LAPORAN PEMAKAIAN OBAT

TA: 2017

BULAN

Pemakaian
NO NAMA OBAT SATUAN
Jumlah Rata-rata Stock Waktu Stock
Pemakaian perbulan Tunggu Buffer Stock Optimum
Januari
Februari
Maret
April
MeiJuniJuli
Agustus
September
Oktober
November
Desember
A B C

1 Acyclovir 200 mg tablet ###### 0 0 0 ##################### 1020 85 170 34 289

2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
6 Alat Suntik Sekali Pakai 3 ml pcs #################################### 4287 357 715 143 1,215
7 Alat Suntik Sekali Pakai 5 ml pcs ### 0 ### 5 6 0 ############### 8 991 83 165 33 281
8 Alat Suntik Sekali Pakai 10 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
9 Albendazole 400 mg tab tab 3 4 0 ###### 6 4 ### 4 6 0 0 3837 320 640 128 1,087
10 Alkohol swap 2% pcs ################## 0 ############### 8610 718 1,435 287 2,440
11 Allupurinol tab 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
12 Allopurinol tab 300 mg tablet #################################### 27708 2,309 4,618 924 7,851
13 Ambroxol 30 mg tab tablet #################################### 29959 2,497 4,993 999 8,488
14 Ambroxol syr btl/60 ml #################################### 2241 187 374 75 635
15 Aminofillin 200 mg tab tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
16 Aminofillin injeksi 24 mg / ml ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
17 Amlodipin tab 10 mg tablet 0 ############################## 0 19500 1,625 3,250 650 5,525
18 Amlodipin tab 5mg tablet #################################### 91503 7,625 15,251 3,050 25,926
19 Amoxycillin 250 mg kapsul kapsul ################################# 0 14804 1,234 2,467 493 4,194
20 Amoxycillin 500 mg kaplet kaplet #################################### 65168 5,431 10,861 2,172 18,464
21 Amoxycillin syr 125 mg/5 ml btl/60 ml #################################### 2084 174 347 69 590
22 Antalgin 500 mg tablet tablet ##################### 0 ############ 2262 189 377 75 641
23 Antalgin Injeksi 250 mg/ml-2ml ampul 0 0 0 ### 0 0 0 0 0 0 0 0 65 5 11 2 18
24 Antasida DOEN syr btl/60 ml #################################### 984 82 164 33 279
25 Antasida DOEN tablet tablet #################################### 32149 2,679 5,358 1,072 9,109
26 Antihemoroid Supos suppos #################################### 977 81 163 33 277
2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
27 bebas pirogen
Artesunate injeksi vial 1 0 0 ###### 0 0 0 0 0 0 0 25 2 4 1 7
28 60mg/1 ml vial 0 - - - -
29 Arthemeter injeksi ampul 0 - - - -
0 - - - -
30 ARV pcs 0 - - - -
ARV -HIV
-HIV 1/2
1/2 AB Plus Combo RAPID TEST
31 TRILINE pcs 0 - - - -
32 ARV -ONCOPROBE pcs 0 - - - -
33 ARV -SD 1/2 HIV pcs ### 0 0 0 0 0 0 0 ### 0 0 ### 4000 333 667 133 1,133
34 ARV -SD SIFILIS pcs ### 0 0 0 0 0 0 0 0 0 0 0 200 17 33 7 57
35 ARV -TRILINE HIV pcs ### 0 0 0 0 0 0 0 0 0 0 0 100 8 17 3 28
0 - - - -
36 tablet
ARV-Aluvia (Lapinavir 200 + ritonavir 50) 0 - - - -
0 - - - -
37 ARV-Atripla (TDF 300+3TC 300+EFV 600) tablet
0 - - - -
0 - - - -
38 tablet
ARV-Duviral (Zidovudin 300+Lamivudine150 0 - - - -
39 ARV-Efavirenz 600 mg tablet 0 - - - -
ARV-Emtriva (Emtricitabine 200 + tenofovir 0 - - - -
40 tablet
300) 0 - - - -
0 - - - -
41 tablet
ARV-FDC Pediatrik Dual (3TC 30/ Stav 6 mg ) 0 - - - -
42 ARV-Hiviral ( Lamifudine 150 mg ) tablet 0 - - - -
43 ARV-Neviral (Neviraphine 200 mg) tablet 0 - - - -
44 ARV-Reviral ( Zidovudine 100 mg ) tablet 0 - - - -
45 ARV-Tenofovir 300 mg tablet 0 - - - -
ARV-Zidovudine 60,Lamivudine 0 - - - -
46 tablet
30,Neviraphine50 0 - - - -
47 Asam Ascorbat 50 mg tablet #################################### 53739 4,478 8,957 1,791 15,226
48 Asam Ascorbat 250 mg tablet ########################### 0 0 0 32198 2,683 5,366 1,073 9,123
49 Asam Folat 1 mg tablet ########################### 0 0 ### 6662 555 1,110 222 1,888
50 Asam Mefenamat 500 mg kaplet tablet #################################### 31313 2,609 5,219 1,044 8,872
51 Asam Traneksamat 500 mg injeksi ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
52 Asetosal 80 mg (MINIASPI) tablet #################################### 3192 266 532 106 904
53 Atenolol 50 mg tablet tablet 4 ### 0 0 0 0 0 0 0 0 0 0 504 42 84 17 143
54 Atropin Injeksi 0,25 mg/ml -1 ml ampul 0 - - - -
55 Attapulgite (puralex) tab tablet ################## 0 0 0 0 0 ### 3973 331 662 132 1,126
56 Azithromycin 500 mg caps kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
57 Benzatin Penisilin 2,4 ui/ml vial 0 0 ### 0 0 0 0 0 ### 0 0 0 80 7 13 3 23
58 Betahistin tablet tablet 0 0 0 0 0 0 0 0 0 0 0 ### 40 3 7 1 11
2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
59 Betamethasone krim tube #################################### 1429 119 238 48 405
60 Biomeriux Vikia 0 0 0 0 0 0 0 0 0 0 0 ### 50 4 8 2 14
61 Bioplacenton Gel tube 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1
62 Bisacodil suppos 5 mg suppos 0 0 0 0 0 0 0 0 0 3 4 2 9 1 2 0 3
63 Bisacodil suppos 10 mg ( stolax) suppos 0 0 0 0 0 0 0 0 0 2 ### 8 26 2 4 1 7
64 Bisacodyl 5 mg tablet tablet 0 0 0 0 0 0 0 0 0 0 0 8 8 1 1 0 2
65 Bistury ( Mata Pisau Bedah ) pcs 0 0 0 0 0 0 0 0 0 ### 0 0 100 8 17 3 28
66 Blood lancet pcs ### 0 ######################## 0 ### 6200 517 1,033 207 1,757
67 Bonding pcs 0 - - - -
68 Borax Gliserin (GOM) btl #################################### 347 29 58 12 98
69 Captopril 12,5 mg tablet 0 ################################# 7992 666 1,332 266 2,264
70 Captopril 25 mg tab tablet #################################### 20471 1,706 3,412 682 5,800
71 Cat Gut Chrom 2/0 pcs 0 - - - -
72 Cat Gut Chrom 3/0 pcs ### 0 0 0 0 ### 0 ### 0 ######### 216 18 36 7 61
73 Cat Gut Plain 2/0 pcs 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0
74 Cat Gut Plain 3/0 pcs 0 0 0 0 2 1 ### 0 0 0 0 ### 157 13 26 5 44
75 Caviton Pink pcs 0 1 0 0 0 0 0 0 0 1 0 2 0 0 0 1
76 Cefadroxyl 500 mg kapsul #################################### 16821 1,402 2,804 561 4,766
77 Cefadroxyl syr 125 mg btl/60 ml ###### 5 5 0 4 4 ###### 7 ###### 151 13 25 5 43
78 Cefixime 100 mg caps kapsul 0 0 ### 0 0 0 0 0 0 0 0 ### 550 46 92 18 156
79 Cendo Pantocain tetes mata mini dose 0,5% pcs 0 0 0 0 0 0 0 - - - -
80 Cetirizine 10 mg tablet #################################### 36459 3,038 6,077 1,215 10,330
81 Cetirizine syrup 5mg/ 5ml btl/60 ml #################################### 605 50 101 20 171
82 Ciprofloxacin 500 mg tablet #################################### 3959 330 660 132 1,122
83 Combivent 2,5mg ampul 0 0 0 0 0 0 0 0 0 0 0 ### 10 1 2 0 3
84 Curcuma tablet tablet #################################### 4685 390 781 156 1,327
85 Daryantulle pcs 0 ### 0 0 ######################## 123 10 21 4 35
86 Dexamethasone 0,5 mg tab tablet #################################### 37032 3,086 6,172 1,234 10,492
87 Dexamethasone injeksi 5mg/1ml ampul ######### 0 0 ###### 0 ### 0 ### 0 137 11 23 5 39
88 Dextral tablet #################################### 35851 2,988 5,975 1,195 10,158
89 DHP tab(Dihidroartemisinin 40 mg+Piperaqiun 3 tablet 0 0 0 0 0 0 0 0 0 0 3 0 3 0 1 0 1
90 Diazepam 2 mg tab tablet ######################## 0 0 0 0 1217 101 203 41 345
91 Diazepam inj 5 mg/ml-2ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
92 Difenhidramin Hcl injeksi 10 mg/ml ampul 0 ### 0 ###### 0 0 0 0 ###### 0 265 22 44 9 75
93 Digoxin 0,25 mg tab tablet ###### 3 ################## 0 0 ### 1639 137 273 55 464
94 Dimenhydrinate 50 mg tab tablet #################################### 8958 747 1,493 299 2,538
95 Doksisiklin 100 mg kapsul 0 ### 0 ###### 0 0 0 0 ### 4 ### 229 19 38 8 65
96 Domperidon 10 mg tab tablet ################## 0 ############### 8714 726 1,452 290 2,469
 2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
97 Domperidon susp btl/60 ml ######################## 9 ######### 321 27 54 11 91
98 Elastis Verban 3 inc roll 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0
99 Elastis Verban 4 inc ( 10 cm x 4.55 m ) Roll 0 0 1 0 0 0 0 1 0 0 1 0 3 0 1 0 1
100 Elastis Verban 6 inc ( 15 cm x 4.55 m ) Roll 1 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 1
101 Elite Cement pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
102 Epinefrin HCI injeksi 0,1%-1ml ampul 0 0 0 0 ### 0 0 0 8 ### 0 0 55 5 9 2 16
103 Ergotamini caffein 1mg tab ( anti migraen ) tablet 0 - - - -
104 Erythromycin 500 mg capsul kapsul 0 ###### 0 ######################## 2054 171 342 68 582
