2
A57 57 Fenobarbital tablet 100mg Tablet
A58 58 Fenobarbital tablet 30 mg Tablet 500 500
A59 59 Fenol gliserol tetes telnga 10% Botol
A60 60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul 5
A61 61 Fitomenadion (vit. K1) tablet salut 10 mg Tablet
A62 62 Furosemida tablet 40 mg Tablet 200
A63 63 Garam Oralit untuk 200 ml air Sachet 500
A64 64 Gentamisin Salep Mata Tube
A65 65 Gentamysin SK Tube
A66 66 Gentamysin TM/Genoint TM Botol 72
A67 67 Gentian violet larutan 1 % Botol
A68 68 Glibenklamida tablet 5 mg Tablet 500 500
A69 69 Gliseril guayakolat tablet 10 mg Tablet
A70 70 Glukosa larutan infus 10 % steril Botol
A73 73 Griseofulvin tablet 125 mg. Mikronized Tablet 2
A74 74 Haloperidol 0,5 mg. Tablet Tablet
A75 75 Haloperidol 1,5 mg tablet Tablet
A76 76 Haloperidol 5 mg tablet Tablet
A77 77 Hidroklorotiasida (HCT) tablet 25 mg Tablet
A78 78 Hidrokortison krim 2.5 % Tube 72
A79 79 Ibuprofen tablet 400 mg Tablet 500 500
A80 80 Isoniazide 100 mg Tablet 2000
A81 81 Isoniazide 300 mg Tablet
A82 82 Isosorbid dinitrat Tablet
A83 83 Kalsium hidroksida pasta Pot
A84 84 Kalsium laktat (kalk) tablet 500 mg Tablet 500 300
A85 85 Ketokonazole 200 mg tablet Tablet 1000
A86 86 Kinina dihidroklorida (kinina) inj 25 % - 2 ml Ampul
A87 87 Kinina sulfat tablet 222 mg (7 h20 ) Tablet
A88 88 Kloramfenicol salep kulit Tube
A89 89 Kloramfenikol kapsul 250 mg Tablet
A90 90 Kloramfenikol salep mata 1 % Tube
A91 91 Kloramfenikol tetes Mata Botol
A92 92 Kloramfenikol tetes telinga 3 % Botol
A93 93 Klorfeniramina maleat (CTM) tablet 4 mg Tablet 50
A94 94 Klorpromazin 100 mg tablet Tablet
A95 95 Klorpromazina Hcl inj 25 mg / ml - 1 ml Ampul
A97 97 Klorpromazina hcl tablet salut 25 mg Tablet
A98 98 Kodeina Hcl (kodeina) tablet 10 mg Tablet
A99 99 Kotrimoksasol suspensi Botol 50
A100 100 Kotrimoksasol tablet kombinasi Tablet 50
A101 101 Lidokain inj Ampul 1000
A102 102 Lidokaina comp inj kombinasi Ampul
A103 103 Metakresol sulfonat dan metanol kondensai Botol
(Albotyl)
A104 104 Metformin 500 mg tablet Tablet 500 2000
A105 105 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul 500
A106 106 Metilergometrina malet tablet salut 0. 125 mg Tablet
A107 107 Metilprednisolon tablet 4 mg Tablet 1000 2000
A108 108 Metoklopramide 10 mg tablet/Noristal Tablet
A109 109 Metronidazol 500 mg Tablet
A110 110 Metronidazol tablet 250 mg Tablet
A111 111 Mikonazole salep Tube
A112 112 Monoklorkamfer mentolcairan (CHKM) Botol
A113 113 Mumifyng pasta Botol
A114 114 Natrium bikarbonat tablet 500 mg Tablet
A115 115 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 10
A117 117 Nifedipin tablet 10 mg Tablet 10
A118 118 Nistatin 100. 000 iu/g tablet vaginal Tab Vag 50
A119 119 Obat batuk hitam (OBH) cairan Botol 100 ml
A120 120 Ofloxacin tab 400mg Tablet
A121 121 Oksigen gas dalam tabung 3 m3 Tabung 1
A122 122 Oksigen gas dalam tabung 6 m3 Tabung
A123 123 Oksitetrasiklina hcl salep 3 % Tube
A124 124 Oksitetrasiklina hcl salep mata 1 % Tube
A125 125 Oksitosina inj 10 iu/ml - 1 ml Ampul
A126 126 Parasetamol sirup 120 mg / 5 ml Botol 100
A127 127 Parasetamol tab 100 mg Tablet
A128 128 Parasetamol tablet 500mg Tablet 3000 5000 2000 2000
A129 129 Pirantel pamoat (pirantel) tablet 125 mg basa Tablet 0
A130 130 Piroxicam 10 Mg Tablet
A132 132 Prednison tablet 5 mgn Tablet
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 500
A134 134 Primakina tablet 15 mg Tablet
A135 135 Prokaina penisilina g inj 3 juta iu Vial
A136 136 Propiltionurasil tablet 100 mg Tablet
A137 137 Propranolol hcl (Propranolol) tablet 40 mg Tablet
A138 138 Pyridoxin injeksi Ampul
A139 139 Ranitidin inj 25 mg/2 ml Ampul
A140 140 Ranitidin tablet 150 mg Tablet 2000
A141 141 Reserpina tablet 0, 10 mg Tablet
A143 143 Retinol (vit. A) kapsul lunak 200.000 iu Tablet 1500
A144 144 Retinol (vit. A) tablet salut 100. 000 iu Tablet 250
A145 145 Ringer laktat larutan infus steril Botol
A146 146 Risperidon Tablet
A147 147 Salbutamol tablet 2 mg Tablet
A149 149 Salisil bedak 2 % Bks 100
A150 150 Salisil spiritus 10 % Botol
A151 151 Semen seng fosfat serbuk dan cairan Botol
A152 152 Serum anti bisa ular polivalen inj. 5ml Ampul
A153 153 Serum anti tetanus inj. 1.500 iu Ampul
A154 154 Sianokobalamina (vit.b12) inj. 500 mcg Ampul 100 100
A155 155 Silver amalgam serbuk 65-75% Botol
A156 156 Simvastatin tab 10 mg Tablet 900
A157 157 Sulfacetamide tetes mata Botol
A158 158 Synthetic filing material larutan dan serbuk Set
A159 159 Temporary stopping fletcher serbuk dan cairan Set
A160 160 Tetrasiklina hcl (tetrasiklina) kapsul 250 mg Tablet
A162 162 Thiamfenikol 500 Tablet 500
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 1000
A164 164 Tiamina hcl (vit.b1) inj. 100 mg/ml Ampul 1000
A165 165 Tramadol Tablet
A166 166 Trifluoperazine (Stelazin) Tablet
A167 167 Triheksfenidil hcl 2 mg tablet Tablet
A168 168 Trikresol formalin (tkf) cairan Botol
A169 169 Vitamin B kompleks tablet Tablet 1000 2000
A170 170 Yodium povidan larutan 10% 300 ml Botol 3000
A171 171 Yodium povidon larutan 10% 30 ml Botol
A172 172 Zink tablet Tablet 500 300
Amoxicillin syr 250 / 5 mg
OBAT TAMBAHAN
A173 173 Aptil Botol

A174 174 (Lopinavir/Ritonavir)Aluvia Botol
A175 175 Abacavir Tablet
A176 176 Acyclovir tablet 200 mg Tablet
A177 177 Aleterol TM Botol
A178 178 Amlodipin 10 mg tab Tablet
A179 179 Amlodipin 5 mg tab Tablet 600 300
A180 180 Amox-clav Tablet
A181 181 Ampisilin Serbuk Injeksi i.m/i.v. 1000 mg/ml Ampul
A182 182 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul
A183 183 Antalgin injeksi Ampul

A184 184 Antasida syr Botol
A185 185 Arterakine Tablet
A186 186 Artesunat inj Vial

A187 187 Asam Folat 1 mg Tablet
A188 188 Asam tranexamat 500 mg Tablet
A189 189 Asetosal 80/miniaspi tablet
A190 190 Atripla(TDF+3TC+EFV) Botol
A191 191 Azitromisin+cefixim Tablet
A192 192 Azytromisin tablet 500 mg Tablet
A193 193 BD Vacuntainer Pcs
A194 194 Becefort Tablet 2000
A195 195 Benzatin Penisillin Vial
A196 196 Bonding Set
A197 197 Bufacomb salep Tube
A198 198 Buscopan inj Ampul 20
A199 199 Caviton Tube
A200 200 Cefixim syr 100 mg/5 ml Botol 1
A201 201 Cefixim tablet 100 mg Tablet
A203 203 Cefotaxim 0,5 g inj Vial
A204 204 Ceftriaxon inj Vial
A205 205 Clarithromysin 500 mg Tablet
A206 206 Clavamox inj Ampul
A207 207 Clindamisin 150 mg Tablet
A209 209 Clobazam 10 mg Tablet 100
A210 210 Clozapine 25 mg Tablet
A211 211 Composite (tumpatan sinar)A3 Set
A212 212 Composite (tumpatan sinar)A3.5 Set
A213 213 Crofed Tablet
A214 214 D1/2 NS botol
A215 215 D1/4 NS Botol
A216 216 Daryantulle Lembar
A217 217 Dermazine/Burnazin Tube
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet 500 3 500
A219 219 Dextran 70% Botol
A220 220 Dextrofen syr Botol 50 50

A221 221 Diaform tablet/selesdiar Tablet 50
A222 222 Dormi/Scopma/Spashi tablet Tablet
A223 223 Dulcolac anak supp Supp
A224 224 Dulcolac dewasa supp Supp
A225 225 Dulkolak tablet Tablet
A226 226 Duviral(Zidovudin 300+Lamivudin 150) Botol
A227 227 Efavirenz Botol
A228 228 Etambutol Tablet
A229 229 ETSA Set
A230 230 Euthyrox 100mg Tablet 500
A231 231 Faktu Supp Supp
A232 232 Fluconasol tab Tablet
A233 233 Fluoxetin Tablet

A234 234 Forumen TT Fls
A235 235 Gentamisin Injeksi 80 mg/2ml Ampul
A236 236 Glass ionomer (Ketac Molar) Tube
A237 237 Glimepiride 2 tablet 1
A238 238 Glimepiride 4 tablet
A239 239 Glukonas Calcicus 10%- 10ml Ampul
A240 240 Haldol inj Ampul

A241 241 Hiviral (Lamivudin 150) Botol
A242 242 Ibuprofen syr btl
A243 243 Iliadin TH flesh
A244 244 Isotic Neolisin TM Fls
A245 245 Kalium Diklovenac tablet 2000
A246 246 Kaltropen supp Supp
A247 247 Ketoconazole SK tube 30
A248 248 Ketoprofen inj 10 mg Ampul
A249 249 Ketoprofen tablet 100 mg Tablet
A250 250 Ketorolac inj Ampul
A251 251 Kombipak Anak Paket
A252 252 Lodomer 2 Tablet
A253 253 Lytamin syr botol
A254 254 Magnesium Sulfat 20% - 25 ml Botol
A256 256 Metil Prednisolon 16 mg Tablet

A257 257 Metil prednisolon inj 500 mg Vial
A258 258 Metronidazole 500 mg Infus/100 ml Botol
A259 259 Meylon inj Botol
A260 260 Microlax Supp 5
A261 261 Miloxicam 7,5 mg tablet 5
A262 262 Molexflu Tablet 500
A263 263 Multivitamin (Livron B plek) Tablet
A264 264 Multivitamin sirup( Xanvit syr) Botol 2000
A265 265 Neurotropik tablet Tablet
A266 266 Neviral (neviravin 200mg) Botol
A267 267 New antides tablet
A268 268 Nutrifar 5000 Tablet 1000
A269 269 Obat anti tuberkulosis FDC katagori I Paket 3 2
A270 270 Obat anti tuberkulosis FDC anak Paket 3 2
A271 271 Obat anti tuberkulosis FDC katagori II Paket
A272 272 Obat anti tuberkulosis FDC sisipan Paket
A273 273 Obat anti tuberkulosis kategori I Paket
A274 274 Obat Batuk Kombinasi Botol
A275 275 Obat Flu kombinasi CTM, PPA (Anaflu), Tablet 2000
Demacolin
A276 276 Obat Flu Kombinasi/Mecofed/Quantidex Tablet 1000
A277 277 OBH plus botol 48 48
A278 278 Omeprasole tablet 20 mg Tablet 600
A279 279 Ondancentron inj Ampul
A280 280 Ondancetron 4 mg Tablet
A281 281 Orpen Tablet 1000 1000
A282 282 Oseltamivir Tablet 2000
A283 283 Paket bonding Set
A284 284 Pamol 125 mg Supp Supp 6
A285 285 Pamol 250 mg Supp Supp
A286 286 Pantocain Tetes Mata Botol
A287 287 Parasetamol drop Botol
A288 288 Pehacain Injeksi Ampul
A289 289 Pehatrim Forte (Kotrimoksasol tab forte 960 mg) Tablet 60
A290 290 Perhidrol (H2O2) Botol
A291 291 Phenitoin tab Tablet
A292 292 Piracetam 400 mg Tablet
A293 293 Piracetam inj 200mg/1ml Ampul
A294 294 Pirimethamine tablet Tablet
A295 295 Prenatin DF Tablet 1200 3000 600
A296 296 Prenatin plus tablet tablet
A297 297 Primaquin Tablet
A298 298 Primperan inj Ampul

A299 299 Procurma sirup botol 50 50
A300 300 Prokain Benzil Penicillin G Injeksi 3 jt IU/vial Vial
A301 301 Proris supp Supp

A302 302 Pularex Tablet
A303 303 Scabimite cream tube
A304 304 Sikzonoate inj Ampul
A305 305 Simvastatin tab 20 mg Tablet
A306 306 Spashi inj Ampul
A307 307 Spashi tab Tablet
A308 308 Stelosi tab 5 mg Tablet
A309 309 Stesolid rectal Supp 5
A310 310 Strop indra Botol
A311 311 Sulfadiazin tablet Tablet
A312 312 Tenofovir (Tenofovir 300mg) Botol
A313 313 Tetagam Ampul 80
A314 314 Tramadol inj 50 mg/ml Ampul 10
A315 315 Tranexid inj (Asam tranexamat inj) Ampul
A316 316 Urotractin tablet
A317 317 Ventolin Nebulizer Ampul
A318 318 Vitamin B12 tab Tablet
A319 319 Vitamin Neurotropik inj Ampul
A320 320 Vitamin Neurotropik tablet (Nutrifar, Sohobion) Tablet
A321 321 VitKa infan Ampul
A322 322 Xylocain Gel Ampul
A323 323 Zidovudine 100 mg Tablet
Sucralfate susp
Clopidogrel bisulfate
Levofloxacin 500
Spironolactone 25 mg
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs 500 600
B2 2 ADS 0.05 ml Pcs 100
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs
B5 5 Alat suntik sekali pakai 1 ml Pcs
B6 6 Alat suntik sekali pakai 2,5 ml Pcs
B8 8 Bisturi no 13 Pcs
B10 10 Bisturi no 19/20 Pcs
B12 12 Box slide kotak
B13 13 Catgut 2/0 plain Sachet
B14 14 Catgut / benang bedah no 2/0 chromic Sachet
B15 15 Catgut / benang bedah no 3/0 plain Sachet
B16 16 Catgut 1/0 Chromic Pcs
B17 17 Catgut 2/0 Chromic Roll Roll
B19 19 Cutgut Chromic No.1 atraumatik (sachet) Sachet
B20 20 Etanol 70 % Botol
B21 21 Etanol 70 % Botol 100 ml
B22 22 Film Rontgen 18 x 24 Set
B23 23 Folley catheter Pcs
B24 24 Hypavix (Ultrafik) Roll
B25 25 I.V Catheter 22 Pcs
B27 27 Infusion set anak Set
B28 28 Infusion set dewasa Set
B29 29 IV Cath dgn Katup pcs
B30 30 IV Catheter 18 Pcs
B32 32 IV Catheter no 18 G Terumo Pcs
B34 34 Jarum injeksi Pcs
B35 35 Jarum jahit (bedah) no. 9 s/d 14 Set
B36 36 Jarum Jahit Bedah no 12 Set
B39 39 Jarum Kulit Set
B40 40 Jarum Otot dan Kulit Set
B41 41 Jelly RO Tube
B42 42 Kantung Puyer Pak
B43 43 Kapas pembalut / absorben 250 gram Roll
B44 44 Kasa gulung 40 x 80 Roll
B45 45 Kasa Hidrofil 4 x 10 Roll
B46 46 Kasa kompres 40 / 40 steril Roll
B47 47 Kasa pembalut 2 x 80 Roll
B48 48 Kasa pembalut hidrofil 4 m x 15 cm Roll
B49 49 Kasa pembalut hidrofin 4m x 3 cm Roll
B50 50 Kasa Steril ( 18 x 22 ) Kotak
B51 51 Kertas EKG Roll
B52 52 Kertas saring Lembar
B53 53 Kertas USG Roll

B54 54 Klem Tali Pusar pcs
B55 55 Klip Kecil Pak
B56 56 Klip Tanggung Pak
B57 57 Lampu spiritus botol
B58 58 Lisol mengandung kresol Botol
B59 59 Masker Pcs
B60 60 Masker Bedah Pcs
B61 61 Masker N95 Pcs
B62 62 MY Jelly Tube 20
B63 63 Nasal cannula Oksigen pcs
B64 64 Pembalut Gips Roll
B65 65 Perkamen Pak
B66 66 Plester 5 yard x 2 inch Roll
B67 67 Pot Salep Pot
B68 68 Pot Sputum Pcs
B69 69 Safety box Pcs
B70 70 Sarung Tangan Gynaecologi pasang
B71 71 Sarung Tangan L Pasang
B72 72 Sarung Tangan M Pasang
B73 73 Sarung Tangan S Pasang
B74 74 Sarung Tangan Steril Pasang
B75 75 Sarung Tangan Surgiglove Pasang
B76 76 Sendok Takar Pcs 300
B77 77 Silk 3/0 roll Roll
B78 78 Silk (benang bedah sutera) no.3/0 Pcs
B79 79 Slide Prosted Pak
B80 80 Spalk tungkai atas anak Pcs

