OKTOBER REKAP RESEP 2020

PKG BPJS
TANGGL R/ RANAP RAJAL R/ RANAP RAJAL

1 101 20 17 76 11 21
2 43 5 12 59 6 18
3 28 4 8 83 21 10
4 0 0 0 0 0 0
5 0 0 0 0 0 0
6 0 0 0 0 0 0
7 0 0 0 0 0 0
8 0 0 0 0 0 0
9 0 0 0 0 0 0
10 0 0 0 0 0 0
11 0 0 0 0 0 0
12 0 0 0 0 0 0
13 0 0 0 0 0 0
14 0 0 0 0 0 0
15 0 0 0 0 0 0 Total
16 0 0 0 0 0 0
17 0 0 0 0 0 0
18 0 0 0 0 0 0
19 0 0 0 0 0 0
20 0 0 0 0 0 0
21 0 0 0 0 0 0
22 0 0 0 0 0 0
23 0 0 0 0 0 0
24 0 0 0 0 0 0
25 0 0 0 0 0 0
26 0 0 0 0 0 0
27 0 0 0 0 0 0
28 0 0 0 0 0 0
29 0 0 0 0 0 0
30 0 0 0 0 0 0
31
172 29 37 218 38 49
Jumlah R/ 172 218 390
Jumlah Resep 66 87 153
lembar
tgl rajal ranap jmlh R/
Resep
1 38 31 69 177
2 30 11 41 102
3 18 25 43 111
4 0 0 0 0
5 0 0 0 0
6 0 0 0 0
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
11 0 0 0 0
12 0 0 0 0
13 0 0 0 0
14 0 0 0 0
15 0 0 0 0
16 0 0 0 0
17 0 0 0 0
18 0 0 0 0
19 0 0 0 0
20 0 0 0 0
21 0 0 0 0
22 0 0 0 0
23 0 0 0 0
24 0 0 0 0
25 0 0 0 0
26 0 0 0 0
27 0 0 0 0
28 0 0 0 0
29 0 0 0 0
30 0 0 0 0
31 0 0 0 0
LAPORAN HARIAN STOK OBAT
PUSKESMAS PANGANDARAN
BULAN OKTOBER 2020
Penggunaan pertanggal
NO NAMA OBAT SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
1 Acyclovir CREAM EX BPJS TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 Acyclovir tablet 200 mg Kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Acyclovir tablet 400 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 ALBENDAZOL SIRUP SIRUP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Allopurinol tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Alprazolam tab 1 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Ambroxol Sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ambroxol tablet 30 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Aminofilin injeksi 24 mg/ml ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Aminofilin Tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Amitriptillin Tablet Salut 25mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Amlodipin tablet 10 mg Tablet 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Amlodipin tablet 5 mg Tablet 31 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Amoksisilin kaplet 250 mg Kaplet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Amoksisilin kapsul 500 mg Kaplet 160 80 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Amoksisilin sirup kering 250 mg/ 5 mg Btl 60 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 AMPISILIN 1000 MG INJ VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 AMPISILIN 250 MG INJ VIAL 4 7 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Antasida DOEN I tablet kunyah Tablet 60 120 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Antasida DOEN II suspensi Btl 60 ml 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti Bakteri DOEN salep kombinasi :

21 Tube
Basitrasin 500 IU/g + polimiksin 10.000 IU/g
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antifungi DOEN Kombinasi : Asam Benzoat
22 Pot
6% + Asam Salisilat 3% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Antihemoroid DOEN kombinasi : Bismut

23 Supp
Subgalat 150 mg + Heksaklorofen 250 mg
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 ANTRAIN INJ / METAMIZOLE INJ Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ARCAPEC SYR EX BPJS (Attapulgite 600
25 BOTOL
mg, pectin 50 mg) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam Asetil Salisilat / Asetosal tablet 80mg
26 Tablet
(Miniaspi) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Asam Askorbat (vitamin C) tablet 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Asam Folat Tablet 0,4mg (Profolat) tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Asam Mefenamat kaplet 500 mg Kaplet 40 50 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 Asam pipemidat 400 mg (Urotractin) kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Asam Traneksamat 50 mg/ml inj Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Asam Traneksamat 500 mg (tranec) Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Ursolat 250mg (Ursolic) Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
34 Asering Infus Softbag 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Asetil sistein 100 mg Tablet 20 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
36 Atropin Inj 0,25 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Attapulgit 600 mg (New Antides) Tablet 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
38 Basitracin-Polymyxin B Salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 BETAHISTIN EX BPJS Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betametason krim 0,1 % Tube 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 BIO ATP Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 BIOPLASENTON EX BPJS TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bisakodil // STOLAX SUPP Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BROCON (Paracetamol 500 mg,
chlorpheniramine maleate 2 mg,
44 Tablet
phenylephrine HCl 10 mg, dextromethorphan
HBr 10 mg) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 Captopril tablet 12,5 mg Tablet 22 31 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Captopril tablet 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Cefadroksil kapsul 250 mg BPJS EXT Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Cefadroksil kapsul 500 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
49 Cefadroksil Sirup 125mg Botol 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefixime Sirup 100mg/5ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cefixime Kapsul 100mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Cefotaksim injeksi 1 gram ktk 2 vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Cetirizin Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
54 Cetirizin tablet Tablet 6 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Chloramfenikol Salep Kulit 1% (Bufacetin) tube

1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Chloramfenikol Salep Mata 1% tube

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
57 Chloramfenikol sirup 125 mg/5 ml Botol 60 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Ciprofloxacin tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 Clindamycin 300 mg Kapsul Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
60 CLOBAZAM TABLET tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 CLORPROMAZIN 100 MG ( CPZ ) Kapsul 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 Clozapine Tablet 25mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
63 COMBIVENT NEBU Ampul 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
COPARCETIN syr (Parasetamol 120 mg,

Gliseril Guaiakolat 50 mg, Efedrina
64 botol
HCl 4 mg, Klorfeniramina Maleat 1
mg)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cotrimoxazole DOEN I (dewasa) Kombinasi :

65 Tablet
Sulfametoksazol 400 mg, Trimetoprim 80 mg
10 30 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cotrimoxazole Suspensi Kombinasi :
66 Sulfametoksazol 200 mg + Trimetoprim 40 botol 60 ml
mg/ 5 ml 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 CTM (Chlorpheniraniramina Maleat tablet 4 mg Tablet 40 30 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Desoksimetason krim 0,25% tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Dexamethasone Injeksi I.v. 5 mg/ml Ampul 2 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
70 Dexamethasone tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 DEXOCORT SK TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DEXTRAL (Dextromethorphan HBr, Glyceryl

72 guaiacolate, Phenylpropanolamine, dan TABLET
Chlorpheniramine maleat)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
73 Diazepam enema 5 mg/2,5ml (STESOLID supp tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 DIAZEPAM INJ AMPUL 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 DIAZEPAM tablet 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 DIAZEPAM tablet 5 MG TABLET

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Digoksin tablet 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Dimenhidrinat tablet 50 mg Tablet 20 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 Domperidon Suspensi Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Domperidon Tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Epinefrin (adrenalin) injeksi 0,1% (sebagai
82 ampul
HCl) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
83 Ergotamin tartrat 1mg + Kofein 50mg TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Erythromycin 250 MG BPJS EXT KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Erythromycin 500 MG BPJS EXT KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
86 FARTOLIN NEBU Botol Inh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
87 FE tablet tambah darah kombinasi Tablet 70 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
88 FENOFIBRAT 100 MG Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 FENOFIBRAT 300 MG Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fenol Gliserol tetes telinga 10% (Carbo
90 Botol
Gliseril) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 Fitomenadion (Vit. K1) tablet salut gula 10 mg Tablet

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 Fluconazole 150mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
94 Fluimucil ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
95 FLUTAB EXT BPJS Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FLUTAMOL (Paracetamol 500 mg, glyceryl

96 guaiacolate 50 mg, phenylpropanolamine HCl tablet
15 mg, chlorpheniramine maleate 2 mg)
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FOLAPLUS (Folic acid 400 mcg, vit B6 6 mg,
97 Tablet
vit B12 25 mcg.) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Furosemid injeksi i.v/i.m 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
99 Furosemid tablet 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
100 Gemfibrozil 300mg Tablet 20 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
101 Gentamisin Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
102 gentamisin Salep Kulit tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gentamisin Salep Mata 0,3% (Cendo
103 Tube
Gentamisin SM/Genoint) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
104 Gentian Violet Larutan 1 % Botol 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 GG ( Gliseril Gualakolat tablet 100 mg ) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 Glibenklamid 5mg Tablet 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
107 Glimepiride 2 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 Glukosa Larutan Infus 10% btl 500 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
109 Glukosa Larutan Infus 5% btl 500 ml 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
110 Griseofulvin tablet 125 mg, micronized Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
111 Haloperidol Inj. 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Haloperidol tablet 0,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Haloperidol tablet 1,5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Haloperidol Tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Hepagard Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Herbakof - Obat Batuk Hitam (OBH) syr Botol 60ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
117 Hidroklortiazid tab 25 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Hidrokortison krim 2,5% Tube 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Hiosin Butil bromida inj 20 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
120 Hiosin Butil bromida tab 20 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Ibuprofen suspensi 100 mg/5ml Btl 60ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 Ibuprofen tablet 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Ikaneuron INJEKSI AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
124 INTERLAC SACH SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
IREMAX (Ibuprofen 200 mg, paracetamol 400
125 TABLET
mg.) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
126 Isoksuprin Hidroklorid (Hystolan) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 10 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
128 KA EN 3B - Larutan Karbohidrat + elektrolit kantong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
129 Kalk - Kalsium Laktat tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Kalsium Glukonas Injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Kanamisin Inj 1000 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 KANINA SUSPENSI (Kaolin - Pactin) botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Ketokonazol 200 MG TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
134 Ketokonazol bedak (Mycorine) botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
135 Ketokonazol Krim 2% Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Ketorolak Inj 30 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Kloramfenikol kapsul 500 mg (Chloramex) Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Klorpromazine Hcl Tablet Salut 100mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Kodein tablet 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
140 KSR - Kalium Klorida 600 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
141 L BIO KAPSUL EXT BPJS Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 L BIO SACHET EXT BPJS SACHET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 LACTULOSE SIRUP BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Lansoprazole capsul 30mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
LASAL EXP - Salbutamol Sulfat 2 mg,