105 Erythromycin syr btl/60 ml ### 0 0 0 0 0 0 0 0 0 ###### 61 5 10 2 17
106 Etakridin ( Rivanol ) larutan 0.1% btl/300 ml 1 0 0 0 0 0 0 0 3 0 0 0 4 0 1 0 1
107 Etanol Larutan 70 % 1000 ML btl/1000 ml 2 0 0 0 0 1 1 1 2 1 2 0 10 1 2 0 3
108 Etanol Larutan 70 % 100 ML btl/100 ml 0 - - - -
109 Etching pcs 0 - - - -
110 Etil Klorida semprot btl/100 ml 0 2 1 5 0 3 0 4 0 8 3 2 28 2 5 1 8
111 Eugenol larutan botol 0 0 0 0 2 0 2 0 0 0 1
112 Fenobarbital 30 mg tab tablet 0 ######### 0 ### 0 ###### 5 ###### 400 33 67 13 113
113 Fenol Gliserol tetes telinga botol 0 0 0 0 3 ######### 4 ######### 120 10 20 4 34
114 Fitomenadion (Vit. K1) injeksi 10 mg/ml ampul 0 ### 0 ###### 0 0 ### 0 ###### 0 210 18 35 7 60
115 Fitomenadion inj (Neo K) ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
116 Fitomenadion tablet 10 mg tablet #################################### 3845 320 641 128 1,089
117 Fokus 1/2 HIV 0 0 0 0 0 0 0 0 0 0 0 ### 50 4 8 2 14
118 Folley cateter no 14 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
119 Folley Chateter no 16 pcs 0 0 0 0 0 5 0 0 0 0 0 ### 15 1 3 1 4
120 Folley Chateter no.18 pcs 0 0 0 0 1 ### 0 0 0 0 0 ### 21 2 4 1 6
121 Furosemide 40 mg tablet 0 ################## 0 0 0 0 ### 540 45 90 18 153
122 Garam oralit untuk 200 ml air bungkus #################################### 4050 338 675 135 1,148
123 Gemfibrozil 300 mg caps kapsul #################################### 4195 350 699 140 1,189
124 Gentamycin 0.1% salap kulit tube ################################# 6 1703 142 284 57 483
125 Gentamycin tetes mata 3mg/ ml botol ############ 3 ##################### 533 44 89 18 151
126 Gentian Violet larutan 1% botol 1 0 3 2 1 4 3 2 4 0 0 1 21 2 4 1 6
127 Glass Ionomer cement set 0 0 0 0 1 0 0 0 0 0 1 0 2 0 0 0 1
128 Glibenklamide 5 mg tablet tablet #################################### 22712 1,893 3,785 757 6,435
129 Glimepiride 2 mg tablet ########################### 0 ###### 7455 621 1,243 249 2,112
130 Gliseril Guaiakolat 100 mg tablet #################################### 45491 3,791 7,582 1,516 12,889
131 Glukosa larutan infus 5% steril btl/500 ml 0 0 0 0 0 ### 0 0 0 0 0 0 26 2 4 1 7
131 Griseofulvin 125 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
132 Haloperidol 1,5 mg tab tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
133 Handscoon 6,5 steril pasang ### 0 ######### 0 0 0 0 0 0 ### 50 4 8 2 14
 2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
134 Handscoon 7 steril pasang ### 0 ### 0 0 0 0 0 0 0 0 ### 31 3 5 1 9
135 Handscoon 7,5 steril pasang 0 ### 0 0 0 0 0 0 0 0 0 7 25 2 4 1 7
136 Handscoon size L psc ##################### 0 0 0 ###### 3100 258 517 103 878
137 Handscoon size M psc #################################### 11634 970 1,939 388 3,296
138 Handscoon size S psc #################################### 12800 1,067 2,133 427 3,627
139 Hexagon Syphilis pcs 0 0 0 0 0 0 0 0 0 0 0 ### 1100 92 183 37 312
140 Hidrochlortiazide 25 mg tab (HCT) tablet #################################### 2464 205 411 82 698
141 Hidrokortison krim 2,5% @5gr tube #################################### 910 76 152 30 258
142 Hydrogen Peroxida (H2O2) 3% btl/250 ml 0 - - - -
143 Hydrogen Peroxida (H2O2) 3% btl / 1 liter 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0
144 Hyocine Butil Bromida 10mg tab (SCOPMA) tablet #################################### 3420 285 570 114 969
145 Hypavix 5 x 500 cm roll 1 1 1 2 0 1 1 2 2 0 1 2 14 1 2 0 4
146 Ibuproven 400 mg tablet tablet #################################### 24433 2,036 4,072 814 6,923
147 Ibuproven 200mg tablet tablet ###### 0 0 ### 0 0 0 0 0 0 0 128 11 21 4 36
148 Ibuproven suspensi 100 mg/5 ml btl/60 ml ################## 3 ############### 203 17 34 7 58
149 Ichtiol salap pot 1 0 7 2 5 9 6 4 5 0 5 5 49 4 8 2 14
150 Infus set anak set 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
151 Infus set dewasa set ###### 1 ######### 0 ### 4 ###### 0 270 23 45 9 77
152 Isoniazide 100 mg tab ( INH) tablet 0 - - - -
153 Isosorbite dinitrate 5 mg tablet #################################### 4215 351 703 141 1,194
154 IV Chateter 18 G pcs 0 ############### 0 ###### 0 ### 0 230 19 38 8 65
155 IV Chateter 20 G pcs 0 0 ###### 5 0 0 ### 0 ### 0 0 80 7 13 3 23
156 IV Chateter 22 G pcs 0 0 1 0 0 0 0 0 4 0 0 0 5 0 1 0 1
157 IV Chateter 24 G pcs 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0
158 Jelly USG btl/5 liter 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0
159 Kalium Diklofenak 50 mg tablet #################################### 15371 1,281 2,562 512 4,355
160 Kalium Gluconat Injeksi ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
161 Kalium Permanganat Serbuk pot 0 0 0 0 0 ### 6 0 ######### 3 80 7 13 3 23
162 Kalsium Hidroksida Pasta kotak 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
163 Kalsium Laktat 500 mg tablet #################################### 33804 2,817 5,634 1,127 9,578
164 Kapas Berlemak 500 gram bungkus 0 - - - -
165 Kapas Pembalut /Absorben 250 gram bungkus 8 0 4 3 1 3 0 0 2 5 0 0 26 2 4 1 7
166 Kapas Pembalut /Absorben 500 gram bungkus 0 0 0 0 0 0 0 1 2 0 4 3 10 1 2 0 3
167 Kasa 16x16 steril kotak ############ 2 ###### 3 ###### 9 ### 240 20 40 8 68
168 Kasa 36m x 80cm gulung 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
169 Kasa 40x80 gulung 1 4 0 0 1 3 3 2 2 5 3 4 28 2 5 1 8
170 Kasa Kompres 40x40 steril pcs 0 0 0 0 0 0 0 ### 0 0 0 0 20 2 3 1 6
171 Ketokonazole 200 mg tab tablet #################################### 3268 272 545 109 926
 2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
172 Ketorolac injeksi 30 mg/ml ampul 0 0 0 0 0 0 0 0 0 ### 0 0 12 1 2 0 3
173 Klindamisin 150 mg capsul kapsul 0 0 0 0 0 0 0 0 0 ###### 230 19 38 8 65
174 Klindamisin 300 mg capsul kapsul #################################### 883 74 147 29 250
175 Kloramfenikol salap kulit 0 0 0 0 0 0 0 0 0 0 0 ### 25 2 4 1 7
176 Kloramfenikol salap mata 1% @3,5gr tube #################################### 310 26 52 10 88
177 Kloramfenikol suspensi btl/60 ml 0 2 0 0 0 0 0 0 ### 0 0 0 48 4 8 2 14
178 Khloramfenikol tts mata btl 0 0 0 0 0 0 0 0 0 6 7 ### 35 3 6 1 10
179 Kloramfenikol Tetes Telinga 3% botol ##################### 0 0 0 0 0 242 20 40 8 69
180 Klorfenol Kamfer Mentol ( CHKM ) btl/10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
181 Klorpheniramini Maleat 4mg (CTM) tablet #################################### 55860 4,655 9,310 1,862 15,827
182 Klorpromazin 25mg tablet salut tablet 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
183 Kolin Pectin Syr (Kanina) btl/60 ml ### 2 8 4 8 ##################### 406 34 68 14 115
184 Kotrimoksazol suspensi btl/60 ml ### 0 0 0 7 ##################### 160 13 27 5 45
185 Kotrimoksazol tablet 480 mg tablet #################################### 13239 1,103 2,207 441 3,751
186 Larutan HCl 0.1N btl/250 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
187 Laxadine syrup btl/60 ml ######### 8 7 5 5 0 0 5 6 4 91 8 15 3 26
188 Leukoplast 5 x 4,5 roll 0 0 0 0 0 0 0 0 0 0 0 - - - -
189 Leukoplast 7.5 cm x 4,5 m roll 2 2 4 3 0 5 4 1 3 4 2 2 32 3 5 1 9
190 Lidocain Com Inj (lidocain inj 2% + epinefrin ) ampul #################################### 1210 101 202 40 343
191 Lidocain inj 2% ampul 0 0 0 0 0 ### 0 0 ### 0 200 17 33 7 57
192 Lisol mengandung kresol tersabun 50% btl/1000 ml 0 0 2 1 0 2 0 1 0 2 1 1 10 1 2 0 3
193 Magnesium sulfat inj 40% - 25 ml vial 0 0 0 5 0 0 0 0 0 0 0 0 5 0 1 0 1
194 Masker 3 ply pcs #################################### 4510 376 752 150 1,278
195 Meloxicam 15 mg tablet tablet ### 0 ############################## 6580 548 1,097 219 1,864
196 Meloxicam 7.5 mg tablet tablet #################################### 15117 1,260 2,520 504 4,283
197 Metformin 500 mg tablet #################################### 54395 4,533 9,066 1,813 15,412
198 Methylergometrin injeksi 2 % ampul ### 0 0 0 0 0 0 ### 0 0 ### 0 180 15 30 6 51
199 Methylprednisolon 4 mg tab tablet ######################## 0 0 0 0 10336 861 1,723 345 2,929
200 Metoklopramid 10 mg tablet tablet 0 0 0 0 0 0 0 0 0 0 - - - -
201 Metronidazole 250 mg tablet tablet ###### 0 ######### 0 ############### 3420 285 570 114 969
201 Metronidazole 500 mg tablet tablet ########################### 0 0 ### 3026 252 504 101 857