B81 81 Spalk tungkai atas dewasa Pcs
B82 82 Spalk tungkai bawah anak Pcs
B83 83 Spalk tungkai bawah dewasa Pcs
B84 84 Spuit 10 ml Pcs
B85 85 Spuit 2/3 ml Pcs
B86 86 Transfusi Set Pcs
B87 87 Uji Tuberkulin Vial

B88 88 Underpad Pak
B89 89 Urinebag Set
B90 90 Wing Needle 21 Pcs
Mei Juni Jumlah
100
300
0
210 6210
0
300
50 150
4100
0
0
0
2000 9000
48 96
1000 4000
2020
0
5
0
0
1000 2000
1000 4000
0
0
0
0
1000 13000
1000
96
0
1000
0
60
0
0
0
1000
1000 1000
1000
1000 3100
5000
1
0
0
0
0
0
0
0
0
15
0
0
0
30
0
2
0
300 1300
0
5
0
200
500
0
0
72
0
1000
0
0
0
0
2
0
0
0
0
72
200 1200
2000
0
0
0
800
1000
0
0
0
0
0
0
20 20
1000 1050
0
0
0
0
0
50
50
1000
0
0
200 2700
500
0
3000
0
0
0
0
2 2
0
0
0
5 15
10
50
0
0
1
0
0
0
0
100
0
1000 13000
0
0
0
0
500
0
0
0
0
0
0
2000
0
0
1500
250
3 3
0
0
0
100
0
0
0
0
200
0
900
0
0
0
0
0
500
1000
1000
0
0
0
2 2
3000
3000
0
800
0
0
0
0
0
0
0
0
0
300 1200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000 3000
0
0
20 20
20
0
1
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
1000 2003
0
100
50
0
0
0
0
0
0
0
0
500
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1000 3000
0
30
0
0
0
0
0
0
0
0
0
0
0
0
5
5
500
0
2000
0
0
0
1000
3 3 11
5
0
0
0
0
2000
1000
96
600
0
0
2000
2000
0
6
0
0
0
60 60
60
0
0
0
0
0
600 5400
0
0
0
100
0
0
0
0
0
0
0
0
0
5
0
0
0
80
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
300 1400
100 200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pengeluaran IFK ke Puskesmas Tabanan II

Januari Pebruari Maret April Mei Juni Jumlah
1 2 3 4 6 15
A2 2 Acyclovir 400 mg Tab Tablet 500 500 1000
A3 3 Air raksa dental use Botol 0
A4 4 Albendazol 400 mg tab Tablet 2520 2520
A5 5 Alprazolam 0.5 mg Tablet 200 200
A6 6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet 500 100 500 1100
A7 7 Ambroxol syr Botol 150 100 50 300
A8 8 Ambroxol tab 30 mg / Promukus Tablet 2000 1000 2000 5000
A9 9 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul 0
A10 10 Aminofilna tablet 200 mg Tablet 0
A11 11 Amitriptilina hcl tablet salut 25 mg Tablet 0
A12 12 Amoksilina kapsul 500 mg Tablet 5000 10000 5000 3000 23000
A13 13 Amoksilna sirup kering 125 mg/ 5 mg Botol 96 96
A14 14 Antasida doen tablet kombinasi Tablet 3000 2000 2000 1000 2000 10000
A15 15 Anti hemmoroid suppositoria Supp 0
A16 16 Aqua pro injeksi streril. Bebas priogen 20 ml Vial 0
A18 18 As salisilat 2% + belerang endap 4%(2-4 salep Pot 0
A19 19 As. Benzoat 3 % + as salisilat 6%(whitefield) Pot 0
A20 20 Asam askorbat (Vit. C) tablet 50 mg Tablet 2000 500 2500
A21 21 Asam mefenamat 500 mg Tablet 3000 3000
A22 22 Asetosal 100 mg Tablet 0
A23 23 Asetosal tablet 500 mg Tablet 0
A24 24 Atropina sulfat injeksi 0 .25 mg / ml - 1 ml Ampul 0
A25 25 Basitrasin Polimiksin Tube 75 100 50 50 275
A27 27 Betahistin tab Tablet 990 990
A28 28 Betametazon salep kulit Tube 48 96 48 48 100 340
A29 29 Captopril 12.5 mg tablet Tablet 0
A30 30 Captopril 25 mg tablet Tablet 2000 2000 1000 5000
A31 31 Carbamazepina 200 mg talet Tablet 0
A33 33 Cefadroxill 500 mg tablet Tablet 2000 500 2500
A34 34 Cefotaxim 1 gr Injeksi Ampul 0
A35 35 Cetirizin10 mg tab Tablet 0
A37 37 Ciprofloxazin tablet 500 mg Tablet 2000 2000
A39 39 Deksametason tablet 0.5 mg Tablet 2000 2000 1000 1000 2000 8000
A42 42 Diazepam injeksi 5 mg / ml - 2 ml Ampul 0
A43 43 Diazepam tablet 2 mg Tablet 0
A44 44 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul 90 90
A45 45 Digoksina tablet 0. 25 mg Tablet 0
A46 46 Domperidon tablet 10 mg Tablet 0
A47 47 Doxycicline 100 mg tab Tablet 0
A48 48 Efedrina HCL (efedrina) tablet 25 mg Tablet 0
A49 49 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul 5 5
A51 51 Erytromysin 200mg/5ml Syrup Botol 0
A52 52 Erytromysin tablet 500 mg Tablet 0
A53 53 Etakridina (rivanol) larutan 0.1 % Botol 0
A55 55 Eugenol cairan Botol 0
A57 57 Fenobarbital tablet 100mg Tablet 0
A58 58 Fenobarbital tablet 30 mg Tablet 0
A59 59 Fenol gliserol tetes telnga 10% Botol 0
A60 60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul 2 2
A61 61 Fitomenadion (vit. K1) tablet salut 10 mg Tablet 0
A62 62 Furosemida tablet 40 mg Tablet 200 500 700
A63 63 Garam Oralit untuk 200 ml air Sachet 600 200 200 100 300 1400
A64 64 Gentamisin Salep Mata Tube 48 48
A65 65 Gentamysin SK Tube 0
A66 66 Gentamysin TM/Genoint TM Botol 48 48 48 144
A67 67 Gentian violet larutan 1 % Botol 0
A68 68 Glibenklamida tablet 5 mg Tablet 200 300 500
A69 69 Gliseril guayakolat tablet 10 mg Tablet 1000 2000 3000
A70 70 Glukosa larutan infus 10 % steril Botol 0
A74 74 Haloperidol 0,5 mg. Tablet Tablet 0
A75 75 Haloperidol 1,5 mg tablet Tablet 0
A76 76 Haloperidol 5 mg tablet Tablet 0
A77 77 Hidroklorotiasida (HCT) tablet 25 mg Tablet 0
A78 78 Hidrokortison krim 2.5 % Tube 48 48 24 120
A79 79 Ibuprofen tablet 400 mg Tablet 2500 5000 2000 9500
A80 80 Isoniazide 100 mg Tablet 200 100 300
A82 82 Isosorbid dinitrat Tablet 0
A83 83 Kalsium hidroksida pasta Pot 0
A84 84 Kalsium laktat (kalk) tablet 500 mg Tablet 0
A86 86 Kinina dihidroklorida (kinina) inj 25 % - 2 ml Ampul 0
A87 87 Kinina sulfat tablet 222 mg (7 h20 ) Tablet 0
A88 88 Kloramfenicol salep kulit Tube 50 50
A89 89 Kloramfenikol kapsul 250 mg Tablet 0
A90 90 Kloramfenikol salep mata 1 % Tube 0
A91 91 Kloramfenikol tetes Mata Botol 0
A92 92 Kloramfenikol tetes telinga 3 % Botol 48 48
A94 94 Klorpromazin 100 mg tablet Tablet 0
A95 95 Klorpromazina Hcl inj 25 mg / ml - 1 ml Ampul 0
A97 97 Klorpromazina hcl tablet salut 25 mg Tablet 200 200
A98 98 Kodeina Hcl (kodeina) tablet 10 mg Tablet 0
A99 99 Kotrimoksasol suspensi Botol 100 100 200
A100 100 Kotrimoksasol tablet kombinasi Tablet 1000 500 1500
A101 101 Lidokain inj Ampul 100 100
A102 102 Lidokaina comp inj kombinasi Ampul 0
A103 103 Metakresol sulfonat dan metanol kondensai Botol 0
(Albotyl)
A104 104 Metformin 500 mg tablet Tablet 500 200 700
A106 106 Metilergometrina malet tablet salut 0. 125 mg Tablet 0
A107 107 Metilprednisolon tablet 4 mg Tablet 2500 3000 3000 2000 10500
A108 108 Metoklopramide 10 mg tablet/Noristal Tablet 0
A109 109 Metronidazol 500 mg Tablet 0
A110 110 Metronidazol tablet 250 mg Tablet 0
A111 111 Mikonazole salep Tube 24 24
A112 112 Monoklorkamfer mentolcairan (CHKM) Botol 0
A113 113 Mumifyng pasta Botol 0
A114 114 Natrium bikarbonat tablet 500 mg Tablet 0
A115 115 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet 0
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 12 10 5 10 37
A118 118 Nistatin 100. 000 iu/g tablet vaginal Tab Vag 100 100
A119 119 Obat batuk hitam (OBH) cairan Botol 100 ml 0
A120 120 Ofloxacin tab 400mg Tablet 0
A123 123 Oksitetrasiklina hcl salep 3 % Tube 0
A124 124 Oksitetrasiklina hcl salep mata 1 % Tube 0
A125 125 Oksitosina inj 10 iu/ml - 1 ml Ampul 0
A126 126 Parasetamol sirup 120 mg / 5 ml Botol 100 100 50 250
A127 127 Parasetamol tab 100 mg Tablet 0
A128 128 Parasetamol tablet 500mg Tablet 10000 3000 2000 5000 20000
A130 130 Piroxicam 10 Mg Tablet 0
A132 132 Prednison tablet 5 mgn Tablet 0
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 1000 1000
A134 134 Primakina tablet 15 mg Tablet 0
A135 135 Prokaina penisilina g inj 3 juta iu Vial 0
A136 136 Propiltionurasil tablet 100 mg Tablet 0
A137 137 Propranolol hcl (Propranolol) tablet 40 mg Tablet 0
A138 138 Pyridoxin injeksi Ampul 0
A139 139 Ranitidin inj 25 mg/2 ml Ampul 0
A140 140 Ranitidin tablet 150 mg Tablet 1000 1000
A141 141 Reserpina tablet 0, 10 mg Tablet 0
A143 143 Retinol (vit. A) kapsul lunak 200.000 iu Tablet 2400 2400
A144 144 Retinol (vit. A) tablet salut 100. 000 iu Tablet 300 300
A145 145 Ringer laktat larutan infus steril Botol 0
A146 146 Risperidon Tablet 0
A147 147 Salbutamol tablet 2 mg Tablet 0
A148 148 Salbutamol tablet 4 mg Tablet 1000 1000
A150 150 Salisil spiritus 10 % Botol 0
A151 151 Semen seng fosfat serbuk dan cairan Botol 0
A152 152 Serum anti bisa ular polivalen inj. 5ml Ampul 0
A153 153 Serum anti tetanus inj. 1.500 iu Ampul 0
A154 154 Sianokobalamina (vit.b12) inj. 500 mcg Ampul 100 100 200
A155 155 Silver amalgam serbuk 65-75% Botol 0
A156 156 Simvastatin tab 10 mg Tablet 150 300 450
A157 157 Sulfacetamide tetes mata Botol 0
A158 158 Synthetic filing material larutan dan serbuk Set 0
A159 159 Temporary stopping fletcher serbuk dan cairan Set 0
A160 160 Tetrasiklina hcl (tetrasiklina) kapsul 250 mg Tablet 0
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 2500 3000 2000 2000 1000 2000 12500
A165 165 Tramadol Tablet 0
A166 166 Trifluoperazine (Stelazin) Tablet 200 300 200 700
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 200 300 500
A168 168 Trikresol formalin (tkf) cairan Botol 0
A169 169 Vitamin B kompleks tablet Tablet 2000 400 1000 3000 6400
A171 171 Yodium povidon larutan 10% 30 ml Botol 0
Amoxicilin syr 250/5mg 0
0
OBAT TAMBAHAN 0
A173 173 Aptil Botol 0
A174 174 (Lopinavir/Ritonavir)Aluvia Botol 0
A175 175 Abacavir Tablet 0
A176 176 Acyclovir tablet 200 mg Tablet 0
A177 177 Aleterol TM Botol 0
A178 178 Amlodipin 10 mg tab Tablet 0
A179 179 Amlodipin 5 mg tab Tablet 300 2400 1500 900 5100
A180 180 Amox-clav Tablet 0
A181 181 Ampisilin Serbuk Injeksi i.m/i.v. 1000 mg/ml Ampul 0
A182 182 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul 0
A183 183 Antalgin injeksi Ampul 0
A184 184 Antasida syr Botol 50 50
A185 185 Arterakine Tablet 0
A186 186 Artesunat inj Vial 0
A187 187 Asam Folat 1 mg Tablet 0
A188 188 Asam tranexamat 500 mg Tablet 0
A189 189 Asetosal 80/miniaspi tablet 0
A190 190 Atripla(TDF+3TC+EFV) Botol 0
A191 191 Azitromisin+cefixim Tablet 0
A192 192 Azytromisin tablet 500 mg Tablet 0
A193 193 BD Vacuntainer Pcs 0
A194 194 Becefort Tablet 1000 2000 1000 1000 1000 6000
A195 195 Benzatin Penisillin Vial 0
A196 196 Bonding Set 0
A197 197 Bufacomb salep Tube 0
A199 199 Caviton Tube 0
A201 201 Cefixim tablet 100 mg Tablet 0
A203 203 Cefotaxim 0,5 g inj Vial 0
A204 204 Ceftriaxon inj Vial 0
A205 205 Clarithromysin 500 mg Tablet 0
A206 206 Clavamox inj Ampul 0
A207 207 Clindamisin 150 mg Tablet 0
A210 210 Clozapine 25 mg Tablet 0
A211 211 Composite (tumpatan sinar)A3 Set 0
A212 212 Composite (tumpatan sinar)A3.5 Set 0
A213 213 Crofed Tablet 700 700
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A216 216 Daryantulle Lembar 0
A217 217 Dermazine/Burnazin Tube 0
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet 2000 1000 500 3500
A219 219 Dextran 70% Botol 0
A220 220 Dextrofen syr Botol 150 50 100 100 50 450
A222 222 Dormi/Scopma/Spashi tablet Tablet 0
A223 223 Dulcolac anak supp Supp 0
A224 224 Dulcolac dewasa supp Supp 0
A225 225 Dulkolak tablet Tablet 0
A226 226 Duviral(Zidovudin 300+Lamivudin 150) Botol 0
A227 227 Efavirenz Botol 0
A228 228 Etambutol Tablet 0
A229 229 ETSA Set 0
A230 230 Euthyrox 100mg Tablet 100 100 200 100 500
A231 231 Faktu Supp Supp 0
A232 232 Fluconasol tab Tablet 0
A233 233 Fluoxetin Tablet 0
A234 234 Forumen TT Fls 0
A235 235 Gentamisin Injeksi 80 mg/2ml Ampul 0
A236 236 Glass ionomer (Ketac Molar) Tube 0
A237 237 Glimepiride 2 tablet 500 500
A239 239 Glukonas Calcicus 10%- 10ml Ampul 0
A240 240 Haldol inj Ampul 0
A241 241 Hiviral (Lamivudin 150) Botol 0
A242 242 Ibuprofen syr btl 32 32
A243 243 Iliadin TH flesh 0
A244 244 Isotic Neolisin TM Fls 0
A245 245 Kalium Diklovenac tablet 2000 3000 1000 1000 7000
A246 246 Kaltropen supp Supp 0
A247 247 Ketoconazole SK tube 100 100
A248 248 Ketoprofen inj 10 mg Ampul 0
A249 249 Ketoprofen tablet 100 mg Tablet 0
A250 250 Ketorolac inj Ampul 0
A251 251 Kombipak Anak Paket 0
A252 252 Lodomer 2 Tablet 0
A253 253 Lytamin syr botol 0
A254 254 Magnesium Sulfat 20% - 25 ml Botol 0
A256 256 Metil Prednisolon 16 mg Tablet 0
A257 257 Metil prednisolon inj 500 mg Vial 0
A258 258 Metronidazole 500 mg Infus/100 ml Botol 0
A259 259 Meylon inj Botol 0
A261 261 Miloxicam 7,5 mg tablet 1000 2000 3000
A263 263 Multivitamin (Livron B plek) Tablet 2000 2000 2000 3000 2000 11000
A265 265 Neurotropik tablet Tablet 0
A266 266 Neviral (neviravin 200mg) Botol 0
A267 267 New antides tablet 1000 500 1500
A269 269 Obat anti tuberkulosis FDC katagori I Paket 2 1 4 7
A271 271 Obat anti tuberkulosis FDC katagori II Paket 0
A272 272 Obat anti tuberkulosis FDC sisipan Paket 0
A273 273 Obat anti tuberkulosis kategori I Paket 0
A274 274 Obat Batuk Kombinasi Botol 0
A275 275 Obat Flu kombinasi CTM, PPA (Anaflu), Tablet 2000 2000 1000 5000
Demacolin
A277 277 OBH plus botol 80 96 48 48 48 320
A278 278 Omeprasole tablet 20 mg Tablet 120 120
A279 279 Ondancentron inj Ampul 0
A280 280 Ondancetron 4 mg Tablet 0
A281 281 Orpen Tablet 2000 1000 1000 4000
A283 283 Paket bonding Set 0
A286 286 Pantocain Tetes Mata Botol 0
A287 287 Parasetamol drop Botol 0
A288 288 Pehacain Injeksi Ampul 40 20 60
A290 290 Perhidrol (H2O2) Botol 3 3
A291 291 Phenitoin tab Tablet 0
A292 292 Piracetam 400 mg Tablet 0
A293 293 Piracetam inj 200mg/1ml Ampul 0
A294 294 Pirimethamine tablet Tablet 0
A295 295 Prenatin DF Tablet 1020 1020 600 2640
A296 296 Prenatin plus tablet tablet 0
A297 297 Primaquin Tablet 0
A298 298 Primperan inj Ampul 0
A299 299 Procurma sirup botol 50 50 100
A300 300 Prokain Benzil Penicillin G Injeksi 3 jt IU/vial Vial 0
A301 301 Proris supp Supp 0
A302 302 Pularex Tablet 0
A303 303 Scabimite cream tube 0
A304 304 Sikzonoate inj Ampul 5 5
A306 306 Spashi inj Ampul 0
A307 307 Spashi tab Tablet 0
A308 308 Stelosi tab 5 mg Tablet 0
A310 310 Strop indra Botol 0
A311 311 Sulfadiazin tablet Tablet 0
A312 312 Tenofovir (Tenofovir 300mg) Botol 0
A313 313 Tetagam Ampul 10 50 60
A315 315 Tranexid inj (Asam tranexamat inj) Ampul 0
A316 316 Urotractin tablet 0
A317 317 Ventolin Nebulizer Ampul 0
A318 318 Vitamin B12 tab Tablet 0
A319 319 Vitamin Neurotropik inj Ampul 0
A320 320 Vitamin Neurotropik tablet (Nutrifar, Sohobion) Tablet 0
A321 321 VitKa infan Ampul 0
A322 322 Xylocain Gel Ampul 0
A323 323 Zidovudine 100 mg Tablet 0
Sucralfate susp 0
Clopidogrel bisulfate 0
Levofloxacin 500 0
Spironolactone 25 mg 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 1000 1000
B2 2 ADS 0.05 ml Pcs 300 300
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B5 5 Alat suntik sekali pakai 1 ml Pcs 0
B6 6 Alat suntik sekali pakai 2,5 ml Pcs 0
B8 8 Bisturi no 13 Pcs 0
B10 10 Bisturi no 19/20 Pcs 0
B12 12 Box slide kotak 0
B13 13 Catgut 2/0 plain Sachet 0
B14 14 Catgut / benang bedah no 2/0 chromic Sachet 0
B15 15 Catgut / benang bedah no 3/0 plain Sachet 0
B16 16 Catgut 1/0 Chromic Pcs 0
B17 17 Catgut 2/0 Chromic Roll Roll 0
B19 19 Cutgut Chromic No.1 atraumatik (sachet) Sachet 0
B20 20 Etanol 70 % Botol 0
B21 21 Etanol 70 % Botol 100 ml 0
B22 22 Film Rontgen 18 x 24 Set 0
B23 23 Folley catheter Pcs 0
B24 24 Hypavix (Ultrafik) Roll 24 10 34
B25 25 I.V Catheter 22 Pcs 0
B27 27 Infusion set anak Set 0
B28 28 Infusion set dewasa Set 0
B29 29 IV Cath dgn Katup pcs 0
B30 30 IV Catheter 18 Pcs 0
B32 32 IV Catheter no 18 G Terumo Pcs 0
B34 34 Jarum injeksi Pcs 0
B35 35 Jarum jahit (bedah) no. 9 s/d 14 Set 0
B36 36 Jarum Jahit Bedah no 12 Set 0
B39 39 Jarum Kulit Set 0
B40 40 Jarum Otot dan Kulit Set 0
B41 41 Jelly RO Tube 0
B42 42 Kantung Puyer Pak 0
B43 43 Kapas pembalut / absorben 250 gram Roll 10 10
B44 44 Kasa gulung 40 x 80 Roll 0
B45 45 Kasa Hidrofil 4 x 10 Roll 0
B46 46 Kasa kompres 40 / 40 steril Roll 0
B47 47 Kasa pembalut 2 x 80 Roll 0
B48 48 Kasa pembalut hidrofil 4 m x 15 cm Roll 0
B49 49 Kasa pembalut hidrofin 4m x 3 cm Roll 0
B50 50 Kasa Steril ( 18 x 22 ) Kotak 0
B51 51 Kertas EKG Roll 0
B52 52 Kertas saring Lembar 0
B53 53 Kertas USG Roll 0
B54 54 Klem Tali Pusar pcs 0
B55 55 Klip Kecil Pak 50 50
B56 56 Klip Tanggung Pak 100 100
B57 57 Lampu spiritus botol 0
B58 58 Lisol mengandung kresol Botol 0
B59 59 Masker Pcs 1000 500 1500
B60 60 Masker Bedah Pcs 0
B61 61 Masker N95 Pcs 40 40
B63 63 Nasal cannula Oksigen pcs 0
B64 64 Pembalut Gips Roll 0
B65 65 Perkamen Pak 0
B66 66 Plester 5 yard x 2 inch Roll 0
B67 67 Pot Salep Pot 0
B68 68 Pot Sputum Pcs 0
B69 69 Safety box Pcs 0
B70 70 Sarung Tangan Gynaecologi pasang 0
B71 71 Sarung Tangan L Pasang 0
B72 72 Sarung Tangan M Pasang 500 500
B73 73 Sarung Tangan S Pasang 500 500
B74 74 Sarung Tangan Steril Pasang 0
B75 75 Sarung Tangan Surgiglove Pasang 0
B76 76 Sendok Takar Pcs 100 200 100 100 500
B77 77 Silk 3/0 roll Roll 0
B78 78 Silk (benang bedah sutera) no.3/0 Pcs 0
B79 79 Slide Prosted Pak 0
B80 80 Spalk tungkai atas anak Pcs 0
B81 81 Spalk tungkai atas dewasa Pcs 0
B82 82 Spalk tungkai bawah anak Pcs 0
B83 83 Spalk tungkai bawah dewasa Pcs 0
B84 84 Spuit 10 ml Pcs 0
B85 85 Spuit 2/3 ml Pcs 0
B86 86 Transfusi Set Pcs 0
B87 87 Uji Tuberkulin Vial 0
B88 88 Underpad Pak 0
B89 89 Urinebag Set 0
B90 90 Wing Needle 21 Pcs 0
Pengeluaran IFK ke Puskesmas Tabanan III

