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LIST OF MEDICINES AND MEDICAL DEVICES INDONESIAN HAJJ 1443 H/ 2022 M

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A OBAT HAJI DI ARAB SAUDI K
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1. ANALGESIK, ANTIPIRETIK, ANTIINFLAMASI NON STEROID, ANTIPIRAI
1
9
1.2 ANALGESIK NON NARKOTIK
1 Asam Mefenamat 500 mg Tablet/Kaplet/Kapsul ###
2 Ibuprofen 400 mg Tablet/Kaplet/Kapsul ###
3 Ketoprofen suppositoria 100 mg Suppositoria ###
4 Ketorolac Injeksi 30 mg/ml Ampul 1 ml ###
5 Meloksikam 15 mg Tablet/Kaplet/Kapsul ###
6 Metamizol Injeksi 500 mg/ml Vial 2 ml ###
7 Natrium Diklofenak 50 mg Tablet/Kaplet/Kapsul ###
8 Parasetamol 500 mg Tablet/Kaplet/Kapsul ###
9 Parasetamol 1000 mg Botol/ Vial 100 ml ###
10 Tramadol 50 mg Tablet/Kaplet/Kapsul ###
1.3 ANTIPIRAI ###
11 Allopurinol 100 mg Tablet/Kaplet/Kapsul ###
12 Allopurinol 300 mg Tablet/Kaplet/Kapsul ###
13 Kolkisin 500 mcg Tablet/Kaplet/Kapsul ###
2. ANESTETIK ###
2.1 ANESTETIK LOKAL ###
14 Lidokain Gel 2% Syringe Plastik 10 gram ###
15 Lidocain Injeksi 2% Ampul 2 ml ###
2.2 ANESTETIK UMUM dan OKSIGEN ###
16 Propofol Injeksi 1% Ampul 20 ml ###
2.3 OBAT untuk PROSEDUR PRE OPERATIF ###
17 Midazolam Injeksi 1 mg/ ml Ampul 5 ml ###
3. ANTIALERGI dan OBAT untuk ANAFILAKSIS ###
18 Deksametason Injeksi 5 mg/ml Ampul 1 ml ###
19 Difenhidramin Injeksi 10 mg/ml Ampul 1 ml ###
20 Loratadine 10 mg Tablet/Kaplet/Kapsul ###
21 Setirizin 10 mg Tablet/Kaplet/Kapsul ###

4. ANTIEPILEPSI - ANTIKONVULSI ###

22 Fenitoin Na 100 mg Tablet/Kaplet/Kapsul ###
23 Gabapentin 300 mg Tablet/Kaplet/Kapsul ###
24 Karbamazepin 200 mg Tablet/Kaplet/Kapsul ###
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5. ANTIINFEKSI ### K
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5.1 ANTIBAKTERI ### 0
5.1.1 Beta Laktam ### 1
500 mg Tablet/Kaplet/Kapsul ### 9
25 Amoksisilin
500 mg Tablet/Kaplet/Kapsul ###
26 Amoksisilin 500mg + Asam Klavulanat 125 mg 625 mg Tablet/Kaplet/Kapsul ###
27 Sefiksim 200 mg Tablet/Kaplet/Kapsul ###
5.1.2 Sulfa-Trimetoprim ###
28 Trimetoprim 80 mg + Sulfamethoxazol 400 mg 480 mg Tablet/Kaplet/Kapsul ###
5.1.3 Makrolid ###
29 Azitromisin 500 mg Tablet/Kaplet/Kapsul ###
30 Klaritomisin 500 mg Tablet/Kaplet/Kapsul ###
5.1.4 Aminoglikosida ###
31 Gentamisin Injeksi 40 mg/ml Ampul 2 ml ###
5.1.5 Kuinolon ###
32 Levofloksasin 500 mg Tablet/Kaplet/Kapsul ###
33 Levofloksasin Infus 5 mg/ml Botol 100 ml ###
750 mg/150 ml Botol 150 ml ###
34 Levofloksasin Infus
750 mg/150 ml Botol ###
200 mg (0,2%) Botol 100 ml ###
35 Siprofloksasin Infus
200 mg (0,2%) Botol 100 ml ###
36 Siprofloksasin 500 mg Tablet/Kaplet/Kapsul ###
5.1.6 Sefalosporin ###
37 Sefoperazon 500 mg + Sulbaktam 500 mg 1g Vial 1 g ###
38 Sefadroksil 500 mg Tablet/Kaplet/Kapsul ###
39 Sefotaxime Injeksi 1g Vial 1 g ###
40 Seftriaxone Injeksi 1g Vial 1 g ###
5.1.7 Lain-lain ###
41 Metronidazol 500 mg Tablet/Kaplet/Kapsul ###
5.2 ANTIINFEKSI KHUSUS ###
5.2.1 Antituberkulosis ###
Obat Anti Tuberculosis Fixed Dose Combination
42 Paket ###
(FDC) kategori 1
5.3 ANTIFUNGI ###
5.3.1 Antifungi Sistemik ###
43 Flukonazol Injeksi 2 mg/ml Botol 100 ml ###
44 Flukonazol 150 mg Tablet/Kaplet/Kapsul ###
45 Nistatin Suspensi 100.000 IU Botol 12 ml ###
5.4 ANTIVIRUS ###
5.4.1 Antiherpes ###
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46 Asiklovir 400 mg Tablet/Kaplet/Kapsul ###
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1
9
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6. ANTIMIGREN/ ANTIVERTIGO ### K
2
6.1 ANTIMIGREN ### 0
47 Ergotamin 1 mg + Caffein 100 mg Tablet/Kaplet/Kapsul ### 1
6.2 ANTIVERTIGO ### 9
48 Betahistin Mesilate 6 mg Tablet/Kaplet/Kapsul ###
49 Betahistin Mesilate 8 mg Tablet/Kaplet/Kapsul ###
50 Betahistin Mesilate 24 mg Tablet/Kaplet/Kapsul ###
7. ANTIPARKINSON ###
51 Triheksifenidil 2 mg Tablet/Kaplet/Kapsul ###
8. OBAT YANG MEMPENGARUHI DARAH ###
8.1 OBAT YANG MEMPENGARUHI KOAGULASI ###
52 Asam Traneksamat 500 mg Tablet/Kaplet/Kapsul ###
53 Asam Traneksamat Injeksi 100 mg/ml Ampul 5 ml ###
54 Fitomenadion (Vitamin K) 10 mg Tablet/Kaplet/Kapsul ###
55 Fitomenadion (Vitamin K) Injeksi 2 mg/ml Ampul 1 ml ###
56 Warfarin 2 mg Tablet/Kaplet/Kapsul ###
57 Fondaparinux Injeksi 2,5 mg/0,5 ml Prefilled Syringe 0,5 ml ###
9. ANTISEPTIK dan DESINFEKTAN ###