203 Miconazol krim tube #################################### 1063 89 177 35 301
204 Micropipette pcs 0 - - - -
205 Mineral Mix bungkus 0 - - - -
206 Multivitamin syr (VICALSIN) btl/60 ml #################################### 1025 85 171 34 290
207 Nald Heating kulit no 9 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
208 Nald Heating kulit no 11 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
209 Nald Heating kulit no 12 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
 2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
210 Nald Heating kulit no 13 lusin 0 - - - -
211 Nald Heating kulit no 14 lusin 0 - - - -
212 Nald Heating kulit no 16 lusin 0 - - - -
213 Nald Heating otot no 9 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
214 Nasal cannula oxygen Anak pcs 0 - - - -
215 Nasal cannula oxygen Dewasa pcs 0 - - - -
216 Natrium Bicarbonat tablet 500 mg tablet 0 0 0 0 0 0 ### 0 0 0 0 0 1000 83 167 33 283
217 Natrium Diklofenac 50 mg tablet ############ 0 ############ 0 ###### 2590 216 432 86 734
218 Natrium Diklofenak 25 mg tablet #################################### 16308 1,359 2,718 544 4,621
219 Natrium klorida larutan infus 0,9% steril btl/500 ml ### 1 1 1 3 ### 7 ###### 7 ###### 138 12 23 5 39
220 Needle 23 G pcs ### 0 ### 0 ### 0 ###### 0 ######### 1555 130 259 52 441
221 Needle 25 G pcs 0 0 ### 0 0 0 0 0 0 0 0 0 300 25 50 10 85
222 Neocenta gel 15 gr tube 6 0 0 0 3 3 0 3 1 3 2 7 28 2 5 1 8
223 Nifedipin 10 mg tablet tablet #################################### 4663 389 777 155 1,321
224 Nistatin tablet vagina 100.000 iu tablet ############### 0 ###### 8 ######### 378 32 63 13 107
225 Nystatin 500.000IU tablet ### 0 ############ 0 0 0 0 6 0 510 43 85 17 145
226 Obat Batuk Hitam (OBH) sirup btl/100 ml ################## 0 0 0 0 0 8 220 18 37 7 62
227 Obat TB Anak FDC paket 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
228 Obat TB Kategori I / FDC paket 0 0 0 5 0 2 2 0 1 2 4 2 18 2 3 1 5
229 Obat TB Kategori II paket 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
230 Obat TB Kombipak kategori I paket 0 - - - -
231 Oksitetrasiklin Hcl salap kulit 3% tube 1 ### 0 ######### 7 7 9 4 ###### 435 36 73 15 123
232 Oksitetrasiklin Hcl salap mata 1% tube ###### 2 4 0 ### 0 ###### 0 7 ### 184 15 31 6 52
233 Oksitosin injeksi ampul 0 0 0 0 0 0 ### 0 ######### 350 29 58 12 99
234 Oksitosin injeksi ( Tiacinon inj ) 10 iu ampul ### 0 0 ### 0 0 0 0 0 0 0 0 100 8 17 3 28
235 Omeprazole 20 mg caps kapsul #################################### 11350 946 1,892 378 3,216
236 Papaverin 40 mg tablet 0 7 ##################### 0 0 0 510 43 85 17 145
237 Paracetamol drop 100 mg/ml btl/15 ml 9 8 ############################## 490 41 82 16 139
238 Paracetamol sirup 120 mg/5 ml btl/60 ml #################################### 3229 269 538 108 915
239 Paracetamol tablet 500 mg tablet #################################### 156643 13,054 26,107 5,221 44,382
240 Parasetamol Rectal 125 mg (Dumin ) pcs 2 0 3 3 2 2 3 0 1 1 0 1 18 2 3 1 5
241 Parasetamol Rectal 250 mg (Dumin) pcs 0 0 0 0 1 0 0 5 0 0 0 0 6 1 1 0 2
242 Piracetam 400 mg tab tablet #################################### 1185 99 198 40 336
243 Pirantel tablet 125 mg tablet 0 ##################### 1 0 ###### 515 43 86 17 146
244 Piridoksin (vitamin B6) tablet 10 mg tablet ######################## 0 ######### 39407 3,284 6,568 1,314 11,165
245 Piroxicam 10 mg tablet tablet #################################### 26156 2,180 4,359 872 7,411
246 Piroxicam 20 mg tablet tablet ### 0 0 0 ### 0 0 ############### 1215 101 203 41 344
247 Plesterin Woven Roll roll 0 0 0 0 0 0 0 0 0 0 1 3 4 0 1 0 1
 2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
248 Polikorsulen larutan 360mg/ml ( Aptil ) btl 0 1 1 0 0 0 0 0 0 0 1 2 5 0 1 0 1
249 Pot Sputum pcs 0 ### 0 ### 0 0 0 0 0 0 0 ### 600 50 100 20 170
250 Povidon Iodida 10% 30 ml btl/30 ml 0 0 1 0 2 2 1 2 0 8 1 1 0 2
251 Povidon Iodida 10% 60 ml btl/60 ml 0 0 0 0 0 0 0 0 0 0 - - - -
252 Povidon Iodida 10% 300 ml btl/300 ml 2 1 0 4 0 2 6 3 4 5 3 7 37 3 6 1 10
253 Prednison tablet 5 mg tablet ############### 0 0 0 0 0 0 0 1719 143 287 57 487
254 Primaquin tab tablet 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
255 PTU 100 mg tablet ###### 0 ### 0 0 ###### 0 0 0 ### 695 58 116 23 197
256 Ranitidiine tab 150 mg tablet #################################### 96558 8,047 16,093 3,219 27,358
257 Ranitidine inj ampul 0 0 1 0 1 0 0 0 2 0 0 ### 14 1 2 0 4
258 Reagen Zieh Neelsen paket ### 0 0 0 0 0 0 0 0 0 0 20 2 3 1 6
259 Ringer Laktat larutan infus steril btl/500 ml ### 0 2 ### 0 ### 0 ############### 300 25 50 10 85
260 RPR test sifilis pcs 0 ### 0 0 0 0 0 0 0 0 0 ### 1200 100 200 40 340
261 Salap 2-4 Komb.As.Sal 2%+Belerang 4% pot ### 8 ######### 5 ################## 288 24 48 10 82
262 Salbutamol tablet 2 mg tablet #################################### 12442 1,037 2,074 415 3,525
263 Salbutamol tablet 4 mg tablet #################################### 4431 369 739 148 1,255
264 Salisil Talk ktk ######################## 0 0 ###### 519 43 87 17 147
265 Sarung Tangan Steril panjang ( obgyn ) pasang 0 5 0 0 0 ### 0 0 0 0 ### 0 45 4 8 2 13
266 Scabimid cream tube 0 0 3 ### 9 ### 4 9 0 0 0 9 59 5 10 2 17
267 Serum Anti Bisa Ular (ABU) vial 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0
268 Serum Anti Tetanus 1.500 iu (ATS) ampul 0 4 0 0 0 0 0 0 0 0 0 0 4 0 1 0 1
269 Serum golongan darah set 0 1 0 0 1 1 0 2 0 0 0 0 5 0 1 0 1
270 Serum Mantoux Test vial 0 - - - -
271 Sianokobalamin injeksi 500 mcg/ml ampul 0 0 0 ### 0 0 0 ### 0 0 0 0 90 8 15 3 26
272 Silk 2/0 dengan jarum pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
273 Silk 3/0 dengan jarum pcs 0 0 0 ### 0 ### 0 0 ### 0 0 ### 120 10 20 4 34
274 Simvastatin 10 mg tablet tablet #################################### 76260 6,355 12,710 2,542 21,607
275 Simvastatin 20 mg tablet tablet ################################# 16710 1,393 2,785 557 4,735
276 Slide Glass pcs 0 ### 0 0 ############ 0 ### 0 ### 1296 108 216 43 367
277 Stesolid 10 mg / 2.5 ml rectal pcs 0 0 0 0 4 0 0 0 0 0 0 1 5 0 1 0 1
278 Stesolid 5 mg / 2.5 ml rectal pcs 0 0 0 0 1 0 3 0 0 0 0 1 5 0 1 0 1
279 Sukralfat Suspensi btl/100 ml ### 2 ###### 8 ### 2 ### 6 7 8 3 110 9 18 4 31
280 Sulfadoxine Pyrimethamine tablet 3 0 0 0 0 0 2 0 0 3 ### 0 95 8 16 3 27
281 Tablet Tambah Darah tablet ################################# 0 39568 3,297 6,595 1,319 11,211
282 Tabung Vacutainer pcs 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
283 Tabung Vacutainer EDTA pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
284 Thiamin HCl (vit.B1) tablet 50 mg tablet ######### 0 ######################## 28205 2,350 4,701 940 7,991
285 Thrombophob Oint 15 gr tube 3 0 0 0 0 0 0 2 1 0 2 0 8 1 1 0 2
 2 Acyclovir 400 mg tablet ######### 0 ######################## 4121 343 687 137 1,168
3 Acyclovir cream tube ###### 9 7 ######################## 321 27 54 11 91
4 Alat Suntik Sekali Pakai 1 ml pcs ### 0 ### 0 0 0 ######### 0 ###### 1000 83 167 33 283
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
286 Tramadol tab 50 mg kapsul ########################### 0 ###### 1226 102 204 41 347
287 Tranfusi Set pcs 0 0 0 0 0 0 ######### 70 6 12 2 20
288 Trihexyphenidyl 2 mg tab tablet ######### 0 ######################## 950 79 158 32 269
289 Trikresol formalin (TKF) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
290 Umbilical klem pcs 0 ### 0 0 0 ###### 0 ### 0 ###### 250 21 42 8 71
291 Under Pad pcs ### 0 0 0 0 0 0 0 ############ 100 8 17 3 28
292 Urine bag pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 - - - -
293 Ventolin nebulizer ampul 0 0 ### 0 5 5 0 ### 0 ### 0 0 50 4 8 2 14
294 Vitamin A 100.000 IU kapsul 0 - - - -
295 Vitamin A 200.000 IU kapsul 0 - - - -
296 Vitamin B 12 tablet 50 mcg tablet #################################### 74879 6,240 12,480 2,496 21,216
297 Vitamin B Komplek tab tablet #################################### 109952 9,163 18,325 3,665 31,153
298 Xylocaine Jelly pcs 0 0 0 0 0 0 0 2 0 0 0 0 2 0 0 0 1
299 Yellow Tip pcs 0 - - - -
300 Zink Dispersible tab tablet #################################### 6649 554 1,108 222 1,884
301 Zink drop ( Zink pro ) 10 mg/ml botol 3 6 0 0 0 0 0 0 0 0 0 0 9 1 2 0 3
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C