145 BOTOL
Guaifenisin (Gliserilis Guaiacolas) 75 mg
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
146 Lidocain inj 2 % Ampul 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lidocain inj 2 % (HCL) + Epinefrin 1 : 80.000-
147 Ampul
2 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 LODECON TAB Tablet 0 20 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
149 Loperamide tablet (DIASTRIX) Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
150 Loratadin tablet 10 mg Tablet
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151 Magnesium Sulfat inj (IV) 20 %-25 ml VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 Magnesium Sulfat inj (IV) 40 %-25 ml vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
153 Meptin nebu (Procaterol hidroklorida) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metaneuron Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
155 Metformin HCl tablet 500 mg tablet 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metildopa tab 250 mg (Dopamed) tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Metilergometrin Maleat injeksi 0,200 mg -1 ml Ampul
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
158 Metilergometrin Maleat tablet salut 0,125 mg Tablet

10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 Metilprednisolon tablet 4 mg Tablet 30 28 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Metoklopramid tablet 10 mg tablet 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
161 Metronidazol infus 500 mg/100 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
162 Metronidazol Sirup Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
163 Metronidazol tablet 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 Metronidazol Tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Mikonazole krim / salep 2% (nitrat) tube 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
166 Misoprostol tablet 200mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Molakrim Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 NACL - Natrium Klorida larutan infus 0,9 % Botol 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
169 Natrium Bikarbonat tablet 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Natrium Diklofenak 50 mg Tablet 76 50 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NEOCENTA GEL (Neomycin sulfate 0.5%,
171 tube
Placenta extrak 10%) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 NEUCOMPLI Tablet 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Nifedifin 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 NOBOR TABLET EX BPJS - allylestrenol BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 NORAGES INJ - Metamizole sodium 500 mg/M AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
176 NUCRAL SYR EXT BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
177 NYSTATIN DROP BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Nystatin Vaginal tablet salut 100.000 IU/g Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
179 OKSITERTRA SALEP MATA EX BPJS TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
180 Oksitosin injeksi 10 UI/ml-1 ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Omeprazole kapsul 10 mg Kapsul 60 12 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Ondansetron Inj 4 mg/2ml Ampul 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 ORALIT Serbuk Kombinasi Sachet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
184 PAMOL 125 MG SUPP SUPP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 PAMOL 250 MG SUPP SUPP 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
186 Paracetamol tablet 500 mg Tablet 175 116 130 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Parasetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Parasetamol syrup Btl 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
189 Perak Sulfadiazin krim 1% Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 PHENOBARBITAL Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
PINKIDS COUGH SYR (paracetamol 120 mg,
191 glyceryl guaiacolate 50 mg, chlorpheniramine botol
maleate 1 mg) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
192 PIRACETAM INJ EXT BPJS Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
193 PIRACETAM TAB 400 EXT BPJS Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
194 Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Piridoksin (Vitamin B6) tablet 25 mg (HCL) Botol 30 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
196 Povidon Iodida larutan 10 % Botol 300 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prednison tablet 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Primaquin tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 Propanolol tablet 10 mg (HCL) Tablet 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 PSIDII KAPSUL Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 PSIDII SIRUP botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
202 PYREXIN 160 SUPP SUPP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 PYREXIN 80 SUPP SUPP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
204 Ranitidin injeksi 25 mg/2 ml Ampul 12 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
205 Ranitidin tablet 150 mg tablet 10 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 RECO TETES MATA -Chloramphenicol botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 RECO TETES TELINGA -Chloramphenicol botol

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
RENAX (sericocalyx folium 21,4 %,
208 orthosiphonis herba 21,4%, sonchus folium Kapsul
17,85%, plantago floium 7,15 %) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol (Vitamin A) kapsul lunak 100.000 IU botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Retinol (Vitamin A) kapsul lunak 200.000 IU botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Ringer Laktat larutan infus Kalf 10 7 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Risperidol Tablet 2mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Salbutamol 2 mg BPJS EXT TAblet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
214 Salbutamol sirup botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 Salbutamol tablet (sebagai sulfat) 4 mg Tablet 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Salep 2-4, kombinasi: Asam Salisilat 2% +
216 Pot
Belerang endap 4% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
217 Salisil bedak 2% Kotak 50 gram 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
218 Samcodryl syr Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 SCACID KRIM ( Permethrin 5%) TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 SCOPMA (Hyoscine N-butylbromide) tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serum Anti Bisa Ular Polivalen injeksi 5 ml
221 Vial
(ABU I) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serum Anti Tetanus Injeksi 1.500 IU/ampul
222 Vial
(A.T.S.) 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Serum Rabies (VAR) AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10mg tablet 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SKILONE KRIM (Betametason valerat 0,05
225 %, Gentamisin Sulfat / Gentamicin sulphate TUBE
0,1 %.) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
226 Solafluz syr Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 Solvitral Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
228 SPASHI INJ (Hyoscine N-butylbromide) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 SPASMINAL TAB Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
230 SPASMOLIT TAB Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 STIMOX KAPSUL Tablet 12 4 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 STIMOX SIRUP botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
233 STIMUNO KAPSUL Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 STIMUNO SIRUP Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Sukralfat Suspensi Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
236 Sulfacetamid Tetes Mata (ALBUVIT) tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
237 TABAS BPJS EXT BOTOL 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TERNIX PLUS (Paracetamol 250 mg,
Pseudoephedrine HCI 15 mg,
238 botol
Chlorpheniramine Maleate 1 mg, Glyceryl
Guaiacolate 100 mg) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Tetrasiklin kapsul 250 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 Tetrasiklin kapsul 500 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
241 Tiamfenikol kapsul 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
242 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) Tablet

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Tiamin (vitamin B1) injeksi 100 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
244 TRIFLUOPERAZINE TAB Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Triheksifenidil Tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Triheksifenidil tablet 2 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
247 Truvit syr Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
248 URINTER (as. Pipemidat 400mg) tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Ursodeoxycholic acid Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
250 Vitamin B 12 TAB Tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
251 Vitamin B komplex Tablet 32 24 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Zink Sirup 20 mg/ml (Zinkid Syr) Btl 60ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Zink Tablet Tablet 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
254 Alat Kesehatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
255 Aqua Pro Injeksi Steril, bebas pirogen vial @20ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
256 Folley Catheter 2 Way No. 16 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 Folley Catheter 2 Way No. 18 Pcs 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Infusion set anak Set /kantong 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Infusion set dewasa Set /kantong 7 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
260 Abocath No. 18 G pcs 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Abocath No. 20 (Adsyte 20) pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Abocath No. 22 G wings 50 buah / kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
263 Abocath No. 22 G pcs 6 5 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
264 Abocath No. 24 G pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
265 Abocath No. 26 G (Venflon) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
266 Mucus Extractor 25 mL pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
267 Underpad 60x90 cm Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
268 Urine Bag Pcs 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL
PENGGUNAAN
25 26 27 28 29 30 31
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 50
0 0 0 0 0 0 0 71
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 360
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 13
0 0 0 0 0 0 0 240
0 0 0 0 0 0 0 2
0
0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 140
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 18
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 63
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 11
1
0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3
0 0 0 0 0 0 0
60
0 0 0 0 0 0 0
3
0 0 0 0 0 0 0
0 0 0 0 0 0 0 80
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 11
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 3
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 40
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
10
0 0 0 0 0 0 0
0 0 0 0 0 0 0 62
0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 156
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 6
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 120
0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 421
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0
0 0 0 0 0 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 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 23
0 0 0 0 0 0 0 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 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 24
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
1
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 44
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 62
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 18
0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 17
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1
LAPORAN HARIAN STOK OBAT TANGGAL : 1 OKTOBER
PAGI SIANG MALAM
JUMLAH R/ 48 53
PKG RANAP 9 11
RAJAL 11 6
JUMLAH R/ 40 36
JKN RANAP 4 7
RAJAL 13 8
NO NAMA OBAT SATUAN PAGI MALAM
1 Acyclovir CREAM EX BPJS TUBE

2 Acyclovir tablet 200 mg Kaplet
3 Acyclovir tablet 400 mg tablet
4 ALBENDAZOL SIRUP SIRUP
5 Allopurinol tablet 100 mg Tablet
6 Alprazolam tab 1 mg Tablet
7 Ambroxol Sirup Botol
8 Ambroxol tablet 30 mg Tablet
9 Aminofilin injeksi 24 mg/ml ampul
10 Aminofilin Tablet Tablet
11 Amitriptillin Tablet Salut 25mg Tablet
12 Amlodipin tablet 10 mg Tablet
13 Amlodipin tablet 5 mg Tablet 31
14 Amoksisilin kaplet 250 mg Kaplet
15 Amoksisilin kapsul 500 mg Kaplet 70 90
16 Amoksisilin sirup kering 250 mg/ 5 mg Btl 60 ml
17 AMPISILIN 1000 MG INJ VIAL
18 AMPISILIN 250 MG INJ VIAL 2 2
19 Antasida DOEN I tablet kunyah Tablet 10 50
20 Antasida DOEN II suspensi Btl 60 ml 1
Anti Bakteri DOEN salep kombinasi : Basitrasin 500
21 Tube
IU/g + polimiksin 10.000 IU/g
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam
22 Pot
Salisilat 3%
Antihemoroid DOEN kombinasi : Bismut Subgalat 150
23 Supp
mg + Heksaklorofen 250 mg
24 ANTRAIN INJ / METAMIZOLE INJ Ampul
ARCAPEC SYR EX BPJS (Attapulgite 600 mg, pectin
25 BOTOL
50 mg)
26 Asam Asetil Salisilat / Asetosal tablet 80mg (Miniaspi) Tablet
27 Asam Askorbat (vitamin C) tablet 50 mg Tablet