58 Povidon Iodida 10% Botol 1000 ml ###

59 Povidon Iodida 10% Botol 30 ml ###

10. DIURETIK DAN OBAT UNTUK HIPERTROFI PROSTAT ###

10.1 DIURETIK ###
60 Furosemid 40 mg Tablet/Kaplet/Kapsul ###
61 Furosemid Injeksi 10 mg/ml ampul 2 ml ###
62 Spironolakton 25 mg Tablet/Kaplet/Kapsul ###
63 Spironolakton 100 mg Tablet/Kaplet/Kapsul ###
64 Hidroklortiazid 25 mg Tablet/Kaplet/Kapsul ###
10.2 OBAT untuk HIPERTROFI PROSTAT ###
65 Tamsulosin HCl 0,2 mg Tablet/Kaplet/Kapsul ###
11. HORMON, OBAT ENDROKIN LAIN dan KONTRASEPTIK ###
11.1 ANTIDIABETES ###
11.1.1 Antidiabetes, Oral ###
66 Glicazid 80 mg Tablet/Kaplet/Kapsul ###
67 Gliquidon 30 mg Tablet/Kaplet/Kapsul ###
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68 Metformin HCl 500 mg Tablet/Kaplet/Kapsul ###
69 Metformin HCl Forte 850 mg Tablet/Kaplet/Kapsul ### K
2
11.1.2 Antidiabetes, Parenteral ### 0
70 Analog Insulin Rapid Acting 100UI/ml Pen 3 ml ### 1
71 Human Insulin Short Acting 100UI/ml Pen 3 ml ### 9
72 Human Insulin Intermediate Acting 100UI/ml Pen 3 ml ###
73 Analog Insulin Long Acting 100UI/ml Pen 3 ml ###
11.2 HORMON PENUNDA HAID ###
11.2.1 Progestogen ###
74 Noretisteron 5 mg Tablet/Kaplet/Kapsul ###
11.3 HORMON TIROID DAN ANTITIROID ###
75 Propiltiourasil 100 mg Tablet/Kaplet/Kapsul ###
11.4 KORTIKOSTEROID ###
76 Metilprednisolon 4 mg Tablet/Kaplet/Kapsul ###
77 Metilprednisolon Serbuk Injeksi 125 mg Vial 125 mg ###
12. OBAT UNTUK KARDIOVASKULER ###
12.1 ANTIANGINA ###
78 Isosorbid Dinitrat 5 mg Tablet/Kaplet/Kapsul ###
79 Isosorbid Dinitrat 10 mg Tablet/Kaplet/Kapsul ###
80 Isosorbid Mononitrat 20 mg Tablet/Kaplet/Kapsul ###
81 Isosorbid Dinitrat Injeksi 1 mg/ml Ampul 10 ml ###
12.2 ANTIARITMIA ###
82 Amiodaron Injeksi 150mg/3ml Ampul 3 ml ###
83 Atropin sulfat Injeksi 0,25 mg/ml Ampul 1 ml ###
12.3 ANTIHIPERTENSI ###
12.3.1 Penghambat ACE ###
84 Kaptopril 25 mg Tablet/Kaplet/Kapsul ###
85 Ramipril 5 mg Tablet/Kaplet/Kapsul ###
12.3.2 Penyekat Beta ###
86 Bisoprolol 5 mg Tablet/Kaplet/Kapsul ###
87 Propranolol 10 mg Tablet/Kaplet/Kapsul ###
12.3.3 Kalsium Antagonis ###
88 Amlodipin 5 mg Tablet/Kaplet/Kapsul ###
89 Amlodipin 10 mg Tablet/Kaplet/Kapsul ###
90 Nimodipin 30 mg Tablet/Kaplet/Kapsul ###
12.3.4 Golongan ARB ###
91 Valsartan 80 mg Tablet/Kaplet/Kapsul ###
92 Candesartan 8 mg Tablet/Kaplet/Kapsul ###
93 Candesartan 16 mg Tablet/Kaplet/Kapsul ###
94 Irbesartan 150 mg Tablet/Kaplet/Kapsul ###
12.4 ANTIAGREGASI PLATELET ###
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95 Asam asetil salisilat 80 mg Tablet/Kaplet/Kapsul ###
96 Klopidogrel 75 mg Tablet/Kaplet/Kapsul ### K
2
12.5 OBAT untuk GAGAL JANTUNG ### 0
97 Digoksin 0,25 mg Tablet/Kaplet/Kapsul ### 1
98 Digoksin Injeksi 0,5 mg/ 2ml Ampul 2 ml ### 9
99 Karvedilol 6,25 mg Tablet/Kaplet/Kapsul ###
100 Cilostazol 50 mg Tablet/Kaplet/Kapsul ###
12.6 OBAT untuk SYOK KARDIOGENIK ###
12.6.1 Syok karena Anestesi ###
101 Norepinephrin Injeksi 1 mg/ml Ampul 4 ml ###
12.7 ANTIHIPERLIPIDEMIA ###
102 Simvastatin 20 mg Tablet/Kaplet/Kapsul ###
103 Atorvastatin 20 mg Tablet/Kaplet/Kapsul ###
13. OBAT TOPIKAL untuk KULIT ###
13.1 ANTIFUNGI ###
104 Mikonazol Krim 2% Tube 10 gram ###
13.2 ANTIINFLAMASI dan ANTIPRURITIK ###
105 Betametason Valerate Krim 0,1% Tube 5 gram ###
106 Hidrokortison Krim 2,5 % Tube 5 gram ###
13.3 ANTIBAKTERI ###
107 Asam Fusidat Krim 2% Tube 5 gram ###
13.4 LAIN-LAIN ###
108 Heparin Gel 200 IU Tube 20 gram ###
Kombinasi mengandung zat aktif Neomisin Sulfat
109 Tube 15 gram ###
0.5 %, Plasenta Ext 10 %
Krim Kombinasi mengandung zat aktif Metil
110 Salisilat 102 mg, Menthol 53,4 mg dan Eugenol Tube 30 gram ###
13,6 mg
111 Krim Pelembab Kulit (Krim Ambifilik Hipoalergenik) Tube 20 gram ###
112 Karbo Gliserin Tetes Telinga 10% Botol 5 ml ###
14. LARUTAN ELEKTROLIT, NUTRISI dan LAIN-LAIN ###
14.1 ORAL ###
Garam Oralit kombinasi: Natrium klorida 0,52 g +
113 kalium klorida 0,30 g + Trinatrium sitrat dihidrat Sachet uk. 4,1 gram ###
0,58 g + Glukosa Anhidrat 2,70 g serbuk
114 Kalium Klorida SR 600 mg Tablet/Kaplet/Kapsul ###
Nutrisi Pengganti Sementara (Rasa Vanilla,
115 Sachet Uk. 50 - 55 gram ###
Mengandung Protein Nabati)
Nutrisi Pengganti Sementara (Rasa Vanilla,
116 Sachet Uk. 50 - 55 gram ###
Mengandung Protein Hewani)
117 Nutrisi Pengganti Sementara (Rasa Coklat) Sachet Uk. 50 - 55 gram ###
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118 Natrium Bikarbonat 500 mg Tablet/Kaplet/Kapsul ###
Amino acids (20 macam Asam Amino), Elektrolites K
119 10% Botol 500 ml ### 2
(amiparen) 0
14.2 PARENTERAL ### 1
120 Dekstrosa 5% Botol 500 ml ### 9
121 Dekstrosa 40% Botol 25 ml ###
122 KCl 7,46 % Vial 25 ml ###
123 NaCl 0,9% Botol 500 ml ###
124 NaCl 0,9% Botol 100 ml ###
125 Ringer Laktat Botol 500 ml ###
126 Asering Botol 500 ml ###
14.3 LAIN-LAIN ###
127 Komposit Resin Syringe 4 gram ###
Glass Ionomer ART (Atraumatic Restorative Paket botol liquid 10 ml dan
128 ###
Treatment) botol powder 20 gram
129 Bahan Tumpatan (Bahan Tambal gigi) Botol 30 gram ###