1 Acyclovir 200 mg tablet 55 220 0 0 0 135 15 146 137 44 248 20 1020

2 Acyclovir 400 mg tablet 364 368 290 0 180 790 220 431 390 53 610 425 4121
3 Acyclovir cream tube 44 46 9 7 13 30 20 32 24 16 35 45 321
4 Alat Suntik Sekali Pakai 1 ml pcs 200 0 100 0 0 0 200 100 100 0 200 100 1000
5 Alat Suntik Sekali Pakai 2,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Alat Suntik Sekali Pakai 3 ml pcs 221 200 228 200 231 600 518 222 425 612 115 715 4287
7 Alat Suntik Sekali Pakai 5 ml pcs 206 0 125 5 6 0 10 301 10 210 110 8 991
8 Alat Suntik Sekali Pakai 10 ml pcs 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Albendazole 400 mg tab tab 3 4 0 200 10 6 4 3600 4 6 0 0 3837
10 Alkohol swap 2% pcs 10 500 500 500 700 1100 0 1300 1000 1400 300 1300 8610
11 Allupurinol tab 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Allopurinol tab 300 mg tablet 2047 2135 2257 2401 1801 1964 2190 2690 2595 1945 2365 3318 27708
13 Ambroxol 30 mg tab tablet 1410 2085 2851 3959 1087 2522 2561 1593 3389 2810 2820 2872 29959
14 Ambroxol syr btl/60 ml 381 192 174 159 196 179 153 177 130 136 181 183 2241
15 Aminofillin 200 mg tab tablet 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Aminofillin injeksi 24 mg / ml ampul 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Amlodipin tab 10 mg tablet 0 1420 1370 2037 2164 1769 2725 2590 3215 2030 180 0 19500
18 Amlodipin tab 5mg tablet 8052 6325 6965 10745 3974 3611 4710 6035 6355 6701 12499 15531 91503
19 Amoxycillin 250 mg kapsul kapsul 2711 1548 1932 601 1220 1161 898 1183 699 756 2095 0 14804
20 Amoxycillin 500 mg kaplet kaplet 4847 6102 5889 4807 4485 4190 5911 5026 4617 5280 6952 7062 65168
21 Amoxycillin syr 125 mg/5 ml btl/60 ml 173 226 168 176 233 156 134 132 131 185 189 181 2084
22 Antalgin 500 mg tablet tablet 305 377 127 217 18 287 531 0 10 115 240 35 2262
23 Antalgin Injeksi 250 mg/ml-2ml ampul 0 0 0 65 0 0 0 0 0 0 0 0 65
24 Antasida DOEN syr btl/60 ml 61 118 50 80 55 68 60 87 85 85 128 107 984
25 Antasida DOEN tablet tablet 2750 4348 3796 753 2657 3178 2337 2316 1972 2148 3223 2671 32149
26 Antihemoroid Supos suppos 68 74 93 91 108 142 29 106 76 71 69 50 977
27 bebas pirogen
Artesunate injeksi vial 1 0 0 10 14 0 0 0 0 0 0 0 25
28 60mg/1 ml vial 0
29 Arthemeter injeksi ampul 0
ARV -HIV 1/2 AB Plus Combo 0
30 RAPID TEST pcs 0
ARV -HIV 1/2
31 TRILINE pcs 0
32 ARV -ONCOPROBE pcs 0
33 ARV -SD 1/2 HIV pcs 1000 0 0 0 0 0 0 0 1000 0 0 2000 4000
34 ARV -SD SIFILIS pcs 200 0 0 0 0 0 0 0 0 0 0 0 200
35 ARV -TRILINE HIV pcs 100 0 0 0 0 0 0 0 0 0 0 0 100
ARV-Aluvia (Lapinavir 200 + 0
36 tablet
ritonavir 50) 0
ARV-Atripla (TDF 300+3TC 0
37 tablet
300+EFV 600) 0
ARV-Duviral (Zidovudin 0
38 tablet
300+Lamivudine150 0
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C
39 ARV-Efavirenz 600 mg tablet 0
ARV-Emtriva (Emtricitabine 200 + tablet 0
40
tenofovir 300) 0
ARV-FDC Pediatrik Dual (3TC 30/ 0
41 tablet
Stav 6 mg ) 0
42 ARV-Hiviral ( Lamifudine 150 mg ) tablet 0
43 ARV-Neviral (Neviraphine 200 mg) tablet 0
44 ARV-Reviral ( Zidovudine 100 mg ) tablet 0
45 ARV-Tenofovir 300 mg tablet 0
ARV-Zidovudine 60,Lamivudine 0
46 tablet
30,Neviraphine50 0
47 Asam Ascorbat 50 mg tablet 1270 3259 1190 2023 3012 804 1017 2311 5036 8359 11942 13516 53739
48 Asam Ascorbat 250 mg tablet 3291 2901 4057 3982 6193 3989 4495 2920 370 0 0 0 32198
49 Asam Folat 1 mg tablet 452 1150 1255 632 435 488 710 960 530 0 0 50 6662
50 Asam Mefenamat 500 mg kaplet tablet 2605 2758 1854 1932 2256 2076 2804 3591 2757 2363 3137 3180 31313
51 Asam Traneksamat 500 mg injeksi ampul 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Asetosal 80 mg (MINIASPI) tablet 282 213 170 390 370 335 432 203 335 20 230 212 3192
53 Atenolol 50 mg tablet tablet 4 500 0 0 0 0 0 0 0 0 0 0 504
54 Atropin Injeksi 0,25 mg/ml -1 ml ampul 0
55 Attapulgite (puralex) tab tablet 253 431 603 422 463 1601 0 0 0 0 0 200 3973
56 Azithromycin 500 mg caps kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0
57 Benzatin Penisilin 2,4 ui/ml vial 0 0 30 0 0 0 0 0 50 0 0 0 80
58 Betahistin tablet tablet 0 0 0 0 0 0 0 0 0 0 0 40 40
59 Betamethasone krim tube 88 146 127 90 130 124 105 143 110 101 129 136 1429
60 Biomeriux Vikia 0 0 0 0 0 0 0 0 0 0 0 50 50
61 Bioplacenton Gel tube 2 0 0 0 0 0 0 0 0 0 0 0 2
62 Bisacodil suppos 5 mg suppos 0 0 0 0 0 0 0 0 0 3 4 2 9
63 Bisacodil suppos 10 mg ( stolax) suppos 0 0 0 0 0 0 0 0 0 2 16 8 26
64 Bisacodyl 5 mg tablet tablet 0 0 0 0 0 0 0 0 0 0 0 8 8
65 Bistury ( Mata Pisau Bedah ) pcs 0 0 0 0 0 0 0 0 0 100 0 0 100
66 Blood lancet pcs 600 0 500 500 800 500 200 600 700 1200 0 600 6200
67 Bonding pcs 0
68 Borax Gliserin (GOM) btl 16 36 25 15 42 21 22 34 21 31 37 47 347
69 Captopril 12,5 mg tablet 0 760 562 1205 925 910 683 566 440 450 560 931 7992
70 Captopril 25 mg tab tablet 1070 1480 1510 2229 3390 410 1649 1938 2065 1579 1371 1780 20471
71 Cat Gut Chrom 2/0 pcs 0
72 Cat Gut Chrom 3/0 pcs 24 0 0 0 0 48 0 24 0 48 24 48 216
73 Cat Gut Plain 2/0 pcs 0 0 0 0 1 0 0 0 0 0 0 0 1
74 Cat Gut Plain 3/0 pcs 0 0 0 0 2 1 130 0 0 0 0 24 157
75 Caviton Pink pcs 0 1 0 0 0 0 0 0 0 1 0 2
76 Cefadroxyl 500 mg kapsul 1206 2037 1273 1497 924 2054 1200 1250 1227 1090 1693 1370 16821
77 Cefadroxyl syr 125 mg btl/60 ml 10 10 5 5 0 4 4 27 26 7 25 28 151
78 Cefixime 100 mg caps kapsul 0 0 300 0 0 0 0 0 0 0 0 250 550
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C
79 Cendo Pantocain tetes mata mini do pcs 0 0 0 0 0 0 0
80 Cetirizine 10 mg tablet 3154 2929 3027 3902 3349 3809 2981 3343 621 2331 2649 4364 36459
81 Cetirizine syrup 5mg/ 5ml btl/60 ml 28 38 30 21 53 42 100 21 39 100 48 85 605
82 Ciprofloxacin 500 mg tablet 490 190 422 418 336 250 209 321 150 140 536 497 3959
83 Combivent 2,5mg ampul 0 0 0 0 0 0 0 0 0 0 0 10 10
84 Curcuma tablet tablet 343 451 439 270 440 410 266 460 355 415 470 366 4685
85 Daryantulle pcs 0 20 0 0 11 10 20 10 11 10 10 21 123
86 Dexamethasone 0,5 mg tab tablet 2289 4390 3022 2106 2181 572 3301 3455 3956 3692 3985 4083 37032
87 Dexamethasone injeksi 5mg/1ml ampul 10 10 17 0 0 10 10 0 10 0 70 0 137
88 Dextral tablet 610 2702 2648 1360 2759 2841 2971 3457 3084 3430 4721 5268 35851
89 DHP tab(Dihidroartemisinin 40 mg+ tablet 0 0 0 0 0 0 0 0 0 0 3 0 3
90 Diazepam 2 mg tab tablet 157 131 85 178 111 139 53 363 0 0 0 0 1217
91 Diazepam inj 5 mg/ml-2ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0
92 Difenhidramin Hcl injeksi 10 mg/ml ampul 0 30 0 145 30 0 0 0 0 30 30 0 265
93 Digoxin 0,25 mg tab tablet 49 93 3 50 85 85 180 30 95 0 0 969 1639
94 Dimenhydrinate 50 mg tab tablet 806 824 907 103 754 825 887 533 527 1521 489 782 8958
95 Doksisiklin 100 mg kapsul 0 125 0 10 20 0 0 0 0 40 4 30 229
96 Domperidon 10 mg tab tablet 728 670 979 591 637 2036 0 26 778 390 955 924 8714
97 Domperidon susp btl/60 ml 35 23 16 27 22 28 21 38 9 34 41 27 321
98 Elastis Verban 3 inc roll 0 0 0 0 0 0 0 0 0 0 1 0 1
99 Elastis Verban 4 inc ( 10 cm x 4.55 Roll 0 0 1 0 0 0 0 1 0 0 1 0 3
100 Elastis Verban 6 inc ( 15 cm x 4.55 Roll 1 0 0 0 0 0 0 0 0 0 1 0 2
101 Elite Cement pcs 0 0 0 0 0 0 0 0 0 0 0 0 0
102 Epinefrin HCI injeksi 0,1%-1ml ampul 0 0 0 0 30 0 0 0 8 17 0 0 55
103 Ergotamini caffein 1mg tab ( anti mi tablet 0
104 Erythromycin 500 mg capsul kapsul 0 25 97 0 286 220 175 301 70 140 258 482 2054
105 Erythromycin syr btl/60 ml 29 0 0 0 0 0 0 0 0 0 15 17 61
106 Etakridin ( Rivanol ) larutan 0.1% btl/300 ml 1 0 0 0 0 0 0 0 3 0 0 0 4
107 Etanol Larutan 70 % 1000 ML btl/1000 ml 2 0 0 0 0 1 1 1 2 1 2 0 10
108 Etanol Larutan 70 % 100 ML btl/100 ml 0
109 Etching pcs 0
110 Etil Klorida semprot btl/100 ml 0 2 1 5 0 3 0 4 0 8 3 2 28
111 Eugenol larutan botol 0 0 0 0 2 0 2
112 Fenobarbital 30 mg tab tablet 0 30 20 35 0 90 0 55 124 5 31 10 400
113 Fenol Gliserol tetes telinga botol 0 0 0 0 3 12 40 17 4 10 18 16 120
114 Fitomenadion (Vit. K1) injeksi 10 ampul 0 30 0 30 30 0 0 30 0 60 30 0 210
115 Fitomenadion inj (Neo K) ampul 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Fitomenadion tablet 10 mg tablet 21 123 2238 95 226 297 205 260 112 23 135 110 3845
117 Fokus 1/2 HIV 0 0 0 0 0 0 0 0 0 0 0 50 50
118 Folley cateter no 14 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Folley Chateter no 16 pcs 0 0 0 0 0 5 0 0 0 0 0 10 15
120 Folley Chateter no.18 pcs 0 0 0 0 1 10 0 0 0 0 0 10 21
121 Furosemide 40 mg tablet 0 11 125 122 115 108 19 0 0 0 0 40 540
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C
122 Garam oralit untuk 200 ml air bungkus 455 221 191 73 346 294 314 578 472 430 352 324 4050
123 Gemfibrozil 300 mg caps kapsul 220 317 210 140 178 133 497 1020 570 321 394 195 4195
124 Gentamycin 0.1% salap kulit tube 152 213 161 94 101 156 180 221 149 205 65 6 1703
125 Gentamycin tetes mata 3mg/ ml botol 29 60 46 35 3 34 29 106 74 48 43 26 533
126 Gentian Violet larutan 1% botol 1 0 3 2 1 4 3 2 4 0 0 1 21
127 Glass Ionomer cement set 0 0 0 0 1 0 0 0 0 0 1 0 2
128 Glibenklamide 5 mg tablet tablet 2215 1275 1640 1280 1695 1575 1612 1855 2110 2335 2640 2480 22712
129 Glimepiride 2 mg tablet 185 435 820 815 792 869 755 1078 206 0 340 1160 7455
130 Gliseril Guaiakolat 100 mg tablet 5479 4093 3255 3341 5393 3109 3982 2789 3600 2051 5017 3382 45491
131 Glukosa larutan infus 5% steril btl/500 ml 0 0 0 0 0 26 0 0 0 0 0 0 26
131 Griseofulvin 125 mg tablet 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Haloperidol 1,5 mg tab tablet 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Handscoon 6,5 steril pasang 10 0 10 10 10 0 0 0 0 0 0 10 50
134 Handscoon 7 steril pasang 10 0 11 0 0 0 0 0 0 0 0 10 31
135 Handscoon 7,5 steril pasang 0 18 0 0 0 0 0 0 0 0 0 7 25
136 Handscoon size L psc 400 100 400 200 500 200 200 0 0 0 400 700 3100
137 Handscoon size M psc 600 700 500 900 814 1300 1106 1202 702 1300 1800 710 11634
138 Handscoon size S psc 500 1000 300 1300 700 600 700 1500 1100 1800 1000 2300 12800
139 Hexagon Syphilis pcs 0 0 0 0 0 0 0 0 0 0 0 1100 1100
140 Hidrochlortiazide 25 mg tab (HCT) tablet 255 184 129 239 21 212 236 297 321 133 314 123 2464
141 Hidrokortison krim 2,5% @5gr tube 74 59 56 72 65 100 51 91 77 104 36 125 910
142 Hydrogen Peroxida (H2O2) 3% btl/250 ml 0
143 Hydrogen Peroxida (H2O2) 3% btl / 1 liter 0 0 0 0 0 0 0 0 0 1 0 0 1
144 Hyocine Butil Bromida 10mg tab tablet 181 176 195 156 299 286 225 487 230 270 595 320 3420
145 Hypavix 5 x 500 cm roll 1 1 1 2 0 1 1 2 2 0 1 2 14
