LPLPO PUSTU….

DESEMBER 2012

No. Nama Obat Satuan Sisa stok des 2012

1 2 3
1 Acyclovir Salep Tube
2 Acyclovir 400 mg Tab Tablet
3 Air raksa dental use Botol
4 Alat suntik sekali pakai 1 ml Pcs
5 Alat suntik sekali pakai 2,5 ml Pcs
6 Alat suntik sekali pakai 5 ml Pcs
7 Albendazol 400 mg tab Tablet
8 Alprazolam 0.5 mg Tablet
9 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet
10 Ambroxol syr Botol
11 Ambroxol tab 30 mg / Promukus Tablet
12 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul
13 Aminofilna tablet 200 mg Tablet
14 Amitriptilina hcl tablet salut 25 mg Tablet
15 Amoksilina kapsul 500 mg Tablet
16 Amoksilna sirup kering 125 mg/ 5 mg Botol
17 Antasida doen tablet kombinasi Tablet
18 Anti hemmoroid suppositoria Supp
19 Aqua pro injeksi streril. Bebas priogen 20 ml Vial
20 Aquadest steril 500 ml Botol
21 As salisilat 2% + belerang endap 4%(2-4 salep Pot
22 As. Benzoat 3 % + as salisilat 6%(whitefield) Pot
23 Asam askorbat (Vit. C) tablet 250 mg Tablet
24 Asam askorbat (Vit. C) tablet 50 mg Tablet
25 Asam mefenamat 500 mg Tablet
26 Asetosal 100 mg Tablet
27 Asetosal tablet 500 mg Tablet
28 Antalgin (metampiron) tablet 500 mg Tablet
29 Atropina sulfat injeksi 0 .25 mg / ml - 1 ml Ampul
30 Basitrasin Polimiksin Tube
31 Besi (ii) sulfat tablet salut .kombinasi Tablet
32 Betahistin tab Tablet
33 Betametazon salep kulit Tube
34 Captopril 12.5 mg tablet Tablet
35 Captopril 25 mg tablet Tablet
36 Carbamazepina 200 mg talet Tablet
37 Catgut / benang bedah no 2/0 chromic Sachet
38 Catgut / benang bedah no 3/0 plain Sachet
39 Cefadroxil 125mg/5ml Sirup Botol
40 Cefadroxill 500 mg tablet Tablet
41 Cefotaxim 1 gr Injeksi Ampul
42 Cetirizin10 mg tab Tablet
43 Cimetidine/Selestidin Tablet
44 Ciprofloxazin tablet 500 mg Tablet
45 Deksametason injeksi 5 mg / ml - 1 ml Ampul
46 Deksametason tablet 0.5 mg Tablet
47 Dekstrometofan HBR tablet 15 mg Tablet
48 Dekstrometopan HBR sirup 10 mg / ml Botol
49 Devitalisasi pasta Tube
50 Diazepam 5 mg Tablet
51 Diazepam injeksi 5 mg / ml - 2 ml Ampul
52 Diazepam tablet 2 mg Tablet
53 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul
54 Digoksina tablet 0. 25 mg Tablet
55 Domperidon tablet 10 mg Tablet
56 Doxycicline 100 mg tab Tablet
57 Efedrina HCL (efedrina) tablet 25 mg Tablet
58 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul
59 Ergotamina tartrat 1 mg + kofeina 50 mg tab Tablet
60 Erytromysin 200mg/5ml Syrup Botol
61 Erytromysin tablet 500 mg Tablet
62 Etakridina (rivanol) larutan 0.1 % Botol
63 Etanol 70 % Botol
64 Etil klorida semprot Botol
65 Eugenol cairan Botol
66 Fenobarbital inj 50 mg /ml -2ml Ampul
67 Fenobarbital tablet 100mg Tablet
68 Fenobarbital tablet 30 mg Tablet
69 Fenol gliserol tetes telnga 10% Botol
70 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul
71 Fitomenadion (vit. K1) tablet salut 10 mg Tablet
72 Furosemida tablet 40 mg Tablet
73 Gameksan emulisi 1 % Botol
74 Garam Oralit untuk 100 ml. Air Sachet
75 Garam Oralit untuk 200 ml air Sachet
76 Gentamisin Salep Mata Tube
77 Gentamysin SK Tube
78 Gentamysin TM/Genoint TM Botol
79 Gentian violet larutan 1 % Botol
80 Glibenklamida tablet 5 mg Tablet
81 Gliseril guayakolat tablet 10 mg Tablet
82 Glukosa larutan infus 10 % steril Botol
83 Glukosa larutan infus 40 % steril Botol
84 Glukosa larutan infus 5 % steril Botol
85 Griseofulvin tablet 125 mg. Mikronized Tablet
86 Haloperidol 0,5 mg. Tablet Tablet
87 Haloperidol 1,5 mg tablet Tablet
88 Haloperidol 5 mg tablet Tablet
89 Hidroklorotiasida (HCT) tablet 25 mg Tablet
90 Hidrokortison krim 2.5 % Tube
91 Ibuprofen tablet 200 mg Tablet
92 Ibuprofen tablet 400 mg Tablet
93 Infusion set anak Set
94 Infusion set dewasa Set
95 Isoniazide 100 mg Tablet
96 Isoniazide 300 mg Tablet
97 Isosorbid dinitrat Tablet
98 Jarum injeksi Pcs
99 Jarum jahit (bedah) no. 9 s/d 14 Set
100 Kalsium hidroksida pasta Pot
101 Kalsium laktat (kalk) tablet 500 mg Tablet
102 Kapas pembalut / absorben 250 gram Roll
103 Kasa gulung 40 x 80 Roll
104 Kasa Hidrofil 4 x 10 Roll
105 Kasa kompres 40 / 40 steril Roll
106 Kasa pembalut 2 x 80 Roll
107 Kasa pembalut hidrofil 4 m x 15 cm Roll
108 Kasa pembalut hidrofin 4m x 3 cm Roll
109 Kasa Steril ( 18 x 22 ) Kotak
110 Ketokonazole 200 mg tablet Tablet
111 Kinina dihidroklorida (kinina) inj 25 % - 2 ml Ampul
112 Kinina sulfat tablet 222 mg (7 h20 ) Tablet
113 Kloramfenicol salep kulit Tube
114 Kloramfenikol kapsul 250 mg Tablet
115 Kloramfenikol salep mata 1 % Tube
116 Kloramfenikol tetes Mata Botol
117 Kloramfenikol tetes telinga 3 % Botol
118 Klorfeniramina maleat (CTM) tablet 4 mg Tablet
119 Klorpromazin 100 mg tablet Tablet
120 Klorpromazina Hcl inj 25 mg / ml - 1 ml Ampul
121 Klorpromazina Hcl inj 5 mg / ml - 2 ml Ampul
122 Klorpromazina hcl tablet salut 25 mg Tablet
123 Kodeina Hcl (kodeina) tablet 10 mg Tablet
124 Kotrimoksasol suspensi Botol
125 Kotrimoksasol tablet kombinasi Tablet
126 Kotrimoksasol tablet pediatrik. Kombinasi Tablet
127 Lidokain inj Ampul
128 Lidokaina comp inj kombinasi Ampul
129 Lisol mengandung kresol Botol
130 Magnesium sulfat serbuk 30 grm Sachet