1 2 3 4 6 15
A1 1 Acyclovir Salep Tube 50 25 75
A2 2 Acyclovir 400 mg Tab Tablet 2000 500 1000 3500
A5 5 Alprazolam 0.5 mg Tablet 0
A7 7 Ambroxol syr Botol 50 50 100
A8 8 Ambroxol tab 30 mg / Promukus Tablet 2000 2000 2000 3000 2000 2000 13000
A12 12 Amoksilina kapsul 500 mg Tablet 3000 3000 3000 5000 3000 17000
A14 14 Antasida doen tablet kombinasi Tablet 3000 3000 2000 8000
A20 20 Asam askorbat (Vit. C) tablet 50 mg Tablet 3000 1000 1500 5500
A21 21 Asam mefenamat 500 mg Tablet 2000 2000 2000 1000 7000
A25 25 Basitrasin Polimiksin Tube 25 25 50 25 50 175
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 5600 64200 25000 25000 25000 2000 146800
A27 27 Betahistin tab Tablet 600 510 510 1620
A30 30 Captopril 25 mg tablet Tablet 3000 3000 6000
A32 32 Cefadroxil 125mg/5ml Sirup Botol 60 120 60 240
A33 33 Cefadroxill 500 mg tablet Tablet 3000 2000 2000 2000 9000
A35 35 Cetirizin10 mg tab Tablet 500 2000 2500
A38 38 Deksametason injeksi 5 mg / ml - 1 ml Ampul 100 100
A39 39 Deksametason tablet 0.5 mg Tablet 1000 1000 2000 2000 6000
A44 44 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul 30 30 30 90
A46 46 Domperidon tablet 10 mg Tablet 500 200 300 400 1400
A49 49 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul 0
A52 52 Erytromysin tablet 500 mg Tablet 1000 1000
A55 55 Eugenol cairan Botol 1 2 3 6
A58 58 Fenobarbital tablet 30 mg Tablet 200 700 300 500 500 2200
A59 59 Fenol gliserol tetes telnga 10% Botol 48 48
A60 60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul 30 60 60 10 160
A62 62 Furosemida tablet 40 mg Tablet 100 100
A63 63 Garam Oralit untuk 200 ml air Sachet 500 100 100 700
A64 64 Gentamisin Salep Mata Tube 48 24 48 48 5 173
A69 69 Gliseril guayakolat tablet 10 mg Tablet 5000 5000
A72 72 Glukosa larutan infus 5 % steril Botol 20 20 40
A74 74 Haloperidol 0,5 mg. Tablet Tablet 100 100
A76 76 Haloperidol 5 mg tablet Tablet 200 200 400
A77 77 Hidroklorotiasida (HCT) tablet 25 mg Tablet 1000 1000
A78 78 Hidrokortison krim 2.5 % Tube 48 24 48 48 168
A79 79 Ibuprofen tablet 400 mg Tablet 2000 2000 3000 2000 3000 12000
A85 85 Ketokonazole 200 mg tablet Tablet 100 100 200 400
A92 92 Kloramfenikol tetes telinga 3 % Botol 24 10 20 54
A93 93 Klorfeniramina maleat (CTM) tablet 4 mg Tablet 1000 1000
A97 97 Klorpromazina hcl tablet salut 25 mg Tablet 0
A101 101 Lidokain inj Ampul 100 100 200
(Albotyl)
A104 104 Metformin 500 mg tablet Tablet 5000 2000 200 7200
A105 105 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul 100 100 200
A109 109 Metronidazol 500 mg Tablet 1000 1000
A111 111 Mikonazole salep Tube 0
A115 115 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet 500 500
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 40 100 40 40 40 260
A118 118 Nistatin 100. 000 iu/g tablet vaginal Tab Vag 20 50 50 120
A121 121 Oksigen gas dalam tabung 3 m3 Tabung 5 2 6 8 2 7 30
A122 122 Oksigen gas dalam tabung 6 m3 Tabung 1 2 3
A125 125 Oksitosina inj 10 iu/ml - 1 ml Ampul 100 100
A126 126 Parasetamol sirup 120 mg / 5 ml Botol 100 100 200
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 250 500 500 500 3000 500 5250
A139 139 Ranitidin inj 25 mg/2 ml Ampul 50 40 90
A140 140 Ranitidin tablet 150 mg Tablet 1000 1000 2000
A143 143 Retinol (vit. A) kapsul lunak 200.000 iu Tablet 2000 200 2200
A145 145 Ringer laktat larutan infus steril Botol 40 100 100 240
A148 148 Salbutamol tablet 4 mg Tablet 500 500 500 500 500 2500
A151 151 Semen seng fosfat serbuk dan cairan Botol 1 1
A156 156 Simvastatin tab 10 mg Tablet 210 210
A161 161 Tetrasiklina hcl (tetrasiklina) kapsul 500 mg Tablet 200 200
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 3000 3000
A166 166 Trifluoperazine (Stelazin) Tablet 0
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 500 500
A169 169 Vitamin B kompleks tablet Tablet 3000 2000 2000 7000
A172 172 Zink tablet Tablet 500 500 1000
Amoxiciliin syr 250/5 mg 60 60
0
OBAT TAMBAHAN 0
A179 179 Amlodipin 5 mg tab Tablet 6300 2100 6300 6300 3600 3000 27600
A184 184 Antasida syr Botol 50 50 50 150
A187 187 Asam Folat 1 mg Tablet 500 500 500 1500
A197 197 Bufacomb salep Tube 10 10
A200 200 Cefixim syr 100 mg/5 ml Botol 2 20 22
A210 210 Clozapine 25 mg Tablet 100 100 200
A213 213 Crofed Tablet 0
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A216 216 Daryantulle Lembar 50 30 20 50 150
A217 217 Dermazine/Burnazin Tube 2 2 2 6
A220 220 Dextrofen syr Botol 100 50 50 50 100 50 400
A222 222 Dormi/Scopma/Spashi tablet Tablet 500 500
A224 224 Dulcolac dewasa supp Supp 10 10
A229 229 ETSA Set 0
A230 230 Euthyrox 100mg Tablet 500 500 1000
A236 236 Glass ionomer (Ketac Molar) Tube 1 1 2 1 5
A242 242 Ibuprofen syr btl 50 64 32 32 178
A244 244 Isotic Neolisin TM Fls 20 10 30
A245 245 Kalium Diklovenac tablet 1000 500 1500
A247 247 Ketoconazole SK tube 20 50 50 50 170
A250 250 Ketorolac inj Ampul 24 24
A261 261 Miloxicam 7,5 mg tablet 2000 2000 1000 5000
A263 263 Multivitamin (Livron B plek) Tablet 1000 5000 5000 5000 3000 2000 21000
A267 267 New antides tablet 1500 1500
A269 269 Obat anti tuberkulosis FDC katagori I Paket 3 6 9
A270 270 Obat anti tuberkulosis FDC anak Paket 0
A271 271 Obat anti tuberkulosis FDC katagori II Paket 1 1
A275 275 Obat Flu kombinasi CTM, PPA (Anaflu), Tablet 2000 2000 2000 2000 2000 10000
Demacolin
A277 277 OBH plus botol 96 96 96 96 384
A278 278 Omeprasole tablet 20 mg Tablet 600 300 300 300 1020 2520
A279 279 Ondancentron inj Ampul 10 10
A281 281 Orpen Tablet 2000 2000 2000 6000
A285 285 Pamol 250 mg Supp Supp 12 12 12 12 48
A287 287 Parasetamol drop Botol 100 50 150
A288 288 Pehacain Injeksi Ampul 100 100
A290 290 Perhidrol (H2O2) Botol 0
A299 299 Procurma sirup botol 50 50 100 100 100 400
A303 303 Scabimite cream tube 5 5
A304 304 Sikzonoate inj Ampul 0
A313 313 Tetagam Ampul 120 100 220
A316 316 Urotractin tablet 100 100
A317 317 Ventolin Nebulizer Ampul 20 40 40 40 20 160
A319 319 Vitamin Neurotropik inj Ampul 5 5
Sucralfate susp 50 50
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 300 200 500 1000
B2 2 ADS 0.05 ml Pcs 200 200
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 100 500 200 800
B6 6 Alat suntik sekali pakai 2,5 ml Pcs 500 500 200 200 500 200 2100
B14 14 Catgut / benang bedah no 2/0 chromic Sachet 24 48 48 24 144
B17 17 Catgut 2/0 Chromic Roll Roll 2 2
B24 24 Hypavix (Ultrafik) Roll 20 20 20 60
B28 28 Infusion set dewasa Set 27 100 127
B43 43 Kapas pembalut / absorben 250 gram Roll 1 10 11
B44 44 Kasa gulung 40 x 80 Roll 10 10
B45 45 Kasa Hidrofil 4 x 10 Roll 50 50 100
B46 46 Kasa kompres 40 / 40 steril Roll 500 500 1000
B48 48 Kasa pembalut hidrofil 4 m x 15 cm Roll 200 200
B56 56 Klip Tanggung Pak 100 200 300
B59 59 Masker Pcs 1000 1000 1000 1000 500 4500
B61 61 Masker N95 Pcs 0
B67 67 Pot Salep Pot 50 50
B68 68 Pot Sputum Pcs 600 600
B70 70 Sarung Tangan Gynaecologi pasang 12 12
B71 71 Sarung Tangan L Pasang 500 500 350 200 1550
B76 76 Sendok Takar Pcs 100 100 200
Pengeluaran IFK ke Puskesmas Marga I

1 2 3 4 6 15
A6 6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet 200 200
A8 8 Ambroxol tab 30 mg / Promukus Tablet 0
A9 9 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul 3 3
A10 10 Aminofilna tablet 200 mg Tablet 1000 1000
A11 11 Amitriptilina hcl tablet salut 25 mg Tablet 100 100
A13 13 Amoksilna sirup kering 125 mg/ 5 mg Botol 48 48 96
A21 21 Asam mefenamat 500 mg Tablet 3000 1000 4000
A25 25 Basitrasin Polimiksin Tube 50 50 100
A27 27 Betahistin tab Tablet 300 150 450
A30 30 Captopril 25 mg tablet Tablet 2000 2000
A32 32 Cefadroxil 125mg/5ml Sirup Botol 60 60 120
A33 33 Cefadroxill 500 mg tablet Tablet 500 500
A35 35 Cetirizin10 mg tab Tablet 500 500 500 1500
A37 37 Ciprofloxazin tablet 500 mg Tablet 500 500 500 1500
A40 40 Devitalisasi pasta Tube 1 1
A44 44 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul 0
A45 45 Digoksina tablet 0. 25 mg Tablet 100 100
A54 54 Etil klorida semprot Botol 5 5 10
A55 55 Eugenol cairan Botol 1 1
A58 58 Fenobarbital tablet 30 mg Tablet 1000 500 1000 2500
A63 63 Garam Oralit untuk 200 ml air Sachet 300 300
A64 64 Gentamisin Salep Mata Tube 48 48 96
A66 66 Gentamysin TM/Genoint TM Botol 48 24 48 48 168
A69 69 Gliseril guayakolat tablet 10 mg Tablet 0
A73 73 Griseofulvin tablet 125 mg. Mikronized Tablet 200 200
A76 76 Haloperidol 5 mg tablet Tablet 300 200 200 700
A79 79 Ibuprofen tablet 400 mg Tablet 2000 2000 3000 2000 9000
A85 85 Ketokonazole 200 mg tablet Tablet 100 100
A99 99 Kotrimoksasol suspensi Botol 50 50
A100 100 Kotrimoksasol tablet kombinasi Tablet 200 200
(Albotyl)
A107 107 Metilprednisolon tablet 4 mg Tablet 500 500 500 500 1000 3000
A109 109 Metronidazol 500 mg Tablet 500 200 700
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 5 10 10 25
A126 126 Parasetamol sirup 120 mg / 5 ml Botol 100 100
A128 128 Parasetamol tablet 500mg Tablet 3000 4000 3000 3000 3000 16000
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 500 250 750
A140 140 Ranitidin tablet 150 mg Tablet 2000 2000
A149 149 Salisil bedak 2 % Bks 7 7
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 2000 3000 1000 4000 1000 2000 13000
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 200 300 200 200 900
Amoxiciliin syr 250/5 mg 0
0
OBAT TAMBAHAN 0
A179 179 Amlodipin 5 mg tab Tablet 600 600 300 300 750 2550
A187 187 Asam Folat 1 mg Tablet 200 200
A194 194 Becefort Tablet 1000 1000
A196 196 Bonding Set 1 1
A211 211 Composite (tumpatan sinar)A3 Set 1 1
A212 212 Composite (tumpatan sinar)A3.5 Set 1 1
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A217 217 Dermazine/Burnazin Tube 5 5
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet 2000 2000
A220 220 Dextrofen syr Botol 100 50 150
A229 229 ETSA Set 1 1
A237 237 Glimepiride 2 tablet 500 1000 1500
A242 242 Ibuprofen syr btl 0
A244 244 Isotic Neolisin TM Fls 25 25
A245 245 Kalium Diklovenac tablet 2000 2000 2000 1000 7000
A260 260 Microlax Supp 5 5
A261 261 Miloxicam 7,5 mg tablet 1000 1000
A269 269 Obat anti tuberkulosis FDC katagori I Paket 0
Demacolin
A277 277 OBH plus botol 48 96 96 96 96 432
A278 278 Omeprasole tablet 20 mg Tablet 300 180 480
A281 281 Orpen Tablet 2000 1000 1000 4000
A289 289 Pehatrim Forte (Kotrimoksasol tab forte 960 Tablet 0
mg)
A317 317 Ventolin Nebulizer Ampul 20 20
A320 320 Vitamin Neurotropik tablet (Nutrifar, Tablet 0
Sohobion)
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 200 200
B2 2 ADS 0.05 ml Pcs 200 200
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B24 24 Hypavix (Ultrafik) Roll 0
B43 43 Kapas pembalut / absorben 250 gram Roll 0
B49 49 Kasa pembalut hidrofin 4m x 3 cm Roll 50 50
B55 55 Klip Kecil Pak 0
B56 56 Klip Tanggung Pak 0
B59 59 Masker Pcs 0
B72 72 Sarung Tangan M Pasang 0
B73 73 Sarung Tangan S Pasang 0
B76 76 Sendok Takar Pcs 200 100 200 500
Pengeluaran IFK ke Puskesmas Marga II