28 Asam Folat Tablet 0,4mg (Profolat) tablet
29 Asam Mefenamat kaplet 500 mg Kaplet 20 20
30 Asam pipemidat 400 mg (Urotractin) kapsul
31 Asam Traneksamat 50 mg/ml inj Vial
32 Asam Traneksamat 500 mg (tranec) Kapsul
33 Asam Ursolat 250mg (Ursolic) Kapsul
34 Asering Infus Softbag 1 1
35 Asetil sistein 100 mg Tablet 20
36 Atropin Inj 0,25 mg/ml Ampul
37 Attapulgit 600 mg (New Antides) Tablet 12 6
38 Basitracin-Polymyxin B Salep Tube
39 BETAHISTIN EX BPJS Tablet
40 Betametason krim 0,1 % Tube
41 BIO ATP Tablet
42 BIOPLASENTON EX BPJS TUBE
43 Bisakodil // STOLAX SUPP Supp
BROCON (Paracetamol 500 mg, chlorpheniramine
44 maleate 2 mg, phenylephrine HCl 10 mg, Tablet
dextromethorphan HBr 10 mg)
45 Captopril tablet 12,5 mg Tablet 12 10
46 Captopril tablet 25 mg Tablet
47 Cefadroksil kapsul 250 mg BPJS EXT Kapsul
48 Cefadroksil kapsul 500 mg Kapsul
49 Cefadroksil Sirup 125mg Botol 2
50 Cefixime Sirup 100mg/5ml Botol
51 Cefixime Kapsul 100mg Kapsul
52 Cefotaksim injeksi 1 gram ktk 2 vial
53 Cetirizin Sirup Btl
54 Cetirizin tablet Tablet 6
55 Chloramfenikol Salep Kulit 1% (Bufacetin) tube 1
57 Chloramfenikol sirup 125 mg/5 ml Botol 60 ml
58 Ciprofloxacin tablet 500 mg Tablet
59 Clindamycin 300 mg Kapsul Kapsul
60 CLOBAZAM TABLET tablet
61 CLORPROMAZIN 100 MG ( CPZ ) Kapsul 30
62 Clozapine Tablet 25mg Tablet
63 COMBIVENT NEBU Ampul
COPARCETIN syr (Parasetamol 120 mg, Gliseril
64 Guaiakolat 50 mg, Efedrina HCl 4 mg, botol
Klorfeniramina Maleat 1 mg)
65 Tablet
Sulfametoksazol 400 mg, Trimetoprim 80 mg 10
Cotrimoxazole Suspensi Kombinasi : Sulfametoksazol

66 botol 60 ml
200 mg + Trimetoprim 40 mg/ 5 ml
67 CTM (Chlorpheniraniramina Maleat tablet 4 mg) Tablet 40

68 Desoksimetason krim 0,25% tube
69 Dexamethasone Injeksi I.v. 5 mg/ml Ampul 2
70 Dexamethasone tablet 0,5 mg Tablet
71 DEXOCORT SK TUBE
73 Diazepam enema 5 mg/2,5ml (STESOLID supp) tube
74 DIAZEPAM INJ AMPUL 1
75 DIAZEPAM tablet 2 mg Tablet
77 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) Ampul
78 Digoksin tablet 0,25 mg Tablet
79 Dimenhidrinat tablet 50 mg Tablet 20
80 Domperidon Suspensi Btl
81 Domperidon Tablet 10 mg Tablet
82 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) ampul
83 Ergotamin tartrat 1mg + Kofein 50mg TABLET
84 Erythromycin 250 MG BPJS EXT KAPSUL
86 FARTOLIN NEBU Botol Inh
87 FE tablet tambah darah kombinasi Tablet 50 20
88 FENOFIBRAT 100 MG Tablet
89 Tablet
FENOFIBRAT 300 MG
90 Fenol Gliserol tetes telinga 10% (Carbo Gliseril) Botol
91 Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul

93 Fluconazole 150mg Kapsul
94 Fluimucil ampul
95 FLUTAB EXT BPJS Kapsul
FLUTAMOL (Paracetamol 500 mg, glyceryl guaiacolate
96 50 mg, phenylpropanolamine HCl 15 mg, tablet
chlorpheniramine maleate 2 mg)
FOLAPLUS (Folic acid 400 mcg, vit B6 6 mg, vit B12 25
97 Tablet
mcg.)
98 Furosemid injeksi i.v/i.m 10 mg/ml Ampul
99 Furosemid tablet 40 mg Tablet
100 Gemfibrozil 300mg Tablet 20
101 Gentamisin Injeksi Ampul
102 gentamisin Salep Kulit tube
Gentamisin Salep Mata 0,3% (Cendo Gentamisin
103 Tube
SM/Genoint)
104 Gentian Violet Larutan 1 % Botol 10 ml
105 GG ( Gliseril Gualakolat tablet 100 mg ) Tablet
106 Glibenklamid 5mg Tablet
107 Glimepiride 2 mg Tablet
108 Glukosa Larutan Infus 10% btl 500 ml
109 Glukosa Larutan Infus 5% btl 500 ml 1 1
110 Griseofulvin tablet 125 mg, micronized Tablet
111 Haloperidol Inj. 5 mg/ml Ampul
112 Haloperidol tablet 0,5 mg Tablet
114 Haloperidol Tablet 5 mg Tablet
115 Hepagard Kapsul
116 Herbakof - Obat Batuk Hitam (OBH) syr Botol 60ml
117 Hidroklortiazid tab 25 mg tablet
118 Hidrokortison krim 2,5% Tube 2
119 Hiosin Butil bromida inj 20 mg/ml Ampul
120 Hiosin Butil bromida tab 20 mg Tablet
121 Ibuprofen suspensi 100 mg/5ml Btl 60ml
122 Ibuprofen tablet 400 mg Tablet
123 Ikaneuron INJEKSI AMPUL
124 INTERLAC SACH SACHET
125 IREMAX (Ibuprofen 200 mg, paracetamol 400 mg.) TABLET
126 Isoksuprin Hidroklorid (Hystolan) Tablet

127 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 10
128 KA EN 3B - Larutan Karbohidrat + elektrolit kantong
129 Kalk - Kalsium Laktat tablet 500 mg Tablet
130 Kalsium Glukonas Injeksi Ampul
131 Kanamisin Inj 1000 mg Ampul
132 KANINA SUSPENSI (Kaolin - Pactin) botol
133 Ketokonazol 200 MG TABLET
134 Ketokonazol bedak (Mycorine) botol
135 Ketokonazol Krim 2% Tube
136 Ketorolak Inj 30 mg/ml Ampul
137 Kloramfenikol kapsul 500 mg (Chloramex) Kapsul
138 Klorpromazine Hcl Tablet Salut 100mg Tablet
139 Kodein tablet 10 mg Tablet
140 KSR - Kalium Klorida 600 mg tablet
141 L BIO KAPSUL EXT BPJS Kapsul
142 L BIO SACHET EXT BPJS SACHET
143 LACTULOSE SIRUP BOTOL
144 Lansoprazole capsul 30mg Kapsul
LASAL EXP - Salbutamol Sulfat 2 mg, Guaifenisin
145 BOTOL
(Gliserilis Guaiacolas) 75 mg
146 Lidocain inj 2 % Ampul
147 Lidocain inj 2 % (HCL) + Epinefrin 1 : 80.000-2 ml Ampul
148 LODECON TAB Tablet
149 Loperamide tablet (DIASTRIX) Tablet

151 Magnesium Sulfat inj (IV) 20 %-25 ml VIAL
152 Magnesium Sulfat inj (IV) 40 %-25 ml vial
153 Meptin nebu (Procaterol hidroklorida) Tube
154 Metaneuron Tablet
155 Metformin HCl tablet 500 mg tablet 10
156 Metildopa tab 250 mg (Dopamed) tablet
158 Metilergometrin Maleat tablet salut 0,125 mg Tablet 10
159 Metilprednisolon tablet 4 mg Tablet 6 24
160 Metoklopramid tablet 10 mg tablet
161 Metronidazol infus 500 mg/100 ml Botol
162 Metronidazol Sirup Botol
163 Metronidazol tablet 250 mg Tablet
164 Metronidazol Tablet 500 mg Tablet
165 Mikonazole krim / salep 2% (nitrat) tube
166 Misoprostol tablet 200mg Tablet
167 Molakrim Tube
168 NACL - Natrium Klorida larutan infus 0,9 % Botol
169 Natrium Bikarbonat tablet 500 mg Tablet
170 Natrium Diklofenak 50 mg Tablet 26 50
NEOCENTA GEL (Neomycin sulfate 0.5%, Placenta
171 tube
extrak 10%)
172 NEUCOMPLI Tablet 6
173 Nifedifin 10 mg Tablet
174 NOBOR TABLET EX BPJS - allylestrenol BOTOL
175 NORAGES INJ - Metamizole sodium 500 mg/ML AMPUL
176 NUCRAL SYR EXT BOTOL
177 NYSTATIN DROP BOTOL
178 Nystatin Vaginal tablet salut 100.000 IU/g Tablet
179 OKSITERTRA SALEP MATA EX BPJS TUBE
180 Oksitosin injeksi 10 UI/ml-1 ml Ampul
181 Omeprazole kapsul 10 mg Kapsul 30 30
182 Ondansetron Inj 4 mg/2ml Ampul 3
183 ORALIT Serbuk Kombinasi Sachet
184 PAMOL 125 MG SUPP SUPP
186 Paracetamol tablet 500 mg Tablet 95 80
187 Parasetamol Drop Btl
188 Parasetamol syrup Btl 1 2
189 Perak Sulfadiazin krim 1% Tablet
190 PHENOBARBITAL Tablet
PINKIDS COUGH SYR (paracetamol 120 mg, glyceryl

191 botol
guaiacolate 50 mg, chlorpheniramine maleate 1 mg)
192 PIRACETAM INJ EXT BPJS Ampul

193 PIRACETAM TAB 400 EXT BPJS Tablet
194 Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet
195 Piridoksin (Vitamin B6) tablet 25 mg (HCL) Botol 30 ml
196 Povidon Iodida larutan 10 % Botol 300 ml
197 Prednison tablet 5 mg Tablet
198 Primaquin tablet
199 Propanolol tablet 10 mg (HCL) Tablet
200 PSIDII KAPSUL Kapsul
201 PSIDII SIRUP botol
202 PYREXIN 160 SUPP SUPP
204 Ranitidin injeksi 25 mg/2 ml Ampul 6 6
205 Ranitidin tablet 150 mg tablet 10
206 RECO TETES MATA -Chloramphenicol botol
RENAX (sericocalyx folium 21,4 %, orthosiphonis herba

208 Kapsul
21,4%, sonchus folium 17,85%, plantago floium 7,15 %)
209 Retinol (Vitamin A) kapsul lunak 100.000 IU botol
211 Ringer Laktat larutan infus Kalf 4 6
212 Risperidol Tablet 2mg Tablet
213 Salbutamol 2 mg BPJS EXT TAblet
214 Salbutamol sirup botol
215 Salbutamol tablet (sebagai sulfat) 4 mg Tablet 10
Salep 2-4, kombinasi: Asam Salisilat 2% + Belerang
216 Pot
endap 4%
217 Salisil bedak 2% Kotak 50 gram
218 Samcodryl syr Btl
219 SCACID KRIM ( Permethrin 5%) TUBE
220 SCOPMA (Hyoscine N-butylbromide) tablet
221 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) Vial
222 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) Vial