Metakresol sulfonat dan metanol kondensai (Albotyl)

131 Botol
132 Metformin 500 mg tablet Tablet
133 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul
134 Metilergometrina malet tablet salut 0. 125 mg Tablet
135 Metilprednisolon tablet 4 mg Tablet
136 Metoklopramide 10 mg tablet/Noristal Tablet
137 Metronidazol 500 mg Tablet
138 Metronidazol tablet 250 mg Tablet
139 Mikonazole salep Tube
140 Monoklorkamfer mentolcairan (CHKM) Botol
141 Mumifyng pasta Botol
142 Natrium bikarbonat tablet 500 mg Tablet
143 Natrium Diklofenak 25 Tablet
144 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet
145 Natrium klorida larutan infus 0. 9 steril Botol
146 Nifedipin tablet 10 mg Tablet
147 Nistatin 100. 000 iu/g tablet vaginal Tab Vag
148 Obat batuk hitam (OBH) cairan Botol 100 ml
149 Ofloxacin tab 400mg Tablet
150 Oksigen gas dalam tabung 3 m3 Tabung
151 Oksigen gas dalam tabung 6 m3 Tabung
152 Oksitetrasiklina hcl salep 3 % Tube
153 Oksitetrasiklina hcl salep mata 1 % Tube
154 Oksitosina inj 10 iu/ml - 1 ml Ampul
155 Papaverin Injeksi Ampul
156 Papaverin Tablet Tablet
157 Parasetamol sirup 120 mg / 5 ml Botol
158 Parasetamol tab 100 mg Tablet
159 Parasetamol tablet 500mg Tablet
160 Pirantel pamoat (pirantel) tablet 125 mg basa Tablet
161 Piroxicam 10 Mg Tablet
162 Piroxicam 20 Mg Tablet
163 Plester 5 yard x 2 inch Roll
164 Prednison tablet 5 mgn Tablet
165 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet
166 Primakina tablet 15 mg Tablet
167 Prokaina penisilina g inj 3 juta iu Vial
168 Propiltionurasil tablet 100 mg Tablet
169 Propranolol hcl (Propranolol) tablet 40 mg Tablet
170 Pyridoxin injeksi Ampul
171 Ranitidin inj 25 mg/2 ml Ampul
172 Ranitidin tablet 150 mg Tablet
173 Reserpina tablet 0, 10 mg Tablet
 174 Reserpina tablet 0, 25 mg Tablet
175 Retinol (vit. A) kapsul lunak 200.000 iu Tablet
176 Retinol (vit. A) tablet salut 100. 000 iu Tablet
177 Ringer laktat larutan infus steril Botol
178 Risperidon Tablet
179 Salbutamol tablet 2 mg Tablet
180 Salbutamol tablet 4 mg Tablet
181 Salisil bedak 2 % Bks
182 Salisil spiritus 10 % Botol
183 Semen seng fosfat serbuk dan cairan Botol
184 Serum anti bisa ular polivalen inj. 50 ml Vial
185 Serum anti bisa ular polivalen inj. 5ml Ampul
186 Serum anti tetanus inj. 1.500 iu Ampul
187 Serum anti tetanus inj. 20.000 iu Ampul
188 Sianokobalamina (vit.b12) inj. 500 mcg Ampul
189 Silk (benang bedah sutera) no.3/0 Pcs
190 Silver amalgam serbuk 65-75% Botol
191 Simvastatin tab 10 mg Tablet
192 Sulfacetamide tetes mata Botol
193 Synthetic filing material larutan dan serbuk Set
194 Temporary stopping fletcher serbuk dan cairan Set
195 Tetrasiklina hcl (tetrasiklina) kapsul 250 mg Tablet
196 Tetrasiklina hcl (tetrasiklina) kapsul 500 mg Tablet
197 Thiamfenikol 500 Tablet
198 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet
199 Tiamina hcl (vit.b1) inj. 100 mg/ml Ampul
200 Tramadol Tablet
201 Trifluoperazine (Stelazin) Tablet
202 Triheksfenidil hcl 2 mg tablet Tablet
203 Trikresol formalin (tkf) cairan Botol
204 Vitamin B kompleks tablet Tablet
205 Yodium povidan larutan 10% 300 ml Botol
206 Yodium povidon larutan 10% 30 ml Botol
207 Zink tablet Tablet