1 2 3 4 6 15
A6 6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet
A12 12 Amoksilina kapsul 500 mg Tablet 5000 1500 1500
A14 14 Antasida doen tablet kombinasi Tablet 1000 3000
A17 17 Aquadest steril 500 ml Botol
A20 20 Asam askorbat (Vit. C) tablet 50 mg Tablet 1000 1500
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 5600
A28 28 Betametazon salep kulit Tube
A30 30 Captopril 25 mg tablet Tablet 500 1000
A32 32 Cefadroxil 125mg/5ml Sirup Botol
A36 36 Cimetidine/Selestidin Tablet
A37 37 Ciprofloxazin tablet 500 mg Tablet 1000
A38 38 Deksametason injeksi 5 mg / ml - 1 ml Ampul
A39 39 Deksametason tablet 0.5 mg Tablet 2000 3000 3000
A40 40 Devitalisasi pasta Tube
A41 41 Diazepam 5 mg Tablet
A50 50 Ergotamina tartrat 1 mg + kofeina 50 mg tab Tablet
A54 54 Etil klorida semprot Botol
A56 56 Fenobarbital inj 50 mg /ml -2ml Ampul
A63 63 Garam Oralit untuk 200 ml air Sachet 200 100 100
A64 64 Gentamisin Salep Mata Tube 96
A66 66 Gentamysin TM/Genoint TM Botol 48 24
A73 73 Griseofulvin tablet 125 mg. Mikronized Tablet
A78 78 Hidrokortison krim 2.5 % Tube 96 48
A79 79 Ibuprofen tablet 400 mg Tablet 1500 2000 1000
A85 85 Ketokonazole 200 mg tablet Tablet
A93 93 Klorfeniramina maleat (CTM) tablet 4 mg Tablet
A99 99 Kotrimoksasol suspensi Botol
A101 101 Lidokain inj Ampul
(Albotyl)
A105 105 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul
A107 107 Metilprednisolon tablet 4 mg Tablet 500
A117 117 Nifedipin tablet 10 mg Tablet
A118 118 Nistatin 100. 000 iu/g tablet vaginal Tab Vag
A128 128 Parasetamol tablet 500mg Tablet 5000 5000 4000
A129 129 Pirantel pamoat (pirantel) tablet 125 mg basa Tablet
A154 154 Sianokobalamina (vit.b12) inj. 500 mcg Ampul
A162 162 Thiamfenikol 500 Tablet
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 1000 1000 2000 2000
A164 164 Tiamina hcl (vit.b1) inj. 100 mg/ml Ampul
A169 169 Vitamin B kompleks tablet Tablet 3000
A170 170 Yodium povidan larutan 10% 300 ml Botol
A172 172 Zink tablet Tablet 1000
Amoxiciliin syr 250/5 mg
OBAT TAMBAHAN

A179 179 Amlodipin 5 mg tab Tablet 1200 600

A194 194 Becefort Tablet 1500 1000 1500
A198 198 Buscopan inj Ampul
A200 200 Cefixim syr 100 mg/5 ml Botol
A209 209 Clobazam 10 mg Tablet
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet
A220 220 Dextrofen syr Botol 50

A221 221 Diaform tablet/selesdiar Tablet
A229 229 ETSA Set
A230 230 Euthyrox 100mg Tablet


A247 247 Ketoconazole SK tube

A260 260 Microlax Supp
A261 261 Miloxicam 7,5 mg tablet
A262 262 Molexflu Tablet
A263 263 Multivitamin (Livron B plek) Tablet 1000 1000
A264 264 Multivitamin sirup( Xanvit syr) Botol
A267 267 New antides tablet 1000
A268 268 Nutrifar 5000 Tablet
A270 270 Obat anti tuberkulosis FDC anak Paket
A275 275 Obat Flu kombinasi CTM, PPA (Anaflu), Tablet 2000 1000 1000
Demacolin
A276 276 Obat Flu Kombinasi/Mecofed/Quantidex Tablet
A277 277 OBH plus botol 96
A278 278 Omeprasole tablet 20 mg Tablet
A281 281 Orpen Tablet 2000
A282 282 Oseltamivir Tablet
A289 289 Pehatrim Forte (Kotrimoksasol tab forte 960 mg) Tablet

A295 295 Prenatin DF Tablet


A309 309 Stesolid rectal Supp
A314 314 Tramadol inj 50 mg/ml Ampul
Sucralfate susp 25
Levofloxacin 500
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs
B2 2 ADS 0.05 ml Pcs
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs

B59 59 Masker Pcs 1000
B62 62 MY Jelly Tube
B65 65 Perkamen Pak


B88 88 Underpad Pak
B89 89 Urinebag Set
Mei Juni Jumlah
300
500 1000
0
3000
0
0
100 100 500
1500 1000 4500
0
0
0
1000 1000 10000
48
1000 5000
20 30
0
0
0
0
500 500 3500
1500 5000
0
0
0
0
5600
990
48 96 144
0
1500
0
0
0
0
1000 2000
0
1000 2000
0
2000 10000
0
0
0
0
0
0
0
0
0
15
0
0
0
0
10 10
0
0
0
500 1000 3000
0
10
0
500
100 500
96
0
96 168
0
800
1000
0
0
20
0
0
0
0
0
24 168
1500 1000 7000
0
0
0
0
500 1500
0
0
0
0
0
0
0
20 20
500 1000 1500
0
0
0
0
0
0
1000
0
0
0
3000
0
0
1000 1500
0
1000
0
0
0
0
0
0
20 40
0
0
0
0
0
0
0
0
0
200
0
4000 18000
0
0
0
500
250 500 2750
0
0
0
0
0
0
1500 5500
0
0
1500
500
20
0
0
500 500 2500
10
0
0
0
0
0
0
0
0
0
0
0
1000
0
1000 7000
0
0
0
0
0
1000 4000
0
0
1000
0
0
0
0
0
0
0
0
0
600 1500 3900
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1000 1000 6000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 100 250
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 50
2000
0
100 100
0
0
0
0
0
0
2
0
0
0
0
5
0
500 500
0
1000 1000 4000
0
0
0
500 1500
0
1 6
0
0
0
0
0
1000 1000 6000
0
96
0
0
0
2000
0
0
0
0
0
56 56
0
0
0
0
0
0
0
1200 1200
0
0
0
50 200
0
0
0
0
0
0
0
0
0
0
0
0
0
50
0
0
0
20 20
0
0
0
0
0
0
25
0
0
0
0
0
0
0
0
0
0
0
100
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 100
100 110
0
0
500 1500
0
0
0
0
0
0
0
0
500
0
0
0
200 700
500 500
0
0
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pengeluaran IFK ke Puskesmas Penebel I

1 2 3 4 6 15
A6 6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet 1000 1000 2000
A7 7 Ambroxol syr Botol 50 200 50 200 500
A8 8 Ambroxol tab 30 mg / Promukus Tablet 3000 5000 7000 1500 1000 17500
A9 9 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul 5 10 20 35
A15 15 Anti hemmoroid suppositoria Supp 20 20 40 80
A16 16 Aqua pro injeksi streril. Bebas priogen 20 ml Vial 100 50 50 200
A18 18 As salisilat 2% + belerang endap 4%(2-4 salep Pot 24 24
A20 20 Asam askorbat (Vit. C) tablet 50 mg Tablet 2000 3000 2000 1000 8000
A21 21 Asam mefenamat 500 mg Tablet 1000 5000 5000 2000 2000 15000
A24 24 Atropina sulfat injeksi 0 .25 mg / ml - 1 ml Ampul 5 5
A25 25 Basitrasin Polimiksin Tube 50 150 100 300
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 5600 3000 3000 3000 14600
A28 28 Betametazon salep kulit Tube 120 120
A30 30 Captopril 25 mg tablet Tablet 5000 5000 5000 5000 1200 21200
A31 31 Carbamazepina 200 mg talet Tablet 100 100
A34 34 Cefotaxim 1 gr Injeksi Ampul 200 200 100 200 700
A35 35 Cetirizin10 mg tab Tablet 2000 500 2500
A46 46 Domperidon tablet 10 mg Tablet 500 1500 1000 3000
A54 54 Etil klorida semprot Botol 4 10 10 24
1 2 3 4 6 15
A60 60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul 5 30 10 45
A72 72 Glukosa larutan infus 5 % steril Botol 60 40 100
A76 76 Haloperidol 5 mg tablet Tablet 200 200
A82 82 Isosorbid dinitrat Tablet 100 100
A84 84 Kalsium laktat (kalk) tablet 500 mg Tablet 1000 1000 2000
A88 88 Kloramfenicol salep kulit Tube 0
A90 90 Kloramfenikol salep mata 1 % Tube 25 25
A92 92 Kloramfenikol tetes telinga 3 % Botol 24 24 24 20 92
A101 101 Lidokain inj Ampul 100 100 100 100 100 500
(Albotyl)
A105 105 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul 1 10 11
A107 107 Metilprednisolon tablet 4 mg Tablet 1000 5000 6000
A108 108 Metoklopramide 10 mg tablet/Noristal Tablet 500 500
A109 109 Metronidazol 500 mg Tablet 500 500 500 500 2000
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 40 60 120 40 16 80 356
1 2 3 4 6 15
A125 125 Oksitosina inj 10 iu/ml - 1 ml Ampul 20 5 50 75
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 250 250 500
A139 139 Ranitidin inj 25 mg/2 ml Ampul 100 300 300 200 100 1000
A140 140 Ranitidin tablet 150 mg Tablet 1000 1000 1000 500 500 4000
A143 143 Retinol (vit. A) kapsul lunak 200.000 iu Tablet 850 50 50 100 1050
A145 145 Ringer laktat larutan infus steril Botol 400 200 100 200 200 1100
A146 146 Risperidon Tablet 500 400 900
A148 148 Salbutamol tablet 4 mg Tablet 2500 2500 1000 6000
A154 154 Sianokobalamina (vit.b12) inj. 500 mcg Ampul 100 200 100 400
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 0
A169 169 Vitamin B kompleks tablet Tablet 2000 5000 5000 3000 3000 18000
A172 172 Zink tablet Tablet 1000 1000 1000 3000
Amoxicillin syr 250/5 mg 120 120
0
OBAT TAMBAHAN 0
A173 173 Aptil Botol 2 2
1 2 3 4 6 15
A184 184 Antasida syr Botol 50 50 50 50 200
A188 188 Asam tranexamat 500 mg Tablet 100 100
A189 189 Asetosal 80/miniaspi tablet 100 100 100 300
A193 193 BD Vacuntainer Pcs 1 1
A199 199 Caviton Tube 1 1
A209 209 Clobazam 10 mg Tablet 500 500 1000
A210 210 Clozapine 25 mg Tablet 400 400
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A216 216 Daryantulle Lembar 50 50 100
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet 1000 1000 500 1000 3500
A220 220 Dextrofen syr Botol 50 50 50 150
A222 222 Dormi/Scopma/Spashi tablet Tablet 500 500 1000
A223 223 Dulcolac anak supp Supp 12 12 24
A224 224 Dulcolac dewasa supp Supp 10 9 10 10 39
A229 229 ETSA Set 1 1
A230 230 Euthyrox 100mg Tablet 100 100 100 200 500
A236 236 Glass ionomer (Ketac Molar) Tube 2 2
A237 237 Glimepiride 2 tablet 1000 1500 2000 1000 5500
A239 239 Glukonas Calcicus 10%- 10ml Ampul 2 2
1 2 3 4 6 15
A246 246 Kaltropen supp Supp 20 20 40
A247 247 Ketoconazole SK tube 25 40 40 105
A250 250 Ketorolac inj Ampul 60 84 15 159
A255 255 Magnesium Sulfat 40% - 25 ml Botol 2 10 12
A257 257 Metil prednisolon inj 500 mg Vial 20 20 39 30 30 139
A260 260 Microlax Supp 3 5 10 5 23
A261 261 Miloxicam 7,5 mg tablet 1500 1500 3000 1000 7000
A267 267 New antides tablet 2000 1000 1000 1000 1000 6000
Demacolin
A277 277 OBH plus botol 144 144 288
A278 278 Omeprasole tablet 20 mg Tablet 600 3000 1500 1200 1500 7800
A279 279 Ondancentron inj Ampul 100 200 100 50 450
A281 281 Orpen Tablet 1000 2000 2000 1000 6000
A287 287 Parasetamol drop Botol 56 56 30 142
A288 288 Pehacain Injeksi Ampul 0
A290 290 Perhidrol (H2O2) Botol 2 2 4
A291 291 Phenitoin tab Tablet 500 300 800
1 2 3 4 6 15
A309 309 Stesolid rectal Supp 5 10 15
A313 313 Tetagam Ampul 120 220 100 440
A315 315 Tranexid inj (Asam tranexamat inj) Ampul 20 10 30
A317 317 Ventolin Nebulizer Ampul 100 200 200 100 60 60 720
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 200 100 100 2200 2600
B2 2 ADS 0.05 ml Pcs 100 100 600 800
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 500 500
B6 6 Alat suntik sekali pakai 2,5 ml Pcs 1200 1200 3400 5800
B7 7 Alat suntik sekali pakai 5 ml Pcs 2400 2400
B13 13 Catgut 2/0 plain Sachet 576 576
B14 14 Catgut / benang bedah no 2/0 chromic Sachet 576 576
B20 20 Etanol 70 % 1000 Botol 0
B21 21 Etanol 70 % 100 Botol 100 ml 15 15
B28 28 Infusion set dewasa Set 100 100
B29 29 IV Cath dgn Katup pcs 50 10 60
1 2 3 4 6 15
B45 45 Kasa Hidrofil 4 x 10 Roll 510 510
B46 46 Kasa kompres 40 / 40 steril Roll 500 500
B50 50 Kasa Steril ( 18 x 22 ) Kotak 20 100 120
B59 59 Masker Pcs 1000 1000 1000 4000 7000
B61 61 Masker N95 Pcs 20 60 80
B65 65 Perkamen Pak 20 8 28
B66 66 Plester 5 yard x 2 inch Roll 12 12
B67 67 Pot Salep Pot 200 200
B68 68 Pot Sputum Pcs 540 400 940
B80 80 Spalk tungkai atas anak Pcs 1 1 1 3
B81 81 Spalk tungkai atas dewasa Pcs 1 1 2 4
B82 82 Spalk tungkai bawah anak Pcs 1 1 1 3
B83 83 Spalk tungkai bawah dewasa Pcs 1 1 2 4
Pengeluaran IFK ke Puskesmas Penebel II