1
223 Serum Rabies (VAR) AMPUL
224 Simvastatin 10mg tablet 20
SKILONE KRIM (Betametason valerat 0,05 %,
225 TUBE
Gentamisin Sulfat / Gentamicin sulphate 0,1 %.)
226 Solafluz syr Btl
227 Solvitral Tablet
228 SPASHI INJ (Hyoscine N-butylbromide) Ampul
229 SPASMINAL TAB Tablet
230 SPASMOLIT TAB Tablet
231 STIMOX KAPSUL Tablet 12
232 STIMOX SIRUP botol
233 STIMUNO KAPSUL Kapsul
234 STIMUNO SIRUP Btl
235 Sukralfat Suspensi Btl
236 Sulfacetamid Tetes Mata (ALBUVIT) tube
237 TABAS BPJS EXT BOTOL
TERNIX PLUS (Paracetamol 250 mg, Pseudoephedrine
238 HCI 15 mg, Chlorpheniramine Maleate 1 mg, Glyceryl botol
Guaiacolate 100 mg)
239 Tetrasiklin kapsul 250 mg Kapsul
241 Tiamfenikol kapsul 500 mg Tablet
243 Tiamin (vitamin B1) injeksi 100 mg/ml Ampul
244 TRIFLUOPERAZINE TAB Ampul
245 Triheksifenidil Tablet Tablet
246 Triheksifenidil tablet 2 mg tablet
247 Truvit syr Btl
248 URINTER (as. Pipemidat 400mg) tablet
249 Ursodeoxycholic acid Kapsul
250 Vitamin B 12 TAB Tablet
251 Vitamin B komplex Tablet 32
252 Zink Sirup 20 mg/ml (Zinkid Syr) Btl 60ml
253 Zink Tablet Tablet 10 10
TOTAL
101
20
17
76
11
21
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
31
0
160
0
0
4
60
1
0
0
0
0
0
40
0
0
0
0
2
20
0
18
0
0
0
0
0
0
0
22
0
0
0
2
0
0
0
0
6
1
0
0
0
0
0
30
0
0
10
0
40
0
2
0
0
0
0
1
0
0
0
0
20
0
0
0
0
0
0
0
70
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
10
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
10
0
0
10
30
0
0
0
0
0
0
0
0
0
0
76
0
6
0
0
0
0
0
0
0
0
60
3
0
0
0
175
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
10
0
0
0
0
0
10
0
0
0
10
0
0
0
0
0
1
0
20
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
32
0
20
TANGGAL : 2 OKTOBER
PAGI SIANG MALAM TOTAL

JUMLAH R/ 30 13 43
PKG RANAP 2 3 5
RAJAL 9 3 12
JUMLAH R/ 42 17 59
JKN RANAP 3 3 6
RAJAL 14 4 18
NAMA OBAT SATUAN PAGI SORE MALAM TOTAL
Acyclovir CREAM EX BPJS TUBE 0

Acyclovir tablet 200 mg Kaplet 0
Acyclovir tablet 400 mg tablet 0
ALBENDAZOL SIRUP SIRUP 0
Allopurinol tablet 100 mg Tablet 0
Alprazolam tab 1 mg Tablet 0
Ambroxol Sirup Botol 0
Ambroxol tablet 30 mg Tablet 0
Aminofilin injeksi 24 mg/ml ampul 0
Aminofilin Tablet Tablet 0
Amitriptillin Tablet Salut 25mg Tablet 0
Amlodipin tablet 10 mg Tablet 50 50
Amlodipin tablet 5 mg Tablet 0
Amoksisilin kaplet 250 mg Kaplet 0
Amoksisilin kapsul 500 mg Kaplet 50 30 80
Amoksisilin sirup kering 250 mg/ 5 mg Btl 60 ml 0
AMPISILIN 1000 MG INJ VIAL 0
AMPISILIN 250 MG INJ VIAL 3 2 2 7
Antasida DOEN I tablet kunyah Tablet 90 30 120
Antasida DOEN II suspensi Btl 60 ml 1 1
Anti Bakteri DOEN salep kombinasi : Basitrasin 500 IU/g + polimiksin 10.000 IU/g Tube 0
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam Salisilat 3% Pot 0
Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen 250 mg Supp 0

ANTRAIN INJ / METAMIZOLE INJ Ampul 0
ARCAPEC SYR EX BPJS (Attapulgite 600 mg, pectin 50 mg) BOTOL 0
Asam Asetil Salisilat / Asetosal tablet 80mg (Miniaspi) Tablet 0

Asam Askorbat (vitamin C) tablet 50 mg Tablet 0
Asam Folat Tablet 0,4mg (Profolat) tablet 0
Asam Mefenamat kaplet 500 mg Kaplet 30 20 50
Asam pipemidat 400 mg (Urotractin) kapsul 0
Asam Traneksamat 50 mg/ml inj Vial 0
Asam Traneksamat 500 mg (tranec) Kapsul 0
Asam Ursolat 250mg (Ursolic) Kapsul 0
Asering Infus Softbag 1 1
Asetil sistein 100 mg Tablet 0
Atropin Inj 0,25 mg/ml Ampul 0
Attapulgit 600 mg (New Antides) Tablet 0
Basitracin-Polymyxin B Salep Tube 0
BETAHISTIN EX BPJS Tablet 0
Betametason krim 0,1 % Tube 0
BIO ATP Tablet 0
BIOPLASENTON EX BPJS TUBE 0
Bisakodil // STOLAX SUPP Supp 0
BROCON (Paracetamol 500 mg, chlorpheniramine maleate 2 mg, phenylephrine HCl

Tablet
10 mg, dextromethorphan HBr 10 mg)
0
Captopril tablet 12,5 mg Tablet 31 31
Captopril tablet 25 mg Tablet 0
Cefadroksil kapsul 250 mg BPJS EXT Kapsul 0
Cefadroksil kapsul 500 mg Kapsul 0
Cefadroksil Sirup 125mg Botol 1 1
Cefixime Sirup 100mg/5ml Botol 0
Cefixime Kapsul 100mg Kapsul 0
Cefotaksim injeksi 1 gram ktk 2 vial 0
Cetirizin Sirup Btl 0
Cetirizin tablet Tablet 5 5
Chloramfenikol Salep Kulit 1% (Bufacetin) tube 0
Chloramfenikol Salep Mata 1% tube 0
Chloramfenikol sirup 125 mg/5 ml Botol 60 ml 0
Ciprofloxacin tablet 500 mg Tablet 0
Clindamycin 300 mg Kapsul Kapsul 0
CLOBAZAM TABLET tablet 0
CLORPROMAZIN 100 MG ( CPZ ) Kapsul 0
Clozapine Tablet 25mg Tablet 0
COMBIVENT NEBU Ampul 1 1
COPARCETIN syr (Parasetamol 120 mg, Gliseril Guaiakolat 50 mg,
botol
Efedrina HCl 4 mg, Klorfeniramina Maleat 1 mg) 0
Cotrimoxazole DOEN I (dewasa) Kombinasi : Sulfametoksazol 400 mg, Trimetoprim
Tablet
80 mg 20 10 30
Cotrimoxazole Suspensi Kombinasi : Sulfametoksazol 200 mg + Trimetoprim 40 mg/ 5 ml botol 60 ml

2 1 3
CTM (Chlorpheniraniramina Maleat tablet 4 mg) Tablet 20 10 30
Desoksimetason krim 0,25% tube 0
Dexamethasone Injeksi I.v. 5 mg/ml Ampul 1 1
Dexamethasone tablet 0,5 mg Tablet 0
DEXOCORT SK TUBE 0
DEXTRAL (Dextromethorphan HBr, Glyceryl guaiacolate, Phenylpropanolamine, dan

TABLET
0
Diazepam enema 5 mg/2,5ml (STESOLID supp) tube 0
DIAZEPAM INJ AMPUL 0
DIAZEPAM tablet 2 mg Tablet 0
DIAZEPAM tablet 5 MG TABLET 0
Difenhidramin Injeksi I.M. 10 mg/ml (HCL) Ampul 0
Digoksin tablet 0,25 mg Tablet 0
Dimenhidrinat tablet 50 mg Tablet 10 10
Domperidon Suspensi Btl 0
Domperidon Tablet 10 mg Tablet 0
Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) ampul 0
Ergotamin tartrat 1mg + Kofein 50mg TABLET 0
Erythromycin 250 MG BPJS EXT KAPSUL 0
Erythromycin 500 MG BPJS EXT KAPSUL 0
FARTOLIN NEBU Botol Inh 0
FE tablet tambah darah kombinasi Tablet 30 30
FENOFIBRAT 100 MG Tablet 0
FENOFIBRAT 300 MG Tablet 0
Fenol Gliserol tetes telinga 10% (Carbo Gliseril) Botol

0
Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul 0
Fitomenadion (Vit. K1) tablet salut gula 10 mg Tablet 0
Fluconazole 150mg Kapsul 0
Fluimucil ampul 0
FLUTAB EXT BPJS Kapsul 0
FLUTAMOL (Paracetamol 500 mg, glyceryl guaiacolate 50 mg, phenylpropanolamine

tablet
HCl 15 mg, chlorpheniramine maleate 2 mg)
0
FOLAPLUS (Folic acid 400 mcg, vit B6 6 mg, vit B12 25 mcg.) Tablet 0
Furosemid injeksi i.v/i.m 10 mg/ml Ampul 0
Furosemid tablet 40 mg Tablet 0
Gemfibrozil 300mg Tablet 10 10
Gentamisin Injeksi Ampul 0
gentamisin Salep Kulit tube 0
Gentamisin Salep Mata 0,3% (Cendo Gentamisin SM/Genoint) Tube 0

Gentian Violet Larutan 1 % Botol 10 ml 0
GG ( Gliseril Gualakolat tablet 100 mg ) Tablet 0
Glibenklamid 5mg Tablet 20 20
Glimepiride 2 mg Tablet 0
Glukosa Larutan Infus 10% btl 500 ml 0
Glukosa Larutan Infus 5% btl 500 ml 0
Griseofulvin tablet 125 mg, micronized Tablet 0
Haloperidol Inj. 5 mg/ml Ampul 0
Haloperidol tablet 0,5 mg Tablet 0
Haloperidol tablet 1,5 mg Tablet 0
Haloperidol Tablet 5 mg Tablet 0
Hepagard Kapsul 0
Herbakof - Obat Batuk Hitam (OBH) syr Botol 60ml 0
Hidroklortiazid tab 25 mg tablet 0
Hidrokortison krim 2,5% Tube 1 1
Hiosin Butil bromida inj 20 mg/ml Ampul 0
Hiosin Butil bromida tab 20 mg Tablet 0
Ibuprofen suspensi 100 mg/5ml Btl 60ml 0
Ibuprofen tablet 400 mg Tablet 0
Ikaneuron INJEKSI AMPUL 0
INTERLAC SACH SACHET 0
IREMAX (Ibuprofen 200 mg, paracetamol 400 mg.) TABLET 0