Obat Tambahan
208 Adimidon injk / Xylomidon injk Vial
209 ADS 0.5 ml Pcs
210 ADS 0.05 ml Pcs
211 ADS 5 ml Pcs
212 Aleterol TM Botol
213 Antalgin injeksi Ampul
214 Arsuamon tablet Tablet
215 Artesunat inj Vial
216 Azitromisin+cefixim Tablet
217 Bisturi no 13 Pcs
218 Bisturi no 14 Pcs
219 Bisturi no 19/20 Pcs
220 Bisturi no 21 Pcs
221 Bonding Set
222 Bufacomb salep Tube
223 Buscopan inj Ampul
224 Clopramel inj Ampul
225 Composite (tumpatan sinar)A3 Set
226 Composite (tumpatan sinar)A3.5 Set
227 Daryantulle Lembar
228 Dermazine/Burnazin Tube
229 Dextina / Dextamin/Dextamec/Polofar Plus Tablet
230 Diaform tablet/selesdiar Tablet
231 Dormi/Scopma Tablet
232 Dulcolac anak supp Supp
233 Dulcolac dewasa supp Supp
234 Dulkolak tablet Tablet
235 Ericaf Tablet
236 ETSA Set
237 Folley catheter Pcs
238 Glass ionomer (Ketac Molar) Tube
239 Hypavix (Ultrafik) Roll
240 I.V Catheter 22 Pcs
241 I.V Catheter 24 Pcs
242 IV Catheter 18 Pcs
243 IV Catheter 20 Pcs
244 Jarum Otot dan Kulit Set
245 MY Jelly Tube
246 Klip Kecil Pak
247 Klip Tanggung Pak
248 Masker Pcs
249 Meylon inj Botol
250 Microlax Supp
251 Multivitamin (Livron B plek) Tablet
252 Multivitamin sirup( Xanvit syr) Botol
253 Norit Botol
254 Obat anti tuberkulosis FDC anak Paket
255 Obat anti tuberkulosis FDC katagori I Paket
256 Obat anti tuberkulosis FDC katagori II Paket
257 Obat anti tuberkulosis kategori I Paket
258 Obat anti tuberkulosis FDC sisipan Paket
259 Obat Batuk Kombinasi Botol