146 Ibuproven 400 mg tablet tablet 1267 1433 1418 2239 2293 1850 1785 2490 1606 1335 2676 4041 24433
147 Ibuproven 200mg tablet tablet 10 10 0 0 108 0 0 0 0 0 0 0 128
148 Ibuproven suspensi 100 mg/5 ml btl/60 ml 18 13 21 14 16 23 3 21 12 10 15 37 203
149 Ichtiol salap pot 1 0 7 2 5 9 6 4 5 0 5 5 49
150 Infus set anak set 0 0 0 0 0 0 0 0 0 0 0 0 0
151 Infus set dewasa set 30 20 1 20 20 29 0 50 4 46 50 0 270
152 Isoniazide 100 mg tab ( INH) tablet 0
153 Isosorbite dinitrate 5 mg tablet 425 285 375 445 331 470 428 317 485 78 281 295 4215
154 IV Chateter 18 G pcs 0 20 10 35 20 35 0 25 40 0 45 0 230
155 IV Chateter 20 G pcs 0 0 10 30 5 0 0 25 0 10 0 0 80
156 IV Chateter 22 G pcs 0 0 1 0 0 0 0 0 4 0 0 0 5
157 IV Chateter 24 G pcs 0 0 1 0 0 0 0 0 0 0 0 0 1
158 Jelly USG btl/5 liter 0 0 0 0 1 0 0 0 0 0 0 0 1
159 Kalium Diklofenak 50 mg tablet 1780 1815 1195 471 1590 785 1664 1570 600 1250 1200 1451 15371
160 Kalium Gluconat Injeksi ampul 0 0 0 0 0 0 0 0 0 0 0 0 0
161 Kalium Permanganat Serbuk pot 0 0 0 0 0 26 6 0 10 13 22 3 80
162 Kalsium Hidroksida Pasta kotak 0 0 0 0 0 0 0 0 0 0 0 0
163 Kalsium Laktat 500 mg tablet 2235 3390 3140 2736 2435 2384 2501 2519 3525 2450 3609 2880 33804
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C
164 Kapas Berlemak 500 gram bungkus 0
165 Kapas Pembalut /Absorben 250 gra bungkus 8 0 4 3 1 3 0 0 2 5 0 0 26
166 Kapas Pembalut /Absorben 500 gra bungkus 0 0 0 0 0 0 0 1 2 0 4 3 10
167 Kasa 16x16 steril kotak 20 20 10 28 2 30 43 3 16 30 9 29 240
168 Kasa 36m x 80cm gulung 0 0 0 0 0 0 0 0 0 0 0 0 0
169 Kasa 40x80 gulung 1 4 0 0 1 3 3 2 2 5 3 4 28
170 Kasa Kompres 40x40 steril pcs 0 0 0 0 0 0 0 20 0 0 0 0 20
171 Ketokonazole 200 mg tab tablet 121 221 162 227 277 543 300 351 426 170 205 265 3268
172 Ketorolac injeksi 30 mg/ml ampul 0 0 0 0 0 0 0 0 0 12 0 0 12
173 Klindamisin 150 mg capsul kapsul 0 0 0 0 0 0 0 0 0 30 200 230
174 Klindamisin 300 mg capsul kapsul 20 55 110 70 45 70 40 50 175 173 65 10 883
175 Kloramfenikol salap kulit 0 0 0 0 0 0 0 0 0 0 0 25 25
176 Kloramfenikol salap mata 1% @3,5 tube 16 22 19 14 31 21 17 44 47 28 26 25 310
177 Kloramfenikol suspensi btl/60 ml 0 2 0 0 0 0 0 0 46 0 0 0 48
178 Khloramfenikol tts mata btl 0 0 0 0 0 0 0 0 0 6 7 22 35
179 Kloramfenikol Tetes Telinga 3% botol 24 16 15 13 14 19 141 0 0 0 0 0 242
180 Klorfenol Kamfer Mentol ( CHKM btl/10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Klorpheniramini Maleat 4mg (CTM tablet 2995 5441 4061 5983 5591 3193 3882 3462 6846 4418 5453 4535 55860
182 Klorpromazin 25mg tablet salut tablet 0 0 0 0 0 0 0 0 0 0 0 0
183 Kolin Pectin Syr (Kanina) btl/60 ml 55 2 8 4 8 13 60 26 57 56 68 49 406
184 Kotrimoksazol suspensi btl/60 ml 21 0 0 0 7 23 23 12 10 25 14 25 160
185 Kotrimoksazol tablet 480 mg tablet 898 1009 941 909 1576 368 630 1470 1642 1222 1498 1076 13239
186 Larutan HCl 0.1N btl/250 ml 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Laxadine syrup btl/60 ml 18 18 15 8 7 5 5 0 0 5 6 4 91
188 Leukoplast 5 x 4,5 roll 0 0 0 0 0 0 0 0 0 0 0
189 Leukoplast 7.5 cm x 4,5 m roll 2 2 4 3 0 5 4 1 3 4 2 2 32
190 Lidocain Com Inj (lidocain inj 2% + ampul 90 90 90 30 150 90 180 60 120 90 70 150 1210
191 Lidocain inj 2% ampul 0 0 0 0 0 100 0 0 100 0 200
192 Lisol mengandung kresol tersabunbtl/1000 ml 0 0 2 1 0 2 0 1 0 2 1 1 10
193 Magnesium sulfat inj 40% - 25 ml vial 0 0 0 5 0 0 0 0 0 0 0 0 5
194 Masker 3 ply pcs 350 300 150 200 434 200 203 253 265 800 350 1005 4510
195 Meloxicam 15 mg tablet tablet 250 0 630 550 691 526 327 646 730 380 1070 780 6580
196 Meloxicam 7.5 mg tablet tablet 110 1350 795 1429 1186 865 1280 1585 1350 2100 1155 1912 15117
197 Metformin 500 mg tablet 3870 3360 3620 4635 3650 4651 3610 4414 4665 4490 6780 6650 54395
198 Methylergometrin injeksi 2 % ampul 10 0 0 0 0 0 0 70 0 0 100 0 180
199 Methylprednisolon 4 mg tab tablet 886 1197 1130 2480 1275 2016 1327 25 0 0 0 0 10336
200 Metoklopramid 10 mg tablet tablet 0 0 0 0 0 0 0 0 0 0
201 Metronidazole 250 mg tablet tablet 95 10 0 19 10 21 0 1765 10 495 530 465 3420
201 Metronidazole 500 mg tablet tablet 269 440 291 293 516 250 272 204 406 0 0 85 3026
203 Miconazol krim tube 81 84 77 113 64 111 78 92 93 73 79 118 1063
204 Micropipette pcs 0
205 Mineral Mix bungkus 0
206 Multivitamin syr (VICALSIN) btl/60 ml 104 69 84 105 94 114 57 70 92 110 54 72 1025
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C
207 Nald Heating kulit no 9 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Nald Heating kulit no 11 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Nald Heating kulit no 12 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Nald Heating kulit no 13 lusin 0
211 Nald Heating kulit no 14 lusin 0
212 Nald Heating kulit no 16 lusin 0
213 Nald Heating otot no 9 lusin 0 0 0 0 0 0 0 0 0 0 0 0 0
214 Nasal cannula oxygen Anak pcs 0
215 Nasal cannula oxygen Dewasa pcs 0
216 Natrium Bicarbonat tablet 500 mg tablet 0 0 0 0 0 0 1000 0 0 0 0 0 1000
217 Natrium Diklofenac 50 mg tablet 225 305 468 440 0 360 150 140 232 0 89 181 2590
218 Natrium Diklofenak 25 mg tablet 664 1086 1350 1926 1420 1980 1400 1045 1100 1005 1112 2220 16308
219 Natrium klorida larutan infus 0,9%btl/500
s ml 20 1 1 1 3 20 7 14 23 7 20 21 138
220 Needle 23 G pcs 214 0 127 0 133 0 114 214 0 328 307 118 1555
221 Needle 25 G pcs 0 0 300 0 0 0 0 0 0 0 0 0 300
222 Neocenta gel 15 gr tube 6 0 0 0 3 3 0 3 1 3 2 7 28
223 Nifedipin 10 mg tablet tablet 376 1410 307 634 513 242 329 30 326 101 160 235 4663
224 Nistatin tablet vagina 100.000 iu tablet 24 22 36 20 98 0 52 57 8 10 22 29 378
225 Nystatin 500.000IU tablet 10 0 54 51 64 325 0 0 0 0 6 0 510
226 Obat Batuk Hitam (OBH) sirup btl/100 ml 50 34 16 42 45 25 0 0 0 0 0 8 220
227 Obat TB Anak FDC paket 0 0 0 0 0 0 0 0 0 0 0 0 0
228 Obat TB Kategori I / FDC paket 0 0 0 5 0 2 2 0 1 2 4 2 18
229 Obat TB Kategori II paket 1 0 0 0 0 0 0 0 0 0 0 0 1
230 Obat TB Kombipak kategori I paket 0
231 Oksitetrasiklin Hcl salap kulit 3% tube 1 10 0 73 85 26 7 7 9 4 140 73 435
232 Oksitetrasiklin Hcl salap mata 1% tube 35 29 2 4 0 40 0 19 21 0 7 27 184
233 Oksitosin injeksi ampul 0 0 0 0 0 0 50 0 100 100 100 350
234 Oksitosin injeksi ( Tiacinon inj ) 10 ampul 30 0 0 70 0 0 0 0 0 0 0 0 100
235 Omeprazole 20 mg caps kapsul 801 1020 679 1086 1098 1107 785 1125 943 768 753 1185 11350
236 Papaverin 40 mg tablet 0 7 46 77 62 108 90 80 40 0 0 0 510
237 Paracetamol drop 100 mg/ml btl/15 ml 9 8 21 23 17 21 21 29 34 97 87 123 490
238 Paracetamol sirup 120 mg/5 ml btl/60 ml 231 354 224 201 305 219 280 316 209 240 289 361 3229
239 Paracetamol tablet 500 mg tablet 11755 15745 13654 14360 13282 12249 11505 13115 14078 13676 14456 8768 156643
240 Parasetamol Rectal 125 mg (Dumin pcs 2 0 3 3 2 2 3 0 1 1 0 1 18
241 Parasetamol Rectal 250 mg (Dumin) pcs 0 0 0 0 1 0 0 5 0 0 0 0 6
242 Piracetam 400 mg tab tablet 70 125 25 80 70 175 50 30 280 30 20 230 1185
243 Pirantel tablet 125 mg tablet 0 24 32 242 15 42 24 21 1 0 99 15 515
244 Piridoksin (vitamin B6) tablet 10 m tablet 5386 5822 5220 4500 5857 840 1961 2792 0 1971 1515 3543 39407
245 Piroxicam 10 mg tablet tablet 2890 4465 1465 2089 1764 1902 2131 4174 2920 1186 1054 116 26156
246 Piroxicam 20 mg tablet tablet 170 0 0 0 10 0 0 280 180 170 190 215 1215
247 Plesterin Woven Roll roll 0 0 0 0 0 0 0 0 0 0 1 3 4
248 Polikorsulen larutan 360mg/ml ( Apti btl 0 1 1 0 0 0 0 0 0 0 1 2 5
249 Pot Sputum pcs 0 200 0 200 0 0 0 0 0 0 0 200 600
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C
250 Povidon Iodida 10% 30 ml btl/30 ml 0 0 1 0 2 2 1 2 0 8
251 Povidon Iodida 10% 60 ml btl/60 ml 0 0 0 0 0 0 0 0 0 0
252 Povidon Iodida 10% 300 ml btl/300 ml 2 1 0 4 0 2 6 3 4 5 3 7 37
253 Prednison tablet 5 mg tablet 431 534 347 319 88 0 0 0 0 0 0 0 1719
254 Primaquin tab tablet 0 0 0 0 0 0 0 0 0 0 0 0 0
255 PTU 100 mg tablet 95 100 0 200 0 0 40 60 0 0 0 200 695
256 Ranitidiine tab 150 mg tablet 6680 8788 7022 7615 8545 6981 6594 8635 9610 8926 9626 7536 96558
257 Ranitidine inj ampul 0 0 1 0 1 0 0 0 2 0 0 10 14
258 Reagen Zieh Neelsen paket 20 0 0 0 0 0 0 0 0 0 0 20
259 Ringer Laktat larutan infus steril btl/500 ml 40 0 2 38 0 60 0 20 40 30 30 40 300
260 RPR test sifilis pcs 0 100 0 0 0 0 0 0 0 0 0 1100 1200
261 Salap 2-4 Komb.As.Sal 2%+Belera pot 14 8 41 32 35 5 22 18 18 33 27 35 288
262 Salbutamol tablet 2 mg tablet 935 1273 715 1066 801 674 764 1153 1278 639 1557 1587 12442
263 Salbutamol tablet 4 mg tablet 299 499 478 468 333 573 330 345 130 295 480 201 4431
264 Salisil Talk ktk 43 44 25 53 67 59 97 40 0 0 36 55 519
265 Sarung Tangan Steril panjang ( obgy pasang 0 5 0 0 0 20 0 0 0 0 20 0 45
266 Scabimid cream tube 0 0 3 13 9 12 4 9 0 0 0 9 59
267 Serum Anti Bisa Ular (ABU) vial 0 0 0 0 0 0 0 0 1 0 0 0 1
268 Serum Anti Tetanus 1.500 iu (ATS) ampul 0 4 0 0 0 0 0 0 0 0 0 0 4
269 Serum golongan darah set 0 1 0 0 1 1 0 2 0 0 0 0 5
270 Serum Mantoux Test vial 0
271 Sianokobalamin injeksi 500 mcg/m ampul 0 0 0 80 0 0 0 10 0 0 0 0 90
272 Silk 2/0 dengan jarum pcs 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Silk 3/0 dengan jarum pcs 0 0 0 12 0 36 0 0 36 0 0 36 120
274 Simvastatin 10 mg tablet tablet 7267 6857 5275 5741 6665 4020 4500 5065 5390 4623 9967 10890 76260
275 Simvastatin 20 mg tablet tablet 220 295 965 1203 1547 1345 3475 4040 3250 348 22 16710
276 Slide Glass pcs 0 216 0 0 144 216 144 216 0 216 0 144 1296
277 Stesolid 10 mg / 2.5 ml rectal pcs 0 0 0 0 4 0 0 0 0 0 0 1 5
278 Stesolid 5 mg / 2.5 ml rectal pcs 0 0 0 0 1 0 3 0 0 0 0 1 5
279 Sukralfat Suspensi btl/100 ml 10 2 20 16 8 17 2 11 6 7 8 3 110
280 Sulfadoxine Pyrimethamine tablet 3 0 0 0 0 0 2 0 0 3 87 0 95
281 Tablet Tambah Darah tablet 5220 3022 2348 2060 1180 4950 2615 3576 3590 3287 7720 0 39568
282 Tabung Vacutainer pcs 0 0 0 0 0 0 0 0 0 0 0 0
283 Tabung Vacutainer EDTA pcs 0 0 0 0 0 0 0 0 0 0 0 0 0
284 Thiamin HCl (vit.B1) tablet 50 mg tablet 3367 10308 5645 0 4495 780 120 60 110 340 550 2430 28205
285 Thrombophob Oint 15 gr tube 3 0 0 0 0 0 0 2 1 0 2 0 8
286 Tramadol tab 50 mg kapsul 110 50 165 80 18 305 146 70 90 0 112 80 1226
287 Tranfusi Set pcs 0 0 0 0 0 0 20 30 20 70
288 Trihexyphenidyl 2 mg tab tablet 30 150 70 0 80 120 80 60 50 60 70 180 950
289 Trikresol formalin (TKF) btl 0 0 0 0 0 0 0 0 0 0 0 0 0
290 Umbilical klem pcs 0 50 0 0 0 20 20 0 60 0 50 50 250
291 Under Pad pcs 10 0 0 0 0 0 0 0 20 10 40 20 100
292 Urine bag pcs 0 0 0 0 0 0 0 0 0 0 0 0 0
 LAPORAN PEMAKAIAN OBAT
TAHUN: 2017

