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LAPORAN PEMAKAIAN OBAT PER 30 JANUARI 2016

PUSKESMAS KR PULE

NO NAMA OBAT/ALKES APOTEK PUSTU1 PUSTU 2 P MAPAK UGD GIGI


I OBAT - OBATAN
1 ACICLOVIR TAB 200 125 30
2 ACICLOVIR TAB 400 -
3 ACYCLOVIR 5 % 11 4 3 2
4 ALBENDAZOL 400 MG 2 7 1
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml -
6 ALOPURINOL TABLET 100 MG - 30
7 ALOPURINOL TABLET 300 MG -
8 ALPRAZOLAM 5 mg -
9 AMBROXOL 30 MG 1,329 256 340 100
10 AMINOFILIN INJEKSI 24 MG/ML -
11 AMINOFILIN TABLET 200 MG 50
12 AMITRIPTILIN HCL TAB SALUT 25 MG -
13 AMLODIPIN 10 mg 196 10 30 30
14 AMLODIPIN 5 MG -
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMO 16
16 AMOKSISILIN KAPSUL 250 MG 537 360 120 20
17 AMOKSISILIN SYRUP KERING 125 MG/ML 71 36 46 10 1
18 AMOXICILIN 500 MG 3,920 880 500 300 4
19 AMPISILLIN SERB INJ 1000 MG/Vial -
20 ANTASIDA DOEN TABLET 1,342 880 450 100 109
21 ANTASIDA SYRUP 20 2 8 5 2
22 ANTI BAKTERI DOEN SALEP 37 20 6
23 ANTI FUNGI DOEN KOMBINASI 2 1 4
24 ANTI MIGRAIN DOEN ( KAFERGOT ) -
25 ANTIHEMOROID DOEN 12
26 ASAM ASKORBAT VIT C TAB 50 MG 568 380 200 20
27 ASAM MEFENAMAT 500 MG 1,316 300 280 150 54
28 ATROPIN SULFAT 0,5 Mg TABLET -
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K) -
30 BENZANTIN PENICILIN 1,2 JUTA IU -
31 BENZATIN PENICILIN 2,4 JT IU -
32 BETAMETASON KRIM 0,5 MG /G 33 3 14 4
33 BIO PLACENTON -
34 CA-GLUCONAS INJ -
35 CAPTOPRIL 25 MG 767 270 100 100 14
36 CEFIXIME 200 MG -
37 CEFTRIAXONE INJ -
38 CIMETIDINE 200 MG -
39 CIPROFLOKSASIN 500 MG 188 85 100 100
40 CLINDAMICYN 150
41 CLINDAMICYN 300 340 90
42 COMBIPAK AZITROMICYN CEFIXIME -
43 COTRI 960 TAB ( PEHATRIM ) -
44 COUNTERPAIN - 1
45 DAPSON 100 Mg -
46 DEKSAMETASON TABLET 0,5 MG 471 315 300 300
47 DEXAMETASON INJEKSI 5 MG./ML. - 5
48 DIAZEPAM INJEKSI 5 MG/ML -
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml -
50 DIAZEPAM TABLET 2 MG 25
51 DIAZEPAM TABLET 5 MG -
52 DIGOKSIN TABLET 0,25 MG -
53 DIMENHIDRINATE 50 Mg 94
54 DIPHENHIDRAMIN HCL.INJEKSI - 3
55 DONPERIDON 10 MG -
56 DOSISIKLINE 100 MG - 100
57 EPINEFRIN HCL/BITATRAT - 1
58 ERGOTAMIN TABLET 1 Mg - 9
59 ETAMBUTOL 250 MG -
60 FENITOIN NA 100 MG INJ / 2 Ml -
61 FENITOIN NA 50 MG INJ / Ml -
62 FENITOIN NA KAPSUL 100 MG -
63 FENOBARBITAL INJ. 50 MG/ML, 1ML -
64 FENOBARBITAL TABLET 100 MG -
65 FENOBARBITAL TABLET 30 MG 135
66 FENOL GLISEROL TETES TELINGA 11 5
67 FITOMEDION INJ 2 MG/ML (NEO K) -
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 21 10
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML -
70 FLUCONAZOL TAB -
71 FUROSEMID TAB 40 MG 85 5
72 GARAM ORALIT 200 ML AIR 739 162 100 100
73 GENTAMISIN INJ -
74 GENTAMISIN SK 33 10 10 5
75 GENTIAN VIOLET LARUTAN 1 % 9 2
76 GLIBENKLAMID TABLET 5 MG 1,440
77 GLIMEPIRID 2 mg 162
78 GLISERIL GUAYAKOLAT TAB 100 MG 1,249 768 350
79 GLUKOSA ;LARUTAN INFUS 5 % - 2
80 GLUKOSA LARUTAN INFUS 10 % -
81 GRISEOFULVIN TABLET 125 MG 78 100
82 HALOPERIDOL 5 MG -
83 HCT TABLET 25 MG. -
84 HIDROKORTISON KRIM 2,5 % 28 37 12 2
85 HYOSINE N-BUTYL BROMIDE INJ -
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg -
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 110 100 100 130
88 IBUPROPEN TABLET 200 MG -
89 IBUPROPEN TABLET 400 1,137 320 500 100
90 INH (ISONIAZID 300 MG) -
91 ISOSORBID DINITRAT 5 MG -
92 KA-EN 3B -
93 KALSIUM LAKTAT TABLET 500 MG 192 36 50 100
94 KARBAMAZEPIN 200 MG TABLET 420
95 KETOCONAZOL TAB 200 mg -
96 KLORAMFENIKOL KAPSUL 250 MG -
97 KLORAMFENIKOL SALET MATA 1 % 22 7 8 5
98 KLORAMFENIKOL SYRUP -
99 KLORAMFENIKOL TETES TELINGA 3 % 8 3 6 2
100 KLORFENIRAMIN MALEAT ( CTM ) 3,956 1,436 1600 200
101 KLORPROMAZIN INJ 5 MG/ML -
102 KLORPROMAZIN TAB.100 MG -
103 KLORPROMAZIN TAB.25 MG -
104 KOTRIMOKSAZOL TABLET, DEWASA 35 170 100 36
105 KOTRIMOKSAZOL TABLET, PEDIATRIK -
106 KOTRIMOXSAZOL SYRUP 28 12 25 3
107 LANZOPRAZOL -
108 LEXAVIT -
109 LIDOCAIN INJ 1 % -
110 LIDOKAIN KOMPOSITUM INJ 2 % - 2 11 18
111 MAGNESIUM SULFAT 40% (MGSO4) -
112 MELOKSIKAM 15 MG 47 190 150 100
113 METFORMIN 500 mg -
114 METHYLPREDNISOLON 16 MG TABLET -
115 METOCHLOPRAMIDE 10 Mg 258 3 20
116 METRONIDAZOL TABLET 500 MG 228 20 100
117 METRONIDAZOL TABLET 250 MG -
118 METYL ERGOMETRIN INJ 0,2 MG/ML -
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG -
120 MICONAZOLE KRIM 2% 20 3 3 1
121 MINERAL MIX -
122 MISOPROSTOL TAB -
123 NATRIUM CLORIDA 0,9 % - 2 2 8
124 NATRIUM DICLOFENAC 50 171 50 150 50
125 NIFEDIPIN 10 MG 36 1
126 NISTATIN 100.000 IU/G TAB/VAG 8
127 OAT FDC KATEGORI ANAK -
128 OAT KATAGORI ANAK -
129 OAT KOMBIPAK -
130 OAT SISIPAN -
131 OBAT ANTI TBC KATAGORI 2 -
132 OBAT ANTI TBC FDC I&III -
133 OBAT BATUK HITAM ( OBH ) 26 3 15 3
134 OKSITETRASIKLIN SALEP MATA 1% - 10
135 OKSITOSIN INJEKSI 10 IU/ML -
136 OMEPRAZOL 20 Mg -
137 PAMOL SUPP 125 MG -
138 PARASETAMOL SIRUP 120 MG/ML 200 59 50 9 3
139 PARASETAMOL TABLET 500 MG 5,214 2,310 750 200 39
140 PIRANTEL PAMOAT TABLET 125 MG -
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 1,365 472 1000 20
142 PIROKSIKAM 20 MG 68 180 240 144
143 PREDNISON TABLET 5 MG -
144 PRIMAKUIN TABLET 15 MG -
145 PROKAIN BENZILPENICILIN 1 JUTA UI -
146 PROKAIN PENISILIN INJ 3 JT UI -
147 PROPANOLOL HCL TABLET 40 MG -
148 PROPIL THIOURASIL TABLET 100 MG -
149 RANITIDIN 150 MG -
150 RANITIDIN INJEKSI 25 MG/ML - 4 5
151 RESERPIN TABLET 0,25 MG -
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU -
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU -
154 RINGER LAKTAT LARUTAN INFUS STERIL - 16
155 SALBUTAMOL 2 MG -
156 SALBUTAMOL TABLET 4 MG 207 172 150 100 5
157 SALEP 2-4 KOMBINASI 5 8
158 SALISIL BEDAK 2 % 6 10 9 5
159 SETIRIZIN SYR 5 Mg/5 Ml -
160 SIMVASTATIN TAB SALUT 10 MG 82 30 20
161 SOLVITRAL (MULTIVITAMIN) 2,317 210 500 200
162 SPIRONOLAKTON 25 Mg -
163 STESOLID SUPP -
164 STREPTOMISIN SERB 1000 mg -
165 TABLET TAMBAH DARAH KOMBINASI 1,810 30 300 10
166 THIAMFENICOL 500 -
167 THIAMIN HCL ( VIT B-1 ) TABLET 1,087 438 500 200
168 TRIHEKSIFENIDIL HCL 2 MG -
169 URISPAS 145
170 VENTOLIN NEBULE -
171 VITAMIN B COPMPLEX TAB 1,868 460 500 50
172 VITROMEGA (MULTIVITAMIN) 1,058
173 ZINK 20 Mg 680 165 300 50
174 ZINK SYR 10 MG / ML -
175 EFEDRIN
176 SIKZONOATE INJEKSI
177 SOTATIC INJEKSI
178 KETOROLAC INJEKSI 5
179 CEFADROXIL 500 MG 165 20
180 STOP-X CREAM

II BAHAN HABIS PAKAI


1 ABBOCATH 18 2 3
2 ABBOCATH 20 1 18
3 ABBOCATH 22
4 ABOOCATH 24 2 1
5 AGUADES STERIL 1
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML
7 ALAT SUNTIK SEKALI PAKAI 1 ML 1 13
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 38 10 30 20 20
9 ALAT SUNTIK SEKALI PAKAI 5 ML
10 ALAT SUNTIK 10 CC
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 1
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 8
14 COVER GLASS
15 CUT GUT PLAN
16 DEPO PROGESTIN 48
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 %
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER
22 HAND SCOON 10 2 7 302 200
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 2
25 INFUSION SET DEWASA 1 13
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14
27 KAPAS PEMBALUT ADSBN 250 MG 1 1
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL 3 15 20 5
30 KASA PEMBALUT 2 M X 80 CM 4 2 16 2
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 3 14
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 4
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT 7200
35 KERTAS PUYER MESIN
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING 1 3
38 KERTAS RESEP MERAH 3 2 4
39 KERTAS RESEP PUTIH 8
40 KLIPS PELASTIK OBAT 5500 900 1100 500
41 MASKER 5 5 60
42 MESS PISAU BEDAH 2 2 5
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH 3
45 POLIKRESULEN
46 POVIDON IODIDA LARUTAN10 % 30 ML 2 1 1
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 1
49 SARUNG TANGAN PANJANG
50 SCALVEN 25 G 1
51 SCALVIN 23 G 1
52 SILK BENANG BEDAH NO;3/0 6
53 URINE BAG
54 USG GEL

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT 1 1 1
3 EUGENOL CAIRAN 1
4 GLASS IONOMER CEMENT (GC IX) 1
5 MONOKLOR KAMPER MENTHOL CAIRAN
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER
10 TRIKRESOL FORMALIN CAIRAN 1
11 SPONGOSTAN 3

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH ( BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

155
0
20
10
0
30
0
0
80 150 2,255
0
50
0
25 291
0
16
1,037
164
300 320 50 140 6,414
6 6
480 420 3,781
37
2 3 68
2 9
0
12
1,168
80 20 60 2,260
0
0
0
0
1 55
0
0
100 360 1,711
0
0
0
473
0
430
0
0
1
0
10 1,396
5
0
0
25
0
0
94
3
0
100
1
9
0
0
0
0
0
0
135
16
20 2 1 23
31
0
0
90
33 10 39 1,183
0
2 1 61
11
1,440
162
300 280 2,947
2
0
178
0
0
2 3 84
0
0
440
0
180 2,237
0
0
0
160 20 150 708
420
0
0
6 2 1 51
0
7 26
300 50 667 8,209
0
0
0
100 441
0
68
0
0
0
10 41
1 1
487
0
0
100 381
348
0
0
0
27
0
0
12
421
3 1 41
8
0
0
0
0
0
0
10 57
1 11
31 2 2 35
0
0
6 327
200 350 100 3030 12,193
0
50 2,907
48 680
0
0
0
0
0
0
0
9
0
0
41 2 43
24 2 2 44
0
100 734
13
5 9 44
0
132
170 460 3,857
0
0
0
150 1200 750 4,250
0
1628 3,853
0
145
0
100 30 300 3,308
60 400 100 1,618
1,195
0
0
0
0
5
185
0
0
0
0
0
6 1 12
5 1 3 28
0
8 11
1
0
20 13 1 48
38 37 25 218
0
5 5
3 4
300 300
8
0
22 1 2 25
48
0
1 1
0
0
0
160 77 3 20 781
0
2
21 2 37
0
1 1 4
0
43
10 34
17
4
0
7,200
0
0
4
9
8
150 600 8,750
6 76
9
0
1 4
0
1 5
0
1
0
1
1
6
0
0
0
0
0
0
0
3
1
1
0
0
0
0
0
1
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
50 50
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
LAPORAN SISA STOK OBAT PER 30 JANUARI 2016
PUSKESMAS KR PULE