15. OBAT untuk MATA ###

130 Kloramfenikol Tetes Mata 0,5% Botol 5 ml ###
16. PSIKOFARMAKA ###
16.1 ANTIANSIETAS ###
131 Lorazepam 1 mg Tablet/Kaplet/Kapsul ###
16.2 ANTIDEPRESI ###
132 Fluoksetin 20 mg Tablet/Kaplet/Kapsul ###
133 Sertralin 50 mg Tablet/Kaplet/Kapsul ###
134 Amitriptilin HCl 25 mg Tablet/Kaplet/Kapsul ###
16.3 ANTIPSIKOSIS ###
135 Natrium divalproat 500 mg Tablet/Kaplet/Kapsul ###
136 Haloperidol 5 mg Tablet/Kaplet/Kapsul ###
137 Klozapin 25 mg Tablet/Kaplet/Kapsul ###
138 Olanzapin Injeksi 10 mg Vial 10 mg/2 ml ###
16.4 ANTIDEMENSIA ###
139 Rivastigmin 9 mg Patch ###
17. RELAKSAN OTOT PERIFER dan PENGHAMBAT KOLINESTERASE ###
17.1 PENGHAMBAT dan PEMACU TRANSMISI NEUROMUSKULER ###
140 Tizanidin 2 mg Tablet/Kaplet/Kapsul ###
18. OBAT untuk SALURAN CERNA ###
18.1 ANTASIDA dan ANTIULKUS ###
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Antasida kombinasi: Aluminium hidroksida,
141 Tablet/Kaplet/Kapsul ###
Magnesium hidroksida, Dimetilpolisiloksan K
2
142 Lanzoprazol 30 mg Tablet/Kaplet/Kapsul ### 0
143 Pantoprazol Injeksi 40 mg Vial 40 mg ### 1
144 Ranitidin HCl 150 mg Tablet/Kaplet/Kapsul ### 9
145 Ranitidin HCl Injeksi 25 mg/ml Ampul 2 ml ###
146 Sukralfat 500 mg Tablet/Kaplet/Kapsul ###
147 Sukralfat Suspensi 500 mg/5 ml Botol 100 ml ###
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18.2 ANTIEMETIK ###
K
148 Dimenhidrinat 50 mg Tablet/Kaplet/Kapsul ### 2
0
149 Domperidon 10 mg Tablet/Kaplet/Kapsul ### 1
150 Metoklopramid Injeksi 5 mg/ml Ampul 2 ml ### 9
151 Metoclopramid 10 mg Tablet/Kaplet/Kapsul ###
152 Ondansetron Injeksi 2 mg/ml Ampul 4 ml ###
18.3 ANTIHEMOROID ###
Antihemoroid, kombinasi sup :
bismut subgalat 150 mg
153 heksaklorofen 2,5 mg Suppositoria 2 g ###
lidokain 10 mg
seng oksida 120 mg
18.4 ANTISPASMODIK ###
154 Hiosina butilbromida 10 mg Tablet/Kaplet/Kapsul ###
155 Hiosina butilbromida Injeksi 20 mg/ml Ampul 1 ml ###
18.5 OBAT untuk DIARE ###
156 Attapulgit 600 mg Tablet/Kaplet/Kapsul ###
157 Loperamid HCL 2 mg Tablet/Kaplet/Kapsul ###
18.6 KATARTIK ###
158 Bisakodil 5 mg Tablet/Kaplet/Kapsul ###
159 Bisakodil 10 mg Suppositoria ###
160 Laktulosa Sirup 3,335 gram / 5 ml Botol 60 ml ###
19. OBAT UNTUK SALURAN NAPAS ###
19.1 ANTIASMA ###
161 Aminophyllin injeksi 24 mg/ml ampul ###
162 Budesonid Respule 0,5 mg/ml Respule 2 ml ###
163 Budesonid 160 mcg + Formoterol 4.5 mcg Turbuhaler 60 dosis ###
164 Salmeterol 50 mcg, Flutikason Propionat 250 mcg 250 mcg /puff Diskus @ 60 blister dosis###
Kombinasi Ipatropium Bromida 0,5 mg +
165 Vial / Ampul 2,5 ml ###
Salbutamol 2,5 mg
166 Salbutamol 2 mg Tablet/Kaplet/Kapsul ###
167 Salbutamol 2,5 mg/2,5 ml Ampul 2,5 ml ###
168 Tiotropium Inhaler 5 mcg respimat @ 60 puff ###
169 Salbutamol inhaler 100 mcg/dosis Botol @ 200 dosis ###
170 Teofilin 150 mg Tablet/Kaplet/Kapsul ###
19.2 MUKOLITIK ###
171 Bromheksin HCl 8 mg Tablet/Kaplet/Kapsul ###
172 Bromheksin HCL 10 mg/ 5 ml Botol 50 ml ###
19.3 EKSPEKTORAN ###
173 N-asetil sistein 200 mg Tablet/Kaplet/Kapsul ###
174 Obat Batuk Hitam Botol 100 ml ###
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20. VITAMIN dan MINERAL ### K
2
175 Asam Askorbat (Vitamin C) Injeksi 200 mg/ml Ampul 2 ml ### 0
176 Asam Folat 0,4 mg Tablet/Kaplet/Kapsul ### 1
Kombinasi Lecitin, Vit B1, Vit B2, Vit B6, Vit B12, Vit 9
177 Tablet/Kaplet/Kapsul ###
E
Vit B1 100 mg, Vit B6 100 mg, Vit B12 5000 mcg
178 Ampul 3 ml ###
Injeksi
179 Thiamin HCL (Vitamin B1) 100 mg Tablet/Kaplet/Kapsul ###
180 Asam Askorbat (Vitamin C) 100 mg Tablet/Kaplet/Kapsul ###
181 Vit B1 100 mg, Vit B6 100 mg, Vit B12 5000 mcg Tablet/Kaplet/Kapsul ###