BULAN

Jumlah
NO NAMA OBAT SATUAN
Pemakai
an
JanuariFebruari Maret April Mei Juni Juli Agustus
September
Oktober
November
Desember
A B C
293 Ventolin nebulizer ampul 0 0 15 0 5 5 0 15 0 10 0 0 50
294 Vitamin A 100.000 IU kapsul 0
295 Vitamin A 200.000 IU kapsul 0
296 Vitamin B 12 tablet 50 mcg tablet 6219 5958 9098 5263 7587 3258 4215 6461 4711 5571 8336 8202 74879
297 Vitamin B Komplek tab tablet 6557 12107 4930 10969 4172 9163 7602 8978 12922 10358 12310 9884 109952
298 Xylocaine Jelly pcs 0 0 0 0 0 0 0 2 0 0 0 0 2
299 Yellow Tip pcs 0
300 Zink Dispersible tab tablet 376 289 419 290 1530 310 290 900 565 665 440 575 6649
301 Zink drop ( Zink pro ) 10 mg/ml botol 3 6 0 0 0 0 0 0 0 0 0 0 9
Pemakaian
Rata-rata
perbulan

85
343
27
83
-
357
83
-
320
718
-
2,309
2,497
187
-
-
1,625
7,625
1,234
5,431
174
189
5
82
2,679
81
2
-
-
-
-
-
-
333
17
8
-
-
-
-
-
-
Pemakaian
Rata-rata
perbulan

-
-
-
-
-
-
-
-
-
-
-
4,478
2,683
555
2,609
-
266
42
-
331
-
7
3
119
4
0
1
2
1
8
517
-
29
666
1,706
-
18
0
13
0
1,402
13
46
Pemakaian
Rata-rata
perbulan

-
3,038
50
330
1
390
10
3,086
11
2,988
0
101
-
22
137
747
19
726
27
0
0
0
-
5
-
171
5
0
1
-
-
2
0
33
10
18
-
320
4
-
1
2
45
Pemakaian
Rata-rata
perbulan

338
350
142
44
2
0
1,893
621
3,791
2
-
-
4
3
2
258
970
1,067
92
205
76
-
0
285
1
2,036
11
17
4
-
23
-
351
19
7
0
0
0
1,281
-
7
-
2,817
Pemakaian
Rata-rata
perbulan

-
2
1
20
-
2
2
272
1
19
74
2
26
4
3
20
-
4,655
-
34
13
1,103
-
8
-
3
101
17
1
0
376
548
1,260
4,533
15
861
-
285
252
89
-
-
85
Pemakaian
Rata-rata
perbulan

-
-
-
-
-
-
-
-
-
83
216
1,359
12
130
25
2
389
32
43
18
-
2
0
-
36
15
29
8
946
43
41
269
13,054
2
1
99
43
3,284
2,180
101
0
0
50
Pemakaian
Rata-rata
perbulan

1
-
3
143
-
58
8,047
1
2
25
100
24
1,037
369
43
4
5
0
0
0
-
8
-
10
6,355
1,393
108
0
0
9
8
3,297
-
-
2,350
1
102
6
79
-
21
8
-
Pemakaian
Rata-rata
perbulan

4
-
-
6,240
9,163
0
-
554
1
 LAPORAN PENERIMAAN OBAT

NO NAMA OBAT SATUAN

Januari Februari Maret

A B C

1 Acyclovir 200 mg tablet

2 Acyclovir 400 mg tablet
3 Acyclovir cream tube
4 Alat Suntik Sekali Pakai 1 ml pcs
5 Alat Suntik Sekali Pakai 2,5 ml pcs
6 Alat Suntik Sekali Pakai 3 ml pcs 200
7 Alat Suntik Sekali Pakai 5 ml pcs
8 Alat Suntik Sekali Pakai 10 ml pcs
9 Albendazole 400 mg tab tab
10 Alkohol swap 2% pcs 500
11 Allupurinol tab 100mg tab
12 Allopurinol tab 300 mg tablet 2000
13 Ambroxol 30 mg tab tablet 2000
14 Ambroxol syr btl/60 ml 288
15 Aminofillin 200 mg tab tablet
16 Aminofillin injeksi 24 mg / ml ampul
17 Amlodipin tab 10 mg tablet 300
18 Amlodipin tab 5mg tablet 6000
19 Amoxycillin 250 mg kapsul kapsul 2520
20 Amoxycillin 500 mg kaplet kaplet 2000
21 Amoxycillin syr 125 mg/5 ml btl/60 ml
22 Antalgin 500 mg tablet tablet
23 Antalgin Injeksi 250 mg/ml-2ml ampul
24 Antasida DOEN syr btl/60 ml
25 Antasida DOEN tablet tablet
26 Antihemoroid Supos suppos 100
27 bebas pirogen vial
Artesunate injeksi vial
28 60mg/1 ml
29 Arthemeter injeksi ampul

30 pcs
ARV -HIV 1/2 AB Plus Combo RAPID TEST
30 pcs
ARV -HIV 1/2 AB Plus Combo RAPID TEST
ARV -HIV 1/2 pcs
31 TRILINE
32 ARV -ONCOPROBE pcs
33 ARV -SD 1/2 HIV pcs
34 ARV -SD SIFILIS pcs
35 ARV -TRILINE HIV pcs

36 tablet
ARV-Aluvia (Lapinavir 200 + ritonavir 50)

37 ARV-Atripla (TDF 300+3TC 300+EFV 600) tablet

38 tablet
ARV-Duviral (Zidovudin 300+Lamivudine150
ARV-Efavirenz 600 mg
tablet
39

40 tablet
ARV-Emtriva (Emtricitabine 200 + tenofovir 300)

41 tablet
ARV-FDC Pediatrik Dual (3TC 30/ Stav 6 mg )
42 ARV-Hiviral ( Lamifudine 150 mg ) tablet
43 ARV-Neviral (Neviraphine 200 mg) tablet
44 ARV-Reviral ( Zidovudine 100 mg ) tablet
45 ARV-Tenofovir 300 mg tablet

46 ARV-Zidovudine 60,Lamivudine 30,Neviraphine50 tablet

47 Asam Ascorbat 50 mg tablet 1000

48 Asam Ascorbat 250 mg tablet 2000
49 Asam Folat 1 mg tablet
50 Asam Mefenamat 500 mg kaplet tablet 2000
51 Asam Traneksamat 500 mg injeksi ampul
52 Asetosal 80 mg (MINIASPI) tablet
53 Atenolol 50 mg tablet tablet
54 Atropin Injeksi 0,25 mg/ml -1 ml ampul
55 Attapulgite (puralex) tab tablet
56 Azithromycin 500 mg caps kapsul
57 Benzatin Penisilin 2,4 ui/ml vial
58 Betahistin tablet tablet
59 Betamethasone krim tube 168
60 Biomeriux Vikia
61 Bioplacenton Gel tube
62 Bisacodil suppos 5 mg suppos
63 Bisacodil suppos 10 mg ( stolax) suppos
64 Bisacodyl 5 mg tablet tablet
65 Bistury ( Mata Pisau Bedah ) pcs
66 Blood lancet pcs 5
67 Bonding pcs
68 Borax Gliserin (GOM) btl
69 Captopril 12,5 mg tablet
70 Captopril 25 mg tab tablet
71 Cat Gut Chrom 2/0 pcs
72 Cat Gut Chrom 3/0 pcs
73 Cat Gut Plain 2/0 pcs
74 Cat Gut Plain 3/0 pcs
75 Caviton Pink pcs
76 Cefadroxyl 500 mg kapsul
77 Cefadroxyl syr 125 mg btl/60 ml
78 Cefixime 100 mg caps kapsul
79 Cendo Pantocain tetes mata mini dose 0,5% pcs
80 Cetirizine 10 mg tablet 3000
81 Cetirizine syrup 5mg/ 5ml btl/60 ml 50
82 Ciprofloxacin 500 mg tablet
83 Combivent 2,5mg ampul
84 Curcuma tablet tablet 300
85 Daryantulle pcs
86 Dexamethasone 0,5 mg tab tablet 3000
87 Dexamethasone injeksi 5mg/1ml ampul
88 Dextral tablet 1500
89 DHP tab(Dihidroartemisinin 40 mg+Piperaqiun 320mg ) tablet
90 Diazepam 2 mg tab tablet
91 Diazepam inj 5 mg/ml-2ml Ampul
92 Difenhidramin Hcl injeksi 10 mg/ml ampul
93 Digoxin 0,25 mg tab tablet
94 Dimenhydrinate 50 mg tab tablet
95 Doksisiklin 100 mg kapsul
96 Domperidon 10 mg tab tablet 1000
97 Domperidon susp btl/60 ml
98 Elastis Verban 3 inc roll
99 Elastis Verban 4 inc ( 10 cm x 4.55 m ) Roll
100 Elastis Verban 6 inc ( 15 cm x 4.55 m ) Roll
101 Elite Cement pcs
102 Epinefrin HCI injeksi 0,1%-1ml ampul
103 Ergotamini caffein 1mg tab ( anti migraen ) tablet
104 Erythromycin 500 mg capsul kapsul
105 Erythromycin syr btl/60 ml
106 Etakridin ( Rivanol ) larutan 0.1% btl/300 ml
107 Etanol Larutan 70 % 1000 ML btl/1000 ml
108 Etanol Larutan 70 % 100 ML btl/100 ml
109 Etching pcs
110 Etil Klorida semprot btl/100 ml 5
111 Eugenol larutan botol
112 Fenobarbital 30 mg tab tablet
113 Fenol Gliserol tetes telinga botol
114 Fitomenadion (Vit. K1) injeksi 10 mg/ml ampul
115 Fitomenadion inj (Neo K) ampul
116 Fitomenadion tablet 10 mg tablet
117 Fokus 1/2 HIV
118 Folley cateter no 14 pcs
119 Folley Chateter no 16 pcs
120 Folley Chateter no.18 pcs
121 Furosemide 40 mg tablet
122 Garam oralit untuk 200 ml air bungkus 300
123 Gemfibrozil 300 mg caps kapsul 1000
124 Gentamycin 0.1% salap kulit tube 150
125 Gentamycin tetes mata 3mg/ ml botol
126 Gentian Violet larutan 1% botol
127 Glass Ionomer cement set 1
128 Glibenklamide 5 mg tablet tablet 1000
129 Glimepiride 2 mg tablet 1000
130 Gliseril Guaiakolat 100 mg tablet 10000
131 Glukosa larutan infus 5% steril btl/500 ml
131 Griseofulvin 125 mg tablet
132 Haloperidol 1,5 mg tab tablet
133 Handscoon 6,5 steril pasang 10
134 Handscoon 7 steril pasang 10
135 Handscoon 7,5 steril pasang 10
136 Handscoon size L psc
137 Handscoon size M psc 500
138 Handscoon size S psc 1200
139 Hexagon Syphilis pcs
140 Hidrochlortiazide 25 mg tab (HCT) tablet
141 Hidrokortison krim 2,5% @5gr tube 24
142 Hydrogen Peroxida (H2O2) 3% btl/250 ml
143 Hydrogen Peroxida (H2O2) 3% btl / 1 liter 1
144 Hyocine Butil Bromida 10mg tab (SCOPMA) tablet
145 Hypavix 5 x 500 cm roll 2
146 Ibuproven 400 mg tablet tablet 1000
147 Ibuproven 200mg tablet tablet
148 Ibuproven suspensi 100 mg/5 ml btl/60 ml
149 Ichtiol salap pot
150 Infus set anak set
151 Infus set dewasa set 10
152 Isoniazide 100 mg tab ( INH) tablet
153 Isosorbite dinitrate 5 mg tablet
154 IV Chateter 18 G pcs 30
155 IV Chateter 20 G pcs
156 IV Chateter 22 G pcs
157 IV Chateter 24 G pcs
158 Jelly USG btl/5 liter
159 Kalium Diklofenak 50 mg tablet
160 Kalium Gluconat Injeksi ampul
161 Kalium Permanganat Serbuk pot
162 Kalsium Hidroksida Pasta kotak
163 Kalsium Laktat 500 mg tablet
164 Kapas Berlemak 500 gram bungkus
165 Kapas Pembalut /Absorben 250 gram bungkus
166 Kapas Pembalut /Absorben 500 gram bungkus
167 Kasa 16x16 steril kotak
168 Kasa 36m x 80cm gulung
169 Kasa 40x80 gulung
170 Kasa Kompres 40x40 steril pcs
171 Ketokonazole 200 mg tab tablet
172 Ketorolac injeksi 30 mg/ml ampul
173 Klindamisin 150 mg capsul kapsul
174 Klindamisin 300 mg capsul kapsul
175 Kloramfenikol salap kulit
176 Kloramfenikol salap mata 1% @3,5gr tube
177 Kloramfenikol suspensi btl/60 ml
178 Khloramfenikol tts mata btl
179 Kloramfenikol Tetes Telinga 3% botol
180 Klorfenol Kamfer Mentol ( CHKM ) btl/10 ml
181 Klorpheniramini Maleat 4mg (CTM) tablet
182 Klorpromazin 25mg tablet salut tablet
183 Kolin Pectin Syr (Kanina) btl/60 ml
184 Kotrimoksazol suspensi btl/60 ml
185 Kotrimoksazol tablet 480 mg tablet
186 Larutan HCl 0.1N btl/250 ml
187 Laxadine syrup btl/60 ml
188 Leukoplast 5 x 4,5 roll
189 Leukoplast 7.5 cm x 4,5 m roll
190 Lidocain Com Inj (lidocain inj 2% + epinefrin ) ampul
191 Lidocain inj 2% ampul
192 Lisol mengandung kresol tersabun 50% btl/1000 ml
193 Magnesium sulfat inj 40% - 25 ml vial
194 Masker 3 ply pcs
195 Meloxicam 15 mg tablet tablet
196 Meloxicam 7.5 mg tablet tablet
197 Metformin 500 mg tablet
198 Methylergometrin injeksi 2 % ampul
199 Methylprednisolon 4 mg tab tablet
200 Metoklopramid 10 mg tablet tablet
201 Metronidazole 250 mg tablet tablet
201 Metronidazole 500 mg tablet tablet
203 Miconazol krim tube
204 Micropipette pcs
205 Mineral Mix bungkus
206 Multivitamin syr (VICALSIN) btl/60 ml
207 Nald Heating kulit no 9 lusin
208 Nald Heating kulit no 11 lusin
209 Nald Heating kulit no 12 lusin
210 Nald Heating kulit no 13 lusin
211 Nald Heating kulit no 14 lusin
212 Nald Heating kulit no 16 lusin
213 Nald Heating otot no 9 lusin
214 Nasal cannula oxygen Anak pcs
215 Nasal cannula oxygen Dewasa pcs
216 Natrium Bicarbonat tablet 500 mg tablet
217 Natrium Diklofenac 50 mg tablet
218 Natrium Diklofenak 25 mg tablet
219 Natrium klorida larutan infus 0,9% steril btl/500 ml
220 Needle 23 G pcs
221 Needle 25 G pcs
222 Neocenta gel 15 gr tube
223 Nifedipin 10 mg tablet tablet
224 Nistatin tablet vagina 100.000 iu tablet
225 Nystatin 500.000IU tablet
226 Obat Batuk Hitam (OBH) sirup btl/100 ml
227 Obat TB Anak FDC paket
228 Obat TB Kategori I / FDC paket
229 Obat TB Kategori II paket
230 Obat TB Kombipak kategori I paket
231 Oksitetrasiklin Hcl salap kulit 3% tube
232 Oksitetrasiklin Hcl salap mata 1% tube
233 Oksitosin injeksi ampul
234 Oksitosin injeksi ( Tiacinon inj ) 10 iu ampul
235 Omeprazole 20 mg caps kapsul
236 Papaverin 40 mg tablet
237 Paracetamol drop 100 mg/ml btl/15 ml
238 Paracetamol sirup 120 mg/5 ml btl/60 ml
239 Paracetamol tablet 500 mg tablet
240 Parasetamol Rectal 125 mg (Dumin ) pcs
241 Parasetamol Rectal 250 mg (Dumin) pcs
242 Piracetam 400 mg tab tablet
243 Pirantel tablet 125 mg tablet
244 Piridoksin (vitamin B6) tablet 10 mg tablet
245 Piroxicam 10 mg tablet tablet
246 Piroxicam 20 mg tablet tablet
247 Plesterin Woven Roll roll
248 Polikorsulen larutan 360mg/ml ( Aptil ) btl
249 Pot Sputum pcs
250 Povidon Iodida 10% 30 ml btl/30 ml
251 Povidon Iodida 10% 60 ml btl/60 ml
252 Povidon Iodida 10% 300 ml btl/300 ml
253 Prednison tablet 5 mg tablet
254 Primaquin tab tablet
255 PTU 100 mg tablet
256 Ranitidiine tab 150 mg tablet
257 Ranitidine inj ampul
258 Reagen Zieh Neelsen paket
259 Ringer Laktat larutan infus steril btl/500 ml
260 RPR test sifilis pcs
261 Salap 2-4 Komb.As.Sal 2%+Belerang 4% pot
262 Salbutamol tablet 2 mg tablet
263 Salbutamol tablet 4 mg tablet
264 Salisil Talk ktk
265 Sarung Tangan Steril panjang ( obgyn ) pasang
266 Scabimid cream tube
267 Serum Anti Bisa Ular (ABU) vial
268 Serum Anti Tetanus 1.500 iu (ATS) ampul
269 Serum golongan darah set
270 Serum Mantoux Test vial
271 Sianokobalamin injeksi 500 mcg/ml ampul
272 Silk 2/0 dengan jarum pcs
273 Silk 3/0 dengan jarum pcs
274 Simvastatin 10 mg tablet tablet
275 Simvastatin 20 mg tablet tablet
276 Slide Glass pcs
277 Stesolid 10 mg / 2.5 ml rectal pcs
278 Stesolid 5 mg / 2.5 ml rectal pcs
279 Sukralfat Suspensi btl/100 ml
280 Sulfadoxine Pyrimethamine tablet
281 Tablet Tambah Darah tablet
282 Tabung Vacutainer pcs
283 Tabung Vacutainer EDTA pcs
284 Thiamin HCl (vit.B1) tablet 50 mg tablet
285 Thrombophob Oint 15 gr tube
286 Tramadol tab 50 mg kapsul
287 Tranfusi Set pcs
288 Trihexyphenidyl 2 mg tab tablet
289 Trikresol formalin (TKF) btl
290 Umbilical klem pcs
291 Under Pad pcs
292 Urine bag pcs
293 Ventolin nebulizer ampul
294 Vitamin A 100.000 IU kapsul
295 Vitamin A 200.000 IU kapsul
296 Vitamin B 12 tablet 50 mcg tablet
297 Vitamin B Komplek tab tablet
298 Xylocaine Jelly pcs
299 Yellow Tip pcs
300 Zink Dispersible tab tablet
301 Zink drop ( Zink pro ) 10 mg/ml botol
ENERIMAAN OBAT