NO NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD


I OBAT - OBATAN
1 ACICLOVIR TAB 200 100 162 90 70
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 % 10 15 4 2 9
4 ALBENDAZOL 400 MG 2,970 18 19 16
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG 60
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 436 38 10
10 AMINOFILIN INJEKSI 24 MG/ML 2 3
11 AMINOFILIN TABLET 200 MG 50
12 AMITRIPTILIN HCL TAB SALUT 25 MG
13 AMLODIPIN 10 mg -
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMO30 29
16 AMOKSISILIN KAPSUL 250 MG 360 317 30
17 AMOKSISILIN SYRUP KERING 125 MG/ML 30 20 15 2 5 3
18 AMOXICILIN 500 MG 100 283 320 100 200 96
19 AMPISILLIN SERB INJ 1000 MG/Vial 2 1
20 ANTASIDA DOEN TABLET 600 668 120 200 100 10
21 ANTASIDA SYRUP 5 1 2 5 2
22 ANTI BAKTERI DOEN SALEP 5 21 11 5
23 ANTI FUNGI DOEN KOMBINASI 18 5 2 1
24 ANTI MIGRAIN DOEN ( KAFERGOT ) 90 17
25 ANTIHEMOROID DOEN 16 7 2
26 ASAM ASKORBAT VIT C TAB 50 MG 501 130 100 80
27 ASAM MEFENAMAT 500 MG 500 310 20 50 126
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G 5 8 1 8
33 BIO PLACENTON 1 1
34 CA-GLUCONAS INJ 1
35 CAPTOPRIL 25 MG 112 90 116
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG
39 CIPROFLOKSASIN 500 MG 100 90 150
40 CLINDAMICYN 150
41 CLINDAMICYN 300 60 10
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN 1
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 200 694 60
47 DEXAMETASON INJEKSI 5 MG./ML. 2 5
48 DIAZEPAM INJEKSI 5 MG/ML 25 5
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 111
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg 80
54 DIPHENHIDRAMIN HCL.INJEKSI 20 7
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 108
57 EPINEFRIN HCL/BITATRAT 10 4
58 ERGOTAMIN TABLET 1 Mg 50 30
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 180
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG 148
66 FENOL GLISEROL TETES TELINGA 1 3 4
67 FITOMEDION INJ 2 MG/ML (NEO K)
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 16 30
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 10
72 GARAM ORALIT 200 ML AIR 400 71 138 100
73 GENTAMISIN INJ
74 GENTAMISIN SK 4 4 5
75 GENTIAN VIOLET LARUTAN 1 % 1 3 3 1
76 GLIBENKLAMID TABLET 5 MG 2,431
77 GLIMEPIRID 2 mg 244
78 GLISERIL GUAYAKOLAT TAB 100 MG 127 50 50
79 GLUKOSA ;LARUTAN INFUS 5 % 6 2 1 4
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG 8 90
82 HALOPERIDOL 5 MG 327
83 HCT TABLET 25 MG.
84 HIDROKORTISON KRIM 2,5 % 20 14
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 264 50
88 IBUPROPEN TABLET 200 MG 8 50
89 IBUPROPEN TABLET 400 200 633 70 50
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 60
92 KA-EN 3B 20
93 KALSIUM LAKTAT TABLET 500 MG 808 164 50
94 KARBAMAZEPIN 200 MG TABLET 295
95 KETOCONAZOL TAB 200 mg
96 KLORAMFENIKOL KAPSUL 250 MG
97 KLORAMFENIKOL SALET MATA 1 % 44 7 19 2 5
98 KLORAMFENIKOL SYRUP
99 KLORAMFENIKOL TETES TELINGA 3 % 6 5 1 3
100 KLORFENIRAMIN MALEAT ( CTM ) 1,000 1,006 238 50
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 100 95 70 68
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 30 16 4 11
107 LANZOPRAZOL
108 LEXAVIT
109 LIDOCAIN INJ 1 %
110 LIDOKAIN KOMPOSITUM INJ 2 % 2 2 2
111 MAGNESIUM SULFAT 40% (MGSO4)
112 MELOKSIKAM 15 MG 30 254 100
113 METFORMIN 500 mg
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg 15 17 10 40 20
116 METRONIDAZOL TABLET 500 MG 400 194 30
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 100
120 MICONAZOLE KRIM 2% 20 5 1 4
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 14 3 6
124 NATRIUM DICLOFENAC 50 100 180 50
125 NIFEDIPIN 10 MG 90 13 8
126 NISTATIN 100.000 IU/G TAB/VAG 10 14 5
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III 4
133 OBAT BATUK HITAM ( OBH ) 15 54 7 10
134 OKSITETRASIKLIN SALEP MATA 1% 30 27 10
135 OKSITOSIN INJEKSI 10 IU/ML
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG 3
138 PARASETAMOL SIRUP 120 MG/ML 63 56 9 10
139 PARASETAMOL TABLET 500 MG 5,400 2,068 610 50 79
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 400 951 386 30
142 PIROKSIKAM 20 MG 360 476 180 96
143 PREDNISON TABLET 5 MG 200
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 107
148 PROPIL THIOURASIL TABLET 100 MG 180
149 RANITIDIN 150 MG
150 RANITIDIN INJEKSI 25 MG/ML 2
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 100
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 350
154 RINGER LAKTAT LARUTAN INFUS STERIL 3 2 1
155 SALBUTAMOL 2 MG
156 SALBUTAMOL TABLET 4 MG 232 110 50 40 15
157 SALEP 2-4 KOMBINASI 1 1 5 2
158 SALISIL BEDAK 2 % 35 39 10 1 4
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 120 176
161 SOLVITRAL (MULTIVITAMIN) 300 693 170
162 SPIRONOLAKTON 25 Mg
163 STESOLID SUPP 1
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 2,400 200 90 40
166 THIAMFENICOL 500 200
167 THIAMIN HCL ( VIT B-1 ) TABLET 373 418 200
168 TRIHEKSIFENIDIL HCL 2 MG
169 URISPAS
170 VENTOLIN NEBULE 5 4
171 VITAMIN B COPMPLEX TAB 300 1,561 40 50
172 VITROMEGA (MULTIVITAMIN) 6,400 465
173 ZINK 20 Mg 200 285 145 50
174 ZINK SYR 10 MG / ML
175 EFEDRIN
176 SIKZONOATE INJEKSI
177 SOTATIC INJEKSI 4
178 KETOROLAC INJEKSI 12 10
179 CEFADROXIL 500 MG 160 100
180 STOP-X CREAM

II BAHAN HABIS PAKAI


1 ABBOCATH 18 8 1 6
2 ABBOCATH 20 10 2 1 7
3 ABBOCATH 22
4 ABOOCATH 24 6 2 3
5 AGUADES STERIL
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML
7 ALAT SUNTIK SEKALI PAKAI 1 ML 101
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 139 2
9 ALAT SUNTIK SEKALI PAKAI 5 ML 95
10 ALAT SUNTIK 10 CC 92 1 9
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 3
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 24 1 8
14 COVER GLASS
15 CUT GUT PLAN 10
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 % 1 1
19 ETIKET BIRU 1
20 ETIKET PUTIH 1
21 FOLEY CATETER 7 1 3
22 HAND SCOON 100 9 15
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 9 1 2
25 INFUSION SET DEWASA 11 1 1 4
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 1 1
27 KAPAS PEMBALUT ADSBN 250 MG 1
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL 32 7 10
30 KASA PEMBALUT 2 M X 80 CM 4 1 1
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 2 6
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 41 1 12
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 1200
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING 16 2 3
38 KERTAS RESEP MERAH 18 1 6
39 KERTAS RESEP PUTIH
40 KLIPS PELASTIK OBAT 1500 400 100 200
41 MASKER 100 13 5 5
42 MESS PISAU BEDAH 2 6
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH 1
45 POLIKRESULEN
46 POVIDON IODIDA LARUTAN10 % 30 ML 1 1
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 1 1
49 SARUNG TANGAN PANJANG 3
50 SCALVEN 25 G 1 1
51 SCALVIN 23 G 1 1
52 SILK BENANG BEDAH NO;3/0 31 3
53 URINE BAG 10 4
54 USG GEL

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT
3 EUGENOL CAIRAN
4 GLASS IONOMER CEMENT (GC IX)
5 MONOKLOR KAMPER MENTHOL CAIRAN
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER
10 TRIKRESOL FORMALIN CAIRAN
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH ( BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

422
0
2 42
3,023
0
60
0
0
20 170 674
5
50
0
0
0
59
707
75
20 80 150 80 1,429
4 1 8
120 50 1,868
15
2 3 47
4 30
107
25
811
20 80 60 1,166
0
0
0
0
9 31
2
5 6
20 300 638
0
0
0
340
0
70
0
0
1
0
190 1,144
7
30
0
111
0
0
80
27
0
108
5 5 24
80
0
0
0
180
0
0
148
8
1 3 1 5
46
0
0
10
70 96 875
0
2 6 21
8
2,431
244
220 447
3 2 18
0
98
327
0
2 2 2 40
0
0
314
58
20 973
0
60
20
20 250 1,292
295
0
0
2 5 5 89
0
2 17
10 230 2,534
0
0
0
70 403
0
61
0
0
0
2 3 11
3 2 5
384
0
0
102
624
0
7 4 11
100
30
0
12 12
23
330
8 11 130
29
0
0
0
0
0
4
6 92
67
10 8 11 29
0
3
4 142
158 190 470 9,025
0
1,767
192 1,304
200
0
0
0
207
180
0
2
0
100
49 48 447
5 9 4 24
0
50 497
2 11
5 2 96
0
296
70 40 1,273
0
1
0
300 150 3,180
200
910 1,901
0
0
9
50 90 100 2,191
100 100 7,065
680
0
0
0
4
22
260
0
0
0
0
0
2 17
14 5 8 47
0
1 12
0
0
6 20 12 2 141
28 26 5 200
95
5 107
2 2 7
100 100
33
0
12 2 24
0
0
1 1 4
1
1
2 13
20 43 65 252
0
12
6 2 25
2
1 1 3
0
49
2 1 9
8
54
0
0
1,200
0
21
25
0
50 200 2,450
25 20 75 10 253
8
0
1
1 1 2
1 2 5
0
2
2 5
2
2
34
4 18
0
0
0
0
0
1 1
1 1
1 1
0
0
0
1 1
0
0
0
6 6
0
0
0
0
0
0
0
0
0
0
0
0
556 556
0
0
0
0
0
0
0
0
20 20
0
0
0
0
11 11
0
70 70
0
0
0
0
30 30
0
0
0
0
0
0
0
0
0
0
0
0
0
LAPORAN SISA STOK OBAT PER 30 mei 2016
PUSKESMAS KR PULE

NO NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD


I OBAT - OBATAN
1 ACICLOVIR TAB 200 174 70 10 50
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 % 10 2 7 2 4
4 ALBENDAZOL 400 MG 4 6
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 700 958 65 100 7
10 AMINOFILIN INJEKSI 24 MG/ML 2
11 AMINOFILIN TABLET 200 MG 50 19
12 AMITRIPTILIN HCL TAB SALUT 25 MG
13 AMLODIPIN 10 mg
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMO30 73
16 AMOKSISILIN KAPSUL 250 MG 600 452 51 60 86
17 AMOKSISILIN SYRUP KERING 125 MG/ML 120 83 30 7 10
18 AMOXICILIN 500 MG 3,100 2,140 480 200 19
19 AMPISILLIN SERB INJ 1000 MG/Vial
20 ANTASIDA DOEN TABLET 200 359 380 100 100 9
21 ANTASIDA SYRUP 20 9 5 5
22 ANTI BAKTERI DOEN SALEP 15 41 16 3
23 ANTI FUNGI DOEN KOMBINASI 2 25 1 2
24 ANTI MIGRAIN DOEN ( KAFERGOT ) 78
25 ANTIHEMOROID DOEN 15 10 3
26 ASAM ASKORBAT VIT C TAB 50 MG 100 141 200 100
27 ASAM MEFENAMAT 500 MG 261 20
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G 30 24 1 6
33 BIO PLACENTON 1 1
34 CA-GLUCONAS INJ
35 CAPTOPRIL 25 MG 900 438 250 10
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG 150 79 80 50 8
39 CIPROFLOKSASIN 500 MG 100 125 10
40 CLINDAMICYN 150
41 CLINDAMICYN 300 4
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN 1 1
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 700 266
47 DEXAMETASON INJEKSI 5 MG./ML. 10
48 DIAZEPAM INJEKSI 5 MG/ML 25
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 28
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg 50
54 DIPHENHIDRAMIN HCL.INJEKSI 19 1 4
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 138
57 EPINEFRIN HCL/BITATRAT 2 4
58 ERGOTAMIN TABLET 1 Mg 100 15 50
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 130
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG
66 FENOL GLISEROL TETES TELINGA
67 FITOMEDION INJ 2 MG/ML (NEO K) 55
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 50 74 40
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 200 15 30 25
72 GARAM ORALIT 200 ML AIR 292
73 GENTAMISIN INJ
74 GENTAMISIN SK 12 28 8 3
75 GENTIAN VIOLET LARUTAN 1 % 8 7 2 3
76 GLIBENKLAMID TABLET 5 MG
77 GLIMEPIRID 2 mg
78 GLISERIL GUAYAKOLAT TAB 100 MG 300 2,241 1,104 700 200
79 GLUKOSA ;LARUTAN INFUS 5 % 18 1
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG 150 54 50 50
82 HALOPERIDOL 5 MG 327
83 HCT TABLET 25 MG.
84 HIDROKORTISON KRIM 2,5 % 20 24 3 2 5
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 172 10 50 24
88 IBUPROPEN TABLET 200 MG
89 IBUPROPEN TABLET 400 600 490 50 150
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 35
92 KA-EN 3B
93 KALSIUM LAKTAT TABLET 500 MG 200 120 20 50
94 KARBAMAZEPIN 200 MG TABLET 415
95 KETOCONAZOL TAB 200 mg 20
96 KLORAMFENIKOL KAPSUL 250 MG 216
97 KLORAMFENIKOL SALET MATA 1 % 57 24 4
98 KLORAMFENIKOL SYRUP 17 18 2
99 KLORAMFENIKOL TETES TELINGA 3 % 2 26 3 1
100 KLORFENIRAMIN MALEAT ( CTM ) 3,400 970 768 100 100
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 100 115 60 24
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 20 18 12 4
107 LANZOPRAZOL
108 LEXAVIT
109 LIDOCAIN INJ 1 % 1
110 LIDOKAIN KOMPOSITUM INJ 2 % 10 2 1 15
111 MAGNESIUM SULFAT 40% (MGSO4) 2
112 MELOKSIKAM 15 MG 400 176 60 50 50
113 METFORMIN 500 mg 1,643
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg
116 METRONIDAZOL TABLET 500 MG 100 19 230
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90
120 MICONAZOLE KRIM 2% 7 5
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 11 1 2 1 9
124 NATRIUM DICLOFENAC 50 50 160
125 NIFEDIPIN 10 MG 50 165 30 2
126 NISTATIN 100.000 IU/G TAB/VAG 1 3 6
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III
133 OBAT BATUK HITAM ( OBH ) 10 23 7 4
134 OKSITETRASIKLIN SALEP MATA 1% 13 18 4 7
135 OKSITOSIN INJEKSI 10 IU/ML
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG 2 5
138 PARASETAMOL SIRUP 120 MG/ML 79 37 13 7 5 4
139 PARASETAMOL TABLET 500 MG 3,100 3,425 710 200 22
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 900 1,423 472 500 70
142 PIROKSIKAM 20 MG 203 120
143 PREDNISON TABLET 5 MG 100
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 75
148 PROPIL THIOURASIL TABLET 100 MG 116
149 RANITIDIN 150 MG
150 RANITIDIN INJEKSI 25 MG/ML
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 164
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 776
154 RINGER LAKTAT LARUTAN INFUS STERIL 15 3 2
155 SALBUTAMOL 2 MG
156 SALBUTAMOL TABLET 4 MG 100 247 75 100 5
157 SALEP 2-4 KOMBINASI 5
158 SALISIL BEDAK 2 % 30 11 6
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 2
161 SOLVITRAL (MULTIVITAMIN) 4,200 375 120 17
162 SPIRONOLAKTON 25 Mg
163 STESOLID SUPP
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 2,100 780 110 30
166 THIAMFENICOL 500 169
167 THIAMIN HCL ( VIT B-1 ) TABLET 200 730 468 500
168 TRIHEKSIFENIDIL HCL 2 MG
169 URISPAS 150 35
170 VENTOLIN NEBULE
171 VITAMIN B COPMPLEX TAB
172 VITROMEGA (MULTIVITAMIN) 1,000 108
173 ZINK 20 Mg 200 180 160 79
174 ZINK SYR 10 MG / ML
175 EFEDRIN 206
176 SIKZONOATE INJEKSI
177 SOTATIC INJEKSI 3 8
178 KETOROLAC INJEKSI 7 5
179 CEFADROXIL 500 MG
180 STOP-X CREAM