Isoksuprin Hidroklorid (Hystolan) Tablet 0
Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 0
KA EN 3B - Larutan Karbohidrat + elektrolit kantong 0
Kalk - Kalsium Laktat tablet 500 mg Tablet 0
Kalsium Glukonas Injeksi Ampul 0
Kanamisin Inj 1000 mg Ampul 0
KANINA SUSPENSI (Kaolin - Pactin) botol 0
Ketokonazol 200 MG TABLET 0
Ketokonazol bedak (Mycorine) botol 0
Ketokonazol Krim 2% Tube 0
Ketorolak Inj 30 mg/ml Ampul 0
Kloramfenikol kapsul 500 mg (Chloramex) Kapsul 0
Klorpromazine Hcl Tablet Salut 100mg Tablet 0
Kodein tablet 10 mg Tablet 0
KSR - Kalium Klorida 600 mg tablet 0
L BIO KAPSUL EXT BPJS Kapsul 0
L BIO SACHET EXT BPJS SACHET 0
LACTULOSE SIRUP BOTOL 0
Lansoprazole capsul 30mg Kapsul 0
LASAL EXP - Salbutamol Sulfat 2 mg, Guaifenisin (Gliserilis Guaiacolas) 75 mg BOTOL 0

Lidocain inj 2 % Ampul 0
Lidocain inj 2 % (HCL) + Epinefrin 1 : 80.000-2 ml Ampul 0

LODECON TAB Tablet 20 20
Loperamide tablet (DIASTRIX) Tablet

0
Loratadin tablet 10 mg Tablet 0
Magnesium Sulfat inj (IV) 20 %-25 ml VIAL 0
Magnesium Sulfat inj (IV) 40 %-25 ml vial 0
Meptin nebu (Procaterol hidroklorida) Tube 0
Metaneuron Tablet 0
Metformin HCl tablet 500 mg tablet 10 10
Metildopa tab 250 mg (Dopamed) tablet 0
Metilergometrin Maleat injeksi 0,200 mg -1 ml Ampul 0
Metilergometrin Maleat tablet salut 0,125 mg Tablet 0
Metilprednisolon tablet 4 mg Tablet 8 20 28
Metoklopramid tablet 10 mg tablet 0
Metronidazol infus 500 mg/100 ml Botol 0
Metronidazol Sirup Botol 0
Metronidazol tablet 250 mg Tablet 0
Metronidazol Tablet 500 mg Tablet 0
Mikonazole krim / salep 2% (nitrat) tube 3 3
Misoprostol tablet 200mg Tablet 0
Molakrim Tube 0
NACL - Natrium Klorida larutan infus 0,9 % Botol 1 1
Natrium Bikarbonat tablet 500 mg Tablet 0
Natrium Diklofenak 50 mg Tablet 40 10 50
NEOCENTA GEL (Neomycin sulfate 0.5%, Placenta extrak 10%) tube 0

NEUCOMPLI Tablet 0
Nifedifin 10 mg Tablet 0
NOBOR TABLET EX BPJS - allylestrenol BOTOL 0
NORAGES INJ - Metamizole sodium 500 mg/ML AMPUL 0
NUCRAL SYR EXT BOTOL 0
NYSTATIN DROP BOTOL 0
Nystatin Vaginal tablet salut 100.000 IU/g Tablet 0
OKSITERTRA SALEP MATA EX BPJS TUBE 0
Oksitosin injeksi 10 UI/ml-1 ml Ampul 0
Omeprazole kapsul 10 mg Kapsul 12 12
Ondansetron Inj 4 mg/2ml Ampul 0
ORALIT Serbuk Kombinasi Sachet 0
PAMOL 125 MG SUPP SUPP 0
PAMOL 250 MG SUPP SUPP 0
Paracetamol tablet 500 mg Tablet 85 21 10 116
Parasetamol Drop Btl 0
Parasetamol syrup Btl 1 1 2
Perak Sulfadiazin krim 1% Tablet 0
PHENOBARBITAL Tablet 0
PINKIDS COUGH SYR (paracetamol 120 mg, glyceryl guaiacolate 50 mg,

botol
0
PIRACETAM INJ EXT BPJS Ampul 0
PIRACETAM TAB 400 EXT BPJS Tablet 0
Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 20 20
Piridoksin (Vitamin B6) tablet 25 mg (HCL) Botol 30 ml 0
Povidon Iodida larutan 10 % Botol 300 ml 0
Prednison tablet 5 mg Tablet 0
Primaquin tablet 0
Propanolol tablet 10 mg (HCL) Tablet 10 10
PSIDII KAPSUL Kapsul 0
PSIDII SIRUP botol 0
PYREXIN 160 SUPP SUPP 0
PYREXIN 80 SUPP SUPP 0
Ranitidin injeksi 25 mg/2 ml Ampul 3 2 5
Ranitidin tablet 150 mg tablet 40 40
RECO TETES MATA -Chloramphenicol botol 0
RECO TETES TELINGA -Chloramphenicol botol 0
RENAX (sericocalyx folium 21,4 %, orthosiphonis herba 21,4%, sonchus folium

Kapsul
17,85%, plantago floium 7,15 %)
0
Retinol (Vitamin A) kapsul lunak 100.000 IU botol 0
Retinol (Vitamin A) kapsul lunak 200.000 IU botol 0
Ringer Laktat larutan infus Kalf 3 4 7
Risperidol Tablet 2mg Tablet 0
Salbutamol 2 mg BPJS EXT TAblet 0
Salbutamol sirup botol 0
Salbutamol tablet (sebagai sulfat) 4 mg Tablet 0
Salep 2-4, kombinasi: Asam Salisilat 2% + Belerang endap 4% Pot 0

Salisil bedak 2% Kotak 50 gram 0
Samcodryl syr Btl 0
SCACID KRIM ( Permethrin 5%) TUBE 0
SCOPMA (Hyoscine N-butylbromide) tablet 0
Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) Vial 0
Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) Vial 0

Serum Rabies (VAR) AMPUL 0
Simvastatin 10mg tablet 0
SKILONE KRIM (Betametason valerat 0,05 %, Gentamisin Sulfat / Gentamicin
TUBE 0
sulphate 0,1 %.)
Solafluz syr Btl 0
Solvitral Tablet 0
SPASHI INJ (Hyoscine N-butylbromide) Ampul 0
SPASMINAL TAB Tablet 0
SPASMOLIT TAB Tablet 0
STIMOX KAPSUL Tablet 4 4
STIMOX SIRUP botol 0
STIMUNO KAPSUL Kapsul 0
STIMUNO SIRUP Btl 0
Sukralfat Suspensi Btl 0
Sulfacetamid Tetes Mata (ALBUVIT) tube 0
TABAS BPJS EXT BOTOL 0
TERNIX PLUS (Paracetamol 250 mg, Pseudoephedrine HCI 15 mg,

botol
Chlorpheniramine Maleate 1 mg, Glyceryl Guaiacolate 100 mg)
0
Tetrasiklin kapsul 250 mg Kapsul 0
Tetrasiklin kapsul 500 mg Kapsul 0
Tiamfenikol kapsul 500 mg Tablet 0
Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) Tablet 0
Tiamin (vitamin B1) injeksi 100 mg/ml Ampul 0
TRIFLUOPERAZINE TAB Ampul 0
Triheksifenidil Tablet Tablet 0
Triheksifenidil tablet 2 mg tablet 0
Truvit syr Btl 0
URINTER (as. Pipemidat 400mg) tablet 0
Ursodeoxycholic acid Kapsul 0
Vitamin B 12 TAB Tablet 0
Vitamin B komplex Tablet 24 24
Zink Sirup 20 mg/ml (Zinkid Syr) Btl 60ml 0
Zink Tablet Tablet 0
PAGI SIANG MALAM
JUMLAH R/ 28
PKG RANAP 4
RAJAL 8
JUMLAH R/ 83
JKN RANAP 21
RAJAL 10
NO NAMA OBAT SATUAN PAGI SORE MALAM

15 Amoksisilin kapsul 500 mg Kaplet 120
18 AMPISILIN 250 MG INJ VIAL 2
19 Antasida DOEN I tablet kunyah Tablet 60
20 Antasida DOEN II suspensi Btl 60 ml
21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

29 Asam Mefenamat kaplet 500 mg Kaplet 50
34 Asering Infus Softbag
37 Attapulgit 600 mg (New Antides) Tablet
40 Betametason krim 0,1 % Tube 1
41 BIO ATP Tablet
45 Captopril tablet 12,5 mg Tablet 10
49 Cefadroksil Sirup 125mg Botol
54 Cetirizin tablet Tablet
61 CLORPROMAZIN 100 MG ( CPZ ) Kapsul
63 COMBIVENT NEBU Ampul 2
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
79 Dimenhidrinat tablet 50 mg Tablet
87 FE tablet tambah darah kombinasi Tablet
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
100 Gemfibrozil 300mg Tablet
103 Tube
SM/Genoint)
109 Glukosa Larutan Infus 5% btl 500 ml 3
115 Hepagard Kapsul

145 BOTOL
146 Lidocain inj 2 % Ampul 3
148 LODECON TAB Tablet 20

155 Metformin HCl tablet 500 mg tablet
159 Metilprednisolon tablet 4 mg Tablet 4
160 Metoklopramid tablet 10 mg tablet 10
167 Molakrim Tube
170 Natrium Diklofenak 50 mg Tablet 30
171 tube
extrak 10%)
172 NEUCOMPLI Tablet
181 Omeprazole kapsul 10 mg Kapsul 48
185 PAMOL 250 MG SUPP SUPP 1
186 Paracetamol tablet 500 mg Tablet 130
188 Parasetamol syrup Btl

191 botol

204 Ranitidin injeksi 25 mg/2 ml Ampul 6
205 Ranitidin tablet 150 mg tablet

208 Kapsul
211 Ringer Laktat larutan infus Kalf 7
215 Salbutamol tablet (sebagai sulfat) 4 mg Tablet
216 Pot
endap 4%

224 Simvastatin 10mg tablet
225 TUBE
237 TABAS BPJS EXT BOTOL 1
Guaiacolate 100 mg)
247 Truvit syr Btl
253 Zink Tablet Tablet
TOTAL
28
4
8
83
21
10
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
40
0
120
0
0
2
60
0
0
0
0
0
0
50
0
0
0
0
0
10
0
0
0
0
1
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
20
0
10
0
2
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
0
20
0
0
0
0
0
0
0
0
0
0
4
10
0
0
0
0
0
0
0
0
0
30
0
0
0
0
0
0
0
0
0
0
48
1
0
0
1
130
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
28
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