TAHUN : 2017

BULAN

Jumlah
Penerimaan
April Mei Juni Juli Agustus September Oktober November Desember

0
0
0
0
0
200
0
0
0
500
0
2000
2000
288
0
0
300
6000
2520
2000
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
1000
2000
0
2000
0
0
0
0
0
0
0
0
168
0
0
0
0
0
0
5
0
 0
0
0
0
0
0
0
0
0
0
0
0
3000
50
0
0
300
0
3000
0
1500
0
0
0
0
0
0
0
1000
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
300
1000
150
0
0
1
1000
1000
10000
0
0
0
10
10
10
0
500
1200
0
0
24
0
1
0
2
1000
0
0
0
0
10
0
0
30
0
0
0
0
0
0
0
0
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0
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Pemakaian
Rata-rata Stock Waktu Stock
perbulan Tunggu Buffer Stock Optimum

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17 33 7 57
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42 83 17 142
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167 333 67 567
167 333 67 567
24 48 10 82
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25 50 10 85
500 1,000 200 1,700
210 420 84 714
167 333 67 567
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8 17 3 28
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83 167 33 283
167 333 67 567
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167 333 67 567
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14 28 6 48
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250 500 100 850
4 8 2 14
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25 50 10 85
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250 500 100 850
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125 250 50 425
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83 167 33 283
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25 50 10 85
83 167 33 283
13 25 5 43
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0 0 0 0
83 167 33 283
83 167 33 283
833 1,667 333 2,833
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1 2 0 3
1 2 0 3
1 2 0 3
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42 83 17 142
100 200 40 340
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2 4 1 7
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0 0 0 0
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0 0 0 1
83 167 33 283
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1 2 0 3
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3 5 1 9
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 LAPORAN PENERIMAAN OBAT TAHUN 2017