B PERBEKALAN KESEHATAN HAJI DI ARAB SAUDI ###

ALAT KESEHATAN HABIS PAKAI (GENERAL APPLIANCE) ###

1 Absorbent Hidrogel Tube 15 gram ###

2 Disposible Syringe 5 cc Piece ###

3 Disposible Syringe 3 cc Piece ###

4 Elastic Bandage 3 inch (7,5 cm x 4,5 m) Roll ###

5 Elastic Bandage 4 inch (10 cm x 4,5 m) Roll ###

6 Elastic Bandage 6 inch (15 cm x 4,5 m) Roll ###

7 Framicetine Sulfat Gauze Dressing 10 cm x 10 cm Piece ###
8 Surgical Gloves Non - Sterile Uk. M Pasang ###

9 Surgical Gloves Sterile No.7,5 Pasang ###

10 IV Catheter 20 G Piece ###

11 Infus set dewasa Piece ###
12 Kantong kencing sekali pakai (unisex) Piece ###
13 Masker nebulizer Piece ###
14 Masker (head loop) Piece ###
15 Masker (ear loop) Piece ###
16 Plester luka elastis Piece ###
Plester 0.5 inc x 10 yard (bebas latex &
17 Piece ###
hypoalergenik) + dispenser
18 Plester gulung 5 cm x 4,5 m Roll ###
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19 Under Pad uk. 60 cm x 90 cm Piece ### K
2
20 Aqua Bidestilata Botol 500 ml ### 0
1
21 Aqua pro Injeksi Flas 25 ml ###
9
22 Absorbent Wound Dressing 10x10 cm ###
Absorbent Wound Dressings Alginat 10 cm x
23 ###
10 cm
24 Absorbent Wound Dressings Hydrocoloid ###
25 Adult Diapers ( XL ) ###
26 Adult Diapers (M) ###
Blood Set (Sangofix, chamber besar, filter luas)
27 ###

28 Cat Gut Chromic 3-0 ###

29 Catgut Plain 4-0 ###
30 Condom Catheter Ukuran M ###
31 Condom Catheter Ukuran XL ###
32 Disposible Syring 10 cc ###
33 Disposible Syringe 20 cc ###
34 Disposible Syring 50 cc ###
35 Disposible Syringe 1 cc ###
36 I V Catheter 22 G ###
37 IV Cannula 20 G ###
38 IV Cannula 22 G ###
39 IV Cannula 24 G ###
40 IV Transparant ###
41 Jarum Suntik 23 G / Syringe Needle ###
42 Kasa Gulung 40 x 80 cm ###
43 Kasa Sterile Uk.kecil 16 cm x 16 cm ###
44 Kassa hidrofil 10 cm x 4 m ###
45 Kassa hidrofil 5 cm x 4 m ###
46 Masker Oksigen Non Rebreating ###
47 Masker Oxygen Rebreating ###
48 Nasal Oxygen Canula ###
49 Oropharengeal Air Way No. 4 ###
50 Pisau Bisturi No. 10 ###
51 Plain CatGut 3,0 ###
52 Suction Catheter No. 10 ###
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53 Suction Catheter No. 12 ###
K
54 Suction Catheter No. 14 ### 2
55 Surgical Gloves Non - Sterile Uk.L ### 0
1
56 Surgical Gloves Non - Sterile Uk.M ###
9
57 Surgical Gloves Sterile No.7 ###
58 Surgical Gloves Sterile No.7,5 ###
59 Surgical Masker ( Rubber ) ###
60 Surgical Masker (Tie On) ###
61 Three way stop cock ###
62 Three way stop cock selang ###
63 Underpad 45 x 60 CM ###
64 Wing Needle 23 ###
65 Needle Pen 31 G ###
66 Oropharyngeal/ Guedel AirWay No. 3 ###
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X-RAY APPLIENCE DAN ACCESSORIES ### K
2
0
67 Film Rontgen green ukuran 35 cm x 35 cm Piece ###
1
9
68 Film Rontgen green ukuran 40 cm x 30 cm Piece ###

X-ray bag/kantong film rontgen ukuran 40 cm x 45

69 Piece ###
cm
X-ray Bag/kantong film rontgen ukuran 40 cm x 30
70 Piece ###
cm
71 Cairan automatic procesing, developer ###
72 Cairan automatic procesing, fixer ###

PRODUK DIAGNOSTIK IN VITRO ###

73 Gluco stick untuk alat Accu check active Strip ###

74 Gluco Stick untuk alat Accu Check Performa Strip ###

ALAT KESEHATAN ###

75 Lidokain spray 10 % Botol 50 ml ###

76 Arm Sling ###

PERBEKALAN KESEHATAN RUMAH TANGGA (PKRT) ###

77 Handrubs Botol 5 liter ###

78 Handrubs Botol 500 ml ###
79 Handwash tanpa air Botol 500 ml ###
80 Handwash tanpa air (Handsanitizer) Botol 60 ml ###

81 Wash Glove Tissue non perfume dan non alkohol Piece ###

82 Desinfektan cair wangi 100 ml Botol 100 ml ###

83 Desinfektan Untuk ruangan ###

BAHAN DAN PERALATAN LAINNYA ###

84 Plastik klip obat ukuran 7 cm x 10 cm Piece ###

85 Plastik klip obat ukuran 10 cm x 15 cm Piece ###
86 Kertas puyer Lembar ###
87 Kantong plastik 10 x 15 CM ###
88 Kantong plastik 12 x 20 CM ###
89 Kantong plastik 7 x 10 CM ###
 T
O
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T
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A
T
LA
ACTIVE INGREDIENT L
NO. CLASS THERAPY, COMPOSITION OF DRUG DOSAGE FORMS s
CONTENTS
iS
B
sO
T
aO
X
90 Kantong plastik besar 50 x 75 CM ###
K
91 Kantong plastik sampah Medis ( KUNING ) ### 2
92 Kantong Plastik Sampah Non Medis (Hitam) ### 0
1
93 Kapas 100 grm ###
9
94 Kapas 250 grm ###
95 Kapas Lipid/Cotton Bud ###
96 Microscope Slides ###
97 Pot Urine 30ml ###
98 Tabung EDTA ###