II BAHAN HABIS PAKAI


1 ABBOCATH 18 8
2 ABBOCATH 20 29 4 14
3 ABBOCATH 22 10
4 ABOOCATH 24 1 11
5 AGUADES STERIL
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML
7 ALAT SUNTIK SEKALI PAKAI 1 ML 2 9
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 45 8 13
9 ALAT SUNTIK SEKALI PAKAI 5 ML 55
10 ALAT SUNTIK 10 CC 58 2 3
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 12
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 8 4
14 COVER GLASS
15 CUT GUT PLAN
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 % 1 1
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER 7 1
22 HAND SCOON 642 5 9
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 1 1 2 6
25 INFUSION SET DEWASA 4 1 10
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 2
27 KAPAS PEMBALUT ADSBN 250 MG 3
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL 10 2 14
30 KASA PEMBALUT 2 M X 80 CM 2 4 4
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 5 3 3 4
32 KASA PEMBALUT HIDROFIL 4M X 3 CM
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 2,400 1200 102
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING 20 1 1
38 KERTAS RESEP MERAH 18 1 2
39 KERTAS RESEP PUTIH
40 KLIPS PELASTIK OBAT 2,200 3500 1,000 100
41 MASKER 67 10 9 2 17
42 MESS PISAU BEDAH 71 2 2 12
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH 1 1
45 POLIKRESULEN
46 POVIDON IODIDA LARUTAN10 % 30 ML 2
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 1
49 SARUNG TANGAN PANJANG 2
50 SCALVEN 25 G 1
51 SCALVIN 23 G 1
52 SILK BENANG BEDAH NO;3/0 3 5
53 URINE BAG 10 2
54 USG GEL

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT 2
3 EUGENOL CAIRAN 1
4 GLASS IONOMER CEMENT (GC IX) 1
5 MONOKLOR KAMPER MENTHOL CAIRAN 2
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER
10 TRIKRESOL FORMALIN CAIRAN 1
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH ( BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

304
0
2 27
10
0
0
0
0
10 1,840
2
69
0
0
0
103
1,249
250
165 160 6,264
5 2 7
200 1,348
1 40
1 76
2 32
78
28
541
100 381
0
0
0
0
5 66
2
0
80 1,678
0
0
367
235
0
4
0
0
2
0
40 1,006
5 15
25
0
28
0
0
50
24
0
138
5 4 5 20
165
0
0
0
130
0
0
0
0
1 56
164
0
0
270
292
0
51
20
0
0
150 4,695
3 22
0
304
327
0
2 56
0
0
256
0
1,290
0
35
0
650 1,040
415
20
216
1 86
37
1 33
920 6,258
0
0
0
299
0
54
0
0
1
9 37
2 1 5
736
1,643
0
0
349
0
7 4 11
90
12
0
12 12
24
210
24 9 280
10
0
0
0
0
0
0
2 46
1 43
5 5 10
0
7
145
288 50 40 1500 9,335
0
3,365
150 473
100
0
0
0
175
116
0
0
0
30 194
37 813
1 3 24
0
70 597
5
47
0
2
230 4,942
0
0
0
480 3,500
169
490 2,388
0
185
0
0
90 1,198
619
0
206
0
11
12
0
0
0
0
0
0
4 12
6 3 56
10
12
0
0
13 31 3 58
15 25 15 121
55
6 69
3 2 17
300 300
12
0
26 3 2 31
0
0
1 3
0
0
2 1 11
110 70 205 1,041
0
10
5 1 2 23
2
1 4
0
26
2 12
15
0
0
0
3,702
0
22
21
0
400 7,200
15 120
87
0
1 3
0
1 3
0
1
2
1
1
8
2 1 15
0
0
0
0
0
1 1
1 3
1
1
1 3
0
1 1
0
0
1 2
0
0
0
0
0
0
0
200 200
0
450 450
0
0
100 100
166 166
0
300 300
200 200
0
0
0
25 25
0
62 62
0
250 250
0
0
42 42
0
0
44 44
0
0
0
29 29
100 100
20 20
0
0
0
0
0
0
0
150 150
350 350
0
700 700
LAPORAN SISA STOK OBAT PER 30 Juni 2016
PUSKESMAS KR PULE

NO NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD


I OBAT - OBATAN
1 ACICLOVIR TAB 200 200 123 70 50 50
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 % 17 29 4 1 6
4 ALBENDAZOL 400 MG 2,880 27 5
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 300 1,201 145 200 100 46
10 AMINOFILIN INJEKSI 24 MG/ML 2 3
11 AMINOFILIN TABLET 200 MG 50
12 AMITRIPTILIN HCL TAB SALUT 25 MG
13 AMLODIPIN 10 mg
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMO30 80
16 AMOKSISILIN KAPSUL 250 MG 240 521 146
17 AMOKSISILIN SYRUP KERING 125 MG/ML 77 4 17 10 10
18 AMOXICILIN 500 MG 1,200 1,190 410 50 230
19 AMPISILLIN SERB INJ 1000 MG/Vial
20 ANTASIDA DOEN TABLET 40
21 ANTASIDA SYRUP 34 5 10 17
22 ANTI BAKTERI DOEN SALEP 10 28 12 20 5
23 ANTI FUNGI DOEN KOMBINASI 13 9 2
24 ANTI MIGRAIN DOEN ( KAFERGOT )
25 ANTIHEMOROID DOEN 9 10 3
26 ASAM ASKORBAT VIT C TAB 50 MG 500 343 250 50 50
27 ASAM MEFENAMAT 500 MG 300 1,029 160 100 100 178
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G 25 9 22 12 5
33 BIO PLACENTON 2
34 CA-GLUCONAS INJ
35 CAPTOPRIL 25 MG 700 1,002 170 100 220
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG 80 60 100 48
39 CIPROFLOKSASIN 500 MG 95 15 100 100
40 CLINDAMICYN 150
41 CLINDAMICYN 300 214
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN 2
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 400 853 70 100 56
47 DEXAMETASON INJEKSI 5 MG./ML. 10 4
48 DIAZEPAM INJEKSI 5 MG/ML 25 5
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 28
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg 40
54 DIPHENHIDRAMIN HCL.INJEKSI 19 2
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 138
57 EPINEFRIN HCL/BITATRAT 2 5
58 ERGOTAMIN TABLET 1 Mg 100 78 15 50
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 130
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG
66 FENOL GLISEROL TETES TELINGA
67 FITOMEDION INJ 2 MG/ML (NEO K) 20
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 50 36 20
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 33 30 15
72 GARAM ORALIT 200 ML AIR 500 632 2 158
73 GENTAMISIN INJ
74 GENTAMISIN SK 12 15 5 13 5
75 GENTIAN VIOLET LARUTAN 1 % 8 1 3 3
76 GLIBENKLAMID TABLET 5 MG
77 GLIMEPIRID 2 mg
78 GLISERIL GUAYAKOLAT TAB 100 MG 1,600 1,440 80 100 100 88
79 GLUKOSA ;LARUTAN INFUS 5 % 15 1 1 4
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG 50 74 30
82 HALOPERIDOL 5 MG 327
83 HCT TABLET 25 MG.
84 HIDROKORTISON KRIM 2,5 % 31 2 9 10 10
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 100 302 150 230
88 IBUPROPEN TABLET 200 MG 200
89 IBUPROPEN TABLET 400 1,700 594 270 100
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 15
92 KA-EN 3B
93 KALSIUM LAKTAT TABLET 500 MG 1,000 980 270 20 100
94 KARBAMAZEPIN 200 MG TABLET 495
95 KETOCONAZOL TAB 200 mg 20
96 KLORAMFENIKOL KAPSUL 250 MG 120 456
97 KLORAMFENIKOL SALET MATA 1 % 13 30 5 5 4
98 KLORAMFENIKOL SYRUP 18 2 2
99 KLORAMFENIKOL TETES TELINGA 3 % 3 7 6 3
100 KLORFENIRAMIN MALEAT ( CTM ) 1,600 2,092 284 150 86
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 195 60 100 88
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 47 9 13 11 4
107 LANZOPRAZOL
108 LEXAVIT
109 LIDOCAIN INJ 1 %
110 LIDOKAIN KOMPOSITUM INJ 2 % 2 1 24
111 MAGNESIUM SULFAT 40% (MGSO4)
112 MELOKSIKAM 15 MG 450 126 320 300 150
113 METFORMIN 500 mg 2,434
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg
116 METRONIDAZOL TABLET 500 MG 200 16 100 130
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML 11
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90
120 MICONAZOLE KRIM 2% 7 4
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 1 7
124 NATRIUM DICLOFENAC 50 100 210 50 50
125 NIFEDIPIN 10 MG 50 144 65 20
126 NISTATIN 100.000 IU/G TAB/VAG 55 3 3
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III
133 OBAT BATUK HITAM ( OBH ) 34 6 6
134 OKSITETRASIKLIN SALEP MATA 1% 13 18 3 4
135 OKSITOSIN INJEKSI 10 IU/ML 52
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG 2 4 18
138 PARASETAMOL SIRUP 120 MG/ML 1
139 PARASETAMOL TABLET 500 MG 600 6,770 820 100 100 235
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 2,778 709 50 109
142 PIROKSIKAM 20 MG 120 293 336 240
143 PREDNISON TABLET 5 MG 100
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 75
148 PROPIL THIOURASIL TABLET 100 MG 116
149 RANITIDIN 150 MG
150 RANITIDIN INJEKSI 25 MG/ML
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 164
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 676
154 RINGER LAKTAT LARUTAN INFUS STERIL 2 2 1 4
155 SALBUTAMOL 2 MG
156 SALBUTAMOL TABLET 4 MG 300 93 150 40 129
157 SALEP 2-4 KOMBINASI
158 SALISIL BEDAK 2 % 25 43 8 7 4
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 2
161 SOLVITRAL (MULTIVITAMIN) 2,021 60 182
162 SPIRONOLAKTON 25 Mg
163 STESOLID SUPP
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 1,740 2,057 90 150 70
166 THIAMFENICOL 500 78
167 THIAMIN HCL ( VIT B-1 ) TABLET 150 1,781 200
168 TRIHEKSIFENIDIL HCL 2 MG
169 URISPAS 60 45
170 VENTOLIN NEBULE
171 VITAMIN B COPMPLEX TAB
172 VITROMEGA (MULTIVITAMIN) 300 623
173 ZINK 20 Mg 200 260 80 60 85
174 ZINK SYR 10 MG / ML
175 EFEDRIN 206
176 SIKZONOATE INJEKSI
177 SOTATIC INJEKSI 3 8
178 KETOROLAC INJEKSI 7 5
179 CEFADROXIL 500 MG
180 STOP-X CREAM
COMBIVENT NEBULE 18

II BAHAN HABIS PAKAI


1 ABBOCATH 18 4 8
2 ABBOCATH 20 4 1 17
3 ABBOCATH 22 4 10
4 ABOOCATH 24 1 1
5 AGUADES STERIL 2 1
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML
7 ALAT SUNTIK SEKALI PAKAI 1 ML 2 19
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 63 21
9 ALAT SUNTIK SEKALI PAKAI 5 ML 34 18
10 ALAT SUNTIK 10 CC 47 1 2
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 6
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 9
14 COVER GLASS
15 CUT GUT PLAN
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 % 3 1
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER 1 4
22 HAND SCOON 12 5 7 80 100
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 1 1 2 5
25 INFUSION SET DEWASA 1 5
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 3 4
27 KAPAS PEMBALUT ADSBN 250 MG 1
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL 14 4
30 KASA PEMBALUT 2 M X 80 CM 13 2
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 20 3
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 25 10
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 1,200 1200
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING 31 1
38 KERTAS RESEP MERAH 11 2 1
39 KERTAS RESEP PUTIH
40 KLIPS PELASTIK OBAT 4,700 2000
41 MASKER 10 4 5 100
42 MESS PISAU BEDAH 3 1 6
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH
45 POLIKRESULEN 3
46 POVIDON IODIDA LARUTAN10 % 30 ML 3 2
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 1 1
49 SARUNG TANGAN PANJANG 3 1
50 SCALVEN 25 G 1
51 SCALVIN 23 G 1
52 SILK BENANG BEDAH NO;3/0 2 5
53 URINE BAG
54 USG GEL
HAND SCOON STERIL 69 100

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT 3 1 1
3 EUGENOL CAIRAN
4 GLASS IONOMER CEMENT (GC IX) 4
5 MONOKLOR KAMPER MENTHOL CAIRAN 2
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER 1
10 TRIKRESOL FORMALIN CAIRAN 1
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH ( BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

493
0
2 59
2,912
0
0
0
0
80 170 2,242
5
50
0
0
0
110
907
118
60 100 100 180 390 3,910
4 1 2 7
120 160
66
2 6 83
4 28
0
22
100 1,293
70 180 180 2,297
0
0
0
0
6 79
2
5 5
30 340 2,562
0
0
288
310
0
214
0
0
2
0
110 1,589
5 19
30
0
28
0
0
40
21
0
138
5 4 5 21
243
0
0
0
130
0
0
0
0
4 4 28
106
0
0
78
50 80 90 1,512
0
2 9 61
15
0
0
100 70 3,578
3 3 27
0
154
327
0
2 2 8 74
0
0
782
200
30 2,694
0
15
0
100 2,470
495
20
576
3 60
22
4 23
100 290 4,602
0
0
0
50 493
0
84
0
0
0
6 3 36
3 2 1 6
1,346
2,434
0
0
446
0
5 7 4 27
90
11
0
12 12
8
410
10 5 294
61
0
0
0
0
0
0
8 54
38
20 10 82
0
24
1
18 50 100 1420 10,213
0
30 3,676
120 1,109
100
0
0
0
175
116
0
0
0
164
33 27 736
5 3 11 28
0
50 762
0
2 4 93
0
2
200 200 2,663
0
0
0
350 150 300 4,907
78
30 1520 3,681
0
105
0
0
50 100 70 1,143
685
0
206
0
11
12
0
0
18
0
0
0
1 13
8 6 36
8 22
2
3
0
10 22 100 6 159
10 31 122 10 10 267
52
10 60
6 2 2 1 17
230 230
9
1000 1,000
20 5 5 30
0
0
1 1 1 7
0
0
1 1 7
200 130 40 190 764
0
9
5 2 5 18
7
1 1 3
0
18
2 2 19
23
35
0
0
2,400
0
32
2 16
0
500 7,200
4 45 45 213
10
0
1 1
1 4
1 1 7
0
1 3
4
1
1
7
6 1 7
0
87 256
0
0
0
1 1
1 6
0
2 6
1 3
0
1 1
0
1
1 2
0
0
0
0
0
0
0
600 600
0
450 450
0
0
750 750
466 466
0
750 750
200 200
0
0
0
200 200
0
150 150
0
800 800
0
0
308 308
0
0
0
0
0
0
139 139
380 380
630 630
0
0
0
20 20
0
0
3 3
889 889
1766 1,766
300 300
100 100
LAPORAN SISA STOK OBAT PER 30 Juli 2016
PUSKESMAS KR PULE