260 Obat Flu kombinasi CTM, PPA (Anaflu), Demacolin

Tablet
261 Obat Flu Kombinasi/Mecofed/Quantidex Tablet
262 Obat maag kombinasi/Indomag/Myloxan Tablet
263 Obat maag suspensi (novamaag) Botol
264 Obat sakit kepala komb (Parasetamol + Kofein) Tablet
265 Orpen Tablet
266 Oseltamivir Tablet
267 Pehacain Injeksi Ampul
268 Pembalut Gips Roll
269 Perhidrol (H2O2) Botol
270 Perkamen Pak
271 Proris supp Supp
272 Sarung Tangan L Pasang
273 Sarung Tangan M Pasang
274 Sarung Tangan S Pasang
275 Sarung Tangan Steril Pasang
276 Seremig tablet Tablet
277 Spalk tungkai atas anak Pcs
278 Spalk tungkai atas dewasa Pcs
279 Spalk tungkai bawah anak Pcs
280 Spalk tungkai bawah dewasa Pcs
281 Spashi inj Ampul
282 Stesolid rectal Supp
283 Strop indra Botol
284 Tranexid inj (Asam tranexamat inj) Ampul
285 Transamin tab Tablet
286 Urinebag Set
287 Ventolin Nebulizer Ampul
288 Vitamin B12 tab Tablet
289 Vitamin Neurotropik inj Ampul
290 Vitamin Neurotropik tablet (Nutrifar, Sohobion) Tablet
291 Wing Needle 21 Pcs
292 Wing Needle 23 Pcs
293 Wing Needle 25 Pcs
294 Wing Needle 27 Pcs
295 Omeprasole tablet 20 mg Tablet
296 Silk 3/0 roll Roll
297 Catgut 2/0 Chromic Roll Roll
298 Catgut 3/0 Chromic Roll Roll
299 Catgut 1/0 Chromic Pcs
300 Kertas EKG Roll
301 Kertas USG Roll
302 Jelly RO Tube
305 Primperan inj Ampul
306 Pantocain Tetes Mata Botol
308 Underpad Pak
309 Caviton Tube
310 Amlodipin 5 mg tab Tablet
311 Amlodipin 10 mg tab Tablet
312 ADS 2 ml Pcs
313 Roverton tablet Tablet
314 Roverton syr Botol
315 IV Catheter no 18 G Terumo Pcs
316 IV Catheter no 20 G Terumo Pcs
317 Ketoprofen tablet 100 mg Tablet
318 Ketoprofen inj 10 mg Ampul
319 Jarum Kulit Set
320 Cefixim tablet 100 mg Tablet
321 Cefixim syr 100 mg/5 ml Botol
322 Masker N95 Pcs
323 Masker Bedah Pcs
324 Piracetam 400 mg Tablet
325 Piracetam inj 200mg/1ml Ampul
326 Tramadol inj 50 mg/ml Ampul
327 Jarum Jahit Bedah no 12 Set
328 Jarum Jahit Bedah no 13 Set
329 Jarum Jahit Bedah no 14 Set
330 Film Rontgen 18 x 24 Set
331 Antasida syr Botol
332 Asam Folat 1 mg Tablet
333 Metil prednisolon inj 500 mg Vial
334 Parasetamol drop Botol
335 Ceftriaxon inj Vial
336 Cairan prosessing film rontgen(developer dan fixer) set
337 Lytamin syr botol
338 Prenatin plus tablet tablet
339 Flumeco Tablet
340 Faktu Supp Supp
341 Stelosi tab 5 mg Tablet
342 Ondancetron 4 mg Tablet
343 Asam tranexamat 500 mg Tablet
344 D1/4 NS Botol
345 D1/2 NS botol
346 IV Cath dgn Katup pcs
347 Nasal cannula Oksigen pcs
348 Sarung Tangan Gynaecologi pasang
349 Klem Tali Pusar pcs
350 VitKa infan Ampul
351 OBH plus botol
352 Kantung Puyer Pak
353 Sarung Tangan Surgiglove Pasang
354 Spashi tab Tablet
355 Safety box Pcs
356 Pot Sputum Pcs
357 Box slide kotak
358 Lampu spiritus botol
359 Sarung Tangan Biotech M Pasang
360 Sarung Tangan Biotech S Pasang
361 Sarung Tangan Biotech L Pasang
362 Slide Prosted Pak
363 Spuit 2/3 ml Pcs
364 Kertas saring Lembar
365 Oil Emersi Botol
366 Reagen TBC Botol
367 Slide Non Prosted pak
368 Tisu Lensa Lembar
369 Sound timer buah
370 Primaquin Tablet
371 Arterakine Tablet
372 Depo Ampul
373 Pehatrim Forte (Kotrimoksasol tab forte 960 mg) Tablet
374 Fluconasol tab Tablet
375 Ampisilin Serbuk Injeksi i.m/i.v. 1000 mg/ml Ampul
376 Prokain Benzil Penicillin G Injeksi 3 jt IU/vial Vial
377 Dextran 70% Botol
378 Transfusi Set Pcs
379 Magnesium Sulfat 20% - 25 ml Botol
380 Magnesium Sulfat 40% - 25 ml Botol
381 Glukonas Calcicus 10%- 10ml Ampul
382 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul
383 Gentamisin Injeksi 80 mg/2ml Ampul
384 Metronidazole 500 mg Infus/100 ml Botol
385 Cutgut Chromic No.1 atraumatik (sachet) Sachet
386 Urine strip untuk pemeriksaan Protein dan Gula Pcs
387 Rapid test untuk sifilis Pcs
388 Kontasepsi Injeksi Progesteron Depot (3 bln.1ml) Ampul
389 Kontasepsi Pil Kombinasi (micrdiol) Blister
390 Implan KB (isi 2) Set
391 Spuit 10 ml Pcs
392 Alkohol Swab Sachet
393 Giemsa Solution Botol
394 Determine 1/2 Set
395 SD bio HIV 1/2 3.0 Set
396 One Step Anti HIV 1 dan 2 intec Set
397 SD bio Syphilis 3.0 Set
398 SD bio Syphilis 1/2 3.0 Set
399 Benzatin Penisillin Vial
400 Rotator Pcs
401 RPR Test Kit (Plasmatec) Set
402 VDRL/RPR anti gen Set
403 Cefixim tablet 200 mg Tablet
404 Clarithromysin 500 mg Tablet
405 Pirimethamine tablet Tablet
406 Sulfadiazin tablet Tablet
407 Azytromisin tablet 500 mg Tablet
408 Clindamisin 300 mg Tablet
409 Clindamisin 150 mg Tablet
410 BD Vacuntainer Pcs
411 Metil Prednisolon 16 mg Tablet
412 Amox-clav Tablet
413 Acyclovir tablet 200 mg Tablet
414 HIV 1&2 Antibody Oncoprobe Reagen 3 Set
415 Vixia 1/2 Biomeriux