15 Amoksisilin kapsul 500 mg Kaplet
19 Antasida DOEN I tablet kunyah Tablet
21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

29 Asam Mefenamat kaplet 500 mg Kaplet
35 Asetil sistein 100 mg Tablet
41 BIO ATP Tablet
45 Captopril tablet 12,5 mg
65 Tablet

66 botol 60 ml
67 CTM (Chlorpheniraniramina Maleat tablet 4 mg) Tablet

69 Dexamethasone Injeksi I.v. 5 mg/ml Ampul
71 DEXOCORT SK TUBE
74 DIAZEPAM INJ AMPUL
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul
118 Hidrokortison krim 2,5% Tube

127 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet
145 BOTOL

159 Metilprednisolon tablet 4 mg Tablet
167 Molakrim Tube
170 Natrium Diklofenak 50 mg Tablet
171 tube
extrak 10%)
181 Omeprazole kapsul 10 mg Kapsul
182 Ondansetron Inj 4 mg/2ml Ampul
186 Paracetamol tablet 500 mg Tablet

191 botol

204 Ranitidin injeksi 25 mg/2 ml Ampul

208 Kapsul
211 Ringer Laktat larutan infus Kalf
216 Pot
endap 4%

225 TUBE
231 STIMOX KAPSUL Tablet
Guaiacolate 100 mg)
247 Truvit syr Btl
251 Vitamin B komplex Tablet
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
45 Captopril tablet 12,5 mg Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
87 FE tablet tambah darah kombinasi 20
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul

216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol

195 Piridoksin (Vitamin B6) tablet 25 mg (HCL)

208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH R/ 0
PKG RANAP 0
RAJAL 0
JUMLAH R/ 0
JKN RANAP 0
RAJAL 0
NO NAMA OBAT SATUAN PAGI SORE MALAM TOTAL
1 Acyclovir CREAM EX BPJS TUBE 0

2 Acyclovir tablet 200 mg Kaplet 0
3 Acyclovir tablet 400 mg tablet 0
4 ALBENDAZOL SIRUP SIRUP 0
5 Allopurinol tablet 100 mg Tablet 0
6 Alprazolam tab 1 mg Tablet 0
7 Ambroxol Sirup Botol 0
8 Ambroxol tablet 30 mg Tablet 0
9 Aminofilin injeksi 24 mg/ml ampul 0
10 Aminofilin Tablet Tablet 0
11 Amitriptillin Tablet Salut 25mg Tablet 0
14 Amoksisilin kaplet 250 mg Kaplet 0
16 Amoksisilin sirup kering 250 mg/ 5 mg Btl 60 ml 0
21 Tube
IU/g + polimiksin 10.000 IU/g 0
22 Pot
Salisilat 3% 0
23 Supp
mg + Heksaklorofen 250 mg 0
24 ANTRAIN INJ / METAMIZOLE INJ Ampul 0
25 BOTOL
50 mg) 0

0
27 Asam Askorbat (vitamin C) tablet 50 mg Tablet 0
28 Asam Folat Tablet 0,4mg (Profolat) tablet 0
30 Asam pipemidat 400 mg (Urotractin) kapsul 0
31 Asam Traneksamat 50 mg/ml inj Vial 0
32 Asam Traneksamat 500 mg (tranec) Kapsul 0
33 Asam Ursolat 250mg (Ursolic) Kapsul 0
34 Asering Infus Softbag 0
36 Atropin Inj 0,25 mg/ml Ampul 0
37 Attapulgit 600 mg (New Antides) Tablet 0
38 Basitracin-Polymyxin B Salep Tube 0
39 BETAHISTIN EX BPJS Tablet 0
41 BIO ATP Tablet 0
42 BIOPLASENTON EX BPJS TUBE 0
43 Bisakodil // STOLAX SUPP Supp 0
dextromethorphan HBr 10 mg) 0
46 Captopril tablet 25 mg Tablet 0
47 Cefadroksil kapsul 250 mg BPJS EXT Kapsul 0
48 Cefadroksil kapsul 500 mg Kapsul 0
50 Cefixime Sirup 100mg/5ml Botol 0
51 Cefixime Kapsul 100mg Kapsul 0
52 Cefotaksim injeksi 1 gram ktk 2 vial 0
53 Cetirizin Sirup Btl 0
56 Chloramfenikol Salep Mata 1% tube 0
57 Chloramfenikol sirup 125 mg/5 ml Botol 60 ml 0
58 Ciprofloxacin tablet 500 mg Tablet 0
59 Clindamycin 300 mg Kapsul Kapsul 0
60 CLOBAZAM TABLET tablet 0
62 Clozapine Tablet 25mg Tablet 0
Klorfeniramina Maleat 1 mg) 0
65 Tablet

66 botol 60 ml
0
68 Desoksimetason krim 0,25% tube 0
70 Dexamethasone tablet 0,5 mg Tablet 0
71 DEXOCORT SK TUBE 0
Chlorpheniramine maleat) 0
73 Diazepam enema 5 mg/2,5ml (STESOLID supp) tube 0
75 DIAZEPAM tablet 2 mg Tablet 0
76 DIAZEPAM tablet 5 MG TABLET 0
77 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) Ampul 0
78 Digoksin tablet 0,25 mg Tablet 0
80 Domperidon Suspensi Btl 0
81 Domperidon Tablet 10 mg Tablet 0
82 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) ampul 0
83 Ergotamin tartrat 1mg + Kofein 50mg TABLET 0
84 Erythromycin 250 MG BPJS EXT KAPSUL 0
86 FARTOLIN NEBU Botol Inh 0
87 FE tablet tambah darah kombinasi Tablet 0
88 FENOFIBRAT 100 MG Tablet 0
89 Tablet
FENOFIBRAT 300 MG 0

0
91 Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul 0
92 Fitomenadion (Vit. K1) tablet salut gula 10 mg Tablet 0
93 Fluconazole 150mg Kapsul 0
94 Fluimucil ampul 0
95 FLUTAB EXT BPJS Kapsul 0
chlorpheniramine maleate 2 mg) 0
97 Tablet
mcg.) 0
98 Furosemid injeksi i.v/i.m 10 mg/ml Ampul 0
99 Furosemid tablet 40 mg Tablet 0
101 Gentamisin Injeksi Ampul 0
102 gentamisin Salep Kulit tube 0
103 Tube
SM/Genoint) 0
104 Gentian Violet Larutan 1 % Botol 10 ml 0
105 GG ( Gliseril Gualakolat tablet 100 mg ) Tablet 0
106 Glibenklamid 5mg Tablet 0
107 Glimepiride 2 mg Tablet 0
110 Griseofulvin tablet 125 mg, micronized Tablet 0
111 Haloperidol Inj. 5 mg/ml Ampul 0
112 Haloperidol tablet 0,5 mg Tablet 0
114 Haloperidol Tablet 5 mg Tablet 0
115 Hepagard Kapsul 0
116 Herbakof - Obat Batuk Hitam (OBH) syr Botol 60ml 0
117 Hidroklortiazid tab 25 mg tablet 0
119 Hiosin Butil bromida inj 20 mg/ml Ampul 0
120 Hiosin Butil bromida tab 20 mg Tablet 0
121 Ibuprofen suspensi 100 mg/5ml Btl 60ml 0
122 Ibuprofen tablet 400 mg Tablet 0
123 Ikaneuron INJEKSI AMPUL 0
124 INTERLAC SACH SACHET 0

0
126 Isoksuprin Hidroklorid (Hystolan) Tablet 0
128 KA EN 3B - Larutan Karbohidrat + elektrolit kantong 0
129 Kalk - Kalsium Laktat tablet 500 mg Tablet 0
130 Kalsium Glukonas Injeksi Ampul 0
131 Kanamisin Inj 1000 mg Ampul 0
132 KANINA SUSPENSI (Kaolin - Pactin) botol 0
133 Ketokonazol 200 MG TABLET 0
134 Ketokonazol bedak (Mycorine) botol 0
135 Ketokonazol Krim 2% Tube 0
136 Ketorolak Inj 30 mg/ml Ampul 0
137 Kloramfenikol kapsul 500 mg (Chloramex) Kapsul 0
138 Klorpromazine Hcl Tablet Salut 100mg Tablet 0
139 Kodein tablet 10 mg Tablet 0
140 KSR - Kalium Klorida 600 mg tablet 0
141 L BIO KAPSUL EXT BPJS Kapsul 0
142 L BIO SACHET EXT BPJS SACHET 0
143 LACTULOSE SIRUP BOTOL 0
144 Lansoprazole capsul 30mg Kapsul 0
145 BOTOL
(Gliserilis Guaiacolas) 75 mg 0

0

0
150 Loratadin tablet 10 mg Tablet 0
151 Magnesium Sulfat inj (IV) 20 %-25 ml VIAL 0
152 Magnesium Sulfat inj (IV) 40 %-25 ml vial 0
153 Meptin nebu (Procaterol hidroklorida) Tube 0
154 Metaneuron Tablet 0
156 Metildopa tab 250 mg (Dopamed) tablet 0
157 Metilergometrin Maleat injeksi 0,200 mg -1 ml Ampul 0
161 Metronidazol infus 500 mg/100 ml Botol 0
162 Metronidazol Sirup Botol 0
163 Metronidazol tablet 250 mg Tablet 0
164 Metronidazol Tablet 500 mg Tablet 0
165 Mikonazole krim / salep 2% (nitrat) tube 0
166 Misoprostol tablet 200mg Tablet 0
167 Molakrim Tube 0
168 NACL - Natrium Klorida larutan infus 0,9 % Botol 0
169 Natrium Bikarbonat tablet 500 mg Tablet 0
171 tube
extrak 10%) 0
173 Nifedifin 10 mg Tablet 0
174 NOBOR TABLET EX BPJS - allylestrenol BOTOL 0
175 NORAGES INJ - Metamizole sodium 500 mg/ML AMPUL 0
176 NUCRAL SYR EXT BOTOL 0
177 NYSTATIN DROP BOTOL 0
178 Nystatin Vaginal tablet salut 100.000 IU/g Tablet 0
179 OKSITERTRA SALEP MATA EX BPJS TUBE 0
180 Oksitosin injeksi 10 UI/ml-1 ml Ampul 0
183 ORALIT Serbuk Kombinasi Sachet 0
187 Parasetamol Drop Btl 0
188 Parasetamol syrup Btl 0
189 Perak Sulfadiazin krim 1% Tablet 0
190 PHENOBARBITAL Tablet 0