BAHAN LAINNYA ###

99 Gauze swab 7,5 cm x 7,5 cm Piece ###

100 Hydrofiber Dressing dengan Ionic Silver Piece ###

101 Elastic Bandage Uk 5 cm x 4,5 m Roll ###

102 Foley catheter 16 Fr Piece ###

103 Kantung sterilisasi Piece ###

104 Plester 10 cm x 5 m Roll ###

105 Plester 15 cm x 5 m Roll ###

106 Apron ###

107 Buli-buli panas / Hittung Glass ###
108 Cold Pack ###
109 Dressing pack ###
110 Elastic Bandage 3 inc (7,5 cm) ###
111 Elastic Bandage 4 inc (10 cm) ###
112 Elastic Bandage 6 inc ###
113 Elastic Bandage Uk. 5 cm ###
114 Electrodes ECG ###
115 Endotracheal Tube no.6,5 ###
116 Endotracheal Tube no.7,0 ###
117 Extention Tube 1 ml ###
118 Feeding Tube No. Fr.12 ###
119 Feeding Tube No. Fr.18 ###
 T
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ACTIVE INGREDIENT L
NO. CLASS THERAPY, COMPOSITION OF DRUG DOSAGE FORMS s
CONTENTS
iS
B
sO
T
aO
X
120 Foley Catheter 12 Fr ###
K
121 Foley Catheter 18 Fr ### 2
122 Gauze Swap 10 x 10 cm ### 0
1
123 Gauze Swap 5 x 5 cm ###
9
124 Kertas EKG (Merk Bionet tipe Cardiocare) ###
125 Paper ECG Single lead ###
126 Pembalut gips 10 x 270 cm (4") ###
127 Pembalut Gips 6 inch ###
128 Plester ###
Plester 0.5 inc x 10 yard (bebas latex &
129 hypoalergenik) + dispenser ###

Plester 1 inc x 10 yard (bebas latex &

130 hypoalergenik) + dispenser ###

Plester 2 inc x 10 yard (bebas latex &

131 hypoalergenik) + dispenser ###

132 Plester 1.25 cm x 5 m ###

133 Plester 2,5 cm x 5 m ###
134 Plester 5 cm x 5 m ###
135 Softband 3 inci ###
136 Softband 4 inci ###
137 Softband 6 inci ###
138 Spalk 120 x 5 cm (yg ada uk 100 x 10 cm) ###
139 Spalk 150 x 5 cm ###
140 Spalk 40 cm ###
141 Torniquet Infus ###

LAIN-LAIN ###

142 Cold pack Uk. 23 cm x 13 cm Piece ###

143 Adhesive bandage 20 cm x 10 cm Piece ###

144 Kassa Hidrofil 10 cm x 4 m Roll ###

OBAT COVID ###

145 Asam Askorbat (Vitamin C) Injeksi 200mg Ampul ###

146 Asam Askorbat (Vitamin C) 250 mg Tablet ###
147 Asam Askorbat (Vitamin C) non Acidic 500 mg Tablet ###
###
148 Asam Askorbat (Vitamin C) 500 mg Tablet
###
 T
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ACTIVE INGREDIENT L
NO. CLASS THERAPY, COMPOSITION OF DRUG DOSAGE FORMS s
CONTENTS
iS
B
sO
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aO
X
149 Favipiravir 200 mg Tablet ###
K
150 Molnupiravir 200 mg Kapsul ### 2
151 Vitamin D3 1.000 IU Tablet ### 0
1
TAMBAHAN PERBEKALAN KESEHATAN ### 9

152 Masker N95 Piece ###

153 RPT Uji Cepat Covid -19 Piece ###
154 RDT Index Piece ###

No :
Date :
Acknowledge by,
On Behalf of Head of NADFC Indonesia
Acting as Deputy of Drugs, Narcotics, Psychotropics,
Precursors, and Addictive Substances Control

Dr. Dra. L. Rizka Andalucia, Apt, Pharm, MARS

NIP. 196802261994032004
LIST OF MEDICINES AND MEDICAL DEVICES INDONESIAN HAJJ 1443 H/ 2022 M

DEPO DAKER MAKKAH DEPO DAKER MADINAH

JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021

### 128,060.00 102,460.00 81,500.00 20,960 25,600.00 25,600.00 -

### 10,400.00 8,400.00 8,400.00 - 2,000.00 2,000.00 -
### 85.00 65.00 65.00 - 20.00 20.00 -
### 240.00 200.00 200.00 - 40.00 40.00 -
### 16,000.00 12,800.00 12,800.00 - 3,200.00 3,200.00 -
### 325.00 265.00 265.00 - 60.00 60.00 -
### 59,400.00 47,600.00 47,600.00 - 11,800.00 11,800.00 -
### 426,600.00 341,200.00 341,200.00 - 85,400.00 85,400.00 -
### 290.00 240.00 240.00 - 50.00 50.00 -
### 1,000.00 800.00 800.00 - 200.00 200.00 -
### - - - - - - -
### 11,700.00 9,400.00 9,400.00 - 2,300.00 2,300.00 -
### 1,300.00 1,100.00 1,100.00 - 200.00 200.00 -
### 100.00 80.00 80.00 - 20.00 20.00 -
### - - - - - - -
### - - - - - - -
### 131.00 105.00 105.00 - 26.00 26.00 -
### 40.00 32.00 32.00 - 8.00 8.00 -
### - - - - - - -
### 20.00 16.00 16.00 - 4.00 4.00 -
### - - - - - - -
### 10.00 8.00 8.00 - 2.00 2.00 -
### - - - - - - -
### 340.00 280.00 280.00 - 60.00 60.00 -
### 87.00 72.00 45.00 27 15.00 15.00 -
### 291,000.00 232,800.00 232,800.00 - 58,200.00 58,200.00 -
### 8,600.00 6,900.00 6,900.00 - 1,700.00 1,700.00 -

### - - - - - - -
### 200.00 160.00 160.00 - 40.00 40.00 -
### 800.00 650.00 650.00 - 150.00 150.00 -
### 630.00 530.00 630 100.00 100
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### - - - - - - -
### - - - - - - -
### - - - - - - -
### 8,200.00 6,600.00 6,600.00 - 1,600.00 1,600.00 -
### 150,000.00 120,000.00 120,000.00 - 30,000.00 30,000.00 -
### 44,100.00 35,280.00 35,280.00 - 8,820.00 8,820.00 -
### 30,000.00 24,000.00 24,000.00 - 6,000.00 6,000.00 -
### - - - - - - -
### 29,600.00 23,700.00 23,700.00 - 5,900.00 5,900.00 -
### - - - - - - -
### 62,000.00 49,610.00 49,610.00 - 12,390.00 12,390.00 -
### 300.00 240.00 240.00 - 60.00 60.00 -
### - - - - - - -
### 170.00 140.00 140.00 - 30.00 30.00 -
### - - - - - - -
### 70,700.00 56,600.00 56,600.00 - 14,100.00 14,100.00 -
### 880.00 705.00 705.00 - 175.00 175.00 -
### 420.00 360.00 360.00 - 60.00 60.00 -
### 70.00 60.00 60.00 - 10.00 10.00 -
### 100.00 80.00 80.00 - 20.00 20.00 -
### 100.00 80.00 80.00 - 20.00 20.00 -
### 90,700.00 73,900.00 73,900.00 - 16,800.00 16,800.00 -
### - - - - - - -
### 90.00 75.00 75.00 - 15.00 15.00 -
### 7,700.00 6,200.00 6,200.00 - 1,500.00 1,500.00 -
### 170.00 140.00 140.00 - 30.00 30.00 -
### 2,070.00 1,670.00 1,670.00 - 400.00 400.00 -
### - - - - - - -
### 5,454.00 4,400.00 4,400.00 - 1,054.00 800.00 254
### - - - - - - -
### - - - - - - -
### 3.00 2.00 2.00 - 1.00 1.00 -
### - - - - - - -
### - - - - - - -
### 2.00 2.00 2.00 - - - -
### 50.00 40.00 40.00 - 10.00 10.00 -
### 240.00 200.00 200.00 - 40.00 40.00 -
### - - - - - - -
### - - - - - - -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 4,000.00 3,200.00 3,200.00 - 800.00 800.00 -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### - - - - - - -
### - - - - - - -
### 200.00 200.00 200.00 - - -
### - - - - - - -
### 7,600.00 6,100.00 6,100.00 - 1,500.00 1,500.00 -
### 3,500.00 2,800.00 2,800.00 - 700.00 700.00 -
### 511.00 300.00 300.00 - 211.00 211
### - - - - - - -
### 1,000.00 800.00 800.00 - 200.00 200.00 -
### - - - - - - -
### - - - - - - -
### 18,700.00 15,000.00 15,000.00 - 3,700.00 3,700.00 -
### 100.00 80.00 80.00 - 20.00 20.00 -
### 800.00 700.00 700.00 - 100.00 100.00 -
### 140.00 115.00 115.00 - 25.00 25.00 -
### 200.00 160.00 160.00 - 40.00 40.00 -
### 10.00 8.00 8.00 - 2.00 2.00 -
### - - - - - - -