Mengetahui
Kepala Pusk………………………………… Petugas

(…………………………………………………………..) (…………………………………………..)
NIP: NIP:
 LPLPO PUSTU….
DESEMBER 2013

No. Nama Obat Satuan Sisa stok des 2013

1 2 3
1 Acyclovir Salep Tube
2 Acyclovir 400 mg Tab Tablet
3 Air raksa dental use Botol
4 Alat suntik sekali pakai 1 ml Pcs
5 Alat suntik sekali pakai 2,5 ml Pcs
6 Alat suntik sekali pakai 5 ml Pcs
7 Albendazol 400 mg tab Tablet
8 Alprazolam 0.5 mg Tablet
9 Alupurinol 100 mg tab / Selespurin/ Proxuric Tablet
10 Ambroxol syr Botol
11 Ambroxol tab 30 mg / Promukus Tablet
12 Aminofilina injeksi 24 mg/ ml. 10 ml Ampul
13 Aminofilna tablet 200 mg Tablet
14 Amitriptilina hcl tablet salut 25 mg Tablet
15 Amoksilina kapsul 500 mg Tablet
16 Amoksilna sirup kering 125 mg/ 5 mg Botol
17 Antasida doen tablet kombinasi Tablet
18 Anti hemmoroid suppositoria Supp
19 Aqua pro injeksi streril. Bebas priogen 20 ml Vial
20 Aquadest steril 500 ml Botol
21 As salisilat 2% + belerang endap 4%(2-4 salep Pot
22 As. Benzoat 3 % + as salisilat 6%(whitefield) Pot
23 Asam askorbat (Vit. C) tablet 250 mg Tablet
24 Asam askorbat (Vit. C) tablet 50 mg Tablet
25 Asam mefenamat 500 mg Tablet
26 Asetosal 100 mg Tablet
27 Asetosal tablet 500 mg Tablet
28 Antalgin (metampiron) tablet 500 mg Tablet
29 Atropina sulfat injeksi 0 .25 mg / ml - 1 ml Ampul
30 Basitrasin Polimiksin Tube
31 Besi (ii) sulfat tablet salut .kombinasi Tablet
32 Betahistin tab Tablet
33 Betametazon salep kulit Tube
34 Captopril 12.5 mg tablet Tablet
35 Captopril 25 mg tablet Tablet
36 Carbamazepina 200 mg talet Tablet
37 Catgut / benang bedah no 2/0 chromic Sachet
38 Catgut / benang bedah no 3/0 plain Sachet
39 Cefadroxil 125mg/5ml Sirup Botol
40 Cefadroxill 500 mg tablet Tablet
41 Cefotaxim 1 gr Injeksi Ampul
42 Cetirizin10 mg tab Tablet
43 Cimetidine/Selestidin Tablet
44 Ciprofloxazin tablet 500 mg Tablet
45 Deksametason injeksi 5 mg / ml - 1 ml Ampul
46 Deksametason tablet 0.5 mg Tablet
47 Dekstrometofan HBR tablet 15 mg Tablet
48 Dekstrometopan HBR sirup 10 mg / ml Botol
49 Devitalisasi pasta Tube
50 Diazepam 5 mg Tablet
51 Diazepam injeksi 5 mg / ml - 2 ml Ampul
52 Diazepam tablet 2 mg Tablet
53 Difenhidramin HCL injeksi 10 mg / ml - ml Ampul
54 Digoksina tablet 0. 25 mg Tablet
55 Domperidon tablet 10 mg Tablet
56 Doxycicline 100 mg tab Tablet
57 Efedrina HCL (efedrina) tablet 25 mg Tablet
58 Epinefrina HCL / bitartat (aderenalina) inj 01% Ampul
59 Ergotamina tartrat 1 mg + kofeina 50 mg tab Tablet
60 Erytromysin 200mg/5ml Syrup Botol
61 Erytromysin tablet 500 mg Tablet
62 Etakridina (rivanol) larutan 0.1 % Botol
63 Etanol 70 % Botol
64 Etil klorida semprot Botol
65 Eugenol cairan Botol
66 Fenobarbital inj 50 mg /ml -2ml Ampul
67 Fenobarbital tablet 100mg Tablet
68 Fenobarbital tablet 30 mg Tablet
69 Fenol gliserol tetes telnga 10% Botol
70 Fitomenadion (vit. K1) inj 10 / ml 1 ml Ampul
71 Fitomenadion (vit. K1) tablet salut 10 mg Tablet
72 Furosemida tablet 40 mg Tablet
73 Gameksan emulisi 1 % Botol
74 Garam Oralit untuk 100 ml. Air Sachet
75 Garam Oralit untuk 200 ml air Sachet
76 Gentamisin Salep Mata Tube
77 Gentamysin SK Tube
78 Gentamysin TM/Genoint TM Botol
79 Gentian violet larutan 1 % Botol
80 Glibenklamida tablet 5 mg Tablet
81 Gliseril guayakolat tablet 10 mg Tablet
82 Glukosa larutan infus 10 % steril Botol
83 Glukosa larutan infus 40 % steril Botol
84 Glukosa larutan infus 5 % steril Botol
85 Griseofulvin tablet 125 mg. Mikronized Tablet
86 Haloperidol 0,5 mg. Tablet Tablet
87 Haloperidol 1,5 mg tablet Tablet
88 Haloperidol 5 mg tablet Tablet
89 Hidroklorotiasida (HCT) tablet 25 mg Tablet
90 Hidrokortison krim 2.5 % Tube
91 Ibuprofen tablet 200 mg Tablet
92 Ibuprofen tablet 400 mg Tablet
93 Infusion set anak Set
94 Infusion set dewasa Set
95 Isoniazide 100 mg Tablet
96 Isoniazide 300 mg Tablet
97 Isosorbid dinitrat Tablet
98 Jarum injeksi Pcs
99 Jarum jahit (bedah) no. 9 s/d 14 Set
100 Kalsium hidroksida pasta Pot
101 Kalsium laktat (kalk) tablet 500 mg Tablet
102 Kapas pembalut / absorben 250 gram Roll
103 Kasa gulung 40 x 80 Roll
104 Kasa Hidrofil 4 x 10 Roll
105 Kasa kompres 40 / 40 steril Roll
106 Kasa pembalut 2 x 80 Roll
107 Kasa pembalut hidrofil 4 m x 15 cm Roll
108 Kasa pembalut hidrofin 4m x 3 cm Roll
109 Kasa Steril ( 18 x 22 ) Kotak
110 Ketokonazole 200 mg tablet Tablet
111 Kinina dihidroklorida (kinina) inj 25 % - 2 ml Ampul
112 Kinina sulfat tablet 222 mg (7 h20 ) Tablet
113 Kloramfenicol salep kulit Tube
114 Kloramfenikol kapsul 250 mg Tablet
115 Kloramfenikol salep mata 1 % Tube
116 Kloramfenikol tetes Mata Botol
117 Kloramfenikol tetes telinga 3 % Botol
118 Klorfeniramina maleat (CTM) tablet 4 mg Tablet
119 Klorpromazin 100 mg tablet Tablet
120 Klorpromazina Hcl inj 25 mg / ml - 1 ml Ampul
121 Klorpromazina Hcl inj 5 mg / ml - 2 ml Ampul
122 Klorpromazina hcl tablet salut 25 mg Tablet
123 Kodeina Hcl (kodeina) tablet 10 mg Tablet
124 Kotrimoksasol suspensi Botol
125 Kotrimoksasol tablet kombinasi Tablet
126 Kotrimoksasol tablet pediatrik. Kombinasi Tablet
127 Lidokain inj Ampul
128 Lidokaina comp inj kombinasi Ampul
129 Lisol mengandung kresol Botol
130 Magnesium sulfat serbuk 30 grm Sachet