191 botol
0
192 PIRACETAM INJ EXT BPJS Ampul 0
193 PIRACETAM TAB 400 EXT BPJS Tablet 0
194 Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0
195 Piridoksin (Vitamin B6) tablet 25 mg (HCL) Botol 30 ml 0
196 Povidon Iodida larutan 10 % Botol 300 ml 0
197 Prednison tablet 5 mg Tablet 0
198 Primaquin tablet 0
199 Propanolol tablet 10 mg (HCL) Tablet 0
200 PSIDII KAPSUL Kapsul 0
201 PSIDII SIRUP botol 0
202 PYREXIN 160 SUPP SUPP 0
206 RECO TETES MATA -Chloramphenicol botol 0
207 RECO TETES TELINGA -Chloramphenicol botol 0

208 Kapsul
0
209 Retinol (Vitamin A) kapsul lunak 100.000 IU botol 0
212 Risperidol Tablet 2mg Tablet 0
213 Salbutamol 2 mg BPJS EXT TAblet 0
214 Salbutamol sirup botol 0
216 Pot
endap 4% 0
217 Salisil bedak 2% Kotak 50 gram 0
218 Samcodryl syr Btl 0
219 SCACID KRIM ( Permethrin 5%) TUBE 0
220 SCOPMA (Hyoscine N-butylbromide) tablet 0

0

0
223 Serum Rabies (VAR) AMPUL 0
225 TUBE
Gentamisin Sulfat / Gentamicin sulphate 0,1 %.) 0
226 Solafluz syr Btl 0
227 Solvitral Tablet 0
228 SPASHI INJ (Hyoscine N-butylbromide) Ampul 0
229 SPASMINAL TAB Tablet 0
230 SPASMOLIT TAB Tablet 0
232 STIMOX SIRUP botol 0
233 STIMUNO KAPSUL Kapsul 0
234 STIMUNO SIRUP Btl 0
235 Sukralfat Suspensi Btl 0
236 Sulfacetamid Tetes Mata (ALBUVIT) tube 0
Guaiacolate 100 mg) 0
239 Tetrasiklin kapsul 250 mg Kapsul 0
241 Tiamfenikol kapsul 500 mg Tablet 0
242 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) Tablet 0
243 Tiamin (vitamin B1) injeksi 100 mg/ml Ampul 0
244 TRIFLUOPERAZINE TAB Ampul 0
245 Triheksifenidil Tablet Tablet 0
246 Triheksifenidil tablet 2 mg tablet 0
247 Truvit syr Btl 0
248 URINTER (as. Pipemidat 400mg) tablet 0
249 Ursodeoxycholic acid Kapsul 0
250 Vitamin B 12 TAB Tablet 0
252 Zink Sirup 20 mg/ml (Zinkid Syr) Btl 60ml 0
253 Zink Tablet Tablet 0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
LAPORAN HARIAN STOK OBAT TANGGAL : 26
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul

216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/ PAGI SIANG MALAM
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL
NO NAMA OBAT SATUAN

PAGI SORE MALAM
21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH R/ 0
PKG RANAP 0
RAJAL 0
JUMLAH R/ 0
JKN RANAP 0
RAJAL 0
NO NAMA OBAT SATUAN PAGI SORE MALAM TOTAL
1 Acyclovir CREAM EX BPJS TUBE 0

2 Acyclovir tablet 200 mg Kaplet 0
3 Acyclovir tablet 400 mg tablet 0
4 ALBENDAZOL SIRUP SIRUP 0
5 Allopurinol tablet 100 mg Tablet 0
6 Alprazolam tab 1 mg Tablet 0
7 Ambroxol Sirup Botol 0
8 Ambroxol tablet 30 mg Tablet 0
9 Aminofilin injeksi 24 mg/ml ampul 0
10 Aminofilin Tablet Tablet 0
11 Amitriptillin Tablet Salut 25mg Tablet 0
14 Amoksisilin kaplet 250 mg Kaplet 0
16 Amoksisilin sirup kering 250 mg/ 5 mg Btl 60 ml 0
21 Tube 0
22 Pot 0
Salisilat 3%
23 Supp 0
24 ANTRAIN INJ / METAMIZOLE INJ Ampul 0
25 BOTOL 0
50 mg)
26 Asam Asetil Salisilat / Asetosal tablet 80mg (Miniaspi) Tablet 0
27 Asam Askorbat (vitamin C) tablet 50 mg Tablet 0
28 Asam Folat Tablet 0,4mg (Profolat) tablet 0
30 Asam pipemidat 400 mg (Urotractin) kapsul 0
31 Asam Traneksamat 50 mg/ml inj Vial 0
32 Asam Traneksamat 500 mg (tranec) Kapsul 0
33 Asam Ursolat 250mg (Ursolic) Kapsul 0
34 Asering Infus Softbag 0
36 Atropin Inj 0,25 mg/ml Ampul 0
37 Attapulgit 600 mg (New Antides) Tablet 0
38 Basitracin-Polymyxin B Salep Tube 0
39 BETAHISTIN EX BPJS Tablet 0
41 BIO ATP Tablet 0
42 BIOPLASENTON EX BPJS TUBE 0
43 Bisakodil // STOLAX SUPP Supp 0
dextromethorphan HBr 10 mg) 0
46 Captopril tablet 25 mg Tablet 0
47 Cefadroksil kapsul 250 mg BPJS EXT Kapsul 0
48 Cefadroksil kapsul 500 mg Kapsul 0
50 Cefixime Sirup 100mg/5ml Botol 0
51 Cefixime Kapsul 100mg Kapsul 0
52 Cefotaksim injeksi 1 gram ktk 2 vial 0
53 Cetirizin Sirup Btl 0
56 Chloramfenikol Salep Mata 1% tube 0
57 Chloramfenikol sirup 125 mg/5 ml Botol 60 ml 0
58 Ciprofloxacin tablet 500 mg Tablet 0
59 Clindamycin 300 mg Kapsul Kapsul 0
60 CLOBAZAM TABLET tablet 0
62 Clozapine Tablet 25mg Tablet 0
Klorfeniramina Maleat 1 mg) 0
65 Tablet

66 botol 60 ml
0
68 Desoksimetason krim 0,25% tube 0
70 Dexamethasone tablet 0,5 mg Tablet 0
71 DEXOCORT SK TUBE 0
Chlorpheniramine maleat) 0
73 Diazepam enema 5 mg/2,5ml (STESOLID supp) tube 0
75 DIAZEPAM tablet 2 mg Tablet 0
76 DIAZEPAM tablet 5 MG TABLET 0
77 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) Ampul 0
78 Digoksin tablet 0,25 mg Tablet 0
80 Domperidon Suspensi Btl 0
81 Domperidon Tablet 10 mg Tablet 0
82 Epinefrin (adrenalin) injeksi 0,1% (sebagai HCl) ampul 0
83 Ergotamin tartrat 1mg + Kofein 50mg TABLET 0
86 FARTOLIN NEBU Botol Inh 0
87 FE tablet tambah darah kombinasi Tablet 0

0
91 Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul 0
92 Fitomenadion (Vit. K1) tablet salut gula 10 mg Tablet 0
93 Fluconazole 150mg Kapsul 0
94 Fluimucil ampul 0
95 FLUTAB EXT BPJS Kapsul 0
chlorpheniramine maleate 2 mg) 0
97 Tablet 0
mcg.)
98 Furosemid injeksi i.v/i.m 10 mg/ml Ampul 0
99 Furosemid tablet 40 mg Tablet 0
101 Gentamisin Injeksi Ampul 0
102 gentamisin Salep Kulit tube 0
103 Tube 0
SM/Genoint)
104 Gentian Violet Larutan 1 % Botol 10 ml 0
105 GG ( Gliseril Gualakolat tablet 100 mg ) Tablet 0
106 Glibenklamid 5mg Tablet 0
107 Glimepiride 2 mg Tablet 0
110 Griseofulvin tablet 125 mg, micronized Tablet 0
111 Haloperidol Inj. 5 mg/ml Ampul 0
114 Haloperidol Tablet 5 mg Tablet 0
115 Hepagard Kapsul 0
116 Herbakof - Obat Batuk Hitam (OBH) syr Botol 60ml 0
117 Hidroklortiazid tab 25 mg tablet 0
119 Hiosin Butil bromida inj 20 mg/ml Ampul 0
120 Hiosin Butil bromida tab 20 mg Tablet 0
121 Ibuprofen suspensi 100 mg/5ml Btl 60ml 0
122 Ibuprofen tablet 400 mg Tablet 0
123 Ikaneuron INJEKSI AMPUL 0
124 INTERLAC SACH SACHET 0
125 IREMAX (Ibuprofen 200 mg, paracetamol 400 mg.) TABLET 0

126 Isoksuprin Hidroklorid (Hystolan) Tablet 0
128 KA EN 3B - Larutan Karbohidrat + elektrolit kantong 0
129 Kalk - Kalsium Laktat tablet 500 mg Tablet 0
130 Kalsium Glukonas Injeksi Ampul 0
131 Kanamisin Inj 1000 mg Ampul 0
132 KANINA SUSPENSI (Kaolin - Pactin) botol 0
133 Ketokonazol 200 MG TABLET 0
134 Ketokonazol bedak (Mycorine) botol 0
135 Ketokonazol Krim 2% Tube 0
136 Ketorolak Inj 30 mg/ml Ampul 0
137 Kloramfenikol kapsul 500 mg (Chloramex) Kapsul 0
138 Klorpromazine Hcl Tablet Salut 100mg Tablet 0
139 Kodein tablet 10 mg Tablet 0
140 KSR - Kalium Klorida 600 mg tablet 0
141 L BIO KAPSUL EXT BPJS Kapsul 0
142 L BIO SACHET EXT BPJS SACHET 0
143 LACTULOSE SIRUP BOTOL 0
144 Lansoprazole capsul 30mg Kapsul 0
145 BOTOL 0
147 Lidocain inj 2 % (HCL) + Epinefrin 1 : 80.000-2 ml Ampul 0