NO Nama Obat kemasan JANFEBMAAPRMEIJUN JUL AGT SEPTOKT NOV DES

pcs
1 Alat Suntik Sekali Pakai 1 ml ### ### 200 100 100 200
2 Alat Suntik Sekali Pakai 3 ml pcs ###### ###### 400 500 500 600 1000 300
3 Alat Suntik Sekali Pakai 5 ml pcs ### 100 200 200
4 Alat Suntik Sekali Pakai 10 ml pcs ###
5 Alkohol swap 2% pcs ############### ### ### 500 ### ### 1500 500
6 Bistury ( Mata Pisau Bedah ) pcs
7 Blood lancet pcs ######### ### ### 500 500 ### 1000 500
8 Bonding pcs
9 Bur Stone Poles Komposit pcs
10 Bur Tulang pcs
11 Cat Gut Chrom 2/0 pcs
12 Cat Gut Chrom 3/0 pcs 120 24
13 Cat Gut Plain 2/0 pcs 48
14 Cat Gut Plain 3/0 pcs 120
15 Cotton Roll bks
16 Daryantulle pcs 20 20 20 20 20
17 Elastis Verban 3 inc ( 7,5 cm x 4.55 m ) pcs 2 1
18 Elastis Verban 4 inc ( 10 cm x 4.55 m ) pcs 1
19 Elastis Verban 6 inc ( 15 cm x 4.55 m ) pcs 1 1
20 Etakridin ( Rivanol ) larutan 0.1% btl/300 ml
21 Etanol Larutan 70 % btl/1000 ml 3 3 5
22 Etanol Larutan 70 % 100 ML btl/100 ml
23 Etching ( Acid Etchant Gel ) pcs
24 Etil Klorida semprot btl/100 ml 5 2 6 3 3 5
25 Folley Chateter no 16/ 14 pcs 10
26 Folley Chateter no.18 pcs 10
27 Formocresol pcs
28 Handscoon 6,5 steril pasang 10 20 10 10 10
29 Handscoon 7 steril pasang 10 20 10
30 Handscoon 7,5 steril pasang 10 20 20
31 Handscoon size L pcs ############ 500 500 1000
32 Handscoon size M pcs ############### ### ### ### ### ### 1000
33 Handscoon size S pcs ############### ### 500 ### ### ### 2000
34 Hydrogen Peroxida (H2O2) 3% Btl / 1 liter 1
35 Hypavix 5 x 500 cm roll 2 2 1 2 1 5
36 Infus set anak set
37 Infus set dewasa set 10 50 20 50 50 100
38 IV Chateter 18 G pcs 30 20 30 20 20 40 25 45
39 IV Chateter 20 G pcs 20 30 25 25
40 IV Chateter 22 G pcs
41 IV Chateter 24 G pcs
42 Jelly USG btl 1
43 Kalsium Hydroxyde Cement ( Hydcal ) pcs
44 Kapas Berlemak 500 gram bungkus
45 Kapas Pembalut /Absorben 250 gram bungkus 10 2 5 5
46 Kapas Pembalut /Absorben 500 gram bungkus 3 5
47 Kasa 16x16 steril kotak 30 20 20 30 70 30 30
48 Kasa 40x80 gulung 3 2 5 5 5 3 5
49 Kasa Kompres 40x40 steril pcs 20
50 Leukoplast 7.5 cm x 4,5 m roll 3 5 5 2 10 5 10
51 Lisol mengandung kresol tersabun 50%botol/1000 ml 1 1 2 1 1 1 1 1 3
52 Masker 3 ply pcs ### 250 500 500 100 450 500 1000
53 Nald Heating kulit no 9 lusin
54 Nald Heating kulit no 11 lusin
55 Nald Heating kulit no 12 lusin
56 Nald Heating kulit no 13 lusin
57 Nald Heating kulit no 14 lusin
58 Nald Heating kulit no 16 lusin
59 Nald Heating otot no 9 lusin
60 Nasal cannula oxygen Anak pcs
61 Nasal cannula oxygen Dewasa pcs
62 Needle 23 G pcs ###### ### 100 300 300 400
63 Needle 25 G pcs
64 Plesterin Non Woven 10cm x 5m roll 5
65 Povidon Iodida 10% 30 ml tab 10 10
66 Povidon Iodida 10% 300 ml tab 10 3 5 4 5 7
67 Sarung Tangan Steril panjang ( obgyn ) set/pasang
68 Silk 2/0 dengan jarum pcs
69 Silk 3/0 dengan jarum pcs 36 12 72 72
70 SOFTAMAN 500 ML btl/500 ml
71 Spongostan ( Hemospon ) pcs
72 Stik HBsAG pcs
73 Tabung Vacutainer pcs
74 Tranfusi Set pcs 20 30 30
75 Umbilical klem pcs 30 20 30 20 50 50 50
76 Under Pad pcs 10 20 30 20 40
77 Urine bag pcs
78 Acyclovir 200 mg tab ###
79 Acyclovir 400 mg tab ###### ### 1000
80 Acyclovir cream tube ### 100
81 Albendazole 400 mg tab tab ###
82 Allopurinol tab 100 mg tab 1000
 83 Allopurinol tab 300 mg tab ############### ### ### ### ### ### 4000 3000
84 Ambroxol 30 mg tab tab ############### ### ### ### ### ### 4000 3000
85 Ambroxol syr btl / 60 ml ############ 100 200 150 100 100 100 200
86 Aminofillin 200 mg tab tab 500
87 Aminofillin injeksi 24 mg / ml Ampul
88 Amlodipin tab 10 mg tab ############### ### ### ### ###
89 Amlodipin tab 5mg tab ############### ### ### ### ### ### 10800 10800
90 Amoxycillin 250 mg kapsul caps ###### ### 600
91 Amoxycillin 500 mg kaplet tab ############### ### ### ### ### ### 5000 5000
92 Amoxycillin syr 125 mg/5 ml btl / 60 ml ############ 300 240 180 180 240 240
93 Antalgin 500 mg tablet tab
94 Antalgin Injeksi 250 mg/ml-2ml ampul
95 Antasida DOEN syr btl/60 ml ### 200 100 100 100 100
96 Antasida DOEN tablet tab ### ###### ### ### ### ### 5000 3000
97 Antihemoroid Supos suppos ### 50 50### 100 200 100 50 50 50 50
98 Aqua Pro Injeksi Steril, bebas pirogen VIAL 20
99 Asam Ascorbat 50 mg tab ###### ### ### ### ### 10000 14500
100 Asam Ascorbat 250 mg tab ############### ### ### ###
101 Asam Folat 1 mg pcs ######### 1000
102 Asam Mefenamat 500 mg kaplet tab ############### ### ### ### ### 5000 3000
103 Asetosal 80 mg (MINIASPI) tab ### 500 500 500
104 Atenolol 100 mg tab ( Betablok 100 mg ) tab 300
105 Atropin injeksi 0.25 mg/ml ampul
106 Attapulgite (New Antides) tab tab 1000
107 Attapulgite (puralex) tab tab ###
108 Azithromycin 500 mg caps tab
109 Benzatin Penisilin 2,4 ui/ml vial 50
110 Betahistin 6 mg tab tab 300
111 Betamethasone krim tube ############### 62 120 168 168 120 120
112 Bisacodil 5 mg TABLET tab 300
113 Bisacodil suppos 10 mg ( Dulcolac supp suppos 30 30
114 Bisacodil suppos 5 mg ( Dulcolac supp ch suppos 30
115 Borax Gliserin (GOM) btl 192 48
116 Captopril 12,5 mg tab ### ### ###
117 Captopril 25 mg tab tab ######### ### ### ### ### 1000
118 Cavicur tablet tab
119 Caviton Pink pcs 1 1
120 Cefadroxyl 500 mg caps ###### ### ### ### ### ### 1000 2000
121 Cefadroxyl syr 125 mg btl 200
122 Cefixime 100 mg caps caps 250
123 Cetirizine 10 mg tab ############### ### ### ### ### 5000 4500
124 Cetirizine syrup 5mg/ 5ml Btl/ 30 ml 50 50 100 100 120 60
125 Ciprofloxacin 500 mg tab
126 CLOZAPIN 25 ng tab tab
127 Combivent Nebules 2,5 ml vial 10
128 Curcuma tablet tab ############### 400 300 400 400 400 1000 500
129 Dexamethasone 0,5 mg tab tab ############### ### ### ### 3000
130 Dexamethasone injeksi 5mg/1ml Ampul 100
131 Dextral tab ############### ### ### ### ### ### 3000 4500
132 DHP tab(Dihidroartemisinin 40 mg+Piper tab 45
133 Diazepam 2 mg tab tab
134 Diazepam inj 5 mg/ml-2ml Ampul
135 Difenhidramin Hcl injeksi 10 mg/ml Ampul 30 30 60
136 Digoxin 0,25 mg tab tab 500
137 Dimenhydrinate 50 mg tab tab ######### ### ### ### 1000 500
138 Domperidon 10 mg tab tab ######### ### ### ### 1000 1000
139 Domperidon susp btl/60 ml 200
140 Epinefrin HCI injeksi 0,1%-1ml Ampul 100
141 Erythromycin 500 mg capsul caps ###
142 Erythromycin syr btl/60 ml 48
143 Eugenol larutan btl 3
144 Fenobarbital 30 mg tab tab
145 Fenol Gliserol tetes telinga btl 24 96
146 Fitomenadion (Vit. K1) injeksi 10 mg/ml Ampul 60 30 30
147 Fitomenadion tablet 10 mg tab ###### ### 1000
148 Fluconazole 150 mg cap caps
149 Furosemide 40 mg tab ### 200
150 Garam oralit untuk 200 ml air sachet ############ 200 200 300 500 500 500 500
151 Gemfibrozil 300 mg caps caps ###### ### ###
152 Gentamycin 0.1% salap kulit tube ######### ### 200 300 100 130 100 50
153 Gentamycin tetes mata 3mg/ ml btl 24 48 96 96 48 96 48 48 48
154 Gentian Violet larutan 1% btl/10 ml 96
155 Glass Ionomer cement set 1 1
156 Glibenklamide 5 mg tablet tab ############### ### ### ### ### 3000 2000
157 Glimepiride 2 mg tab ############### ### ### 1000 1500
158 Gliseril Guaiakolat 100 mg tab ###### ### ### ### 5000 5000
159 Glukosa larutan infus 5% steril btl/500 ml 20
160 Haloperidol 1,5 mg tab tab
161 Hidrochlortiazide 25 mg tab (HCT) tab ### ### 500 ### 500 500
162 Hidrokortison krim 2,5% @5gr tube 24### 48 48 48 48 120 96 48 120 96 48
163 Hyocine Butil Bromida 10mg tab (SCOP tab ### 500 500 500 500
164 Ibuproven 400 mg tablet tab ############### ### ### ### ### ### 2000 2000
165 Ibuproven suspensi 100 mg/5 ml btl ### 100
166 Ichtiol salap pot 24 12
167 Isosorbite dinitrate 5 mg tab ### ### ### 400 ###
168 Kalium Diklofenak 50 mg tab ######### ### ### ### 1000
169 Kalium Glukonat inj ampul 24
170 Kalium Permanganat Serbuk pot 48
171 Kalsium Laktat 500 mg tab ######### ### ### ### ### ### 5000 3000
172 Kaolin Pectin Syr (Kanina) btl 98 96 96 96
173 Ketokonazole 200 mg tab tab ######### 500 ### 1000
174 Ketorolac injeksi 30 mg/ml ampul 12
175 Khlorpromazine 100 mg tab tab 500
176 Khlorpromazine 25 mg Injeksi Ampul
177 Klindamisin 150 mg capsul caps 500
178 Klindamisin 300 mg capsul caps
179 Kloramfenikol salap kulit 2% (BUFACET tube 100
180 Kloramfenikol salap mata 1% @3,5gr tube 96 24 96
181 Kloramfenikol suspensi btl/ 60 ml
182 Kloramfenikol Tetes Mata 0,5 % (Decace btl 30 20
183 Kloramfenikol Tetes Telinga 3% btl ###
184 Klorpheniramini Maleat 4mg (CTM) tab ############### ### ### ### ### ### 5000 3000
185 Kotrimoksazol suspensi btl/60 ml ### 100
186 Kotrimoksazol tablet 480 mg tab ############ ### ### ### ### 2000
187 Laxadine syrup btl 10 20 10 10 5 10 10 10 20
188 Lidocain Com Inj (lidocain inj 2% + epinef Ampul 60######### 60 90 150 180 60 150
189 Lidocain Inj 2% Ampul 100 100 100
190 Lidocain Jelly 2% (Xylocain Jelly 2%) tube 10
191 Loratadine 10 mg tab tab
192 Meloxicam 15 mg tablet tab ############### ### ### ###
193 Meloxicam 7.5 mg tablet tab ############### ### ### ### ### ### 5000 2500
194 Metformin 500 mg tab ############### ### ### ### ### ### 10000 5000
195 Methylergometrin injeksi 2 % Ampul 100
196 Methylprednisolon 4 mg tab tab ######### ###
197 Metronidazole 250 mg tablet tab ### 500
198 Metronidazole 500 mg tablet tab ### ###
199 Miconazol krim tab 48 96 72 96### 48 120 96 72 120 72 48
200 Multivitamin syr btl 96 96 96 96 96 96 96 96 96 96 96 100
201 Natrium Bicarbonat tablet 500 mg tab
202 Natrium Diklofenac 50 mg tab ### 500 500
203 Natrium Diklofenak 25 mg tab ### ######### ### ### ### ### 1000 1000
204 Natrium klorida larutan infus 0,9% steril btl/500 ml 40 20 30 20
205 Neocenta gel 15 gr tube 10 5 10
206 Nifedipin 10 mg tablet tab ### ###### ###
207 Nistatin tablet vagina 100.000 iu tab 200
208 Nystatin 500.000IU tab ### ###
209 Obat Batuk Hitam (OBH) sirup btl/100 ml 48 30
210 Obat TB Kategori II paket
211 Oksitetrasiklin Hcl salap kulit 3% tube ### 100 200
212 Oksitetrasiklin Hcl salap mata 1% tube 250 100
213 Oksitosin injeksi 10 iu Ampul 50 50 100 100
214 Omeprazole 20 mg caps caps ######### ### ###
215 Papaverin 40 mg tab
216 Paracetamol drop 100 mg/ml btl/15 ml 112 112
217 Paracetamol sirup 120 mg/5 ml btl/60 ml ############### 200 300 200 300 200 300 300
218 Paracetamol tablet 500 mg tab ############### ### ### ### ### ### 5000 16800
219 Parasetamol Rectal 125 mg (Dumin ) pcs 10 5 10
220 Parasetamol Rectal 250 mg (Dumin) pcs 10
221 Piracetam 400 mg tab tab 500
222 Pirantel tablet 125 mg tab 200 100 100
223 Piridoksin (vitamin B6) tablet 10 mg tab ############### ### ### ### 5000
224 Piroxicam 10 mg tablet tab ###### ###### ### ### ### ###
225 Piroxicam 20 mg tablet tab ### ###
226 Polikorsulen larutan 360mg/ml ( Aptil ) btl 5 5
227 PTU 100 mg tab 100
228 Ranitidiine tab 150 mg tab ############### ### ### ### ### ### 20000 11200
229 Ranitidine inj ampul
230 Ringer Laktat larutan infus steril btl/500 ml 20 40 60 60 20 40 20
231 Salap 2-4 Komb.As.Sal 2%+Belerang 4 pot 48 96 96 100
232 Salbutamol tablet 2 mg tab ############### ### ### ### ### 1000
233 Salbutamol tablet 4 mg tab ### ### ### 1000
234 Salisil Talk ktk ### 100 100 100 100
235 Scabimid cream tube 10 10 10 50
236 Serum Anti Bisa Ular (ABU) vial
237 Serum Anti Tetanus 1.500 iu (ATS) ampul 2
238 Serum golongan darah set 1 3 3
239 Sianokobalamin injeksi 500 mcg/ml set 100
240 Simvastatin 10 mg tablet tab ############### ### ### ### ### ### 6000 12000
241 Simvastatin 20 mg tablet tab ############ ### ### ### ###
242 Stesolid 10 mg / 2.5 ml rectal pcs
243 Stesolid 5 mg / 2.5 ml rectal pcs 5
244 Sukralfat Suspensi btl/100 ml 10 20 10 20 10 10 10 10 10
245 Tablet Tambah Darah tab ######### ### ### ### ### 10000 9000
246 Thiamin HCl (vit.B1) tablet 50 mg tab ######### ### 5000
247 Thrombophob Oint 15 gr tube 5###
248 Tramadol tab 50 mg tab ### 500
249 Trihexyphenidyl 2 mg tab tab ### ### 100 200
250 Ventolin nebulizer Ampul 20 20
251 Vitamin B 12 tablet 50 mcg tab ############### ### ### ### ### ### 5000 5000
252 Vitamin B Komplek tab tab ############### ### ### ### ### 6800 13600
253 Zink Dispersible tab tab 500 ### ### ### 1000
254 Zink drop ( Zink pro ) 10 mg/ml btl
JUMLAH