Metakresol sulfonat dan metanol kondensai (Albotyl)

131 Botol
132 Metformin 500 mg tablet Tablet
133 Metilergometrina maleat inj 0. 200 g / ml- ml Ampul
134 Metilergometrina malet tablet salut 0. 125 mg Tablet
135 Metilprednisolon tablet 4 mg Tablet
136 Metoklopramide 10 mg tablet/Noristal Tablet
137 Metronidazol 500 mg Tablet
138 Metronidazol tablet 250 mg Tablet
139 Mikonazole salep Tube
140 Monoklorkamfer mentolcairan (CHKM) Botol
141 Mumifyng pasta Botol
142 Natrium bikarbonat tablet 500 mg Tablet
143 Natrium Diklofenak 25 Tablet
144 Natrium Diklofenak 50 (Nadifen/Prostanac) Tablet
145 Natrium klorida larutan infus 0. 9 steril Botol
146 Nifedipin tablet 10 mg Tablet
147 Nistatin 100. 000 iu/g tablet vaginal Tab Vag
148 Obat batuk hitam (OBH) cairan Botol 100 ml
149 Ofloxacin tab 400mg Tablet
150 Oksigen gas dalam tabung 3 m3 Tabung
151 Oksigen gas dalam tabung 6 m3 Tabung
152 Oksitetrasiklina hcl salep 3 % Tube
153 Oksitetrasiklina hcl salep mata 1 % Tube
154 Oksitosina inj 10 iu/ml - 1 ml Ampul
155 Papaverin Injeksi Ampul
156 Papaverin Tablet Tablet
157 Parasetamol sirup 120 mg / 5 ml Botol
158 Parasetamol tab 100 mg Tablet
159 Parasetamol tablet 500mg Tablet
160 Pirantel pamoat (pirantel) tablet 125 mg basa Tablet
161 Piroxicam 10 Mg Tablet
162 Piroxicam 20 Mg Tablet
163 Plester 5 yard x 2 inch Roll
164 Prednison tablet 5 mgn Tablet
165 Pridoksina hcl (vit. B 6) tablet 10 mg Tablet
166 Primakina tablet 15 mg Tablet
167 Prokaina penisilina g inj 3 juta iu Vial
168 Propiltionurasil tablet 100 mg Tablet
169 Propranolol hcl (Propranolol) tablet 40 mg Tablet
170 Pyridoxin injeksi Ampul
171 Ranitidin inj 25 mg/2 ml Ampul
172 Ranitidin tablet 150 mg Tablet
173 Reserpina tablet 0, 10 mg Tablet
 174 Reserpina tablet 0, 25 mg Tablet
175 Retinol (vit. A) kapsul lunak 200.000 iu Tablet
176 Retinol (vit. A) tablet salut 100. 000 iu Tablet
177 Ringer laktat larutan infus steril Botol
178 Risperidon Tablet
179 Salbutamol tablet 2 mg Tablet
180 Salbutamol tablet 4 mg Tablet
181 Salisil bedak 2 % Bks
182 Salisil spiritus 10 % Botol
183 Semen seng fosfat serbuk dan cairan Botol
184 Serum anti bisa ular polivalen inj. 50 ml Vial
185 Serum anti bisa ular polivalen inj. 5ml Ampul
186 Serum anti tetanus inj. 1.500 iu Ampul
187 Serum anti tetanus inj. 20.000 iu Ampul
188 Sianokobalamina (vit.b12) inj. 500 mcg Ampul
189 Silk (benang bedah sutera) no.3/0 Pcs
190 Silver amalgam serbuk 65-75% Botol
191 Simvastatin tab 10 mg Tablet
192 Sulfacetamide tetes mata Botol
193 Synthetic filing material larutan dan serbuk Set
194 Temporary stopping fletcher serbuk dan cairan Set
195 Tetrasiklina hcl (tetrasiklina) kapsul 250 mg Tablet
196 Tetrasiklina hcl (tetrasiklina) kapsul 500 mg Tablet
197 Thiamfenikol 500 Tablet
198 Tiamin hcl /mononitrat (vit.b1) tablet 50 mg Tablet
199 Tiamina hcl (vit.b1) inj. 100 mg/ml Ampul
200 Tramadol Tablet
201 Trifluoperazine (Stelazin) Tablet
202 Triheksfenidil hcl 2 mg tablet Tablet
203 Trikresol formalin (tkf) cairan Botol
204 Vitamin B kompleks tablet Tablet
205 Yodium povidan larutan 10% 300 ml Botol
206 Yodium povidon larutan 10% 30 ml Botol
207 Zink tablet Tablet