### 73.00 58.00 58.00 - 15.00 15.00 -

### 300.00 240.00 240.00 - 60.00 60.00 -

### - - - - - - -
### - - - - - - -
### 5,000.00 4,000.00 4,000.00 - 1,000.00 1,000.00 -
### 900.00 725.00 725.00 - 175.00 175.00 -
### 2,000.00 1,600.00 1,600.00 - 400.00 400.00 -
### 600.00 500.00 500.00 - 100.00 100.00 -
### 370.00 260.00 - 260 110.00 110
### - - - - - - -
### 1,200.00 820.00 400.00 420 380.00 380
### - - - - - - -
### - - - - - - -
### - - - - - - -
### 100.00 80.00 80.00 - 20.00 20.00 -
### 100.00 80.00 80.00 - 20.00 20.00 -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 17,800.00 14,300.00 14,300.00 - 3,500.00 3,500.00 -
### 100.00 80.00 80.00 - 20.00 20.00 -
### - - - - - - -
### 20.00 16.00 16.00 - 4.00 4.00 -
### 50.00 40.00 40.00 - 10.00 10.00 -
### 20.00 16.00 16.00 - 4.00 4.00 -
### 20.00 16.00 16.00 - 4.00 4.00 -
### - - - - - - -
### - - - - - - -
### 580.00 490.00 310.00 180 90.00 90.00 -
### - - - - - - -
### 300.00 300.00 300.00 - - -
### - - - - - - -
### 211,500.00 169,200.00 169,200.00 - 42,300.00 42,300.00 -
### 300.00 240.00 240.00 - 60.00 60.00 -
### - - - - - - -
### - - - - - - -
### 5,725.00 1,300.00 1,300.00 - 4,425.00 4,425
### 96.00 - - - 96.00 96
### 430.00 370.00 340.00 30 60.00 60.00 -
### 5.00 4.00 4.00 - 1.00 1.00 -
### - - - - - - -
### 5.00 4.00 4.00 - 1.00 1.00 -
### 10.00 8.00 8.00 - 2.00 2.00 -
### - - - - - - -
### - - - - - - -
### 14,000.00 11,200.00 11,200.00 - 2,800.00 2,800.00 -
### 2,900.00 2,400.00 2,400.00 - 500.00 500.00 -
### - - - - - - -
### 1,500.00 1,200.00 1,200.00 - 300.00 300.00 -
### 420.00 260.00 100.00 160 160.00 160
### - - - - - - -
### 48,500.00 42,050.00 42,050.00 - 6,450.00 6,450.00 -
### 300.00 250.00 250.00 - 50.00 50.00 -
### 10.00 8.00 8.00 - 2.00 2.00 -
### - - - - - - -
### 1,000.00 800.00 800.00 - 200.00 200.00 -
### 250.00 220.00 220.00 - 30.00 30.00 -
### 250.00 220.00 220.00 - 30.00 30.00 -
### 200.00 160.00 160.00 - 40.00 40.00 -
### - - - - - - -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 1,600.00 1,300.00 1,300.00 - 300.00 300.00 -
### 2,000.00 1,600.00 1,600.00 - 400.00 400.00 -
### - - - - - - -
### 500.00 400.00 400.00 - 100.00 100.00 -
### 30.00 25.00 25.00 - 5.00 5.00 -
### 30.00 24.00 24.00 - 6.00 6.00 -
### 400.00 - - - 400.00 400
### - - - - - - -
### - - - - - - -
### 10.00 10.00 10.00 - - -
### - - - - - - -
### 4,300.00 3,460.00 3,460.00 - 840.00 840.00 -
### 5,100.00 4,080.00 4,080.00 - 1,020.00 1,020.00 -
### - - - - - - -
### - - - - - - -
### 625.00 500.00 400.00 100 125.00 35.00 90
### - - - - - - -
### 3,200.00 2,560.00 2,560.00 - 640.00 640.00 -
### 200.00 160.00 160.00 - 40.00 40.00 -
### - - - - - - -
### 15.00 12.00 12.00 - 3.00 3.00 -
### - - - - - - -
### 90.00 75.00 75.00 - 15.00 15.00 -
### 800.00 650.00 650.00 - 150.00 150.00 -

### 1,720.00 1,420.00 1,420.00 - 300.00 300.00 -

### 1,510.00 1,210.00 1,210.00 - 300.00 300.00 -

### 20.00 16.00 16.00 - 4.00 4.00 -
### - - - - - - -
### - - - - - - -

### 99,800.00 80,000.00 80,000.00 - 19,800.00 19,200.00 600

### 900.00 800.00 800.00 - 100.00 100.00 -

### 5,940.00 4,820.00 4,820.00 - 1,120.00 1,120.00 -

### 5,940.00 4,752.00 4,752.00 - 1,188.00 1,188.00 -

### 8,850.00 7,450.00 7,450.00 - 1,400.00 1,400.00 -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 2,400.00 - - - 2,400.00 2,400
### 39.00 - - - 39.00 39
### - - - - - - -
### 905.00 723.00 540.00 183 182.00 80.00 102
### 400.00 320.00 320.00 - 80.00 80.00 -
### 40.00 32.00 32.00 - 8.00 8.00 -
### 3,398.00 2,742.00 2,640.00 102 656.00 80.00 576
### 120.00 80.00 80.00 - 40.00 40.00 -
### 6,124.00 4,903.00 4,410.00 493 1,221.00 800.00 421
### 134.00 134.00 - 134 - -
### - - - - - - -
### 1.00 1.00 1.00 - - - -