0
150 Loratadin tablet 10 mg Tablet 0
151 Magnesium Sulfat inj (IV) 20 %-25 ml VIAL 0
152 Magnesium Sulfat inj (IV) 40 %-25 ml vial 0
153 Meptin nebu (Procaterol hidroklorida) Tube 0
154 Metaneuron Tablet 0
156 Metildopa tab 250 mg (Dopamed) tablet 0
157 Metilergometrin Maleat injeksi 0,200 mg -1 ml Ampul 0
161 Metronidazol infus 500 mg/100 ml Botol 0
162 Metronidazol Sirup Botol 0
163 Metronidazol tablet 250 mg Tablet 0
164 Metronidazol Tablet 500 mg Tablet 0
165 Mikonazole krim / salep 2% (nitrat) tube 0
166 Misoprostol tablet 200mg Tablet 0
167 Molakrim Tube 0
168 NACL - Natrium Klorida larutan infus 0,9 % Botol 0
169 Natrium Bikarbonat tablet 500 mg Tablet 0
171 tube 0
extrak 10%)
173 Nifedifin 10 mg Tablet 0
174 NOBOR TABLET EX BPJS - allylestrenol BOTOL 0
175 NORAGES INJ - Metamizole sodium 500 mg/ML AMPUL 0
176 NUCRAL SYR EXT BOTOL 0
177 NYSTATIN DROP BOTOL 0
178 Nystatin Vaginal tablet salut 100.000 IU/g Tablet 0
179 OKSITERTRA SALEP MATA EX BPJS TUBE 0
180 Oksitosin injeksi 10 UI/ml-1 ml Ampul 0
183 ORALIT Serbuk Kombinasi Sachet 0
187 Parasetamol Drop Btl 0
188 Parasetamol syrup Btl 0
189 Perak Sulfadiazin krim 1% Tablet 0
190 PHENOBARBITAL Tablet 0

191 botol
0
192 PIRACETAM INJ EXT BPJS Ampul 0
193 PIRACETAM TAB 400 EXT BPJS Tablet 0
194 Piridoksin (Vitamin B6) tablet 10 mg (HCL) Tablet 0
195 Piridoksin (Vitamin B6) tablet 25 mg (HCL) Botol 30 ml 0
196 Povidon Iodida larutan 10 % Botol 300 ml 0
197 Prednison tablet 5 mg Tablet 0
198 Primaquin tablet 0
199 Propanolol tablet 10 mg (HCL) Tablet 0
200 PSIDII KAPSUL Kapsul 0
201 PSIDII SIRUP botol 0
206 RECO TETES MATA -Chloramphenicol botol 0
207 RECO TETES TELINGA -Chloramphenicol botol 0

208 Kapsul
0
212 Risperidol Tablet 2mg Tablet 0
213 Salbutamol 2 mg BPJS EXT TAblet 0
214 Salbutamol sirup botol 0
216 Pot 0
endap 4%
217 Salisil bedak 2% Kotak 50 gram 0
218 Samcodryl syr Btl 0
219 SCACID KRIM ( Permethrin 5%) TUBE 0
220 SCOPMA (Hyoscine N-butylbromide) tablet 0
221 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) Vial 0
222 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) Vial 0

223 Serum Rabies (VAR) AMPUL 0
225 TUBE 0
226 Solafluz syr Btl 0
227 Solvitral Tablet 0
228 SPASHI INJ (Hyoscine N-butylbromide) Ampul 0
229 SPASMINAL TAB Tablet 0
230 SPASMOLIT TAB Tablet 0
232 STIMOX SIRUP botol 0
233 STIMUNO KAPSUL Kapsul 0
234 STIMUNO SIRUP Btl 0
235 Sukralfat Suspensi Btl 0
236 Sulfacetamid Tetes Mata (ALBUVIT) tube 0
Guaiacolate 100 mg) 0
241 Tiamfenikol kapsul 500 mg Tablet 0
242 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) Tablet 0
243 Tiamin (vitamin B1) injeksi 100 mg/ml Ampul 0
244 TRIFLUOPERAZINE TAB Ampul 0
245 Triheksifenidil Tablet Tablet 0
246 Triheksifenidil tablet 2 mg tablet 0
247 Truvit syr Btl 0
248 URINTER (as. Pipemidat 400mg) tablet 0
249 Ursodeoxycholic acid Kapsul 0
250 Vitamin B 12 TAB Tablet 0
252 Zink Sirup 20 mg/ml (Zinkid Syr) Btl 60ml 0
253 Zink Tablet Tablet 0
254 Alat Kesehatan 0
255 Aqua Pro Injeksi Steril, bebas pirogen vial @20ml 0
256 Folley Catheter 2 Way No. 16 Pcs 0
257 Folley Catheter 2 Way No. 18 Pcs 0
258 Infusion set anak Set /kantong 0
259 Infusion set dewasa Set /kantong 0
260 Abocath No. 18 G pcs 0
261 Abocath No. 20 (Adsyte 20) pcs 0
262 Abocath No. 22 G wings 50 buah / kotak 0
265 Abocath No. 26 G (Venflon) Pcs 0
266 Mucus Extractor 25 mL pcs 0
267 Underpad 60x90 cm Pcs 0
268 Urine Bag Pcs 0
PAGI SIANG MALAM
JUMLAH R/
PKG RANAP
RAJAL
JUMLAH R/
JKN RANAP
RAJAL

21 Tube
22 Pot
Salisilat 3%
23 Supp
25 BOTOL
50 mg)

41 BIO ATP Tablet
65 Tablet

66 botol 60 ml

71 DEXOCORT SK TUBE
89 Tablet
FENOFIBRAT 300 MG

94 Fluimucil ampul
97 Tablet
mcg.)
103 Tube
SM/Genoint)
115 Hepagard Kapsul

145 BOTOL

167 Molakrim Tube
171 tube
extrak 10%)

191 botol


208 Kapsul
216 Pot
endap 4%

225 TUBE
Guaiacolate 100 mg)
247 Truvit syr Btl
TOTAL
0
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Compatibility Report for OKTOBER REKAP RESEP 2020.xls
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format available.

OKTOBER REKAP RESEP 2020

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OKTOBER REKAP RESEP 2020

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PKG BPJS

TANGGL R/ RANAP RAJAL R/ RANAP RAJAL

1 Acyclovir CREAM EX BPJS TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Anti Bakteri DOEN salep kombinasi :

Antihemoroid DOEN kombinasi : Bismut

55 Chloramfenikol Salep Kulit 1% (Bufacetin) tube

56 Chloramfenikol Salep Mata 1% tube

COPARCETIN syr (Parasetamol 120 mg,

Cotrimoxazole DOEN I (dewasa) Kombinasi :

DEXTRAL (Dextromethorphan HBr, Glyceryl

76 DIAZEPAM tablet 5 MG TABLET

92 Fitomenadion (Vit. K1) tablet salut gula 10 mg Tablet

FLUTAMOL (Paracetamol 500 mg, glyceryl

LASAL EXP - Salbutamol Sulfat 2 mg,

150 Loratadin tablet 10 mg Tablet

158 Metilergometrin Maleat tablet salut 0,125 mg Tablet

207 RECO TETES TELINGA -Chloramphenicol botol

242 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) Tablet

NO NAMA OBAT SATUAN PAGI MALAM

1 Acyclovir CREAM EX BPJS TUBE

27 Asam Askorbat (vitamin C) tablet 50 mg Tablet

Cotrimoxazole Suspensi Kombinasi : Sulfametoksazol

67 CTM (Chlorpheniraniramina Maleat tablet 4 mg) Tablet 40

90 Fenol Gliserol tetes telinga 10% (Carbo Gliseril) Botol

91 Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul

125 IREMAX (Ibuprofen 200 mg, paracetamol 400 mg.) TABLET

126 Isoksuprin Hidroklorid (Hystolan) Tablet

147 Lidocain inj 2 % (HCL) + Epinefrin 1 : 80.000-2 ml Ampul

148 LODECON TAB Tablet

149 Loperamide tablet (DIASTRIX) Tablet

150 Loratadin tablet 10 mg Tablet

PINKIDS COUGH SYR (paracetamol 120 mg, glyceryl

192 PIRACETAM INJ EXT BPJS Ampul

RENAX (sericocalyx folium 21,4 %, orthosiphonis herba

221 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) Vial

222 Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) Vial

PAGI SIANG MALAM TOTAL

NAMA OBAT SATUAN PAGI SORE MALAM TOTAL

Acyclovir CREAM EX BPJS TUBE 0

Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam Salisilat 3% Pot 0

Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen 250 mg Supp 0

ARCAPEC SYR EX BPJS (Attapulgite 600 mg, pectin 50 mg) BOTOL 0

Asam Asetil Salisilat / Asetosal tablet 80mg (Miniaspi) Tablet 0

BROCON (Paracetamol 500 mg, chlorpheniramine maleate 2 mg, phenylephrine HCl

Cotrimoxazole Suspensi Kombinasi : Sulfametoksazol 200 mg + Trimetoprim 40 mg/ 5 ml botol 60 ml

DEXTRAL (Dextromethorphan HBr, Glyceryl guaiacolate, Phenylpropanolamine, dan

FENOFIBRAT 300 MG Tablet 0

Fenol Gliserol tetes telinga 10% (Carbo Gliseril) Botol

FLUTAMOL (Paracetamol 500 mg, glyceryl guaiacolate 50 mg, phenylpropanolamine

Gentamisin Salep Mata 0,3% (Cendo Gentamisin SM/Genoint) Tube 0

IREMAX (Ibuprofen 200 mg, paracetamol 400 mg.) TABLET 0

LASAL EXP - Salbutamol Sulfat 2 mg, Guaifenisin (Gliserilis Guaiacolas) 75 mg BOTOL 0

Lidocain inj 2 % (HCL) + Epinefrin 1 : 80.000-2 ml Ampul 0

Loperamide tablet (DIASTRIX) Tablet

NEOCENTA GEL (Neomycin sulfate 0.5%, Placenta extrak 10%) tube 0

PINKIDS COUGH SYR (paracetamol 120 mg, glyceryl guaiacolate 50 mg,

RENAX (sericocalyx folium 21,4 %, orthosiphonis herba 21,4%, sonchus folium

Salep 2-4, kombinasi: Asam Salisilat 2% + Belerang endap 4% Pot 0

Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) Vial 0

Serum Anti Tetanus Injeksi 1.500 IU/ampul (A.T.S.) Vial 0

TERNIX PLUS (Paracetamol 250 mg, Pseudoephedrine HCI 15 mg,

NO NAMA OBAT SATUAN PAGI SORE MALAM