Obat Tambahan
208 Adimidon injk / Xylomidon injk Vial
209 ADS 0.5 ml Pcs
210 ADS 0.05 ml Pcs
211 ADS 5 ml Pcs
212 Aleterol TM Botol
213 Antalgin injeksi Ampul
214 Arsuamon tablet Tablet
215 Artesunat inj Vial
216 Azitromisin+cefixim Tablet
217 Bisturi no 13 Pcs
218 Bisturi no 14 Pcs
219 Bisturi no 19/20 Pcs
220 Bisturi no 21 Pcs
221 Bonding Set
222 Bufacomb salep Tube
223 Buscopan inj Ampul
224 Clopramel inj Ampul
225 Composite (tumpatan sinar)A3 Set
226 Composite (tumpatan sinar)A3.5 Set
227 Daryantulle Lembar
228 Dermazine/Burnazin Tube
229 Dextina / Dextamin/Dextamec/Polofar Plus Tablet
230 Diaform tablet/selesdiar Tablet
231 Dormi/Scopma Tablet
232 Dulcolac anak supp Supp
233 Dulcolac dewasa supp Supp
234 Dulkolak tablet Tablet
235 Ericaf Tablet
236 ETSA Set
237 Folley catheter Pcs
238 Glass ionomer (Ketac Molar) Tube
239 Hypavix (Ultrafik) Roll
240 I.V Catheter 22 Pcs
241 I.V Catheter 24 Pcs
242 IV Catheter 18 Pcs
243 IV Catheter 20 Pcs
244 Jarum Otot dan Kulit Set
245 MY Jelly Tube
246 Klip Kecil Pak
247 Klip Tanggung Pak
248 Masker Pcs
249 Meylon inj Botol
250 Microlax Supp
251 Multivitamin (Livron B plek) Tablet
252 Multivitamin sirup( Xanvit syr) Botol
253 Norit Botol
254 Obat anti tuberkulosis FDC anak Paket
255 Obat anti tuberkulosis FDC katagori I Paket
256 Obat anti tuberkulosis FDC katagori II Paket
257 Obat anti tuberkulosis kategori I Paket
258 Obat anti tuberkulosis FDC sisipan Paket
259 Obat Batuk Kombinasi Botol