### 1.00 1.00 1.00 - - - -

### 1.00 1.00 1.00 - - - -

### - - - - - - -
### 3,300.00 2,640.00 2,640.00 - 660.00 660.00 -
### - - - - - - -
### - - - - - - -
### 400.00 320.00 320.00 - 80.00 80.00 -
### - - - - - - -
### 50.00 40.00 40.00 - 10.00 10.00 -
### 1,500.00 1,200.00 1,200.00 - 300.00 300.00 -
### 700.00 600.00 600.00 - 100.00 100.00 -
### - - - - - - -
### 200.00 160.00 160.00 - 40.00 40.00 -
### 1,000.00 800.00 800.00 - 200.00 200.00 -
### 300.00 250.00 250.00 - 50.00 50.00 -
### 20.00 16.00 16.00 - 4.00 4.00 -
### - - - - - - -
### 120.00 96.00 96.00 - 24.00 24.00 -
### - - - - - - -
### - - - - - - -
### 50.00 40.00 40.00 - 10.00 10.00 -
### - - - - - - -
### - - - - - - -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 118,178.00 96,378.00 90,100.00 6,278 21,800.00 21,800.00 -
### 21,100.00 17,100.00 17,100.00 - 4,000.00 4,000.00 -
### 900.00 700.00 700.00 - 200.00 200.00 -
### 96,300.00 78,300.00 78,300.00 - 18,000.00 18,000.00 -
### 6,100.00 4,900.00 4,900.00 - 1,200.00 1,200.00 -
### 3,100.00 2,500.00 2,500.00 - 600.00 600.00 -
### 200.00 160.00 160.00 - 40.00 40.00 -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### - - - - - - -
### 20,930.00 15,330.00 15,000.00 330 5,600.00 5,600
### 19,000.00 15,200.00 15,200.00 - 3,800.00 3,800.00 -
### 160.00 130.00 130.00 - 30.00 30.00 -
### 2,200.00 1,800.00 1,800.00 - 400.00 400.00 -
### 5,700.00 4,600.00 4,600.00 - 1,100.00 1,100.00 -
### - - - - - - -

### 1,100.00 880.00 880.00 - 220.00 220.00 -

### - - - - - - -
### 4,400.00 3,600.00 3,600.00 - 800.00 800.00 -
### 400.00 320.00 320.00 - 80.00 80.00 -
### - - - - - - -
### 14,000.00 11,200.00 11,200.00 - 2,800.00 2,800.00 -
### 3,400.00 2,800.00 2,800.00 - 600.00 600.00 -
### - - - - - - -
### 5,300.00 4,300.00 4,300.00 - 1,000.00 1,000.00 -
### 700.00 562.00 562.00 - 138.00 138.00 -
### 200.00 160.00 160.00 - 40.00 40.00 -
### - - - - - - -
### - - - - - - -
### 70.00 60.00 60.00 - 10.00 10.00 -
### 420.00 340.00 340.00 - 80.00 80.00 -
### 70.00 60.00 60.00 - 10.00 10.00 -
### 45.00 36.00 36.00 - 9.00 9.00 -
### 400.00 320.00 320.00 - 80.00 80.00 -
### 2,200.00 1,800.00 1,800.00 - 400.00 400.00 -
### 230.00 184.00 184.00 - 46.00 46.00 -
### 5.00 4.00 4.00 - 1.00 1.00 -
### 120.00 96.00 96.00 - 24.00 24.00 -
### 1,120.00 1,120.00 - 1,120 - -
### - - - - - - -
### 142,600.00 114,100.00 114,100.00 - 28,500.00 28,500.00 -
### 20.00 16.00 16.00 - 4.00 4.00 -
### - - - - - - -
### 300.00 240.00 240.00 - 60.00 60.00 -
### 5,000.00 4,040.00 4,040.00 - 960.00 960.00 -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### - - - - - - -
### 75.00 60.00 60.00 - 15.00 15.00 -
### 1,300.00 1,100.00 1,100.00 - 200.00 200.00 -

### 49,400.00 40,520.00 40,520.00 - 8,880.00 8,880.00 -

### 3,870.00 3,100.00 3,100.00 - 770.00 770.00 -

### 400.00 200.00 200.00 - 200.00 200
### 6,700.00 5,400.00 5,400.00 - 1,300.00 1,300.00 -
### 9,000.00 7,200.00 7,200.00 - 1,800.00 1,800.00 -

### - - - - - - -

### - - - - - - -

### 2.00 2.00 2.00 - - - -

### 4,503.00 1,800.00 1,800.00 - 2,703.00 2,703

### 7,662.00 6,000.00 6,000.00 - 1,662.00 1,662

### 70.00 56.00 56.00 - 14.00 14.00 -

### 100.00 80.00 80.00 - 20.00 20.00 -

### 50.00 40.00 40.00 - 10.00 10.00 -

### 260.00 208.00 208.00 - 52.00 52.00 -
### 30,700.00 24,600.00 24,600.00 - 6,100.00 6,100.00 -

### 400.00 320.00 320.00 - 80.00 80.00 -

### 1,630.00 1,330.00 900.00 430 300.00 300.00 -

### 2,228.00 100.00 100.00 - 2,128.00 2,128
### 6,546.00 5,321.00 3,692.00 1,629 1,225.00 1,225.00 -
### 715.00 429.00 200.00 229 286.00 286
### 77,800.00 62,500.00 62,500.00 - 15,300.00 15,300.00 -
### 77,800.00 63,400.00 63,400.00 - 14,400.00 14,400.00 -
### 1,900.00 1,520.00 1,520.00 - 380.00 380.00 -

### 60.00 48.00 48.00 - 12.00 12.00 -

### 160.00 128.00 128.00 - 32.00 32.00 -

 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 5,100.00 4,100.00 4,100.00 - 1,000.00 1,000.00 -