NO NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD


I OBAT - OBATAN
1 ACICLOVIR TAB 200 150 56 70 40 40
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 % 17 22 1 4
4 ALBENDAZOL 400 MG 2,820 27 3 27
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 1,100 679 153 50 10
10 AMINOFILIN INJEKSI 24 MG/ML 2 3
11 AMINOFILIN TABLET 200 MG
12 AMITRIPTILIN HCL TAB SALUT 25 MG
13 AMLODIPIN 10 mg 619
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMO30 83 50
16 AMOKSISILIN KAPSUL 250 MG 240 256 168 60 122
17 AMOKSISILIN SYRUP KERING 125 MG/ML 5 54 36 2 10 10
18 AMOXICILIN 500 MG 1,900 1,332 550 128
19 AMPISILLIN SERB INJ 1000 MG/Vial
20 ANTASIDA DOEN TABLET 4
21 ANTASIDA SYRUP 26 7 8
22 ANTI BAKTERI DOEN SALEP 25 30 9 10
23 ANTI FUNGI DOEN KOMBINASI 3
24 ANTI MIGRAIN DOEN ( KAFERGOT ) 78
25 ANTIHEMOROID DOEN 10 3
26 ASAM ASKORBAT VIT C TAB 50 MG 400 26 420 100
27 ASAM MEFENAMAT 500 MG 800 399 60 100 98
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G 25 26 18 8
33 BIO PLACENTON 1
34 CA-GLUCONAS INJ
35 CAPTOPRIL 25 MG 800 1,075 250 50 217
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG 100 184 50 100 121
39 CIPROFLOKSASIN 500 MG 100 460 160 50 100
40 CLINDAMICYN 150
41 CLINDAMICYN 300 5
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 1,100 627 140 50 49
47 DEXAMETASON INJEKSI 5 MG./ML. 5 3 4
48 DIAZEPAM INJEKSI 5 MG/ML 25 5
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 28
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg 10 1
54 DIPHENHIDRAMIN HCL.INJEKSI 14 6
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 138
57 EPINEFRIN HCL/BITATRAT 2 5
58 ERGOTAMIN TABLET 1 Mg 100 15 40
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 120
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG
66 FENOL GLISEROL TETES TELINGA
67 FITOMEDION INJ 2 MG/ML (NEO K) 30
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 50 8
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 100 236 30 5
72 GARAM ORALIT 200 ML AIR 400 170 110 65 152
73 GENTAMISIN INJ
74 GENTAMISIN SK 12 21 10 10
75 GENTIAN VIOLET LARUTAN 1 % 7 10 5 3 2
76 GLIBENKLAMID TABLET 5 MG 500
77 GLIMEPIRID 2 mg
78 GLISERIL GUAYAKOLAT TAB 100 MG 1,000 157 500 50 49
79 GLUKOSA ;LARUTAN INFUS 5 % 8 1 1
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG 48 10 30
82 HALOPERIDOL 5 MG 307
83 HCT TABLET 25 MG.
84 HIDROKORTISON KRIM 2,5 % 7 35 24 2 5
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 100 90 30 100 196
88 IBUPROPEN TABLET 200 MG
89 IBUPROPEN TABLET 400 800 100 100
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 115
92 KA-EN 3B
93 KALSIUM LAKTAT TABLET 500 MG 100 820 150 80
94 KARBAMAZEPIN 200 MG TABLET 355
95 KETOCONAZOL TAB 200 mg
96 KLORAMFENIKOL KAPSUL 250 MG 120 416
97 KLORAMFENIKOL SALET MATA 1 % 3 8 10 2
98 KLORAMFENIKOL SYRUP 13 2
99 KLORAMFENIKOL TETES TELINGA 3 % 3 6 3 3 3
100 KLORFENIRAMIN MALEAT ( CTM ) 3,500 2,193 318 57
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 400 51 30 52
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 30 9 17 3 8 4
107 LANZOPRAZOL
108 LEXAVIT
109 LIDOCAIN INJ 1 %
110 LIDOKAIN KOMPOSITUM INJ 2 % 20 2 1 1 19
111 MAGNESIUM SULFAT 40% (MGSO4)
112 MELOKSIKAM 15 MG 250 76 300 50 200
113 METFORMIN 500 mg 3,021
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg
116 METRONIDAZOL TABLET 500 MG 121 60 100
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML 11
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90
120 MICONAZOLE KRIM 2% 23 4 4
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 29 2 2 2
124 NATRIUM DICLOFENAC 50 100 230 50 50 50
125 NIFEDIPIN 10 MG 50 90 45 19
126 NISTATIN 100.000 IU/G TAB/VAG 50 3
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III 10
133 OBAT BATUK HITAM ( OBH ) 22 22 7 1 8
134 OKSITETRASIKLIN SALEP MATA 1% 5 18 2
135 OKSITOSIN INJEKSI 10 IU/ML 8
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG 15 4 15
138 PARASETAMOL SIRUP 120 MG/ML
139 PARASETAMOL TABLET 500 MG 1,300 3,199 1,300 130
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 1,653 291 638 460 124
142 PIROKSIKAM 20 MG 240 183 204 60
143 PREDNISON TABLET 5 MG 100
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 41
148 PROPIL THIOURASIL TABLET 100 MG 54
149 RANITIDIN 150 MG
150 RANITIDIN INJEKSI 25 MG/ML
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 100
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 626
154 RINGER LAKTAT LARUTAN INFUS STERIL 2 2 1 3
155 SALBUTAMOL 2 MG
156 SALBUTAMOL TABLET 4 MG 84 50 129
157 SALEP 2-4 KOMBINASI
158 SALISIL BEDAK 2 % 5 30 6 2 4
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 2
161 SOLVITRAL (MULTIVITAMIN) 1,400 190 149
162 SPIRONOLAKTON 25 Mg 805
163 STESOLID SUPP
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 660 1,770 90 60 40
166 THIAMFENICOL 500 100 123
167 THIAMIN HCL ( VIT B-1 ) TABLET 1,150 766 618
168 TRIHEKSIFENIDIL HCL 2 MG
169 URISPAS 60 15
170 VENTOLIN NEBULE
171 VITAMIN B COPMPLEX TAB
172 VITROMEGA (MULTIVITAMIN) 698
173 ZINK 20 Mg 100 50 100 70 80
174 ZINK SYR 10 MG / ML
175 EFEDRIN 206
176 SIKZONOATE INJEKSI
177 SOTATIC INJEKSI 3 8
178 KETOROLAC INJEKSI 7 5
179 CEFADROXIL 500 MG
180 STOP-X CREAM
COMBIVENT NEBULE 6

II BAHAN HABIS PAKAI


1 ABBOCATH 18
2 ABBOCATH 20 20 4 2
3 ABBOCATH 22 2
4 ABOOCATH 24 1
5 AGUADES STERIL 1
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML
7 ALAT SUNTIK SEKALI PAKAI 1 ML 68 2 7
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 163 5 5 13
9 ALAT SUNTIK SEKALI PAKAI 5 ML 22 12
10 ALAT SUNTIK 10 CC 47 1 1
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 6
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 9
14 COVER GLASS 1,000
15 CUT GUT PLAN
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 % 2 1
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER 1
22 HAND SCOON 400 30 5 60
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 1 1 1
25 INFUSION SET DEWASA 15 1
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 2 1 3
27 KAPAS PEMBALUT ADSBN 250 MG 1
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL 16 7 5
30 KASA PEMBALUT 2 M X 80 CM 25 2 3
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 5
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 3 8 5
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 2400 200
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING 2
38 KERTAS RESEP MERAH
39 KERTAS RESEP PUTIH
40 KLIPS PELASTIK OBAT 2,600 400 200 100
41 MASKER 280 10 4
42 MESS PISAU BEDAH 66 2 2
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH 2 1
45 POLIKRESULEN 2
46 POVIDON IODIDA LARUTAN10 % 30 ML 1
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 1 1
49 SARUNG TANGAN PANJANG 3
50 SCALVEN 25 G
51 SCALVIN 23 G
52 SILK BENANG BEDAH NO;3/0 14 1
53 URINE BAG 11
54 USG GEL
HAND SCOON STERIL 119

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT 1
3 EUGENOL CAIRAN
4 GLASS IONOMER CEMENT (GC IX) 4
5 MONOKLOR KAMPER MENTHOL CAIRAN 3
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER 1
10 TRIKRESOL FORMALIN CAIRAN
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH ( BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

356
0
2 46
2,877
0
0
0
0
40 2,032
5
0
0
619
0
163
846
117
50 180 340 4,480
3 1 2 6
120 124
4 45
2 1 77
3
78
13
50 996
20 180 80 1,737
0
0
0
0
7 84
1
0
85 2,477
0
0
555
870
0
5
0
0
0
0
110 2,076
5 17
30
0
28
0
0
11
20
0
138
4 5 16
155
0
0
0
120
0
0
0
0
10 2 2 44
58
0
0
371
25 60 72 1,054
0
2 4 59
27
500
0
25 670 2,451
8 3 21
0
88
307
0
2 2 3 80
0
0
516
0
1,000
0
115
0
40 450 1,640
355
0
536
2 25
15
4 22
50 510 6,628
0
0
0
25 558
0
71
0
0
0
3 46
3 2 1 6
876
3,021
0
0
281
0
3 7 4 25
90
31
0
8 8
35
480
9 5 218
53
0
0
0
0
0
10
60
25
5 15 28
0
34
0
48 100 100 600 6,777
0
10 3,176
120 807
100
0
0
0
141
54
0
0
0
100
7 46 679
7 9 24
0
50 313
0
1 48
0
2
200 510 2,449
805
0
0
360 250 60 330 3,620
223
30 50 2,614
0
75
0
0
50 50 798
400
0
206
0
11
12
0
0
6
0
0
0
3 3
7 5 3 41
15 17
1
1 2
0
17 18 89 4 205
17 38 59 300
8 42
8 57
4 2 2 14
0
9
1000 2,000
6 7 13
0
0
1 1 1 6
0
0
4 1 6
200 100 30 200 1,025
0
3
6 3 25
6
1 2
0
28
2 10 42
5
16
0
0
2,600
0
2
0
0
700 4,000
2 296
70
0
1 1 5
1 3
1 1 3
0
2
3
0
0
15
6 1 18
0
87 206
0
0
0
1 1
1 2
1 1
2 6
1 4
0
1 1
0
1 2
1 1
0
0
0
0
0
0
0
580 580
0
450 450
0
0
730 730
439 439
0
720 720
600 600
0
0
0
100 100
0
130 130
0
700 700
0
0
308 308
0
0
0
0
0
0
120 120
320 320
390 390
0
0
0
18 18
0
0
0
864 864
1623 1,623
300 300
0
LAPORAN SISA STOK OBAT PER 30 agustus 2016
PUSKESMAS KR PULE

NO NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD


I OBAT - OBATAN
1 ACICLOVIR TAB 200 70 20 40
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 % 27 12 3 3 2
4 ALBENDAZOL 400 MG 18 25
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 200 714 200 100 110
10 AMINOFILIN INJEKSI 24 MG/ML 2 3
11 AMINOFILIN TABLET 200 MG 55
12 AMITRIPTILIN HCL TAB SALUT 25 MG
13 AMLODIPIN 10 mg 480 881 60 50
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMOXICLAV) 9 40
16 AMOKSISILIN KAPSUL 250 MG 4 98
17 AMOKSISILIN SYRUP KERING 125 MG/ML 5
18 AMOXICILIN 500 MG 500 1,633 100 200 200
19 AMPISILLIN SERB INJ 1000 MG/Vial 10
20 ANTASIDA DOEN TABLET 50 20 100
21 ANTASIDA SYRUP 2 7
22 ANTI BAKTERI DOEN SALEP 25 11 7 15 5
23 ANTI FUNGI DOEN KOMBINASI 1
24 ANTI MIGRAIN DOEN ( KAFERGOT ) 100 78
25 ANTIHEMOROID DOEN 12 5 2
26 ASAM ASKORBAT VIT C TAB 50 MG 100 171 50 150 100
27 ASAM MEFENAMAT 500 MG 500 88 70 100 156
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G 24 4 11 10 4
33 BIO PLACENTON 1 1
34 CA-GLUCONAS INJ
35 CAPTOPRIL 25 MG 300 1,020 100 100 190
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG 90 69
39 CIPROFLOKSASIN 500 MG 300 235 10 100
40 CLINDAMICYN 150 10
41 CLINDAMICYN 300
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN 1
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 600 193 60 120
47 DEXAMETASON INJEKSI 5 MG./ML. 5 4
48 DIAZEPAM INJEKSI 5 MG/ML 25 5
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 100 28
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg
54 DIPHENHIDRAMIN HCL.INJEKSI 14 1 5
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 118
57 EPINEFRIN HCL/BITATRAT 2 5
58 ERGOTAMIN TABLET 1 Mg 100 78 10 40
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 100
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG
66 FENOL GLISEROL TETES TELINGA
67 FITOMEDION INJ 2 MG/ML (NEO K) 20
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 96 45
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 150 163 30 45
72 GARAM ORALIT 200 ML AIR 400 348 100 110
73 GENTAMISIN INJ
74 GENTAMISIN SK 3 5
75 GENTIAN VIOLET LARUTAN 1 % 6 2 2
76 GLIBENKLAMID TABLET 5 MG 830
77 GLIMEPIRID 2 mg
78 GLISERIL GUAYAKOLAT TAB 100 MG 2,000 638 118 50 20
79 GLUKOSA ;LARUTAN INFUS 5 % 8 1 4
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG 50
82 HALOPERIDOL 5 MG 307
83 HCT TABLET 25 MG.
84 HIDROKORTISON KRIM 2,5 % 26 8 10 5
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 322 20 156
88 IBUPROPEN TABLET 200 MG
89 IBUPROPEN TABLET 400
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 115
92 KA-EN 3B
93 KALSIUM LAKTAT TABLET 500 MG 300 650 130 50 30
94 KARBAMAZEPIN 200 MG TABLET
95 KETOCONAZOL TAB 200 mg
96 KLORAMFENIKOL KAPSUL 250 MG 120 316
97 KLORAMFENIKOL SALET MATA 1 % 21 22 8 6
98 KLORAMFENIKOL SYRUP 6 2 1
99 KLORAMFENIKOL TETES TELINGA 3 % 1 1
100 KLORFENIRAMIN MALEAT ( CTM ) 1,500 457 136 600 29
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 81 40
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 19 9 8 5 2
107 LANZOPRAZOL 136 16
108 LEXAVIT
109 LIDOCAIN INJ 1 %
110 LIDOKAIN KOMPOSITUM INJ 2 % 30 2 1 6
111 MAGNESIUM SULFAT 40% (MGSO4)
112 MELOKSIKAM 15 MG 150 90 120 50
113 METFORMIN 500 mg 1,632
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg
116 METRONIDAZOL TABLET 500 MG 200 75 70
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML 11
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90
120 MICONAZOLE KRIM 2% 20 24 12 8 4
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 19 2 5
124 NATRIUM DICLOFENAC 50 133 100
125 NIFEDIPIN 10 MG 50 60 15 19
126 NISTATIN 100.000 IU/G TAB/VAG 50 4 3
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III
133 OBAT BATUK HITAM ( OBH ) 20 10
134 OKSITETRASIKLIN SALEP MATA 1% 3 18 2
135 OKSITOSIN INJEKSI 10 IU/ML 84
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG 12
138 PARASETAMOL SIRUP 120 MG/ML
139 PARASETAMOL TABLET 500 MG 3,300 296 750 500 290
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 553 555 348 90
142 PIROKSIKAM 20 MG 120 217 36
143 PREDNISON TABLET 5 MG 100
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 35
148 PROPIL THIOURASIL TABLET 100 MG 100 33
149 RANITIDIN 150 MG
150 RANITIDIN INJEKSI 25 MG/ML
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 50 50
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 226 48
154 RINGER LAKTAT LARUTAN INFUS STERIL 5 2 2 3
155 SALBUTAMOL 2 MG
156 SALBUTAMOL TABLET 4 MG 43 110
157 SALEP 2-4 KOMBINASI
158 SALISIL BEDAK 2 % 17 6 10 10
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 120 50
161 SOLVITRAL (MULTIVITAMIN) 30 115
162 SPIRONOLAKTON 25 Mg
163 STESOLID SUPP
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 1,260 560 30 120 30
166 THIAMFENICOL 500 100 81
167 THIAMIN HCL ( VIT B-1 ) TABLET 2,150 265 56 300
168 TRIHEKSIFENIDIL HCL 2 MG
169 URISPAS 150
170 VENTOLIN NEBULE
171 VITAMIN B COPMPLEX TAB
172 VITROMEGA (MULTIVITAMIN) 1,800 885
173 ZINK 20 Mg 200 295 30 65
174 ZINK SYR 10 MG / ML
175 EFEDRIN 206
176 SIKZONOATE INJEKSI
177 SOTATIC INJEKSI 3 8
178 KETOROLAC INJEKSI 7 5
179 CEFADROXIL 500 MG
180 STOP-X CREAM
COMBIVENT NEBULE