260 Obat Flu kombinasi CTM, PPA (Anaflu), Demacolin

Tablet
261 Obat Flu Kombinasi/Mecofed/Quantidex Tablet
262 Obat maag kombinasi/Indomag/Myloxan Tablet
263 Obat maag suspensi (novamaag) Botol
264 Obat sakit kepala komb (Parasetamol + Kofein) Tablet
265 Orpen Tablet
266 Oseltamivir Tablet
267 Pehacain Injeksi Ampul
268 Pembalut Gips Roll
269 Perhidrol (H2O2) Botol
270 Perkamen Pak
271 Proris supp Supp
272 Sarung Tangan L Pasang
273 Sarung Tangan M Pasang
274 Sarung Tangan S Pasang
275 Sarung Tangan Steril Pasang
276 Seremig tablet Tablet
277 Spalk tungkai atas anak Pcs
278 Spalk tungkai atas dewasa Pcs
279 Spalk tungkai bawah anak Pcs
280 Spalk tungkai bawah dewasa Pcs
281 Spashi inj Ampul
282 Stesolid rectal Supp
283 Strop indra Botol
284 Tranexid inj (Asam tranexamat inj) Ampul
285 Transamin tab Tablet
286 Urinebag Set
287 Ventolin Nebulizer Ampul
288 Vitamin B12 tab Tablet
289 Vitamin Neurotropik inj Ampul
290 Vitamin Neurotropik tablet (Nutrifar, Sohobion) Tablet
291 Wing Needle 21 Pcs
292 Wing Needle 23 Pcs
293 Wing Needle 25 Pcs
294 Wing Needle 27 Pcs
295 Omeprasole tablet 20 mg Tablet
296 Silk 3/0 roll Roll
297 Catgut 2/0 Chromic Roll Roll
298 Catgut 3/0 Chromic Roll Roll
299 Catgut 1/0 Chromic Pcs
300 Kertas EKG Roll
301 Kertas USG Roll
302 Jelly RO Tube
305 Primperan inj Ampul
306 Pantocain Tetes Mata Botol
308 Underpad Pak
309 Caviton Tube
310 Amlodipin 5 mg tab Tablet
311 Amlodipin 10 mg tab Tablet
312 ADS 2 ml Pcs
313 Roverton tablet Tablet
314 Roverton syr Botol
315 IV Catheter no 18 G Terumo Pcs
316 IV Catheter no 20 G Terumo Pcs
317 Ketoprofen tablet 100 mg Tablet
318 Ketoprofen inj 10 mg Ampul
319 Jarum Kulit Set
320 Cefixim tablet 100 mg Tablet
321 Cefixim syr 100 mg/5 ml Botol
322 Masker N95 Pcs
323 Masker Bedah Pcs
324 Piracetam 400 mg Tablet
325 Piracetam inj 200mg/1ml Ampul
326 Tramadol inj 50 mg/ml Ampul
327 Jarum Jahit Bedah no 12 Set
328 Jarum Jahit Bedah no 13 Set
329 Jarum Jahit Bedah no 14 Set
330 Film Rontgen 18 x 24 Set
331 Antasida syr Botol
332 Asam Folat 1 mg Tablet
333 Metil prednisolon inj 500 mg Vial
334 Parasetamol drop Botol
335 Ceftriaxon inj Vial
336 Cairan prosessing film rontgen(developer dan fixer) set
337 Lytamin syr botol
338 Prenatin plus tablet tablet
339 Flumeco Tablet
340 Faktu Supp Supp
341 Stelosi tab 5 mg Tablet
342 Ondancetron 4 mg Tablet
343 Asam tranexamat 500 mg Tablet
344 D1/4 NS Botol
345 D1/2 NS botol
346 IV Cath dgn Katup pcs
347 Nasal cannula Oksigen pcs
348 Sarung Tangan Gynaecologi pasang
349 Klem Tali Pusar pcs
350 VitKa infan Ampul
351 OBH plus botol
352 Kantung Puyer Pak
353 Sarung Tangan Surgiglove Pasang
354 Spashi tab Tablet
355 Safety box Pcs
356 Pot Sputum Pcs
357 Box slide kotak
358 Lampu spiritus botol
359 Sarung Tangan Biotech M Pasang
360 Sarung Tangan Biotech S Pasang
361 Sarung Tangan Biotech L Pasang
362 Slide Prosted Pak
363 Spuit 2/3 ml Pcs
364 Kertas saring Lembar
365 Oil Emersi Botol
366 Reagen TBC Botol
367 Slide Non Prosted pak
368 Tisu Lensa Lembar
369 Sound timer buah
370 Primaquin Tablet
371 Arterakine Tablet
372 Depo Ampul
373 Pehatrim Forte (Kotrimoksasol tab forte 960 mg) Tablet
374 Fluconasol tab Tablet
375 Ampisilin Serbuk Injeksi i.m/i.v. 1000 mg/ml Ampul
376 Prokain Benzil Penicillin G Injeksi 3 jt IU/vial Vial
377 Dextran 70% Botol
378 Transfusi Set Pcs
379 Magnesium Sulfat 20% - 25 ml Botol
380 Magnesium Sulfat 40% - 25 ml Botol
381 Glukonas Calcicus 10%- 10ml Ampul
382 Ampisillin injeksi i.m/i.v 1000 mg/ml Ampul
383 Gentamisin Injeksi 80 mg/2ml Ampul
384 Metronidazole 500 mg Infus/100 ml Botol
385 Cutgut Chromic No.1 atraumatik (sachet) Sachet
386 Urine strip untuk pemeriksaan Protein dan Gula Pcs
387 Rapid test untuk sifilis Pcs
388 Kontasepsi Injeksi Progesteron Depot (3 bln.1ml) Ampul
389 Kontasepsi Pil Kombinasi (micrdiol) Blister
390 Implan KB (isi 2) Set
391 Spuit 10 ml Pcs
392 Alkohol Swab Sachet
393 Giemsa Solution Botol
394 Determine 1/2 Set
395 SD bio HIV 1/2 3.0 Set
396 One Step Anti HIV 1 dan 2 intec Set
397 SD bio Syphilis 3.0 Set
398 SD bio Syphilis 1/2 3.0 Set
399 Benzatin Penisillin Vial
400 Rotator Pcs
401 RPR Test Kit (Plasmatec) Set
402 VDRL/RPR anti gen Set
403 Cefixim tablet 200 mg Tablet
404 Clarithromysin 500 mg Tablet
405 Pirimethamine tablet Tablet
406 Sulfadiazin tablet Tablet
407 Azytromisin tablet 500 mg Tablet
408 Clindamisin 300 mg Tablet
409 Clindamisin 150 mg Tablet
410 BD Vacuntainer Pcs
411 Metil Prednisolon 16 mg Tablet
412 Amox-clav Tablet
413 Acyclovir tablet 200 mg Tablet
414 HIV 1&2 Antibody Oncoprobe Reagen 3 Set
415 Vixia 1/2 Biomeriux

Mengetahui
Kepala Pusk………………………………… Petugas

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