1 2 3 4 6 15
A2 2 Acyclovir 400 mg Tab Tablet 500 500
A4 4 Albendazol 400 mg tab Tablet 2100 60 2160
A5 5 Alprazolam 0.5 mg Tablet 300 100 200 600
A6 6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet 600 300 500 500 1900
A7 7 Ambroxol syr Botol 50 100 100 50 50 50 400
A12 12 Amoksilina kapsul 500 mg Tablet 2000 1500 1500 1000 1500 1500 9000
A14 14 Antasida doen tablet kombinasi Tablet 3000 5000 4000 4000 4000 4500 24500
A15 15 Anti hemmoroid suppositoria Supp 10 10 20
A16 16 Aqua pro injeksi streril. Bebas priogen 20 ml Vial 5 5
A21 21 Asam mefenamat 500 mg Tablet 2000 1500 1000 1000 1000 6500
A22 22 Asetosal 100 mg Tablet 300 300
A25 25 Basitrasin Polimiksin Tube 75 100 25 25 50 100 375
A27 27 Betahistin tab Tablet 600 120 600 450 150 1920
A28 28 Betametazon salep kulit Tube 48 48 96
A32 32 Cefadroxil 125mg/5ml Sirup Botol 60 60
A33 33 Cefadroxill 500 mg tablet Tablet 500 500 500 500 500 1000 3500
A35 35 Cetirizin10 mg tab Tablet 500 500 400 500 1000 2900
A37 37 Ciprofloxazin tablet 500 mg Tablet 1000 1000 1000 500 1000 4500
A39 39 Deksametason tablet 0.5 mg Tablet 1500 500 500 1500 1500 500 6000
A42 42 Diazepam injeksi 5 mg / ml - 2 ml Ampul 1 1
A43 43 Diazepam tablet 2 mg Tablet 100 100
A44 44 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul 180 180 180 180 150 90 960
A46 46 Domperidon tablet 10 mg Tablet 200 400 300 400 1300
A63 63 Garam Oralit untuk 200 ml air Sachet 200 200 100 100 100 700
A66 66 Gentamysin TM/Genoint TM Botol 72 96 24 72 72 48 384
A77 77 Hidroklorotiasida (HCT) tablet 25 mg Tablet 200 200
A78 78 Hidrokortison krim 2.5 % Tube 72 96 48 24 72 48 360
A79 79 Ibuprofen tablet 400 mg Tablet 1000 2000 1500 2500 2000 2500 11500
A82 82 Isosorbid dinitrat Tablet 100 100
A92 92 Kloramfenikol tetes telinga 3 % Botol 48 25 24 20 117
A97 97 Klorpromazina hcl tablet salut 25 mg Tablet 200 300 500
A99 99 Kotrimoksasol suspensi Botol 50 50 50 50 200
(Albotyl)
A104 104 Metformin 500 mg tablet Tablet 1000 1000 500 500 3000
A107 107 Metilprednisolon tablet 4 mg Tablet 1000 2500 500 1500 2400 1000 8900
A113 113 Mumifyng pasta Botol 1 1
A115 115 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet 500 1500 2000
A117 117 Nifedipin tablet 10 mg Tablet 100 100
A128 128 Parasetamol tablet 500mg Tablet 3000 5000 4000 4000 3000 5000 24000
A140 140 Ranitidin tablet 150 mg Tablet 1500 4000 3500 3500 2500 2000 17000
A145 145 Ringer laktat larutan infus steril Botol 2 2 8 2 4 18
A146 146 Risperidon Tablet 200 200
A148 148 Salbutamol tablet 4 mg Tablet 500 1000 500 500 2500
A154 154 Sianokobalamina (vit.b12) inj. 500 mcg Ampul 0
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 500 500
A166 166 Trifluoperazine (Stelazin) Tablet 300 200 200 200 100 1000
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 200 300 100 300 300 200 1400
A169 169 Vitamin B kompleks tablet Tablet 500 2000 100 600 1000 4200
A172 172 Zink tablet Tablet 1000 700 500 400 2600
0
OBAT TAMBAHAN 0
A184 184 Antasida syr Botol 50 50 100
A199 199 Caviton Tube 1 1 2
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A216 216 Daryantulle Lembar 20 30 30 80
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet 1000 500 1000 500 700 400 4100
A220 220 Dextrofen syr Botol 50 50 50 50 50 50 300
A223 223 Dulcolac anak supp Supp 6 12 18
A229 229 ETSA Set 0
A236 236 Glass ionomer (Ketac Molar) Tube 1 1 2
A237 237 Glimepiride 2 tablet 500 1000 500 2000
A242 242 Ibuprofen syr btl 32 32
A245 245 Kalium Diklovenac tablet 1500 1500
A246 246 Kaltropen supp Supp 10 10
A255 255 Magnesium Sulfat 40% - 25 ml Botol 5 5
A261 261 Miloxicam 7,5 mg tablet 2150 3000 3000 1500 1500 2500 13650
A275 275 Obat Flu kombinasi CTM, PPA (Anaflu), Tablet 3000 2500 1500 2000 2400 1500 12900
Demacolin
A277 277 OBH plus botol 96 96 48 96 96 432
A278 278 Omeprasole tablet 20 mg Tablet 360 720 300 360 1740
A281 281 Orpen Tablet 600 600 600 1800
A284 284 Pamol 125 mg Supp Supp 12 12
mg)
A295 295 Prenatin DF Tablet 720 180 600 480 1260 420 3660
A299 299 Procurma sirup botol 50 50 50 50 200
Sohobion)
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 100 100 200
B2 2 ADS 0.05 ml Pcs 0
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B6 6 Alat suntik sekali pakai 2,5 ml Pcs 1000 500 1500
B20 20 Etanol 70 % 1000 ml Botol 0
B21 21 Etanol 70 % 100 ml Botol 100 ml 10 5 15
B28 28 Infusion set dewasa Set 3 10 13
B29 29 IV Cath dgn Katup pcs 12 4 16
B50 50 Kasa Steril ( 18 x 22 ) Kotak 50 50
B55 55 Klip Kecil Pak 20 20 50 100 190
B56 56 Klip Tanggung Pak 20 20 50 100 100 290
B58 58 Lisol mengandung kresol Botol 20 5 25
B59 59 Masker Pcs 500 700 400 1000 400 3000
B61 61 Masker N95 Pcs 100 100
B71 71 Sarung Tangan L Pasang 100 150 300 550
Pengeluaran IFK ke Puskesmas Kediri I

1 2 3 4 6 15
A1 1 Acyclovir Salep Tube 50 25 25 25 125
A4 4 Albendazol 400 mg tab Tablet 1920 5400 30 7350
A5 5 Alprazolam 0.5 mg Tablet 300 500 1000 500 500 500 3300
A12 12 Amoksilina kapsul 500 mg Tablet 5000 5000 3000 13000
A14 14 Antasida doen tablet kombinasi Tablet 2000 2000 1000 1000 6000
A18 18 As salisilat 2% + belerang endap 4%(2-4 salep Pot 24 24 48
A21 21 Asam mefenamat 500 mg Tablet 3000 2000 2000 7000
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 5600 3000 2000 10600
A28 28 Betametazon salep kulit Tube 50 96 100 250 496
A33 33 Cefadroxill 500 mg tablet Tablet 100 500 1000 1000 500 500 3600
A46 46 Domperidon tablet 10 mg Tablet 500 300 800
A49 49 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul 5 10 15
A58 58 Fenobarbital tablet 30 mg Tablet 2000 500 1000 1000 1500 6000
A68 68 Glibenklamida tablet 5 mg Tablet 500 1500 1000 3000
A78 78 Hidrokortison krim 2.5 % Tube 50 96 146
A84 84 Kalsium laktat (kalk) tablet 500 mg Tablet 1000 1000 1000 3000
A85 85 Ketokonazole 200 mg tablet Tablet 300 300 600
(Albotyl)
A109 109 Metronidazol 500 mg Tablet 500 800 500 500 300 2600
A112 112 Monoklorkamfer mentolcairan (CHKM) Botol 1 1
A122 122 Oksigen gas dalam tabung 6 m3 Tabung 1 1
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 1500 500 1000 1000 4000
A137 137 Propranolol hcl (Propranolol) tablet 40 mg Tablet 100 100
A144 144 Retinol (vit. A) tablet salut 100. 000 iu Tablet 300 300 600
A145 145 Ringer laktat larutan infus steril Botol 3 3
A156 156 Simvastatin tab 10 mg Tablet 300 600 480 990 2370
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 2000 2000 1500 2000 7500
A166 166 Trifluoperazine (Stelazin) Tablet 100 100 100 100 400
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 100 100 200 200 200 800
0
OBAT TAMBAHAN 0
A194 194 Becefort Tablet 2000 2000 2000 3000 4000 2500 15500
A199 199 Caviton Tube 1 1 1 3
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A222 222 Dormi/Scopma/Spashi tablet Tablet 300 300 600
A229 229 ETSA Set 1 1
A247 247 Ketoconazole SK tube 20 25 25 80 150
A252 252 Lodomer 2 Tablet 100 100 100 300
A261 261 Miloxicam 7,5 mg tablet 1500 1500 3000
A267 267 New antides tablet 300 500 500 1300
A269 269 Obat anti tuberkulosis FDC katagori I Paket 1 5 5 3 14
A271 271 Obat anti tuberkulosis FDC katagori II Paket 1 1
Demacolin
A277 277 OBH plus botol 96 48 48 96 96 384
A281 281 Orpen Tablet 1000 1000 2000 4000
A288 288 Pehacain Injeksi Ampul 60 60 100 220
A291 291 Phenitoin tab Tablet 200 200
A313 313 Tetagam Ampul 120 120
A317 317 Ventolin Nebulizer Ampul 30 20 50
Levofloxacin 500 0
Domperidon syr 50 50
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 500 500
B2 2 ADS 0.05 ml Pcs 200 100 300
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B6 6 Alat suntik sekali pakai 2,5 ml Pcs 300 300
B24 24 Hypavix (Ultrafik) Roll 3 3
B58 58 Lisol mengandung kresol Botol 6 6
B59 59 Masker Pcs 500 1000 1500
Pengeluaran IFK ke Puskesmas Kediri II

1 2 3 4 6 15
A1 1 Acyclovir Salep Tube 0
A14 14 Antasida doen tablet kombinasi Tablet 1500 2000 3500
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 5600 3000 8600
A35 35 Cetirizin10 mg tab Tablet 300 300
A61 61 Fitomenadion (vit. K1) tablet salut 10 mg Tablet 100 100 200
A78 78 Hidrokortison krim 2.5 % Tube 48 24 72
A80 80 Isoniazide 100 mg Tablet 100 100
(Albotyl)
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 20 40 20 20 100
A139 139 Ranitidin inj 25 mg/2 ml Ampul 10 10
A146 146 Risperidon Tablet 200 200
A148 148 Salbutamol tablet 4 mg Tablet 1000 1000 2000
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 2000 1500 3500
A169 169 Vitamin B kompleks tablet Tablet 1000 1000
0
OBAT TAMBAHAN 0
A179 179 Amlodipin 5 mg tab Tablet 900 1500 2400
A184 184 Antasida syr Botol 0
A196 196 Bonding Set 1 1 2
A211 211 Composite (tumpatan sinar)A3 Set 1 1 2
A212 212 Composite (tumpatan sinar)A3.5 Set 1 1 2
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A229 229 ETSA Set 1 1 2
A263 263 Multivitamin (Livron B plek) Tablet 4000 1000 3000 8000
Demacolin
A281 281 Orpen Tablet 2000 2000 4000
A295 295 Prenatin DF Tablet 1800 1800
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 300 300 600
B2 2 ADS 0.05 ml Pcs 100 100
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B59 59 Masker Pcs 1500 1500
B61 61 Masker N95 Pcs 100 100
Pengeluaran IFK ke Puskesmas Kediri III

1 2 3 4 6 15
A5 5 Alprazolam 0.5 mg Tablet 500 300 800
A6 6 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet 0
A13 13 Amoksilna sirup kering 125 mg/ 5 mg Botol 96 24 120 240
A39 39 Deksametason tablet 0.5 mg Tablet 1000 1000 2000
A46 46 Domperidon tablet 10 mg Tablet 1000 1000
1 2 3 4 6 15
A61 61 Fitomenadion (vit. K1) tablet salut 10 mg Tablet 100 100
A66 66 Gentamysin TM/Genoint TM Botol 48 48 96
A75 75 Haloperidol 1,5 mg tablet Tablet 300 300
A92 92 Kloramfenikol tetes telinga 3 % Botol 20 20 40
A94 94 Klorpromazin 100 mg tablet Tablet 100 100
A101 101 Lidokain inj Ampul 100 100 200
(Albotyl)
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 10 10 20
1 2 3 4 6 15
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 1000 500 1000 2500
A161 161 Tetrasiklina hcl (tetrasiklina) kapsul 500 mg Tablet 300 500 800
A169 169 Vitamin B kompleks tablet Tablet 2000 2000 4000
0
OBAT TAMBAHAN 0
1 2 3 4 6 15
A187 187 Asam Folat 1 mg Tablet 200 500 700
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A229 229 ETSA Set 0
A237 237 Glimepiride 2 tablet 500 500 600 1200 2800
1 2 3 4 6 15
Demacolin
A278 278 Omeprasole tablet 20 mg Tablet 0
A281 281 Orpen Tablet 2000 2000 1000 5000
A287 287 Parasetamol drop Botol 50 50 56 50 206
1 2 3 4 6 15
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 300 300
B2 2 ADS 0.05 ml Pcs 300 300
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
1 2 3 4 6 15
B50 50 Kasa Steril ( 18 x 22 ) Kotak 200 200
B59 59 Masker Pcs 1000 1000
B65 65 Perkamen Pak 20 20
B71 71 Sarung Tangan L Pasang 100 100
Pengeluaran IFK ke Puskesmas Pupuan I

1 2 3 4 6 15
A17 17 Aquadest steril 500 ml Botol 5 5
A21 21 Asam mefenamat 500 mg Tablet 2000 1500 1000 1000 1000 1000 7500
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 1000 1000 600 600 1000 1500 5700
A27 27 Betahistin tab Tablet 300 300 180 600 450 300 2130
A37 37 Ciprofloxazin tablet 500 mg Tablet 500 500 500 800 800 3100
A38 38 Deksametason injeksi 5 mg / ml - 1 ml Ampul 15 30 20 65
A39 39 Deksametason tablet 0.5 mg Tablet 2000 2000 2000 3000 4000 3000 16000
A43 43 Diazepam tablet 2 mg Tablet 200 200
A50 50 Ergotamina tartrat 1 mg + kofeina 50 mg tab Tablet 100 100
A55 55 Eugenol cairan Botol 2 2 4
A58 58 Fenobarbital tablet 30 mg Tablet 500 500 500 400 500 1500 3900
A73 73 Griseofulvin tablet 125 mg. Mikronized Tablet 200 200
A75 75 Haloperidol 1,5 mg tablet Tablet 600 600
A76 76 Haloperidol 5 mg tablet Tablet 300 400 300 200 600 1800
A78 78 Hidrokortison krim 2.5 % Tube 24 24 24 24 48 48 192
A79 79 Ibuprofen tablet 400 mg Tablet 1000 1000
A97 97 Klorpromazina hcl tablet salut 25 mg Tablet 500 1000 1500 3000
A101 101 Lidokain inj Ampul 100 100 100 300
(Albotyl)
A105 105 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul 15 15
A106 106 Metilergometrina malet tablet salut 0. 125 mg Tablet 300 300
A112 112 Monoklorkamfer mentolcairan (CHKM) Botol 1 1 2
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 40 40
A117 117 Nifedipin tablet 10 mg Tablet 100 100
A125 125 Oksitosina inj 10 iu/ml - 1 ml Ampul 10 12 22
A137 137 Propranolol hcl (Propranolol) tablet 40 mg Tablet 100 100
A139 139 Ranitidin inj 25 mg/2 ml Ampul 50 40 40 50 30 60 270
A145 145 Ringer laktat larutan infus steril Botol 100 100 60 60 20 200 540
A146 146 Risperidon Tablet 100 100 100 300
A148 148 Salbutamol tablet 4 mg Tablet 500 300 300 600 400 400 2500
A151 151 Semen seng fosfat serbuk dan cairan Botol 1 1 2
A152 152 Serum anti bisa ular polivalen inj. 5ml Ampul 2 2 4
A153 153 Serum anti tetanus inj. 1.500 iu Ampul 10 10
A155 155 Silver amalgam serbuk 65-75% Botol 1 1 2
A161 161 Tetrasiklina hcl (tetrasiklina) kapsul 500 mg Tablet 100 100 200
A166 166 Trifluoperazine (Stelazin) Tablet 100 100
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 500 500 500 600 400 800 3300
0
OBAT TAMBAHAN 0
A197 197 Bufacomb salep Tube 20 10 30
A209 209 Clobazam 10 mg Tablet 200 200 400
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A220 220 Dextrofen syr Botol 50 50 50 50 200
A229 229 ETSA Set 0
A245 245 Kalium Diklovenac tablet 1500 1500 1000 1000 2000 7000
A261 261 Miloxicam 7,5 mg tablet 1500 1200 600 800 850 4950
A275 275 Obat Flu kombinasi CTM, PPA (Anaflu), Tablet 1500 1200 2000 2000 6700
Demacolin
A277 277 OBH plus botol 48 48 48 48 192
A279 279 Ondancentron inj Ampul 10 10 20
A281 281 Orpen Tablet 2000 1600 800 200 4600
A284 284 Pamol 125 mg Supp Supp 12 24 36
A287 287 Parasetamol drop Botol 20 20
A291 291 Phenitoin tab Tablet 300 400 400 200 400 300 2000
A308 308 Stelosi tab 5 mg Tablet 5 5
A317 317 Ventolin Nebulizer Ampul 20 10 20 30 10 20 110
Clopidogrel bisulfate 30 30
Levofloxacin 500 500 200 700
Spironolactone 25 mg 100 100
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 100 200 300
B2 2 ADS 0.05 ml Pcs 100 100
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 100 100
B29 29 IV Cath dgn Katup pcs 50 20 50 120
B50 50 Kasa Steril ( 18 x 22 ) Kotak 30 30 50 110
B59 59 Masker Pcs 800 800
B81 81 Spalk tungkai atas dewasa Pcs 3 3
B82 82 Spalk tungkai bawah anak Pcs 3 3
Pengeluaran IFK ke Puskesmas Pupuan II

1 2 3 4 15
A25 25 Basitrasin Polimiksin Tube 0
A37 37 Ciprofloxazin tablet 500 mg Tablet 500 1000 1500
A39 39 Deksametason tablet 0.5 mg Tablet 2000 2000 5000 9000
A44 44 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul 60 60 120
A62 62 Furosemida tablet 40 mg Tablet 300 300 200 800
A69 69 Gliseril guayakolat tablet 10 mg Tablet 1000 1000 1000 3000
A76 76 Haloperidol 5 mg tablet Tablet 300 500 200 500 1500
A85 85 Ketokonazole 200 mg tablet Tablet 200 150 350
(Albotyl)
A116 116 Natrium klorida larutan infus 0. 9 steril Botol 10 10
A140 140 Ranitidin tablet 150 mg Tablet 500 1000 2000 3500
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 1000 500 500 2000
0
OBAT TAMBAHAN 0
A213 213 Crofed Tablet 1000 500 1500
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A229 229 ETSA Set 0
Demacolin
A277 277 OBH plus botol 48 48 48 144
A281 281 Orpen Tablet 1000 2000 1000 4000
A295 295 Prenatin DF Tablet 0
A299 299 Procurma sirup botol 0
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B59 59 Masker Pcs 0
Pengeluaran IFK ke Puskesmas Baturiti I