II BAHAN HABIS PAKAI


1 ABBOCATH 18
2 ABBOCATH 20 4 1
3 ABBOCATH 22 8 1
4 ABOOCATH 24 1
5 AGUADES STERIL
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML
7 ALAT SUNTIK SEKALI PAKAI 1 ML 123 2
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 5 5
9 ALAT SUNTIK SEKALI PAKAI 5 ML 122
10 ALAT SUNTIK 10 CC 42
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 6
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 3
14 COVER GLASS 1,000
15 CUT GUT PLAN 2
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 % 1
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER 1
22 HAND SCOON 3 40
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 7 1 1
25 INFUSION SET DEWASA 10 1
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 1
27 KAPAS PEMBALUT ADSBN 250 MG 2
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL 11 6
30 KASA PEMBALUT 2 M X 80 CM 10 1 2
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 5 4 2
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 6 1
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 15,600 2400
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING
38 KERTAS RESEP MERAH 2 1
39 KERTAS RESEP PUTIH
40 KLIPS PELASTIK OBAT 3,400 800 500 100
41 MASKER 100 7 4
42 MESS PISAU BEDAH 54 1
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH 2 1
45 POLIKRESULEN
46 POVIDON IODIDA LARUTAN10 % 30 ML
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 1
49 SARUNG TANGAN PANJANG 3
50 SCALVEN 25 G 2
51 SCALVIN 23 G 2
52 SILK BENANG BEDAH NO;3/0
53 URINE BAG 11
54 USG GEL
HAND SCOON STERIL 219 22

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT
3 EUGENOL CAIRAN
4 GLASS IONOMER CEMENT (GC IX) 4
5 MONOKLOR KAMPER MENTHOL CAIRAN
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER 1
10 TRIKRESOL FORMALIN CAIRAN
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH ( BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

130
0
2 49
43
0
0
0
0
70 100 130 1,624
5
55
0
1,471
0
49
102
5
145 100 180 180 270 3,508
3 13
100 80 350
9
63
1
178
19
571
50 80 100 1,144
0
0
0
0
5 4 62
2
5 5
250 1,960
0
0
159
645
10
0
0
0
1
0
110 1,083
5 14
30
0
128
0
0
0
20
0
118
5 4 16
228
0
0
0
100
0
0
0
0
12 6 2 40
141
0
0
388
50 54 1,062
0
2 10
10
830
0
370 3,196
8 2 23
0
50
307
0
4 53
0
0
498
0
0
0
115
0
100 1,260
0
0
436
5 1 63
9
4 6
1110 3,832
0
0
0
10 131
0
43
152
0
0
16 3 58
3 2 5
410
1,632
0
0
345
0
3 4 18
90
68
0
8 8
26
233
9 5 158
57
0
0
0
0
0
0
30
23
14 10 108
0
12
0
198 50 90 100 990 6,564
0
1,546
54 427
100
0
0
0
135
133
0
0
0
100
16 34 324
6 2 6 13 39
0
10 163
0
1 44
0
170
100 10 255
0
0
0
390 250 110 2,750
181
15 420 3,206
0
150
0
0
100 100 50 2,935
590
0
206
0
11
12
0
0
0
0
0
0
13 13
14 4 12 35
18 27
1
1 1
0
15 13 47 4 204
15 52 5 10 92
122
4 46
2 2 2 12
250 250
3
1,000
16 5 9 7 39
0
0
1 1 1 4
0
0
4 1 6
150 100 50 190 533
0
9
11 5 7 34
1
1 3
0
17
2 5 5 25
11
7
0
0
18,000
0
0
3
0
500 5,300
19 50 40 220
55
0
1 1 5
1 1
1 1
0
1 2
3
2
2
0
6 1 18
0
57 70 50 418
0
0
0
1 1
1 1
1 1
1 5
1 1
0
1 1
0
1
1 1
0
0
0
0
0
0
0
580 580
0
300 300
0
0
700 700
2330 2,330
0
850 850
400 400
0
0
0
0
0
64 64
0
450 450
0
0
1308 1,308
0
0
0
0
0
0
559 559
300 300
260 260
0
0
0
10 10
0
0
5 5
814 814
1380 1,380
300 300
0
LAPORAN SISA STOK OBAT PER 30 September 2016
PUSKESMAS KR PULE

NO NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL
I OBAT - OBATAN
1 ACICLOVIR TAB 200 95 70 40 205
2 ACICLOVIR TAB 400 0
3 ACYCLOVIR 5 % 1 2
4 ALBENDAZOL 400 MG 17 21 38
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml 0
6 ALOPURINOL TABLET 100 MG 0
7 ALOPURINOL TABLET 300 MG 0
8 ALPRAZOLAM 5 mg 0
9 AMBROXOL 30 MG 400 575 100 50 100 70 50 100 1,445
10 AMINOFILIN INJEKSI 24 MG/ML 2 3 5
11 AMINOFILIN TABLET 200 MG 19 19
12 AMITRIPTILIN HCL TAB SALUT 25 MG 0
13 AMLODIPIN 10 mg 510 60 15 585
14 AMLODIPIN 5 MG 0
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMOXICLAV) 42 10 52
16 AMOKSISILIN KAPSUL 250 MG 820 192 120 1,132
17 AMOKSISILIN SYRUP KERING 125 MG/ML 14 14
18 AMOXICILIN 500 MG 200 3,039 400 400 100 290 190 100 100 80 170 5,069
19 AMPISILLIN SERB INJ 1000 MG/Vial 13 3 1 2 19
20 ANTASIDA DOEN TABLET 851 150 314 100 280 1,695
21 ANTASIDA SYRUP 2 2
22 ANTI BAKTERI DOEN SALEP 11 9 1 5 2 8 36
23 ANTI FUNGI DOEN KOMBINASI 10 3 3 16
24 ANTI MIGRAIN DOEN ( KAFERGOT ) 38 38
25 ANTIHEMOROID DOEN 5 2 7
26 ASAM ASKORBAT VIT C TAB 50 MG 300 197 300 100 50 947
27 ASAM MEFENAMAT 500 MG 100 486 200 100 104 50 60 10 1,110
28 ATROPIN SULFAT 0,5 Mg TABLET 0
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K) 0
30 BENZANTIN PENICILIN 1,2 JUTA IU 0
31 BENZATIN PENICILIN 2,4 JT IU 0
32 BETAMETASON KRIM 0,5 MG /G 14 7 5 5 5 36
33 BIO PLACENTON 1 1
34 CA-GLUCONAS INJ 0
35 CAPTOPRIL 25 MG 100 809 120 80 198 10 15 1,332
36 CEFIXIME 200 MG 0
37 CEFTRIAXONE INJ 0
38 CIMETIDINE 200 MG 70 44 114
39 CIPROFLOKSASIN 500 MG 200 110 90 70 470
40 CLINDAMICYN 150 49 49
41 CLINDAMICYN 300 0
42 COMBIPAK AZITROMICYN CEFIXIME 0
43 COTRI 960 TAB ( PEHATRIM ) 0
44 COUNTERPAIN 2 1 3
45 DAPSON 100 Mg 0
46 DEKSAMETASON TABLET 0,5 MG 687 170 100 220 40 1,217
47 DEXAMETASON INJEKSI 5 MG./ML. 5 5 10
48 DIAZEPAM INJEKSI 5 MG/ML 25 5 30
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml 0
50 DIAZEPAM TABLET 2 MG 120 120
51 DIAZEPAM TABLET 5 MG 0
52 DIGOKSIN TABLET 0,25 MG 0
53 DIMENHIDRINATE 50 Mg 0
54 DIPHENHIDRAMIN HCL.INJEKSI 14 1 5 20
55 DONPERIDON 10 MG 0
56 DOSISIKLINE 100 MG 98 98
57 EPINEFRIN HCL/BITATRAT 2 5 1 5 4 17
58 ERGOTAMIN TABLET 1 Mg 100 20 120
59 ETAMBUTOL 250 MG 0
60 FENITOIN NA 100 MG INJ / 2 Ml 0
61 FENITOIN NA 50 MG INJ / Ml 0
62 FENITOIN NA KAPSUL 100 MG 90 90
63 FENOBARBITAL INJ. 50 MG/ML, 1ML 0
64 FENOBARBITAL TABLET 100 MG 0
65 FENOBARBITAL TABLET 30 MG 0
66 FENOL GLISEROL TETES TELINGA 0
67 FITOMEDION INJ 2 MG/ML (NEO K) 20 15 5 4 1 45
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 68 35 103
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML 0
70 FLUCONAZOL TAB 0
71 FUROSEMID TAB 40 MG 50 247 30 35 362
72 GARAM ORALIT 200 ML AIR 300 485 232 100 74 50 35 36 1,312
73 GENTAMISIN INJ 0
74 GENTAMISIN SK 0
75 GENTIAN VIOLET LARUTAN 1 % 9 6 2 2 19
76 GLIBENKLAMID TABLET 5 MG 508 508
77 GLIMEPIRID 2 mg 0
78 GLISERIL GUAYAKOLAT TAB 100 MG 1,800 1,209 316 500 20 70 3,915
79 GLUKOSA ;LARUTAN INFUS 5 % 5 1 3 4 7 2 22
80 GLUKOSA LARUTAN INFUS 10 % 0
81 GRISEOFULVIN TABLET 125 MG 50 50
82 HALOPERIDOL 5 MG 307 307
83 HCT TABLET 25 MG. 0
84 HIDROKORTISON KRIM 2,5 % 4 39 15 8 2 4 9 81
85 HYOSINE N-BUTYL BROMIDE INJ 0
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg 0
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 35 40 50 73 198
88 IBUPROPEN TABLET 200 MG 926 20 150 1,096
89 IBUPROPEN TABLET 400 0
90 INH (ISONIAZID 300 MG) 0
91 ISOSORBID DINITRAT 5 MG 110 110
92 KA-EN 3B 0
93 KALSIUM LAKTAT TABLET 500 MG 200 330 10 20 50 610
94 KARBAMAZEPIN 200 MG TABLET 162 162
95 KETOCONAZOL TAB 200 mg 0
96 KLORAMFENIKOL KAPSUL 250 MG 0
97 KLORAMFENIKOL SALET MATA 1 % 17 5 5 4 1 5 10 47
98 KLORAMFENIKOL SYRUP 4 2 6
99 KLORAMFENIKOL TETES TELINGA 3 % 0
100 KLORFENIRAMIN MALEAT ( CTM ) 1,300 3,384 42 300 520 5,546
101 KLORPROMAZIN INJ 5 MG/ML 0
102 KLORPROMAZIN TAB.100 MG 0
103 KLORPROMAZIN TAB.25 MG 0
104 KOTRIMOKSAZOL TABLET, DEWASA 70 16 50 100 236
105 KOTRIMOKSAZOL TABLET, PEDIATRIK 0
106 KOTRIMOXSAZOL SYRUP 24 3 10 8 4 49
107 LANZOPRAZOL 20 7 27
108 LEXAVIT 0
109 LIDOCAIN INJ 1 % 0
110 LIDOKAIN KOMPOSITUM INJ 2 % 1 4 3 3 11
111 MAGNESIUM SULFAT 40% (MGSO4) 3 2 1 6
112 MELOKSIKAM 15 MG 150 180 300 100 150 880
113 METFORMIN 500 mg 947 947
114 METHYLPREDNISOLON 16 MG TABLET 0
115 METOCHLOPRAMIDE 10 Mg 102 50 152
116 METRONIDAZOL TABLET 500 MG 196 50 50 296
117 METRONIDAZOL TABLET 250 MG 0
118 METYL ERGOMETRIN INJ 0,2 MG/ML 3 1 4
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90 90
120 MICONAZOLE KRIM 2% 23 4 3 4 5 39
121 MINERAL MIX 0
122 MISOPROSTOL TAB 8 8
123 NATRIUM CLORIDA 0,9 % 7 2 3 3 15
124 NATRIUM DICLOFENAC 50 149 100 249
125 NIFEDIPIN 10 MG 50 49 8 2 109
126 NISTATIN 100.000 IU/G TAB/VAG 20 19 3 42
127 OAT FDC KATEGORI ANAK 0
128 OAT KATAGORI ANAK 0
129 OAT KOMBIPAK 0
130 OAT SISIPAN 0
131 OBAT ANTI TBC KATAGORI 2 0
132 OBAT ANTI TBC FDC I&III 0
133 OBAT BATUK HITAM ( OBH ) 35 9 5 5 3 57
134 OKSITETRASIKLIN SALEP MATA 1% 5 18 1 5 29
135 OKSITOSIN INJEKSI 10 IU/ML 11 7 18
136 OMEPRAZOL 20 Mg 0
137 PAMOL SUPP 125 MG 0
138 PARASETAMOL SIRUP 120 MG/ML 0
139 PARASETAMOL TABLET 500 MG 3,300 2,640 1,100 800 200 210 228 100 400 8,978
140 PIRANTEL PAMOAT TABLET 125 MG 0
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 700 569 36 250 150 1,705
142 PIROKSIKAM 20 MG 240 342 252 120 120 12 1,086
143 PREDNISON TABLET 5 MG 100 100
144 PRIMAKUIN TABLET 15 MG 0
145 PROKAIN BENZILPENICILIN 1 JUTA UI 0
146 PROKAIN PENISILIN INJ 3 JT UI 0
147 PROPANOLOL HCL TABLET 40 MG 100 35 135
148 PROPIL THIOURASIL TABLET 100 MG 100 33 133
149 RANITIDIN 150 MG 0
150 RANITIDIN INJEKSI 25 MG/ML 0
151 RESERPIN TABLET 0,25 MG 0
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 50 49 42 141
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 150 47 32 10 32 125 396
154 RINGER LAKTAT LARUTAN INFUS STERIL 2 2 3 2 3 2 5 11 30
155 SALBUTAMOL 2 MG 113 80 50 84 70 397
156 SALBUTAMOL TABLET 4 MG 0
157 SALEP 2-4 KOMBINASI 0
158 SALISIL BEDAK 2 % 20 11 5 5 3 3 47
159 SETIRIZIN SYR 5 Mg/5 Ml 0
160 SIMVASTATIN TAB SALUT 10 MG 25 20 45
161 SOLVITRAL (MULTIVITAMIN) 86 86
162 SPIRONOLAKTON 25 Mg 0
163 STESOLID SUPP 0
164 STREPTOMISIN SERB 1000 mg 0
165 TABLET TAMBAH DARAH KOMBINASI 440 120 120 30 330 60 60 660 90 1,910
166 THIAMFENICOL 500 24 24
167 THIAMIN HCL ( VIT B-1 ) TABLET 1,000 417 638 200 200 15 440 2,910
168 TRIHEKSIFENIDIL HCL 2 MG 0
169 URISPAS 90 40 130
170 VENTOLIN NEBULE 0
171 VITAMIN B COPMPLEX TAB 0
172 VITROMEGA (MULTIVITAMIN) 600 497 100 100 200 10 1,507
173 ZINK 20 Mg 485 200 90 95 870
174 ZINK SYR 10 MG / ML 0
175 EFEDRIN 206 206
176 SIKZONOATE INJEKSI 0
177 SOTATIC INJEKSI 3 8 11
178 KETOROLAC INJEKSI 7 5 12
179 CEFADROXIL 500 MG 0
180 STOP-X CREAM 0
COMBIVENT NEBULE 0
0
0
II BAHAN HABIS PAKAI 0
1 ABBOCATH 18 4 9 13
2 ABBOCATH 20 23 4 3 21 5 7 3 9 75
3 ABBOCATH 22 7 2 5 7 21
4 ABOOCATH 24 1 1
5 AGUADES STERIL 3 1 4
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML 700 700
7 ALAT SUNTIK SEKALI PAKAI 1 ML 75 2 11 15 16 40 3 162
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 132 5 10 22 4 21 26 10 230
9 ALAT SUNTIK SEKALI PAKAI 5 ML 17 5 55 77
10 ALAT SUNTIK 10 CC 40 1 4 45
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 2 1 2 2 2 2 11
12 BLOOD LANCHET 28G 100 100
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 22 8 30
14 COVER GLASS 1,000 1000 2,000
15 CUT GUT PLAN 7 10 5 7 6 35
16 DEPO PROGESTIN 0
17 ETAKRIDIN RIVANOL LARUTAN 0.1 % 0
18 ETANOL 70 % 1 1 2
19 ETIKET BIRU 0
20 ETIKET PUTIH 0
21 FOLEY CATETER 1 3 1 5
22 HAND SCOON 180 180
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 % 0
24 INFUSION SET ANAK 7 1 1 4 13
25 INFUSION SET DEWASA 12 1 3 8 4 5 33
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 3 1 4
27 KAPAS PEMBALUT ADSBN 250 MG 1 1 1 1 4
28 KASA HIDROPYL 40 X 80 0
29 KASA KOMPRES 40 X 40 STERIL 1 5 6
30 KASA PEMBALUT 2 M X 80 CM 1 4 3 5 4 17
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 10 3 1 3 2 19
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 10 3 5 4 5 27
33 KASA PEMBALUT HYDROFIL 4MX10 0
34 KERTAS PUYER OBAT 0
35 KERTAS PUYER MESIN 9,600 1200 200 11,000
36 KERTAS RESEP HIJAU 0
37 KERTAS RESEP KUNING 0
38 KERTAS RESEP MERAH 1 2 1 1 5
39 KERTAS RESEP PUTIH 0
40 KLIPS PELASTIK OBAT 5,600 1500 100 100 50 300 7,650
41 MASKER 7 5 4 10 25 40 91
42 MESS PISAU BEDAH 42 3 6 8 59
43 OBJEK GLASS 0
44 PLESTER 5 YARD X 2 INCH 1 1 1 1 4
45 POLIKRESULEN 1 1 1 1 1 5
46 POVIDON IODIDA LARUTAN10 % 30 ML 6 1 7
47 POVIDON IODIDA LARUTAN10 % 100 ML 0
48 POVIDON IODIDA LARUTAN10 % 300 ML 2 1 2 1 6
49 SARUNG TANGAN PANJANG 3 3
50 SCALVEN 25 G 2 2
51 SCALVIN 23 G 2 2
52 SILK BENANG BEDAH NO;3/0 7 4 11
53 URINE BAG 11 4 1 16
54 USG GEL 0
55 ALAT SUNTIK 0,05 90 90
56 HAND SCOON STERIL 50 15 30 15 20 100 50 280
57 SAFETY BOX 25 25
III OBAT GIGI 0
1 DEVITALISASI PASTA ( NON ARSEN ) 1 1
2 ETIL KLORIDA SEMPROT 4 2 1 7
3 EUGENOL CAIRAN 1 1
4 GLASS IONOMER CEMENT (GC IX) 3 1 4
5 MONOKLOR KAMPER MENTHOL CAIRAN 2 1 3
6 PASTA PENGISI SALURAN AKAR 0
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN 0
8 SILVER AMALGAM SERBUK 65-75% 0
9 TEMPORARY STOPING FLETCHER 1 1
10 TRIKRESOL FORMALIN CAIRAN 1 1
11 SPONGOSTAN 0
0
IV REAGEN 0
1 ASAM KLORIDA 0.1 N 0
2 BUFFER GIEMSA (PH 7.2) 0
3 CELL PACK 0
4 CELLCLEAN 0
5 EDTA 2 % 350 350
6 EIGHTCHECK 0
7 EOSIN 2 % 300 300
8 GIEMSA 0
9 GOL. DARAH (A,B,O) 0
10 HCL 0,1 % 600 600
11 KARTU GOLONGAN DARAH 2200 2,200
12 LARUTAN DRABSKIN 0
13 LARUTAN TURK 750 750
14 METHYLENE BLUE 0,3 % 200 200
15 MICROQUITVETTE HB 201 0
16 NATRIUM CITRAT 3,8% 0
17 OIL EMERCI 0
18 POT SPUTUM 90 90
19 POT URINE 0
20 PP TEST 60 60
21 REAGEN VDRL 0
22 REES ECKER 350 350
23 SPIRITUS 0
24 STICK HBsAg 0
25 STIK ASAM URAT ( EASY TOUCH ) 1269 1,269
26 STIK GULA DARAH ( OMRON ) 0
27 STIK GULA DARAH (ACCUCHEK) 0
28 STIK GULA DARAH (EASYTOUCH) 0
29 STIK GULA DARAH (GLUCO DR G11H3514) 0
30 STIK GULA DARAH (GLUCO DR) 0
31 STIK HEMOGLOBIN ( URIT - 12 ) 0
32 STIK KOLESTEROL DARAH ( EASYTOUCH ) 466 466
33 STIK URINE 10 PARAMETER (COMBUR) 300 300
34 STIK URINE 3 PARAMETER (COMBUR) 100 100
35 STROMATOLIZER WH 0
36 THERMAL PAPER 0
37 TISSUE LENSA 0
38 WIDAL ( A-H,A-O,H,O) 10 10
39 WRIGHT 0
40 XYLOL 0
41 ZIEHL NELSEEN 5 5
42 STIK ASAM URAT ( BENECHEK ) 700 700
43 STIK GULA DARAH ( BENECHEK) 1167 1,167
44 STIK CHOLESTEROL DARAH (BENECHEK) 300 300
45 METANOL 0
LAPORAN SISA STOK OBAT PER 30 OKTOBER 2016
PUSKESMAS KR PULE

NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD


I OBAT - OBATAN
1 ACICLOVIR TAB 200 50 153 70 40 40
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 %
4 ALBENDAZOL 400 MG 5,500 16 19
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 400 377 170 100 80
10 AMINOFILIN INJEKSI 24 MG/ML 2 3
11 AMINOFILIN TABLET 200 MG
12 AMITRIPTILIN HCL TAB SALUT 25 MG
13 AMLODIPIN 10 mg 398 55
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMOXICLAV) 2
16 AMOKSISILIN KAPSUL 250 MG 360 209 84
17 AMOKSISILIN SYRUP KERING 125 MG/ML 24 77 4 8 8
18 AMOXICILIN 500 MG 676 210 500 100 84
19 AMPISILLIN SERB INJ 1000 MG/Vial 8 1
20 ANTASIDA DOEN TABLET 200 209 315 229
21 ANTASIDA SYRUP
22 ANTI BAKTERI DOEN SALEP 5
23 ANTI FUNGI DOEN KOMBINASI 24 6
24 ANTI MIGRAIN DOEN ( KAFERGOT )
25 ANTIHEMOROID DOEN 3 5 2
26 ASAM ASKORBAT VIT C TAB 50 MG 200 8 50 50
27 ASAM MEFENAMAT 500 MG 100 679 60 200 114
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G
33 BIO PLACENTON 2 1 1
34 CA-GLUCONAS INJ
35 CAPTOPRIL 25 MG 300 192 160 200 50 197
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG 60 23
39 CIPROFLOKSASIN 500 MG 70 50 50
40 CLINDAMICYN 150 164
41 CLINDAMICYN 300
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN 1
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 107 230 209
47 DEXAMETASON INJEKSI 5 MG./ML. 4
48 DIAZEPAM INJEKSI 5 MG/ML 25 4
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 120
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg
54 DIPHENHIDRAMIN HCL.INJEKSI 14 3
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 68 50
57 EPINEFRIN HCL/BITATRAT 2 5
58 ERGOTAMIN TABLET 1 Mg 100 38 10
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 80
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG
66 FENOL GLISEROL TETES TELINGA
67 FITOMEDION INJ 2 MG/ML (NEO K) 10
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 24 25
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 50 86 10 25
72 GARAM ORALIT 200 ML AIR 300 322 80 130 69
73 GENTAMISIN INJ
74 GENTAMISIN SK
75 GENTIAN VIOLET LARUTAN 1 % 5 6 5 2
76 GLIBENKLAMID TABLET 5 MG 1,443
77 GLIMEPIRID 2 mg
78 GLISERIL GUAYAKOLAT TAB 100 MG 1,800 404 518 194
79 GLUKOSA ;LARUTAN INFUS 5 % 5 1 3 4
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG 50
82 HALOPERIDOL 5 MG 307
83 HCT TABLET 25 MG. 100 80
84 HIDROKORTISON KRIM 2,5 % 28 9 3
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 250 364 30 50 112
88 IBUPROPEN TABLET 200 MG 3,200 162 300 20
89 IBUPROPEN TABLET 400 842 300 130
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 109
92 KA-EN 3B
93 KALSIUM LAKTAT TABLET 500 MG
94 KARBAMAZEPIN 200 MG TABLET 200 230
95 KETOCONAZOL TAB 200 mg
96 KLORAMFENIKOL KAPSUL 250 MG 360
97 KLORAMFENIKOL SALET MATA 1 % 10 15
98 KLORAMFENIKOL SYRUP 2 2
99 KLORAMFENIKOL TETES TELINGA 3 %
100 KLORFENIRAMIN MALEAT ( CTM ) 1,000 223 56 200
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 200 61 200 52 50
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 32 9 15 10 4
107 LANZOPRAZOL
108 LEXAVIT
109 LIDOCAIN INJ 1 %
110 LIDOKAIN KOMPOSITUM INJ 2 % 25 7
111 MAGNESIUM SULFAT 40% (MGSO4)
112 MELOKSIKAM 15 MG 150 88 250
113 METFORMIN 500 mg 420
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg 150 92 50 41
116 METRONIDAZOL TABLET 500 MG 100 125 140
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML 9
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90
120 MICONAZOLE KRIM 2% 20 1 3 4 3
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 15 1 3
124 NATRIUM DICLOFENAC 50 100 344 50 50
125 NIFEDIPIN 10 MG 37 8
126 NISTATIN 100.000 IU/G TAB/VAG 20 19 3
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III 4
133 OBAT BATUK HITAM ( OBH ) 22 7 9 5
134 OKSITETRASIKLIN SALEP MATA 1% 18 1
135 OKSITOSIN INJEKSI 10 IU/ML 27
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG
138 PARASETAMOL SIRUP 120 MG/ML
139 PARASETAMOL TABLET 500 MG 1,500 782 1,300 600 236
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 778 73 600 20 73
142 PIROKSIKAM 20 MG 520 192 96
143 PREDNISON TABLET 5 MG 100
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 35
148 PROPIL THIOURASIL TABLET 100 MG 100 33
149 RANITIDIN 150 MG
150 RANITIDIN INJEKSI 25 MG/ML
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 100 49
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 225 47
154 RINGER LAKTAT LARUTAN INFUS STERIL 4 2 2 3 2
155 SALBUTAMOL 2 MG 121
156 SALBUTAMOL TABLET 4 MG 58
157 SALEP 2-4 KOMBINASI
158 SALISIL BEDAK 2 % 2 6 5 4
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 60 385 10
161 SOLVITRAL (MULTIVITAMIN) 21
162 SPIRONOLAKTON 25 Mg
163 STESOLID SUPP
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 1,770 120 120 10
166 THIAMFENICOL 500 100 121
167 THIAMIN HCL ( VIT B-1 ) TABLET 570 600
168 TRIHEKSIFENIDIL HCL 2 MG
169 URISPAS 50
170 VENTOLIN NEBULE
171 VITAMIN B COPMPLEX TAB
172 VITROMEGA (SOLVITRON) 1,000 240
173 ZINK 20 Mg 600 489 155 10 85
174 ZINK SYR 10 MG / ML
175 EFEDRIN 206
176 SIKZONOATE INJEKSI
177 SOTATIC INJEKSI 1 8
178 KETOROLAC INJEKSI 7 5
179 CEFADROXIL 500 MG
180 STOP-X CREAM
181 COMBIVENT NEBULE 13

II BAHAN HABIS PAKAI


1 ABBOCATH 18 4
2 ABBOCATH 20 5 4 3 11
3 ABBOCATH 22 1 2 2
4 ABOOCATH 24 1
5 AGUADES STERIL 3
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML 300
7 ALAT SUNTIK SEKALI PAKAI 1 ML 80 2 11
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 24 5 5 13
9 ALAT SUNTIK SEKALI PAKAI 5 ML 117 5
10 ALAT SUNTIK 10 CC 31 2
11 AQUA PROINJECTION STERIL BEBAS PIROGEN
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 22 5
14 COVER GLASS 1,000
15 CUT GUT PLAN 5
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 % 1
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER 1 1
22 HAND SCOON
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 7 1 1 3
25 INFUSION SET DEWASA 5 1 3 6
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 2 1 4
27 KAPAS PEMBALUT ADSBN 250 MG 1
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL
30 KASA PEMBALUT 2 M X 80 CM 1 3 3
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 5 2 4
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 15 3 2 5
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 2,400 1200
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING
38 KERTAS RESEP MERAH 1 1
39 KERTAS RESEP PUTIH
40 KLIPS PELASTIK OBAT 7,000 200 200 200 100 100
41 MASKER 40 4 6
42 MESS PISAU BEDAH 42 3 4
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH
45 POLIKRESULEN 1 1
46 POVIDON IODIDA LARUTAN10 % 30 ML 3 1
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 2 1
49 SARUNG TANGAN PANJANG 3
50 SCALVEN 25 G 2
51 SCALVIN 23 G 2
52 SILK BENANG BEDAH NO;3/0 3
53 URINE BAG 11 2
54 USG GEL
55 ALAT SUNTIK 0,05
56 HAND SCOON STERIL 120 5 10 20 29
57 SAFETY BOX
III OBAT GIGI
1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT 2
3 EUGENOL CAIRAN 1
4 GLASS IONOMER CEMENT (GC IX) 2
5 MONOKLOR KAMPER MENTHOL CAIRAN 2
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER
10 TRIKRESOL FORMALIN CAIRAN
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH ( BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

353
0
0
5,535
0
0
0
0
70 10 1,207
5
0
0
80 533
0
2
653
121
210 100 50 60 1,990
5 1 2 2 19
100 80 150 1,283
0
2 2 9
30
0
10
308
100 30 80 1,363
0
0
0
0
5 5
4
0
100 230 1,429
0
0
83
170
164
0
0
0
1
0
130 676
5 9
29
0
120
0
0
0
17
0
118
5 4 16
148
0
0
0
80
0
0
0
0
13 4 3 30
49
0
0
171
50 15 24 990
0
1 1
18
1,443
0
100 20 3,036
7 5 25
0
50
307
180
2 2 44
0
0
806
3,682
1,272
0
109
0
50 50
430
0
360
10 9 44
4
0
100 730 2,309
0
0
0
50 100 713
0
70
0
0
0
16 8 56
3 2 1 6
488
420
0
50 383
365
0
2 1 2 14
90
1 32
0
8 8
19
544
6 10 61
42
0
0
0
0
0
4
2 45
19
5 6 10 48
0
0
0
208 200 80 990 5,896
0
1,544
30 838
100
0
0
0
135
133
0
0
0
149
8 30 26 336
9 4 4 6 36
121
58
0
3 20
0
455
21
0
0
0
420 60 180 90 2,770
221
770 1,940
0
50
0
0
100 200 150 1,690
1,339
0
206
0
9
12
0
0
13
0
0
0
4 8
8 10 2 10 53
6 11
1
3
2300 2,600
8 32 53 3 189
8 50 8 10 20 143
100 222
8 41
2 2 1 2 7
100 100
27
1000 2,000
8 2 4 7 26
0
0
1 1 3
0
0
3 1 6
0
0
12
3 5 23
7
1 2
0
0
2 3 1 4 17
11
25
0
0
3,600
0
0
2
0
100 300 8,200
50 40 20 160
5 54
0
1 1 2
1 3
1 1 6
0
1 4
3
2
2
3
4 1 18
0
48 48
50 3 237
0
0
0
1 3
1
1 3
1 3
0
1 1
0
0
1 1
0
0
0
0
0
0
0
800 800
0
300 300
500 500
0
600 600
2120 2,120
0
750 750
0
0
0
0
0
0
34 34
0
250 250
0
0
1175 1,175
0
0
0
0
0
0
390 390
250 250
136 136
0
0
0
7 7
0
0
5 5
700 700
950 950
300 300
0
LAPORAN SISA STOK OBAT PER 30 NOPEMBER 2016
PUSKESMAS KR PULE

NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK UGD


I OBAT - OBATAN
1 ACICLOVIR TAB 200 130 70 10 40
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 %
4 ALBENDAZOL 400 MG 5,501 13 17
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 400 171 43 50 68
10 AMINOFILIN INJEKSI 24 MG/ML 2 3
11 AMINOFILIN TABLET 200 MG
12 AMITRIPTILIN HCL TAB SALUT 25 MG
13 AMLODIPIN 10 mg 30 106 45 40
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMOXICLAV)
16 AMOKSISILIN KAPSUL 250 MG 242 180
17 AMOKSISILIN SYRUP KERING 125 MG/ML 24 23 28 2 20 7
18 AMOXICILIN 500 MG 4,100 1,183 120 100 200 228
19 AMPISILLIN SERB INJ 1000 MG/Vial 8 1
20 ANTASIDA DOEN TABLET 400 552 90 151
21 ANTASIDA SYRUP
22 ANTI BAKTERI DOEN SALEP
23 ANTI FUNGI DOEN KOMBINASI 9 12
24 ANTI MIGRAIN DOEN ( KAFERGOT ) 29
25 ANTIHEMOROID DOEN 26 5
26 ASAM ASKORBAT VIT C TAB 50 MG 600 121 400
27 ASAM MEFENAMAT 500 MG 2
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G
33 BIO PLACENTON 1 1
34 CA-GLUCONAS INJ 2
35 CAPTOPRIL 25 MG 500 215 30 100 100 197
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG 3
39 CIPROFLOKSASIN 500 MG 110
40 CLINDAMICYN 150 89
41 CLINDAMICYN 300 170
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN 1
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 1,300 385 179
47 DEXAMETASON INJEKSI 5 MG./ML. 5
48 DIAZEPAM INJEKSI 5 MG/ML 25 4
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 106
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg
54 DIPHENHIDRAMIN HCL.INJEKSI 14 1
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 68
57 EPINEFRIN HCL/BITATRAT 2 5
58 ERGOTAMIN TABLET 1 Mg 100 10
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 35
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG
66 FENOL GLISEROL TETES TELINGA
67 FITOMEDION INJ 2 MG/ML (NEO K) 5
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 100 10
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 50 144 10 10
72 GARAM ORALIT 200 ML AIR 200 192 200 40
73 GENTAMISIN INJ
74 GENTAMISIN SK
75 GENTIAN VIOLET LARUTAN 1 % 9 3
76 GLIBENKLAMID TABLET 5 MG 534
77 GLIMEPIRID 2 mg 201
78 GLISERIL GUAYAKOLAT TAB 100 MG 2,100 651 814 100 143
79 GLUKOSA ;LARUTAN INFUS 5 % 5 3 4
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG
82 HALOPERIDOL 5 MG 281
83 HCT TABLET 25 MG. 100 60
84 HIDROKORTISON KRIM 2,5 % 19 6 2
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 300 142 20 39
88 IBUPROPEN TABLET 200 MG 1,000 512 40 100 190
89 IBUPROPEN TABLET 400 110 100
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 109
92 KA-EN 3B
93 KALSIUM LAKTAT TABLET 500 MG 500 1,297 50
94 KARBAMAZEPIN 200 MG TABLET 632
95 KETOCONAZOL TAB 200 mg
96 KLORAMFENIKOL KAPSUL 250 MG 340
97 KLORAMFENIKOL SALET MATA 1 % 1 41 20 5 7
98 KLORAMFENIKOL SYRUP 4 2
99 KLORAMFENIKOL TETES TELINGA 3 %
100 KLORFENIRAMIN MALEAT ( CTM ) 2,500 454 86 50 200
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 131 100 52 50
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 32 29 6 20 14 7
107 LANZOPRAZOL 60 50 30
108 LEXAVIT
109 LIDOCAIN INJ 1 %
110 LIDOKAIN KOMPOSITUM INJ 2 % 5 9
111 MAGNESIUM SULFAT 40% (MGSO4)
112 MELOKSIKAM 15 MG 50 173 210 100 100
113 METFORMIN 500 mg 3,031
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg 45 70 30 70 33
116 METRONIDAZOL TABLET 500 MG 300 154 100 60
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML 9
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90
120 MICONAZOLE KRIM 2% 7 3 3
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 18 2 2 6
124 NATRIUM DICLOFENAC 50 150 101 50
125 NIFEDIPIN 10 MG 8
126 NISTATIN 100.000 IU/G TAB/VAG 20 19 3
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III 4
133 OBAT BATUK HITAM ( OBH ) 5
134 OKSITETRASIKLIN SALEP MATA 1% 5 1
135 OKSITOSIN INJEKSI 10 IU/ML 7
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG 11 10
138 PARASETAMOL SIRUP 120 MG/ML 11 5 4
139 PARASETAMOL TABLET 500 MG 3,600 225 1,430 100 236
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG 55
142 PIROKSIKAM 20 MG 300 175 100
143 PREDNISON TABLET 5 MG 100
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 35
148 PROPIL THIOURASIL TABLET 100 MG 100 33
149 RANITIDIN 150 MG
150 RANITIDIN INJEKSI 25 MG/ML
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 92
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 175
154 RINGER LAKTAT LARUTAN INFUS STERIL 12 2 3 5
155 SALBUTAMOL 2 MG
156 SALBUTAMOL TABLET 4 MG 32
157 SALEP 2-4 KOMBINASI 22 4 8 5
158 SALISIL BEDAK 2 % 35 27 6
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 150 219 10
161 SOLVITRAL (MULTIVITAMIN) 3
162 SPIRONOLAKTON 25 Mg
163 STESOLID SUPP 5 5
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 570 2,210 70 150 50
166 THIAMFENICOL 500 200 221
167 THIAMIN HCL ( VIT B-1 ) TABLET 2,500 1,252 718 50
168 TRIHEKSIFENIDIL HCL 2 MG
169 URISPAS 80
170 VENTOLIN NEBULE
171 VITAMIN B COPMPLEX TAB 76
172 VITROMEGA (SOLVITRON) 500 215
173 ZINK 20 Mg 200 209 115 50 75
174 ZINK SYR 10 MG / ML
175 EFEDRIN 206
176 SIKNOZOATE INJEKSI
177 SOTATIC INJEKSI 1 8
178 KETOROLAC INJEKSI 7 5
179 CEFADROXIL
180 STOP-X CREAM
181 PARACETAMOL SUPP 160 MG (PYREXIN) 8
182 COMBIVENT NEBULE 7
183 FITUNO
184 LYTACUR
185 SCABIMID 8

II BAHAN HABIS PAKAI


1 ABBOCATH 18 4
2 ABBOCATH 20 38 2 3 3
3 ABBOCATH 22 1 2 4
4 ABOOCATH 24 2 5
5 AGUADES STERIL 2
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML 300
7 ALAT SUNTIK SEKALI PAKAI 1 ML 140 2 11
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 94 5 12
9 ALAT SUNTIK SEKALI PAKAI 5 ML 45 4
10 ALAT SUNTIK 10 CC 31 1
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 5
12 BLOOD LANCHET 28G
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 20 5
14 COVER GLASS 1,000
15 CUT GUT PLAN 4 2
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 %
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER 1
22 HAND SCOON NON STERIL 300
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 %
24 INFUSION SET ANAK 7 1 3
25 INFUSION SET DEWASA 11 3 4
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 1 1 1
27 KAPAS PEMBALUT ADSBN 250 MG
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL 20 10
30 KASA PEMBALUT 2 M X 80 CM 2 2 2
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 15 5 7
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 15 2 1
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 25,200 2400
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING 35
38 KERTAS RESEP MERAH 32 1
39 KERTAS RESEP PUTIH 44 1
40 KLIPS PELASTIK OBAT 600 2500 200 100
41 MASKER 50 5 5
42 MESS PISAU BEDAH 32 3 4
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH
45 POLIKRESULEN 1
46 POVIDON IODIDA LARUTAN10 % 30 ML 1 2
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML 1
49 SARUNG TANGAN PANJANG 3
50 SCALVEN 25 G 2
51 SCALVIN 23 G 2
52 SILK BENANG BEDAH NO;3/0 8 1
53 URINE BAG 8 4
54 USG GEL
55 ALAT SUNTIK 0,05 ML
56 HAND SCOON STERIL 200 10 6 40
57 SAFETY BOX 75

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN )
2 ETIL KLORIDA SEMPROT 1
3 EUGENOL CAIRAN
4 GLASS IONOMER CEMENT (GC IX) 1
5 MONOKLOR KAMPER MENTHOL CAIRAN 2
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER 1
10 TRIKRESOL FORMALIN CAIRAN
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH (BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
46 ANTI A
47 ANTI B
48 ANTI AB
49 CAT GRAM
50 YELLOW TIP
51 Hb STIK
52 ANTI D
53 GOLONGAN DARAH TULIP
54 POT FECES
55 STIK GULA DARAH ( PERFORMA)
56 KAPORIT
GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

250
0
0
5,531
0
0
0
0
70 50 100 952
5
0
0
60 281
0
0
422
104
170 100 170 6,371
5 1 2 2 19
100 80 160 1,533
0
0
21
29
31
1,121
70 20 92
0
0
0
0
5 5
2
5 1 1 9
210 1,352
0
0
3
110
89
170
0
0
1
0
30 1,894
5
29
0
106
0
0
0
15
0
68
5 4 16
110
0
0
0
35
0
0
0
0
4 2 4 15
110
0
0
214
50 682
0
0
12
534
201
100 660 4,568
7 5 24
0
0
281
160
1 4 32
0
0
501
50 1,892
210
0
109
0
50 110 2,007
632
0
340
1 5 7 87
6
0
100 100 3,490
0
0
0
50 100 483
0
3 111
140
0
0
6 4 2 26
3 2 1 6
633
3,031
0
40 288
614
0
2 1 2 14
90
5 18
0
8 8
28
301
4 10 22
42
0
0
0
0
0
4
5
6
2 8 12 29
0
21
3 23
148 100 1280 7,119
0
55
575
100
0
0
0
135
133
0
0
0
92
26 30 24 255
20 4 11 9 66
0
32
4 43
2 6 76
0
379
3
0
10
0
90 60 30 390 80 3,700
421
170 4,690
0
80
0
76
100 100 100 1,015
649
0
206
0
9
12
0
0
8
7
0
0
8
0
0
0
4 8
11 5 1 13 76
10 17
8 15
1 3
200 500
17 16 11 2 199
13 9 7 45 185
71 120
32
4 1 1 2 8 21
76 76
25
1000 2,000
6 2 6 11 31
0
0
1 1 1 3
0
0
3 1 5
100 400
0
11
7 2 3 30
3
1 1 2
0
30
3 1 2 12
27
18
0
0
27,600
0
35
33
45
100 300 3,800
50 50 10 170
3 42
0
1 1 1 3
1 2
1 1 5
0
1 2
3
2
2
9
2 1 15
0
0
30 50 336
75 150

0
0
0
1 2
1 1
1 2
1 3
0
1 1
0
1
1 1
0
0
0
0
0
0
0
350 350
0
300 300
500 500
0
590 590
2070 2,070
0
700 700
200 200
0
0
0
90 90
0
0
0
850 850
0
0
1000 1,000
0
2800 2,800
0
0
0
0
320 320
2000 2,000
3430 3,430
0
0
0
6 6
0
0
5 5
700 700
650 650
300 300
0
30 30
30 30
30 30
1 1
1870 1,870
275 275
0
1 1
LAPORAN SISA STOK OBAT PER 31 desember 2016
PUSKESMAS KR PULE