### 6.00 5.00 6 1.00 1

### 713.00 - - - 713.00 713
### 2,101.00 1,701.00 1,701 400.00 400

### 257.00 235.00 235 22.00 22

### 40.00 - - - 40.00 40

### 72.00 - - - 72.00 72
### 60.00 - - - 60.00 60

### 182.00 112.00 - 112 70.00 70

### 16.00 - - - 16.00 16

### 248.00 228.00 248 20.00 20
### 136.00 - - - 136.00 136
### 25.00 20.00 20 5.00 5
### 6,252.00 4,631.00 - 4,631 1,621.00 1,621
### 260.00 - - - 260.00 260
### 90.00 - - - 90.00 90
### 194.00 - - - 194.00 194
### 901.00 767.00 767 134.00 134
### 2,268.00 1,749.00 - 1,749 519.00 519
### 2,233.00 - - - 2,233.00 2,233
### 622.00 489.00 - 489 133.00 133
### 135.00 108.00 108 27.00 - 27
### 214.00 - - - 214.00 214
### 7.00 6.00 6 1.00 - 1
### 596.00 - - - 596.00 596
### 89.00 71.00 71 18.00 - 18
### 9,490.00 9,222.00 9,222 268.00 268
### 2,211.00 1,479.00 - 1,479 732.00 732
### 577.00 200.00 - 200 377.00 377
### 768.00 614.00 768 154.00 - 154
### 166.00 133.00 166 33.00 - 33
### 206.00 185.00 185 21.00 21
### 149.00 119.00 119 30.00 30
### 22.00 18.00 18 4.00 4
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 430.00 305.00 - 305 125.00 125
### 224.00 220.00 220 4.00 4
### 800.00 500.00 - 500 300.00 300
### 2,100.00 1,200.00 - 1,200 900.00 900
### 8,916.00 7,133.00 7,133 1,783.00 - 1,783
### 399.00 319.00 319 80.00 - 80
### 4,250.00 3,400.00 3,400 850.00 - 850
### 1,450.00 - - - 1,450.00 1,450
### 199.00 159.00 159 40.00 - 40
### 172.00 - - - 172.00 172
### 321.00 257.00 257 64.00 - 64
### 9.00 - - - 9.00 9
### 104.00 83.00 83 21.00 - 21
### 15.00 - - - 15.00 15
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### - - - - - - -

### 230.00 184.00 184.00 - 46.00 46.00 -

### 110.00 88.00 88.00 - 22.00 22.00 -

### 230.00 184.00 184.00 - 46.00 46.00 -

### 110.00 88.00 88.00 - 22.00 22.00 -

### 2.00 2.00 - 2 - - -

### 2.00 2.00 - 2 - - -

### - - - - - - -

### 3,900.00 3,120.00 3,120.00 - 780.00 780.00 -

### 6,900.00 5,520.00 5,520.00 - 1,380.00 1,380.00 -

### - - - - - - -

### 13.00 10.00 10.00 - 3.00 3.00 -

### 61.00 45.00 - 45 16.00 16

### - - - - - - -

### 18.00 14.00 14.00 - 4.00 4.00 -

### 468.00 374.00 374.00 - 94.00 94.00 -
### 140.00 112.00 112.00 - 28.00 28.00 -
### 5,560.00 4,600.00 4,600.00 - 960.00 960.00 -

### 88,100.00 70,820.00 70,820.00 - 17,280.00 17,280.00 -

### 132.00 106.00 106.00 - 26.00 26.00 -

### 7.00 6.00 6 1.00 - 1

### - - - - - - -

### 52,700.00 17,200.00 17,200.00 - 35,500.00 35,500

### 36,400.00 20,400.00 20,400.00 - 16,000.00 16,000
### 3,000.00 2,400.00 1,200.00 1,200 600.00 600.00 -
### 1,200.00 960.00 960 240.00 - 240
### 29,000.00 - - - 29,000.00 29,000
### 890.00 712.00 712 178.00 - 178
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 1,740.00 - - - 1,740.00 1,740
### 1,500.00 1,300.00 1,300 200.00 200
### 750.00 500.00 - 500 250.00 250
### 232.00 79.00 - 79 153.00 153
### 193.00 73.00 - 73 120.00 120
### 72,107.00 57,686.00 57,686 14,421.00 - 14,421
### 387.00 75.00 - 75 312.00 312
### 16,678.00 3,328.00 - 3,328 13,350.00 13,350
### 597.00 478.00 478 119.00 - 119

### - - - - - - -

### 100.00 80.00 80.00 - 20.00 20.00 -

### 50.00 40.00 40.00 - 10.00 10.00 -

### 30.00 24.00 24.00 - 6.00 6.00 -

### 20.00 16.00 16.00 - 4.00 4.00 -

### 1,130.00 904.00 74.00 830 226.00 226.00 -

### 20.00 16.00 16.00 - 4.00 4.00 -

### 20.00 16.00 16.00 - 4.00 4.00 -

### 180.00 160.00 160 20.00 20

### 5.00 - - - 5.00 5
### 61.00 41.00 - 41 20.00 20
### 582.00 428.00 - 428 154.00 154
### 41.00 27.00 - 27 14.00 14
### 10.00 8.00 8 2.00 - 2
### 13.00 - - - 13.00 13
### 60.00 48.00 - 48 12.00 - 12
### 50.00 - - - 50.00 50
### 630.00 540.00 540 90.00 90
### 197.00 194.00 194 3.00 3
### 329.00 299.00 299 30.00 30
### 6.00 - - - 6.00 6
### 30.00 - - - 30.00 30
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 585.00 464.00 - 464 121.00 121
### 120.00 - - - 120.00 120
### 2,912.00 2,066.00 - 2,066 846.00 846
### 575.00 20.00 - 20 555.00 555
### 454.00 358.00 - 358 96.00 96
### 65.00 - - - 65.00 65
### 19.00 15.00 15 4.00 - 4
### 25.00 - - - 25.00 25
### 1,872.00 672.00 - 672 1,200.00 1,200

### 63.00 50.00 50 13.00 - 13

### 247.00 198.00 198 49.00 - 49

### 48.00 38.00 38 10.00 - 10

### 672.00 - - - 672.00 672

### 30.00 - - - 30.00 30
### 30.00 - - - 30.00 30
### 56.00 45.00 45 11.00 - 11
### 472.00 378.00 378 94.00 - 94
### 16.00 13.00 13 3.00 - 3
### 30.00 11.00 - 11 19.00 19
### 16.00 14.00 14 2.00 2
### 16.00 8.00 - 8 8.00 8
### 34.00 28.00 28 6.00 6

### - - - - - - -

### 14.00 11.00 11.00 - 3.00 3.00 -

### 50.00 40.00 40.00 - 10.00 10.00 -

### 80.00 64.00 64.00 - 16.00 16.00 -

### - - - - - - -

### 2,400.00 2,000.00 2,000.00 - 400.00 400.00 -

### 6,000.00 4,800.00 4,800.00 - 1,200.00 1,200.00 -
### 3,500.00 2,800.00 2,800.00 - 700.00 700.00 -
### 3,100.00 2,500.00 2,500.00 - 600.00 600.00 -
### 15,400.00 12,400.00 12,400.00 - 3,000.00 3,000.00 -
 DEPO DAKER MAKKAH DEPO DAKER MADINAH
JUMLAH
PERSEDIAAN Asal Persediaan Asal Persediaan
Alokasi 80% Alokasi 20%
Pengadaan
Sisa stok 2019 Pengadaan 2021 Sisa stok 2019
2021
### 5,280.00 4,240.00 4,240.00 - 1,040.00 1,040.00 -
### 2,640.00 2,120.00 2,120.00 - 520.00 520.00 -
### 12,120.00 9,720.00 9,720.00 - 2,400.00 2,400.00 -

### - - - - - - -

### 46,200.00 36,960.00 36,960.00 - 9,240.00 9,240.00 -

### 2,000.00 1,600.00 1,600.00 - 400.00 400.00 -
### 500.00 400.00 400.00 - 100.00 100.00 -

142,970