1 2 3 4 6 15
A33 33 Cefadroxill 500 mg tablet Tablet 1000 500 1000 2500
A56 56 Fenobarbital inj 50 mg /ml -2ml Ampul 3 3
A59 59 Fenol gliserol tetes telnga 10% Botol 24 24 48
A60 60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul 10 5 15
A92 92 Kloramfenikol tetes telinga 3 % Botol 24 15 39
(Albotyl)
A107 107 Metilprednisolon tablet 4 mg Tablet 1000 1000 1000 1000 500 1000 5500
A108 108 Metoklopramide 10 mg tablet/Noristal Tablet 200 500 700
A112 112 Monoklorkamfer mentolcairan (CHKM) Botol 1 1
A121 121 Oksigen gas dalam tabung 3 m3 Tabung 12 5 7 24
A122 122 Oksigen gas dalam tabung 6 m3 Tabung 2 1 3
A139 139 Ranitidin inj 25 mg/2 ml Ampul 20 20 30 70
A168 168 Trikresol formalin (tkf) cairan Botol 1 1
0
OBAT TAMBAHAN 0
A197 197 Bufacomb salep Tube 6 10 15 31
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A217 217 Dermazine/Burnazin Tube 1 2 3
A229 229 ETSA Set 0
A236 236 Glass ionomer (Ketac Molar) Tube 1 1 1 3
A242 242 Ibuprofen syr btl 64 96 160
A247 247 Ketoconazole SK tube 48 50 98
A260 260 Microlax Supp 5 5 5 15
A269 269 Obat anti tuberkulosis FDC katagori I Paket 2 2 1 3 8
A270 270 Obat anti tuberkulosis FDC anak Paket 1 1 2
Demacolin
A277 277 OBH plus botol 48 48 96
A281 281 Orpen Tablet 2000 1000 3000
A287 287 Parasetamol drop Botol 24 24 56 100 56 260
A288 288 Pehacain Injeksi Ampul 100 60 60 100 100 60 480
A291 291 Phenitoin tab Tablet 100 100 400 600
A303 303 Scabimite cream tube 6 6 5 17
A309 309 Stesolid rectal Supp 5 5
A313 313 Tetagam Ampul 10 20 10 30 20 90
A317 317 Ventolin Nebulizer Ampul 40 20 40 20 40 160
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B2 2 ADS 0.05 ml Pcs 300 300
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B13 13 Catgut 2/0 plain Sachet 24 24
B14 14 Catgut / benang bedah no 2/0 chromic Sachet 24 24
B55 55 Klip Kecil Pak 30 30 30 90
B56 56 Klip Tanggung Pak 50 30 30 30 50 190
B59 59 Masker Pcs 2000 2000
Pengeluaran IFK ke Puskesmas Baturiti II

1 2 3 4 6 15
A13 13 Amoksilna sirup kering 125 mg/ 5 mg Botol
A25 25 Basitrasin Polimiksin Tube 100 25
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 2000 2000 4000
A45 45 Digoksina tablet 0. 25 mg Tablet 300 500 500
A68 68 Glibenklamida tablet 5 mg Tablet
A79 79 Ibuprofen tablet 400 mg Tablet 2000 2000 2000
A92 92 Kloramfenikol tetes telinga 3 % Botol 50
A100 100 Kotrimoksasol tablet kombinasi Tablet
(Albotyl)
A128 128 Parasetamol tablet 500mg Tablet 3000 5000 3000
A149 149 Salisil bedak 2 % Bks
OBAT TAMBAHAN



A229 229 ETSA Set

A245 245 Kalium Diklovenac tablet
A263 263 Multivitamin (Livron B plek) Tablet 3000 3000 2000
Demacolin
A277 277 OBH plus botol 144 144 96
A281 281 Orpen Tablet 2000 1000 1000



Sucralfate susp
Levofloxacin 500
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs 500
B2 2 ADS 0.05 ml Pcs 100
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs

B59 59 Masker Pcs 500 1000 500
B76 76 Sendok Takar Pcs 200 200


B88 88 Underpad Pak
B89 89 Urinebag Set
Mei Juni Jumlah
50
500
0
2010
500
1000
150
3000
5
0
0
10000
0
5000
30
0
0
0
0
2000 4000
6000
0
0
0
125
8000
1500
192
0
9000
0
180
2000
0
800
0
5000
0
8000
0
0
6
0
150
1300
1000
0
0
6
0
0
0
0
8
2
0
0
300
0
5
200
800
400
96
0
144
0
0
0
0
0
0
0
0
0
0
0
48
6000
0
0
0
0
3000
300
0
0
0
0
0
0
50
0
0
0
0
0
0
50
0
0
0
0
4000
0
200
6000
0
1500
0
0
0
1
0
200
10
0
100
0
0
2 2
0
0
0
0
100
0
11000
0
0
0
0
3000
0
0
0
0
0
10
2000
0
0
1000
250
0
0
0
5000
0
0
0
0
0
100
0
1200
0
0
0
0
1000
0
2000 6000
0
0
600
300
0
2000
0
0
100
0
0
0
0
0
0
0
0
0
7500
0
0
0
0
150
0
0
300
0
0
0
0
0
0
3500
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
1000 1000
0
0
0
0
0
0
0
3000
0
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
0
0
64
0
40
0
30
20 90
0
0
0
0
0
0
2
4
0
0
0
0
2
2500
0
8000
0
0
0
3000
0
2 4
0
0
0
0
0
4500
0
384
0
0
0
4000
0
0
0
36
0
280
160
0
0
500
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
0
0
2
0
0
0
50
0
0
0
20
0
0
0
0
0
0
0
0
0
0
0
0
0
500
100
0
0
0
1000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
60
0
20
2000
0
80
0
0
0
8
0
50
50
0
0
0
0
0
0
0
400
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pengeluaran IFK ke Puskesmas Kerambitan I

1 2 3 4 6 15
A28 28 Betametazon salep kulit Tube 24 24 96 144
A30 30 Captopril 25 mg tablet Tablet 1000 1000 2000 1000 5000
(Albotyl)
A118 118 Nistatin 100. 000 iu/g tablet vaginal Tab Vag 50 50 100
A140 140 Ranitidin tablet 150 mg Tablet 1000 500 500 500 2500
A156 156 Simvastatin tab 10 mg Tablet 90 90 90 270
0
OBAT TAMBAHAN 0
A194 194 Becefort Tablet 500 500 1000 1000 3000
A200 200 Cefixim syr 100 mg/5 ml Botol 10 10
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet 0
A229 229 ETSA Set 1 1
A244 244 Isotic Neolisin TM Fls 10 10 20
A261 261 Miloxicam 7,5 mg tablet 100 500 300 300 1200
A263 263 Multivitamin (Livron B plek) Tablet 1000 800 1800
Demacolin
A277 277 OBH plus botol 96 96 96 96 384
A278 278 Omeprasole tablet 20 mg Tablet 210 210 300 720
A281 281 Orpen Tablet 1000 1000 2000 1000 5000
A287 287 Parasetamol drop Botol 50 100 100 50 300
A309 309 Stesolid rectal Supp 3 3
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 100 100 200 400
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 200 200
B59 59 Masker Pcs 0
Pengeluaran IFK ke Puskesmas Kerambitan II

1 2 3 4 6 15
A1 1 Acyclovir Salep Tube 50 25 25 25 125
A2 2 Acyclovir 400 mg Tab Tablet 200 200 500 500 1400
A5 5 Alprazolam 0.5 mg Tablet 1000 1000 2000 1000 1500 6500
A11 11 Amitriptilina hcl tablet salut 25 mg Tablet 100 200 100 100 500
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet 5600 5600 5600 5600 22400
A31 31 Carbamazepina 200 mg talet Tablet 300 500 1000 1800
A37 37 Ciprofloxazin tablet 500 mg Tablet 1000 500 500 500 2500
A77 77 Hidroklorotiasida (HCT) tablet 25 mg Tablet 100 100 200
A78 78 Hidrokortison krim 2.5 % Tube 72 48 48 96 96 360
A100 100 Kotrimoksasol tablet kombinasi Tablet 200 200 400
(Albotyl)
A108 108 Metoklopramide 10 mg tablet/Noristal Tablet 200 200 200 600
A112 112 Monoklorkamfer mentolcairan (CHKM) Botol 1 1 2
A132 132 Prednison tablet 5 mgn Tablet 500 500
A139 139 Ranitidin inj 25 mg/2 ml Ampul 10 10
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet 200 300 1000 2000 3500
A166 166 Trifluoperazine (Stelazin) Tablet 500 500 500 500 2000
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 1000 1000 500 1000 3500
0
OBAT TAMBAHAN 0
A209 209 Clobazam 10 mg Tablet 200 200 200 600
A210 210 Clozapine 25 mg Tablet 1000 550 1000 1000 3550
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A220 220 Dextrofen syr Botol 50 50 50 100 250
A229 229 ETSA Set 1 1
A233 233 Fluoxetin Tablet 100 100 200
A244 244 Isotic Neolisin TM Fls 50 108 108 108 374
A250 250 Ketorolac inj Ampul 12 12
A260 260 Microlax Supp 5 5 5 15
Demacolin
A277 277 OBH plus botol 144 96 144 240 96 96 816
A281 281 Orpen Tablet 1000 1000 1000 2000 5000
A288 288 Pehacain Injeksi Ampul 40 40 40 2 122
A291 291 Phenitoin tab Tablet 1000 500 1000 500 500 500 4000
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B1 1 ADS 0.5 ml Pcs 1000 1000
B2 2 ADS 0.05 ml Pcs 500 500
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B59 59 Masker Pcs 0
Pengeluaran IFK ke Puskesmas Selemadeg

1 2 3 4 6 15
A2 2 Acyclovir 400 mg Tab Tablet
A4 4 Albendazol 400 mg tab Tablet
A8 8 Ambroxol tab 30 mg / Promukus Tablet 2000 3000
A14 14 Antasida doen tablet kombinasi Tablet 5000 2000
A15 15 Anti hemmoroid suppositoria Supp
A20 20 Asam askorbat (Vit. C) tablet 50 mg Tablet
A30 30 Captopril 25 mg tablet Tablet
A39 39 Deksametason tablet 0.5 mg Tablet 3000
A46 46 Domperidon tablet 10 mg Tablet 400 500
A58 58 Fenobarbital tablet 30 mg Tablet
A60 60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul
A66 66 Gentamysin TM/Genoint TM Botol
A79 79 Ibuprofen tablet 400 mg Tablet 5000
(Albotyl)
A104 104 Metformin 500 mg tablet Tablet
A107 107 Metilprednisolon tablet 4 mg Tablet
A128 128 Parasetamol tablet 500mg Tablet 5000 3000
A163 163 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet
OBAT TAMBAHAN


A194 194 Becefort Tablet

A229 229 ETSA Set


Demacolin
A279 279 Ondancentron inj Ampul 20 30
A281 281 Orpen Tablet



324 Sucralfate susp
325 Clopidogrel bisulfate
326 Levofloxacin 500
327 Spironolactone 25 mg
328 Domperidon syr
329 Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs 600

B59 59 Masker Pcs


B88 88 Underpad Pak
B89 89 Urinebag Set
Mei Juni Jumlah
25
200 200
0
420 1500 1920
400 400 1100
300 300
100 100 350
5000
0
0
0
4500 4000 16500
48
4000 4000 15000
0
0
0
0
0
2000 2000
2000 2000 10000
0
0
0
0
16800
990 900 2580
48 50 171
0
1000 1000
0
60 60
0
0
500 500
0
1000 1000
100 100
1000 2000 6000
0
0
10
0
30 30 60
100 100
500 1400
0
0
0
0
0
500 500
0
0
0
0
0
0
0
10 10 20
0
100 300
600
48
0
0
0
1500
0
0
0
0
0
0
300 300
500
0
48 72
3000 3000 11000
0
0
100 100
0
500 300 1000
0
0
0
10
0
0
0
20
2000 2000
0
0
0
300
0
0
1000 1000
100 100
0
0
0
0
0
0
0
200 200 400
0
0
0
0
0
2000 2000
40 220
100
0
0
0
4 3 20
1 2 8
0
0
20 60
100
0
3000 4000 15000
0
0
0
0
250
0
0
0
0
0
20 40 90
2000 3000 11000
0
0
50 550
200
60 140 500
0
0
0
0
0
0
0
0
0
0
450 1050
0
0
0
0
0
0
0
0
0
200 200
300 300 1100
0
3500 5500
0
0
1000 2000
0
0
0
0
0
0
0
0
0
2010 6000 9030
0
0
0
0
50 100
0
0
0
0
100 100
0
0
0
0
1000 1000 2000
0
0
5
0
1
0
500
0
0
0
0
0
0
0
0
0
0
0
1000 1100
0
0
0
0
300 300 600
0
100 100 250
0
0
0
5 5 10
0
0
0
0
0
200 900
0
0
0
0
0
0
900 3000 3900
0
5
0
0
64 104
0
25 55
2000 2000
20 40
50 72 152
0
0
12
0
0
0
0
0
0
0
0
0
10 10
0
0
4000 4000 13000
0
0
0
500 1000 1700
0
1
0
0
0
0
0
1000 1500
0
48 48 288
210 300 840
50
0
1000 1000
0
0
36 36
24 24
0
30 20 90
200 200 500
0
0
100 200
0
0
0
600 1800
0
0
0
50 50 150
0
0
0
0
5
0
0
0
0
5 5 10
0
0
0
200
0
0
100 100
50 40 150
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
600
0
200 500 700
0
0
0
0
0
0
960 960
48 960 1008
0
0
0
0
0
0
0
0
0
24 24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200 200
200 200
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
200 400
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pengeluaran IFK ke Puskesmas Selemadeg Timur I

1 2 3 4 6 15
A7 7 Ambroxol syr Botol 50
A8 8 Ambroxol tab 30 mg / Promukus Tablet 1000 1000
A14 14 Antasida doen tablet kombinasi Tablet 2000
A21 21 Asam mefenamat 500 mg Tablet 2000
A26 26 Besi (II) sulfat tablet salut .kombinasi Tablet
A30 30 Captopril 25 mg tablet Tablet 2000
A33 33 Cefadroxill 500 mg tablet Tablet 1000
A37 37 Ciprofloxazin tablet 500 mg Tablet 1000
A54 54 Etil klorida semprot Botol 10
A63 63 Garam Oralit untuk 200 ml air Sachet 500
A79 79 Ibuprofen tablet 400 mg Tablet 1500
A84 84 Kalsium laktat (kalk) tablet 500 mg Tablet
(Albotyl)
A116 116 Natrium klorida larutan infus 0. 9 steril Botol
A128 128 Parasetamol tablet 500mg Tablet 2000 3000
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet
A172 172 Zink tablet Tablet
OBAT TAMBAHAN


A194 194 Becefort Tablet 2000
A218 218 Dextina / Dextamin/Dextamec/Polofar Plus Tablet 1000
A220 220 Dextrofen syr Botol

A229 229 ETSA Set



Demacolin
A277 277 OBH plus botol 48



Sucralfate susp
Levofloxacin 500
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs 200 200
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs 100

B59 59 Masker Pcs 500 500
B65 65 Perkamen Pak


B88 88 Underpad Pak
B89 89 Urinebag Set
Mei Juni Jumlah
25
1000
0
1500
500
0
50 100
1000 3000
0
0
0
4000
96
2000 4000
0
0
0
0
0
1000
2000 4000
0
0
0
50 50
2000 2000
990
48 48
0
1500 3500
0
60 120
1000
0
0
0
1000
0
1500 5500
0
0
0
0
0
200 200
0
0
0
2
0
0
0
0
10
0
0
0
500
0
0
0
500
500
0
0
48 72
0
0
0
0
0
0
0
0
0
0
0
48 96
1500
200 300
0
0
0
1000 1000
500
0
0
0
0
0
0
25
600 600
0
0
0
300 300
0
50
0
0
0
0
0
5
0
500
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
10 10
50
0
3000 8000
0
0
0
0
0
0
0
0
0
0
10
1500 3500
0
0
800
100
6 6
0
0
1000
0
0
0
0
0
0
0
0
0
0
0
0
500 500
0
1000 1000
0
0
200
200
0
1000 3000
0
0
500 500
0
0
0
0
0
0
0
0
0
990
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3000 5000
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
1000 1000
0
0
20
2
200 1200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
500
0
0
0
0
32 32
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
1000 2000
0
3000 6000
0
0
0
0
0
2
0
0
0
0
0
500 2000
0
48 96
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
600 600
0
0
0
50
0
0
0
0
0
0
0
0
0
0
0
0
0
5
0
0
0
5 10
0
0
0
0
0
0
0
0
0
0
0
0
0
400
0
0
100
0
100
0
0
0
0
0
0
0
24
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 200
0
0
0
100 125
0
0
0
0
0
100
0
0
1000
0
180
0
0
0
0
0
0
0
0
0
100
200 200
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Pengeluaran IFK ke Puskesmas Selemadeg Timur II