NAMA OBAT/ALKES GUDANG APOTEK PUSTU1 PUSTU 2 P MAPAK


I OBAT - OBATAN
1 ACICLOVIR TAB 200 100 220 70 40 40
2 ACICLOVIR TAB 400
3 ACYCLOVIR 5 %
4 ALBENDAZOL 400 MG 4,560 8 41 16
5 ALBENDAZOL SYR (VERMIC) 200 Mg/5 Ml
6 ALOPURINOL TABLET 100 MG
7 ALOPURINOL TABLET 300 MG
8 ALPRAZOLAM 5 mg
9 AMBROXOL 30 MG 223 115 50 100
10 AMINOFILIN INJEKSI 24 MG/ML 2
11 AMINOFILIN TABLET 200 MG
12 AMITRIPTILIN HCL TAB SALUT 25 MG 88
13 AMLODIPIN 10 mg 480 401 45 30
14 AMLODIPIN 5 MG
15 AMOKSILIN + AS.KLAVUNALAT 625 MG (CO-AMOXICLAV) 2
16 AMOKSISILIN KAPSUL 250 MG 120 692 60 120 180
17 AMOKSISILIN SYRUP KERING 125 MG/ML 81 94 6 3 2
18 AMOXICILIN 500 MG 2,500 590 120 200
19 AMPISILLIN SERB INJ 1000 MG/Vial 8 1
20 ANTASIDA DOEN TABLET 900 486 200 100 100
21 ANTASIDA SYRUP 11
22 ANTI BAKTERI DOEN SALEP
23 ANTI FUNGI DOEN KOMBINASI 3 5 6
24 ANTI MIGRAIN DOEN ( KAFERGOT ) 100 19 10
25 ANTIHEMOROID DOEN 12 5
26 ASAM ASKORBAT VIT C TAB 50 MG 656 30 100
27 ASAM MEFENAMAT 500 MG 192 30
28 ATROPIN SULFAT 0,5 Mg TABLET
29 ATROPIN SULFAT INJ 0,25 Mg/M L ( I.V/I.M/S.K)
30 BENZANTIN PENICILIN 1,2 JUTA IU
31 BENZATIN PENICILIN 2,4 JT IU
32 BETAMETASON KRIM 0,5 MG /G 3 13
33 BIO PLACENTON
34 CA-GLUCONAS INJ 2
35 CAPTOPRIL 25 MG 500 480 80 50
36 CEFIXIME 200 MG
37 CEFTRIAXONE INJ
38 CIMETIDINE 200 MG 50 220
39 CIPROFLOKSASIN 500 MG 50
40 CLINDAMICYN 150 49
41 CLINDAMICYN 300 100 215
42 COMBIPAK AZITROMICYN CEFIXIME
43 COTRI 960 TAB ( PEHATRIM )
44 COUNTERPAIN 1
45 DAPSON 100 Mg
46 DEKSAMETASON TABLET 0,5 MG 500 300 70
47 DEXAMETASON INJEKSI 5 MG./ML. 10
48 DIAZEPAM INJEKSI 5 MG/ML 25
49 DIAZEPAM REKTAL 5 Mg / 2,5 Ml
50 DIAZEPAM TABLET 2 MG 44
51 DIAZEPAM TABLET 5 MG
52 DIGOKSIN TABLET 0,25 MG
53 DIMENHIDRINATE 50 Mg 100
54 DIPHENHIDRAMIN HCL.INJEKSI 14 1
55 DONPERIDON 10 MG
56 DOSISIKLINE 100 MG 68 30
57 EPINEFRIN HCL/BITATRAT 2
58 ERGOTAMIN TABLET 1 Mg
59 ETAMBUTOL 250 MG
60 FENITOIN NA 100 MG INJ / 2 Ml
61 FENITOIN NA 50 MG INJ / Ml
62 FENITOIN NA KAPSUL 100 MG 135
63 FENOBARBITAL INJ. 50 MG/ML, 1ML
64 FENOBARBITAL TABLET 100 MG
65 FENOBARBITAL TABLET 30 MG
66 FENOL GLISEROL TETES TELINGA
67 FITOMEDION INJ 2 MG/ML (NEO K) 2
68 FITOMENADION (VIT K) TABLET SALUT 10 MG 46
69 FITOMENADION (VIT K-1) INJ 2 MG/ML, 10 ML
70 FLUCONAZOL TAB
71 FUROSEMID TAB 40 MG 50 114 10 35
72 GARAM ORALIT 200 ML AIR 100 120 56 100 28
73 GENTAMISIN INJ
74 GENTAMISIN SK 10 3 3 5 15
75 GENTIAN VIOLET LARUTAN 1 % 1
76 GLIBENKLAMID TABLET 5 MG 1,801
77 GLIMEPIRID 2 mg 233
78 GLISERIL GUAYAKOLAT TAB 100 MG 1,300 518 1,000 200
79 GLUKOSA ;LARUTAN INFUS 5 % 5 3
80 GLUKOSA LARUTAN INFUS 10 %
81 GRISEOFULVIN TABLET 125 MG 100 40
82 HALOPERIDOL 5 MG 281
83 HCT TABLET 25 MG. 100 50
84 HIDROKORTISON KRIM 2,5 % 4 4 10 15 7
85 HYOSINE N-BUTYL BROMIDE INJ
86 HYOSINE N-BUTYL BROMIDE TABLET 10 Mg
87 HYOSINE N-BUTYL BROMIDE TABLET PLUS 200 150 20
88 IBUPROPEN TABLET 200 MG 73 160
89 IBUPROPEN TABLET 400 289 40
90 INH (ISONIAZID 300 MG)
91 ISOSORBID DINITRAT 5 MG 100
92 KA-EN 3B
93 KALSIUM LAKTAT TABLET 500 MG 400 652 40 150 100
94 KARBAMAZEPIN 200 MG TABLET 220
95 KETOCONAZOL TAB 200 mg
96 KLORAMFENIKOL KAPSUL 250 MG 300
97 KLORAMFENIKOL SALET MATA 1 % 25 52 5 20 10
98 KLORAMFENIKOL SYRUP 6
99 KLORAMFENIKOL TETES TELINGA 3 %
100 KLORFENIRAMIN MALEAT ( CTM ) 1,800 760 114 200
101 KLORPROMAZIN INJ 5 MG/ML
102 KLORPROMAZIN TAB.100 MG
103 KLORPROMAZIN TAB.25 MG
104 KOTRIMOKSAZOL TABLET, DEWASA 20 40
105 KOTRIMOKSAZOL TABLET, PEDIATRIK
106 KOTRIMOXSAZOL SYRUP 50 29 6 10 7
107 LANZOPRAZOL 52 20
108 LEXAVIT
109 LIDOCAIN INJ 1 %
110 LIDOKAIN KOMPOSITUM INJ 2 % 2
111 MAGNESIUM SULFAT 40% (MGSO4)
112 MELOKSIKAM 15 MG 163 150 100 50
113 METFORMIN 500 mg 1,892
114 METHYLPREDNISOLON 16 MG TABLET
115 METOCHLOPRAMIDE 10 Mg 100 48 70
116 METRONIDAZOL TABLET 500 MG 114 130 50 20
117 METRONIDAZOL TABLET 250 MG
118 METYL ERGOMETRIN INJ 0,2 MG/ML
119 METYL ERGOMETRIN MALEAT TABLET 0,125 MG 90
120 MICONAZOLE KRIM 2% 14 3 3 5 2
121 MINERAL MIX
122 MISOPROSTOL TAB
123 NATRIUM CLORIDA 0,9 % 11 1 1 1
124 NATRIUM DICLOFENAC 50 100 231 100 50
125 NIFEDIPIN 10 MG
126 NISTATIN 100.000 IU/G TAB/VAG 20 14 3
127 OAT FDC KATEGORI ANAK
128 OAT KATAGORI ANAK
129 OAT KOMBIPAK
130 OAT SISIPAN
131 OBAT ANTI TBC KATAGORI 2
132 OBAT ANTI TBC FDC I&III
133 OBAT BATUK HITAM ( OBH )
134 OKSITETRASIKLIN SALEP MATA 1% 1
135 OKSITOSIN INJEKSI 10 IU/ML
136 OMEPRAZOL 20 Mg
137 PAMOL SUPP 125 MG
138 PARASETAMOL SIRUP 120 MG/ML 28 12 5
139 PARASETAMOL TABLET 500 MG 1,800 1,362 650
140 PIRANTEL PAMOAT TABLET 125 MG
141 PIRIDOKSIN HCL (VIT B-6 ) TABLET 10 MG
142 PIROKSIKAM 20 MG 100 14 290
143 PREDNISON TABLET 5 MG 100
144 PRIMAKUIN TABLET 15 MG
145 PROKAIN BENZILPENICILIN 1 JUTA UI
146 PROKAIN PENISILIN INJ 3 JT UI
147 PROPANOLOL HCL TABLET 40 MG 100 33
148 PROPIL THIOURASIL TABLET 100 MG 100 33
149 RANITIDIN 150 MG 300 170
150 RANITIDIN INJEKSI 25 MG/ML
151 RESERPIN TABLET 0,25 MG
152 RETINOL ( VITAMIN A ) KAPSUL 100.000 IU 92
153 RETINOL ( VITAMIN A ) KAPSUL 200.000 IU 175
154 RINGER LAKTAT LARUTAN INFUS STERIL 10 2 2 3
155 SALBUTAMOL 2 MG
156 SALBUTAMOL TABLET 4 MG
157 SALEP 2-4 KOMBINASI 22 4
158 SALISIL BEDAK 2 % 23 9 1 2 3
159 SETIRIZIN SYR 5 Mg/5 Ml
160 SIMVASTATIN TAB SALUT 10 MG 64 30
161 SOLVITRAL (MULTIVITAMIN)
162 SPIRONOLAKTON 25 Mg
163 STESOLID SUPP
164 STREPTOMISIN SERB 1000 mg
165 TABLET TAMBAH DARAH KOMBINASI 630 3,283 140 210 20
166 THIAMFENICOL 500 200 160
167 THIAMIN HCL ( VIT B-1 ) TABLET 1,839 236 100
168 TRIHEKSIFENIDIL HCL 2 MG 100
169 URISPAS
170 VENTOLIN NEBULE
171 VITAMIN B COPMPLEX TAB 100 102
172 VITROMEGA (SOLVITRON) 100 126 160
173 ZINK 20 Mg 100 114 80 80
174 ZINK SYR 10 MG / ML
175 EFEDRIN
176 SIKNOZOATE INJEKSI
177 SOTATIC INJEKSI
178 KETOROLAC INJEKSI
179 CEFADROXIL
180 STOP-X CREAM
181 PARACETAMOL SUPP 160 MG (PYREXIN)
182 COMBIVENT NEBULE
183 FITUNO
184 LYTACUR
185 SCABIMID 3
LOPERAMID 100 74
KORAMPENIKOL TM 15
II BAHAN HABIS PAKAI
1 ABBOCATH 18
2 ABBOCATH 20 3 2 3
3 ABBOCATH 22 6 2
4 ABOOCATH 24 7
5 AGUADES STERIL 1
6 ALAT SUNTIK SEKALI PAKAI 0,5 ML
7 ALAT SUNTIK SEKALI PAKAI 1 ML 14 2
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 50 3
9 ALAT SUNTIK SEKALI PAKAI 5 ML 103
10 ALAT SUNTIK 10 CC
11 AQUA PROINJECTION STERIL BEBAS PIROGEN 5
12 BLOOD LANCHET 28G 300
13 CAT GUT/BENANG BEDAH N0.2/0-3/0CHROME 15
14 COVER GLASS 1,000
15 CUT GUT PLAN 2
16 DEPO PROGESTIN
17 ETAKRIDIN RIVANOL LARUTAN 0.1 %
18 ETANOL 70 % 2
19 ETIKET BIRU
20 ETIKET PUTIH
21 FOLEY CATETER 1
22 HAND SCOON NON STERIL 300 18 24
23 HIDROGEN PEROKSIDA ( H2O2 ) 3 % 1
24 INFUSION SET ANAK 7 1
25 INFUSION SET DEWASA 21 3
26 JARUM JAHIT ( BEDAH ) NO. 9 - 14 1
27 KAPAS PEMBALUT ADSBN 250 MG 4
28 KASA HIDROPYL 40 X 80
29 KASA KOMPRES 40 X 40 STERIL
30 KASA PEMBALUT 2 M X 80 CM 18 2 2 1
31 KASA PEMBALUT HIDROFIL 4M X 15 CM 5 2 2
32 KASA PEMBALUT HIDROFIL 4M X 3 CM 20 5 3 3
33 KASA PEMBALUT HYDROFIL 4MX10
34 KERTAS PUYER OBAT
35 KERTAS PUYER MESIN 22,800 1200
36 KERTAS RESEP HIJAU
37 KERTAS RESEP KUNING 20
38 KERTAS RESEP MERAH 15 1
39 KERTAS RESEP PUTIH 43
40 KLIPS PELASTIK OBAT 6,900 1100 300
41 MASKER 5 8
42 MESS PISAU BEDAH 32 3
43 OBJEK GLASS
44 PLESTER 5 YARD X 2 INCH 1
45 POLIKRESULEN
46 POVIDON IODIDA LARUTAN10 % 30 ML
47 POVIDON IODIDA LARUTAN10 % 100 ML
48 POVIDON IODIDA LARUTAN10 % 300 ML
49 SARUNG TANGAN PANJANG 3 1
50 SCALVEN 25 G 2 1
51 SCALVIN 23 G 2 1
52 SILK BENANG BEDAH NO;3/0
53 URINE BAG 8
54 USG GEL
55 ALAT SUNTIK 0,05 ML
56 HAND SCOON STERIL 130
57 SAFETY BOX

III OBAT GIGI


1 DEVITALISASI PASTA ( NON ARSEN ) 1
2 ETIL KLORIDA SEMPROT
3 EUGENOL CAIRAN
4 GLASS IONOMER CEMENT (GC IX) 1
5 MONOKLOR KAMPER MENTHOL CAIRAN 2
6 PASTA PENGISI SALURAN AKAR
7 SEMEN SENG FOSFAT SERBUK DAN CAIRAN 1
8 SILVER AMALGAM SERBUK 65-75%
9 TEMPORARY STOPING FLETCHER 1
10 TRIKRESOL FORMALIN CAIRAN
11 SPONGOSTAN

IV REAGEN
1 ASAM KLORIDA 0.1 N
2 BUFFER GIEMSA (PH 7.2)
3 CELL PACK
4 CELLCLEAN
5 EDTA 2 %
6 EIGHTCHECK
7 EOSIN 2 %
8 GIEMSA
9 GOL. DARAH (A,B,O)
10 HCL 0,1 %
11 KARTU GOLONGAN DARAH
12 LARUTAN DRABSKIN
13 LARUTAN TURK
14 METHYLENE BLUE 0,3 %
15 MICROQUITVETTE HB 201
16 NATRIUM CITRAT 3,8%
17 OIL EMERCI
18 POT SPUTUM
19 POT URINE
20 PP TEST
21 REAGEN VDRL
22 REES ECKER
23 SPIRITUS
24 STICK HBsAg
25 STIK ASAM URAT ( EASY TOUCH )
26 STIK GULA DARAH ( OMRON )
27 STIK GULA DARAH (ACCUCHEK)
28 STIK GULA DARAH (EASYTOUCH)
29 STIK GULA DARAH (GLUCO DR G11H3514)
30 STIK GULA DARAH (GLUCO DR)
31 STIK HEMOGLOBIN ( URIT - 12 )
32 STIK KOLESTEROL DARAH ( EASYTOUCH )
33 STIK URINE 10 PARAMETER (COMBUR)
34 STIK URINE 3 PARAMETER (COMBUR)
35 STROMATOLIZER WH
36 THERMAL PAPER
37 TISSUE LENSA
38 WIDAL ( A-H,A-O,H,O)
39 WRIGHT
40 XYLOL
41 ZIEHL NELSEEN
42 STIK ASAM URAT ( BENECHEK )
43 STIK GULA DARAH (BENECHEK)
44 STIK CHOLESTEROL DARAH (BENECHEK)
45 METANOL
46 ANTI A
47 ANTI B
48 ANTI AB
49 CAT GRAM
50 YELLOW TIP
51 Hb STIK
52 ANTI D
53 GOLONGAN DARAH TULIP
54 POT FECES
55 STIK GULA DARAH ( PERFORMA)
56 KAPORIT
UGD GIGI KIA LAB P KR PULE P. PAGTN P. PGTIM LANSIA LAIN2 TOTAL

470
0
0
4,625
0
0
0
0
100 40 628
2
0
88
25 981
0
2
1,172
186
55 100 150 60 3,775
5 1 2 2 19
100 60 210 2,156
3 14
0
3 17
129
17
100 886
70 20 80 392
0
0
0
0
1 17
0
5 1 1 9
160 1,270
0
0
270
50
49
315
0
0
1
0
60 930
10
25
0
44
0
0
100
15
0
98
5 4 11
0
0
0
0
135
0
0
0
0
8 5 2 17
46
0
0
209
50 76 530
0
3 39
1
1,801
233
100 220 3,338
7 5 20
0
140
281
150
2 42
0
0
370
50 283
180 509
0
100
0
100 120 1,562
220
0
300
1 7 7 127
6
0
530 3,404
0
0
0
50 110
0
102
72
0
0
5 3 10
3 2 1 6
463
1,892
0
218
314
0
6 6
90
3 30
0
8 8
14
481
4 4
37
0
0
0
0
0
0
0
1
5 8 6 19
0
0
45
38 100 80 20 4,050
0
0
160 564
100
0
0
0
133
133
470
0
0
92
25 200
10 5 9 6 47
0
0
2 28
3 41
0
94
0
0
0
0
180 100 360 60 4,983
360
1100 3,275
100
0
0
202
40 50 476
374
0
0
0
0
0
0
0
0
0
0
0
3
174
15
0
7 7
10 5 10 33
10 18
6 13
1
0
11 44 26 2 99
9 24 15 7 108
103
0
4 900 1 1 911
100 400
15
1000 2,000
10 6 8 26
0
0
1 1 4
0
0
3 1 5
50 80 1 473
1
8
6 30
1
1 1 1 7
0
0
1 5 3 32
9
31
0
0
24,000
0
1 21
1 17
43
100 300 8,700
30 5 25 73
35
0
1 1 3
1 1
1 1
0
0
4
3
3
0
2 1 11
0
0
48 100 40 318
0

0
0
1 2
0
1 1
1
2 4
0
1 2
0
1
1 1
0
0
0
0
0
0
0
350 350
0
300 300
50 50
1 1
590 590
2020 2,020
0
430 430
200 200
0
0
0
60 60
0
1050 1,050
0
750 750
0
0
1000 1,000
0
0
0
0
0
0
240 240
1800 1,800
3300 3,300
0
0
0
6 6
0
0
9 9
700 700
525 525
200 200
0
30 30
30 30
30 30
1 1
1860 1,860
275 275
0
0

2800

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