Januari Pebruari Maret april Mei Juni Jumlah
1 2 3 4 6 15
A5 5 Alprazolam 0.5 mg Tablet 500 500 500 1000 2500
A25 25 Basitrasin Polimiksin Tube 25 25 25 25 50 150
A28 28 Betametazon salep kulit Tube 24 24 24 24 96
A32 32 Cefadroxil 125mg/5ml Sirup Botol 60 120 60 60 300
A33 33 Cefadroxill 500 mg tablet Tablet 2000 500 800 500 1000 4800
A35 35 Cetirizin10 mg tab Tablet 500 500 1000 500 2500
A37 37 Ciprofloxazin tablet 500 mg Tablet 500 500 500 1000 2500
A42 42 Diazepam injeksi 5 mg / ml - 2 ml Ampul 6 3 9
A45 45 Digoksina tablet 0. 25 mg Tablet 200 200 400
A49 49 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul 2 16 18
1 2 3 4 6 15
A62 62 Furosemida tablet 40 mg Tablet 200 200 200 300 200 1100
A70 70 Glukosa larutan infus 10 % steril Botol 3 3
A82 82 Isosorbid dinitrat Tablet 200 300 500
(Albotyl)
A109 109 Metronidazol 500 mg Tablet 300 200 100 600
1 2 3 4 6 15
A145 145 Ringer laktat larutan infus steril Botol 3 3 6
A148 148 Salbutamol tablet 4 mg Tablet 1000 1000 500 500 3000
A166 166 Trifluoperazine (Stelazin) Tablet 200 200 400
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 200 200 400
0
OBAT TAMBAHAN 0
1 2 3 4 6 15
A184 184 Antasida syr Botol 50 50 50 50 200
A189 189 Asetosal 80/miniaspi tablet 300 200 300 500 1300
A194 194 Becefort Tablet 500 500 1000 2000
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A216 216 Daryantulle Lembar 30 20 50
A220 220 Dextrofen syr Botol 100 50 50 50 50 300
A222 222 Dormi/Scopma/Spashi tablet Tablet 100 100
A229 229 ETSA Set 0
1 2 3 4 6 15
A244 244 Isotic Neolisin TM Fls 25 30 30 85
A245 245 Kalium Diklovenac tablet 1000 1000 1000 500 500 500 4500
A255 255 Magnesium Sulfat 40% - 25 ml Botol 2 2 5 9
A260 260 Microlax Supp 5 5
A263 263 Multivitamin (Livron B plek) Tablet 1000 1500 1000 1000 4500
A270 270 Obat anti tuberkulosis FDC anak Paket 2 1 3
Demacolin
A277 277 OBH plus botol 48 48 96
A281 281 Orpen Tablet 600 1000 600 2200
A295 295 Prenatin DF Tablet 0
1 2 3 4 6 15
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 0
BMHP 0
B2 2 ADS 0.05 ml Pcs 100 100
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B24 24 Hypavix (Ultrafik) Roll 3 3 3 10 19
B29 29 IV Cath dgn Katup pcs 4 4
1 2 3 4 6 15
B48 48 Kasa pembalut hidrofil 4 m x 15 cm Roll 60 100 160
B56 56 Klip Tanggung Pak 50 30 50 130
B59 59 Masker Pcs 1000 1000
Pengeluaran IFK ke Puskesmas Selemadeg Barat

1 2 3 4 6 15
A8 8 Ambroxol tab 30 mg / Promukus Tablet 2000 2000 2000 1000 7000
1 2 3 4 6 15
A58 58 Fenobarbital tablet 30 mg Tablet 700 2000 1000 1000 4700
A66 66 Gentamysin TM/Genoint TM Botol 48 48
(Albotyl)
A107 107 Metilprednisolon tablet 4 mg Tablet 1000 1000 1000 3000
1 2 3 4 6 15
A145 145 Ringer laktat larutan infus steril Botol 20 40 60
A152 152 Serum anti bisa ular polivalen inj. 5ml Ampul 1 1
0
OBAT TAMBAHAN 0
1 2 3 4 6 15
A179 179 Amlodipin 5 mg tab Tablet 1500 1500 3000 6000
A189 189 Asetosal 80/miniaspi tablet 300 300
A214 214 D1/2 NS botol 0
A215 215 D1/4 NS Botol 0
A216 216 Daryantulle Lembar 50 50
A217 217 Dermazine/Burnazin Tube 10 5 15
A229 229 ETSA Set 0
1 2 3 4 6 15
A260 260 Microlax Supp 10 5 15
Demacolin
A277 277 OBH plus botol 96 48 144
A281 281 Orpen Tablet 1000 2000 3000
mg)
1 2 3 4 6 15
A306 306 Spashi inj Ampul 10 10
A317 317 Ventolin Nebulizer Ampul 10 20 20 20 70
Sohobion)
Sucralfate susp 0
Levofloxacin 500 0
Domperidon syr 0
Ceterizin syr 50 50
BMHP 0
B1 1 ADS 0.5 ml Pcs 4000 4000
B3 3 ADS 2 ml Pcs 0
B4 4 ADS 5 ml Pcs 0
B29 29 IV Cath dgn Katup pcs 20 20
1 2 3 4 6 15
B45 45 Kasa Hidrofil 4 x 10 Roll 200 200
B59 59 Masker Pcs 1000 2000 1000 4000
B71 71 Sarung Tangan L Pasang 100 500 100 1000 1700
B76 76 Sendok Takar Pcs 200 200
B80 80 Spalk tungkai atas anak Pcs 5 5
B81 81 Spalk tungkai atas dewasa Pcs 10 10
B82 82 Spalk tungkai bawah anak Pcs 5 5
B83 83 Spalk tungkai bawah dewasa Pcs 10 10
LAPORAN PEMAKAIAN DAN LEMBAR PERMIN
PUSKESMAS

JANUARI PEBRUARI MARET APRIL
1 2 3 4 5 6 8
A1 1 Acyclovir Salep Tube
A7 7 Ambroxol syr Botol
A8 8 Ambroxol tab 30 mg / Promukus Tablet
A12 12 Amoksilina kapsul 500 mg Tablet
A14 14 Antasida doen tablet kombinasi Tablet
A21 21 Asam mefenamat 500 mg Tablet
A27 27 Betahistin tab Tablet
A39 39 Deksametason tablet 0.5 mg Tablet
A62 62 Furosemida tablet 40 mg Tablet
A63 63 Garam Oralit untuk 200 ml air Sachet
A78 78 Hidrokortison krim 2.5 % Tube
A79 79 Ibuprofen tablet 400 mg Tablet
(Albotyl)
A126 126 Parasetamol sirup 120 mg / 5 ml Botol
A128 128 Parasetamol tablet 500mg Tablet
A140 140 Ranitidin tablet 150 mg Tablet
A144 144 Retinol (vit. A) tablet salut 100. 000 iu Tablet
A169 169 Vitamin B kompleks tablet Tablet
OBAT TAMBAHAN




A229 229 ETSA Set



A275 275 Obat Flu kombinasi CTM, PPA (Anaflu), Tablet
Demacolin
A277 277 OBH plus botol


A299 299 Procurma sirup botol

A313 313 Tetagam Ampul
Sucralfate susp
Levofloxacin 500
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs

B59 59 Masker Pcs
B65 65 Perkamen Pak
B76 76 Sendok Takar Pcs


B88 88 Underpad Pak
B89 89 Urinebag Set
N LEMBAR PERMINTAAN OBAT (LPLPO)
PUSKESMAS
MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOPEMBER DESENBER TOTAL

10 12 13 14 15 16 17
500
PUSKESMAS

1 2 3 4 5 6 8
A54 54 Etil klorida semprot Botol 10
(Albotyl)
A143 143 Retinol (vit. A) kapsul lunak 200.000 iu Tablet
OBAT TAMBAHAN




A229 229 ETSA Set 1



A269 269 Obat anti tuberkulosis FDC katagori I Paket
Demacolin



Sucralfate susp
Levofloxacin 500
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs

B59 59 Masker Pcs 1000
B65 65 Perkamen Pak


B88 88 Underpad Pak
B89 89 Urinebag Set
PUSKESMAS

10 12 13 14 15 16 17
1000
12
2000
2000
2000
1000
5
1000
60
60
PUSKESMAS

1 2 3 4 5 6 8
A12 12 Amoksilina kapsul 500 mg Tablet 100
A39 39 Deksametason tablet 0.5 mg Tablet 100
(Albotyl)
OBAT TAMBAHAN




A229 229 ETSA Set



Demacolin



Sucralfate susp
Levofloxacin 500
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs

B59 59 Masker Pcs
B65 65 Perkamen Pak


B88 88 Underpad Pak
B89 89 Urinebag Set
PUSKESMAS

10 12 13 14 15 16 17
50 10
PENGELUARAN JANUARI- DE

1 2 3 4 5 6 8
A1 1 Acyclovir Salep Tube 325 475 75 175
A3 3 Air raksa dental use Botol 0 0 0 0
A9 9 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul 10 15 30 0
A10 10 Aminofilna tablet 200 mg Tablet 0 0 0 1200
A11 11 Amitriptilina hcl tablet salut 25 mg Tablet 100 600 0 100
A15 15 Anti hemmoroid suppositoria Supp 0 2000 160 130
A16 16 Aqua pro injeksi streril. Bebas priogen 20 ml Vial 50 0 105 60
A17 17 Aquadest steril 500 ml Botol 0 5 0 0
A18 18 As salisilat 2% + belerang endap 4%(2-4 salep Pot 0 0 24 24
A19 19 As. Benzoat 3 % + as salisilat 6%(whitefield) Pot 0 0 0 0
A22 22 Asetosal 100 mg Tablet 300 0 0 0
A23 23 Asetosal tablet 500 mg Tablet 0 0 0 0
A24 24 Atropina sulfat injeksi 0 .25 mg / ml - 1 ml Ampul 0 0 0 15
A25 25 Basitrasin Polimiksin Tube 400 725 425 225
A28 28 Betametazon salep kulit Tube 290 792 312 589
A29 29 Captopril 12.5 mg tablet Tablet 0 0 0 0
A31 31 Carbamazepina 200 mg talet Tablet 300 500 1100 0
A34 34 Cefotaxim 1 gr Injeksi Ampul 200 200 0 0
A36 36 Cimetidine/Selestidin Tablet 0 1000 0 0
A38 38 Deksametason injeksi 5 mg / ml - 1 ml Ampul 100 1031 50 30
A40 40 Devitalisasi pasta Tube 0 5004 0 1
A41 41 Diazepam 5 mg Tablet 0 1 0 0
A42 42 Diazepam injeksi 5 mg / ml - 2 ml Ampul 22 12 5 0
A43 43 Diazepam tablet 2 mg Tablet 0 0 0 0
A45 45 Digoksina tablet 0. 25 mg Tablet 0 500 600 500
A47 47 Doxycicline 100 mg tab Tablet 0 0 0 0
A48 48 Efedrina HCL (efedrina) tablet 25 mg Tablet 0 0 0 0
A49 49 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul 47 94 85 0
A50 50 Ergotamina tartrat 1 mg + kofeina 50 mg tab Tablet 0 15 0 0
A51 51 Erytromysin 200mg/5ml Syrup Botol 0 0 0 0
A52 52 Erytromysin tablet 500 mg Tablet 0 0 0 1000
A53 53 Etakridina (rivanol) larutan 0.1 % Botol 0 0 0 0
A55 55 Eugenol cairan Botol 5 7 6 2
A56 56 Fenobarbital inj 50 mg /ml -2ml Ampul 0 2 0 0
A57 57 Fenobarbital tablet 100mg Tablet 0 0 0 0
A59 59 Fenol gliserol tetes telnga 10% Botol 0 0 48 122
A60 60 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul 125 95 62 10
A61 61 Fitomenadion (vit. K1) tablet salut 10 mg Tablet 0 0 0 400
A62 62 Furosemida tablet 40 mg Tablet 3800 1500 2000 500
A64 64 Gentamisin Salep Mata Tube 240 362 192 192
A65 65 Gentamysin SK Tube 0 0 0 0
A67 67 Gentian violet larutan 1 % Botol 0 0 0 0
A68 68 Glibenklamida tablet 5 mg Tablet 5500 1700 2800 2000
A70 70 Glukosa larutan infus 10 % steril Botol 0 3 0 0
A73 73 Griseofulvin tablet 125 mg. Mikronized Tablet 0 2 0 200
A74 74 Haloperidol 0,5 mg. Tablet Tablet 0 0 0 0
A75 75 Haloperidol 1,5 mg tablet Tablet 0 0 0 0
A76 76 Haloperidol 5 mg tablet Tablet 1100 1400 900 500
A77 77 Hidroklorotiasida (HCT) tablet 25 mg Tablet 0 1100 100 0
A80 80 Isoniazide 100 mg Tablet 0 2200 200 100
A81 81 Isoniazide 300 mg Tablet 0 0 0 0
A82 82 Isosorbid dinitrat Tablet 0 0 300 0
A83 83 Kalsium hidroksida pasta Pot 0 0 0 0
A86 86 Kinina dihidroklorida (kinina) inj 25 % - 2 ml Ampul 0 0 0 0
A87 87 Kinina sulfat tablet 222 mg (7 h20 ) Tablet 0 0 0 0
A88 88 Kloramfenicol salep kulit Tube 0 45 156 24
A89 89 Kloramfenikol kapsul 250 mg Tablet 0 0 0 0
A90 90 Kloramfenikol salep mata 1 % Tube 99 0 0 0
A91 91 Kloramfenikol tetes Mata Botol 0 0 0 0
A93 93 Klorfeniramina maleat (CTM) tablet 4 mg Tablet 0 50 0 0
A94 94 Klorpromazin 100 mg tablet Tablet 0 0 0 100
A95 95 Klorpromazina Hcl inj 25 mg / ml - 1 ml Ampul 0 0 0 0
A96 96 Klorpromazina Hcl inj 5 mg / ml - 2 ml Ampul 0 0 0 0
A97 97 Klorpromazina hcl tablet salut 25 mg Tablet 0 400 500 800
A98 98 Kodeina Hcl (kodeina) tablet 10 mg Tablet 0 0 0 0
A99 99 Kotrimoksasol suspensi Botol 300 468 250 250
A100 100 Kotrimoksasol tablet kombinasi Tablet 1500 13750 200 0
A101 101 Lidokain inj Ampul 330 1200 100 300
A102 102 Lidokaina comp inj kombinasi Ampul 0 0 0 0
A103 103 Metakresol sulfonat dan metanol kondensai Botol 0 0 0 0
(Albotyl)
A105 105 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul 121 600 0 25
A106 106 Metilergometrina malet tablet salut 0. 125 mg Tablet 0 0 0 500
A107 107 Metilprednisolon tablet 4 mg Tablet 12500 19800 10500 17500
A108 108 Metoklopramide 10 mg tablet/Noristal Tablet 0 1100 200 200
A109 109 Metronidazol 500 mg Tablet 1100 2900 5000 1500
A110 110 Metronidazol tablet 250 mg Tablet 0 0 0 0
A111 111 Mikonazole salep Tube 0 0 0 0
A112 112 Monoklorkamfer mentolcairan (CHKM) Botol 1 1 2 0
A113 113 Mumifyng pasta Botol 0 1 1 2
A114 114 Natrium bikarbonat tablet 500 mg Tablet 0 0 0 0
A115 115 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet 0 0 0 3000
A117 117 Nifedipin tablet 10 mg Tablet 0 110 0 200
A119 119 Obat batuk hitam (OBH) cairan Botol 100 ml 0 0 0 0
A120 120 Ofloxacin tab 400mg Tablet 0 0 0 0
A123 123 Oksitetrasiklina hcl salep 3 % Tube 0 0 0 0
A124 124 Oksitetrasiklina hcl salep mata 1 % Tube 0 0 0 0
A127 127 Parasetamol tab 100 mg Tablet 0 0 0 0
A129 129 Pirantel pamoat (pirantel) tablet 125 mg basa Tablet 0 0 0 0
A130 130 Piroxicam 10 Mg Tablet 0 0 0 0
A131 131 Piroxicam 20 Mg Tablet 0 0 0 0
A132 132 Prednison tablet 5 mgn Tablet 0 0 0 1000
A133 133 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet 4000 4500 4250 1750
A134 134 Primakina tablet 15 mg Tablet 0 0 0 0
A135 135 Prokaina penisilina g inj 3 juta iu Vial 0 0 0 0
A136 136 Propiltionurasil tablet 100 mg Tablet 0 0 0 0
A137 137 Propranolol hcl (Propranolol) tablet 40 mg Tablet 100 0 0 100
A138 138 Pyridoxin injeksi Ampul 0 0 0 0
A139 139 Ranitidin inj 25 mg/2 ml Ampul 170 420 430 260
A141 141 Reserpina tablet 0, 10 mg Tablet 0 0 0 0
A142 142 Reserpina tablet 0, 25 mg Tablet 0 0 0 0
A143 143 Retinol (vit. A) kapsul lunak 200.000 iu Tablet 21600 3200 0 1550
A144 144 Retinol (vit. A) tablet salut 100. 000 iu Tablet 4750 650 0 0
A149 149 Salisil bedak 2 % Bks 35 0 0 190
A150 150 Salisil spiritus 10 % Botol 0 0 0 0
A151 151 Semen seng fosfat serbuk dan cairan Botol 0 1 1 0
A152 152 Serum anti bisa ular polivalen inj. 5ml Ampul 0 11 0 0
A153 153 Serum anti tetanus inj. 1.500 iu Ampul 0 0 0 10
A154 154 Sianokobalamina (vit.b12) inj. 500 mcg Ampul 200 200 700 800
A155 155 Silver amalgam serbuk 65-75% Botol 1 0 0 0
A157 157 Sulfacetamide tetes mata Botol 0 0 0 0
A158 158 Synthetic filing material larutan dan serbuk Set 0 0 0 0
A159 159 Temporary stopping fletcher serbuk dan cairan Set 0 0 0 0
A160 160 Tetrasiklina hcl (tetrasiklina) kapsul 250 mg Tablet 0 0 0 0
A161 161 Tetrasiklina hcl (tetrasiklina) kapsul 500 mg Tablet 1000 600 600 1000
A162 162 Thiamfenikol 500 Tablet 0 500 0 0
A164 164 Tiamina hcl (vit.b1) inj. 100 mg/ml Ampul 0 1000 0 0
A165 165 Tramadol Tablet 0 0 0 0
A166 166 Trifluoperazine (Stelazin) Tablet 700 1200 600 1400
A167 167 Triheksfenidil hcl 2 mg tablet Tablet 3000 2700 1300 2800
A168 168 Trikresol formalin (tkf) cairan Botol 0 0 1 0
A170 170 Yodium povidan larutan 10% 300 ml Botol 0 3000 0 0
A171 171 Yodium povidon larutan 10% 30 ml Botol 0 0 0 0
Amoxiciliin syr 250/5 mg 0 0 0 0
0 0 0 0
OBAT TAMBAHAN 0 0 0 0
A173 173 Aptil Botol 6 0 7 3
A174 174 (Lopinavir/Ritonavir)Aluvia Botol 0 0 0 0
A175 175 Abacavir Tablet 0 0 0 0
A176 176 Acyclovir tablet 200 mg Tablet 0 0 0 0
A177 177 Aleterol TM Botol 0 0 0 0
A180 180 Amox-clav Tablet 0 0 0 0
A181 181 Ampisilin Serbuk Injeksi i.m/i.v. 1000 mg/ml Ampul 0 0 0 0
A182 182 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul 0 0 0 0
A183 183 Antalgin injeksi Ampul 0 0 0 0
A185 185 Arterakine Tablet 0 0 0 0
A186 186 Artesunat inj Vial 0 0 0 0
A188 188 Asam tranexamat 500 mg Tablet 100 0 0 0
A190 190 Atripla(TDF+3TC+EFV) Botol 0 0 0 0
A191 191 Azitromisin+cefixim Tablet 0 0 0 0
A192 192 Azytromisin tablet 500 mg Tablet 0 0 0 0
A193 193 BD Vacuntainer Pcs 0 0 0 0
A194 194 Becefort Tablet 15500 16000 17500 22000
A195 195 Benzatin Penisillin Vial 0 0 0 0
A196 196 Bonding Set 0 2 3 2
A197 197 Bufacomb salep Tube 44 10 31 10
A198 198 Buscopan inj Ampul 0 20 0 0
A199 199 Caviton Tube 0 3 1 4
A200 200 Cefixim syr 100 mg/5 ml Botol 15 1 2 0
A201 201 Cefixim tablet 100 mg Tablet 0 0 0 500
A202 202 Cefixim tablet 200 mg Tablet 0 0 0 0
A203 203 Cefotaxim 0,5 g inj Vial 0 0 0 0
A204 204 Ceftriaxon inj Vial 0 0 0 0
A205 205 Clarithromysin 500 mg Tablet 0 0 0 0
A206 206 Clavamox inj Ampul 0 0 0 0
A207 207 Clindamisin 150 mg Tablet 0 0 0 0
A208 208 Clindamisin 300 mg Tablet 0 0 0 0
A210 210 Clozapine 25 mg Tablet 1200 550 0 0
A211 211 Composite (tumpatan sinar)A3 Set 0 2 3 2
A212 212 Composite (tumpatan sinar)A3.5 Set 0 2 3 2
A213 213 Crofed Tablet 4500 0 500 800
A214 214 D1/2 NS botol 0 0 0 0
A215 215 D1/4 NS Botol 0 0 0 0
A219 219 Dextran 70% Botol 0 0 0 0
A221 221 Diaform tablet/selesdiar Tablet 0 50 0 0
A222 222 Dormi/Scopma/Spashi tablet Tablet 1300 900 0 0
A223 223 Dulcolac anak supp Supp 0 0 6 12
A224 224 Dulcolac dewasa supp Supp 10 9 0 15
A225 225 Dulkolak tablet Tablet 0 0 0 0
A226 226 Duviral(Zidovudin 300+Lamivudin 150) Botol 0 120 0 0
A227 227 Efavirenz Botol 0 0 0 0
A228 228 Etambutol Tablet 0 0 0 0
A229 229 ETSA Set 0 2 3 2
A230 230 Euthyrox 100mg Tablet 1200 600 900 500
A231 231 Faktu Supp Supp 0 0 0 0
A232 232 Fluconasol tab Tablet 0 0 0 0
A233 233 Fluoxetin Tablet 0 0 0 100
A234 234 Forumen TT Fls 0 0 0 0
A235 235 Gentamisin Injeksi 80 mg/2ml Ampul 0 0 0 0
A236 236 Glass ionomer (Ketac Molar) Tube 2 4 0 5
A239 239 Glukonas Calcicus 10%- 10ml Ampul 7 5 7 0
A240 240 Haldol inj Ampul 0 0 0 0
A241 241 Hiviral (Lamivudin 150) Botol 0 120 0 0
A242 242 Ibuprofen syr btl 100 50 0 392
A243 243 Iliadin TH flesh 0 0 0 0
A244 244 Isotic Neolisin TM Fls 183 105 168 182
A245 245 Kalium Diklovenac tablet 12000 7000 14500 7000
A246 246 Kaltropen supp Supp 10 70 40 10
A248 248 Ketoprofen inj 10 mg Ampul 0 0 0 0
A249 249 Ketoprofen tablet 100 mg Tablet 0 0 0 0
A251 251 Kombipak Anak Paket 0 0 0 0
A252 252 Lodomer 2 Tablet 100 0 0 100
A253 253 Lytamin syr botol 0 0 0 0
A256 256 Metil Prednisolon 16 mg Tablet 0 0 0 0
A257 257 Metil prednisolon inj 500 mg Vial 0 20 20 39
A258 258 Metronidazole 500 mg Infus/100 ml Botol 0 0 0 0
A259 259 Meylon inj Botol 0 0 0 5
A260 260 Microlax Supp 23 7 10 20
A262 262 Molexflu Tablet 0 500 0 0
A264 264 Multivitamin sirup( Xanvit syr) Botol 0 2000 0 0
A265 265 Neurotropik tablet Tablet 0 0 0 0
A266 266 Neviral (neviravin 200mg) Botol 0 0 0 0
A268 268 Nutrifar 5000 Tablet 0 1000 0 0
A270 270 Obat anti tuberkulosis FDC anak Paket 5 3 1 8
A271 271 Obat anti tuberkulosis FDC katagori II Paket 1 0 1 0
A272 272 Obat anti tuberkulosis FDC sisipan Paket 0 0 0 0
A273 273 Obat anti tuberkulosis kategori I Paket 0 0 0 0
A274 274 Obat Batuk Kombinasi Botol 0 0 0 0
Demacolin
A276 276 Obat Flu Kombinasi/Mecofed/Quantidex Tablet 0 1000 0 0
A277 277 OBH plus botol 848 1056 1152 1104
A279 279 Ondancentron inj Ampul 110 240 100 80
A280 280 Ondancetron 4 mg Tablet 0 0 0 0
A281 281 Orpen Tablet 18600 14200 16400 17200
A282 282 Oseltamivir Tablet 0 2000 0 0
A283 283 Paket bonding Set 0 0 0 0
A284 284 Pamol 125 mg Supp Supp 60 24 36 42
A285 285 Pamol 250 mg Supp Supp 72 48 36 24
A286 286 Pantocain Tetes Mata Botol 0 0 0 0
A287 287 Parasetamol drop Botol 181 712 236 374
A289 289 Pehatrim Forte (Kotrimoksasol tab forte 960 mg) Tablet 0 60 0 0
A290 290 Perhidrol (H2O2) Botol 13 4 5 0
A291 291 Phenitoin tab Tablet 1500 1800 2200 800
A292 292 Piracetam 400 mg Tablet 0 0 0 0
A293 293 Piracetam inj 200mg/1ml Ampul 0 0 0 0
A294 294 Pirimethamine tablet Tablet 0 0 0 200
A296 296 Prenatin plus tablet tablet 0 0 0 0
A297 297 Primaquin Tablet 0 0 0 0
A298 298 Primperan inj Ampul 0 0 0 0
A299 299 Procurma sirup botol 350 550 650 250
A300 300 Prokain Benzil Penicillin G Injeksi 3 jt IU/vial Vial 0 0 0 0
A301 301 Proris supp Supp 0 0 0 0
A302 302 Pularex Tablet 0 0 0 0
A303 303 Scabimite cream tube 0 20 0 6
A304 304 Sikzonoate inj Ampul 5 5 0 0
A306 306 Spashi inj Ampul 10 0 0 0
A307 307 Spashi tab Tablet 0 0 0 0
A308 308 Stelosi tab 5 mg Tablet 0 0 0 0
A309 309 Stesolid rectal Supp 0 0 0 17
A310 310 Strop indra Botol 0 0 0 0
A311 311 Sulfadiazin tablet Tablet 0 0 0 0
A312 312 Tenofovir (Tenofovir 300mg) Botol 0 0 0 0
A313 313 Tetagam Ampul 0 460 1503 15
A314 314 Tramadol inj 50 mg/ml Ampul 0 10 0 0
A315 315 Tranexid inj (Asam tranexamat inj) Ampul 0 20 0 10
A316 316 Urotractin tablet 0 0 0 200
A317 317 Ventolin Nebulizer Ampul 315 535 310 220
A318 318 Vitamin B12 tab Tablet 0 0 0 0
A319 319 Vitamin Neurotropik inj Ampul 5 0 0 0
A320 320 Vitamin Neurotropik tablet (Nutrifar, Sohobion) Tablet 0 0 0 0
A321 321 VitKa infan Ampul 0 0 0 0
A322 322 Xylocain Gel Ampul 0 0 0 0
A323 323 Zidovudine 100 mg Tablet 0 0 0 0
Sucralfate susp 0 0 0 150
Clopidogrel bisulfate 0 0 0 30
Levofloxacin 500 0 0 0 500
Spironolactone 25 mg 0 0 0 100
Domperidon syr 0 0 0 50
Ceterizin syr 0 0 0 0
BMHP 0 0 0 0
B1 1 ADS 0.5 ml Pcs 6100 900 1100 2200
B2 2 ADS 0.05 ml Pcs 800 700 400 500
B3 3 ADS 2 ml Pcs 0 0 0 0
B4 4 ADS 5 ml Pcs 0 600 0 400
B5 5 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0
B6 6 Alat suntik sekali pakai 2,5 ml Pcs 5200 1100 2400 5200
B7 7 Alat suntik sekali pakai 5 ml Pcs 800 200 100 0
B8 8 Bisturi no 13 Pcs 0 0 0 0
B10 10 Bisturi no 19/20 Pcs 0 0 0 0
B12 12 Box slide kotak 0 0 0 0
B13 13 Catgut 2/0 plain Sachet 0 0 0 24
B14 14 Catgut / benang bedah no 2/0 chromic Sachet 24 48 48 48
B15 15 Catgut / benang bedah no 3/0 plain Sachet 0 0 0 0
B16 16 Catgut 1/0 Chromic Pcs 0 0 0 0
B17 17 Catgut 2/0 Chromic Roll Roll 0 2 0 0
B18 18 Catgut 3/0 Chromic Roll Roll 1 2 0 0
B19 19 Cutgut Chromic No.1 atraumatik (sachet) Sachet 0 0 0 0
B20 20 Etanol 70 % Botol 0 0 0 0
B21 21 Etanol 70 % Botol 100 ml 10 20 0 0
B22 22 Film Rontgen 18 x 24 Set 0 0 0 0
B23 23 Folley catheter Pcs 0 0 0 0
B25 25 I.V Catheter 22 Pcs 0 0 0 0
B26 26 I.V Catheter 24 Pcs 0 0 0 0
B27 27 Infusion set anak Set 0 0 0 0
B28 28 Infusion set dewasa Set 30 0 0 0
B29 29 IV Cath dgn Katup pcs 0 50 66 0
B30 30 IV Catheter 18 Pcs 0 0 0 0
B31 31 IV Catheter 20 Pcs 0 0 0 0
B32 32 IV Catheter no 18 G Terumo Pcs 0 0 0 0
B33 33 IV Catheter no 20 G Terumo Pcs 0 0 0 0
B34 34 Jarum injeksi Pcs 0 0 0 0
B35 35 Jarum jahit (bedah) no. 9 s/d 14 Set 0 0 0 0
B36 36 Jarum Jahit Bedah no 12 Set 0 0 0 0
B39 39 Jarum Kulit Set 0 0 0 0
B40 40 Jarum Otot dan Kulit Set 0 0 0 0
B41 41 Jelly RO Tube 0 0 0 0
B42 42 Kantung Puyer Pak 0 0 0 0
B43 43 Kapas pembalut / absorben 250 gram Roll 15 10 11 0
B44 44 Kasa gulung 40 x 80 Roll 0 0 0 0
B45 45 Kasa Hidrofil 4 x 10 Roll 0 250 50 0
B46 46 Kasa kompres 40 / 40 steril Roll 0 500 500 400
B47 47 Kasa pembalut 2 x 80 Roll 0 0 0 0
B48 48 Kasa pembalut hidrofil 4 m x 15 cm Roll 0 200 400 160
B49 49 Kasa pembalut hidrofin 4m x 3 cm Roll 0 50 0 100
B50 50 Kasa Steril ( 18 x 22 ) Kotak 0 100 30 525
B51 51 Kertas EKG Roll 0 0 0 0
B52 52 Kertas saring Lembar 0 0 0 0
B53 53 Kertas USG Roll 0 0 0 0
B54 54 Klem Tali Pusar pcs 0 0 0 0
B55 55 Klip Kecil Pak 20 70 80 550
B56 56 Klip Tanggung Pak 170 150 310 700
B57 57 Lampu spiritus botol 0 0 5 0
B58 58 Lisol mengandung kresol Botol 20 0 20 5
B59 59 Masker Pcs 3000 6700 7900 8000
B60 60 Masker Bedah Pcs 0 0 0 0
B61 61 Masker N95 Pcs 180 460 100 100
B62 62 MY Jelly Tube 0 20 0 0
B63 63 Nasal cannula Oksigen pcs 0 0 0 0
B64 64 Pembalut Gips Roll 0 0 0 0
B65 65 Perkamen Pak 0 16 44 24
B66 66 Plester 5 yard x 2 inch Roll 0 0 0 0
B67 67 Pot Salep Pot 0 50 0 0
B68 68 Pot Sputum Pcs 400 700 540 700
B69 69 Safety box Pcs 0 0 0 0
B70 70 Sarung Tangan Gynaecologi pasang 0 12 0 0
B72 72 Sarung Tangan M Pasang 1000 0 0 0
B73 73 Sarung Tangan S Pasang 0 0 0 0
B74 74 Sarung Tangan Steril Pasang 0 0 0 0
B75 75 Sarung Tangan Surgiglove Pasang 0 0 0 0
B77 77 Silk 3/0 roll Roll 0 0 0 0
B78 78 Silk (benang bedah sutera) no.3/0 Pcs 0 0 0 0
B79 79 Slide Prosted Pak 0 0 0 0
B80 80 Spalk tungkai atas anak Pcs 0 1 1 5
B81 81 Spalk tungkai atas dewasa Pcs 0 1 1 10
B82 82 Spalk tungkai bawah anak Pcs 0 1 1 5
B83 83 Spalk tungkai bawah dewasa Pcs 0 1 1 10
B84 84 Spuit 10 ml Pcs 0 0 0 0
B85 85 Spuit 2/3 ml Pcs 0 0 0 0
B86 86 Transfusi Set Pcs 0 0 0 0
B87 87 Uji Tuberkulin Vial 0 0 0 0
B88 88 Underpad Pak 0 0 0 0
B89 89 Urinebag Set 0 0 0 0
B90 90 Wing Needle 21 Pcs 0 0 0 0
RAN JANUARI- DESESMBER

10 12 13 14 15 16 17
100 100 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509
. 0 Err:509 Err:509 Err:509 Err:509 Err:509 Err:509 #VALUE!
PEMAKAIAN JANUARI-DESEM

1 2 3 4 5 6 8
(Albotyl)
OBAT TAMBAHAN




A229 229 ETSA Set



A269 269 Obat anti tuberkulosis FDC katagori I Paket
Demacolin



Sucralfate susp
Levofloxacin 500
Domperidon syr
Ceterizin syr
BMHP
B1 1 ADS 0.5 ml Pcs
B3 3 ADS 2 ml Pcs
B4 4 ADS 5 ml Pcs

B59 59 Masker Pcs
B65 65 Perkamen Pak


B88 88 Underpad Pak
B89 89 Urinebag Set
N JANUARI-DESEMBER

10 12 13 14 15 16 17

Pengeluaran Jan Jun

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Pengeluaran IFK ke Puskesmas Tabanan I

Kode No Nama Obat Satuan

A173 173 Aptil Botol

A182 182 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul

A183 183 Antalgin injeksi Ampul

A186 186 Artesunat inj Vial

A220 220 Dextrofen syr Botol 50 50

A233 233 Fluoxetin Tablet

A240 240 Haldol inj Ampul

A255 255 Magnesium Sulfat 40% - 25 ml Botol

A256 256 Metil Prednisolon 16 mg Tablet

A298 298 Primperan inj Ampul

A301 301 Proris supp Supp

B53 53 Kertas USG Roll

B80 80 Spalk tungkai atas anak Pcs

B87 87 Uji Tuberkulin Vial

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

A173 173 Aptil Botol

A182 182 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul

A183 183 Antalgin injeksi Ampul

A220 220 Dextrofen syr Botol 50

A233 233 Fluoxetin Tablet

A240 240 Haldol inj Ampul

A256 256 Metil Prednisolon 16 mg Tablet

A290 290 Perhidrol (H2O2) Botol

A298 298 Primperan inj Ampul

A301 301 Proris supp Supp

B53 53 Kertas USG Roll

B80 80 Spalk tungkai atas anak Pcs

B87 87 Uji Tuberkulin Vial

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

A173 173 Aptil Botol

A182 182 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul

A183 183 Antalgin injeksi Ampul

A220 220 Dextrofen syr Botol 100

A233 233 Fluoxetin Tablet

A290 290 Perhidrol (H2O2) Botol

A298 298 Primperan inj Ampul

A301 301 Proris supp Supp

B53 53 Kertas USG Roll

B80 80 Spalk tungkai atas anak Pcs

B87 87 Uji Tuberkulin Vial

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

Kode No Nama Obat Satuan

A173 173 Aptil Botol

A182 182 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul

A183 183 Antalgin injeksi Ampul

A220 220 Dextrofen syr Botol 50

A233 233 Fluoxetin Tablet

A255 255 Magnesium Sulfat 40% - 25 ml Botol

A256 256 Metil Prednisolon 16 mg Tablet