LPLPO PUSTU/POSKESDES/POLINDES

2019
NAMA* PUSTU/POLINDES/POSKESDES : Rantau Panjang *CORET YG TDK PERLU
BULAN : mei

Harga
No Nama Obat-obatan Satuan/ Kemasan Masuk Keluar Sisa Stock Permintaan
Satuan
BAHAN MEDIS HABIS PAKAI (BMHP)
1 Abocart No 18 G Box 50 buah 6600
2 Abocart No 20 G Box 50 buah 6000
3 Abocart No 22 G Box 50 buah 7,500 4
4 Abocart No 24 G Box 50 Buah 8,566 4
5 Abocart No 26 G Box 50 Buah 7,700
6 Alkohol Swabs Box 24 pcs 10
7 Alkohol 100 ml Btl Btl
8 Aseptic Gel 500 cc + dispenser Btl 12 btl 22,000
9 Alkohol 70% 1 Liter Dus 12 btl 25,000
10 Aqua proinjeksi steril,bebas pirogen Btl 10 ml 1,650
11 Aquadest steril Btl 10 ml 2,500
12 Blood Lancet Box 100 pcs
13 Bisturi No. 10 Box 10 pcs 3,000
14 Blade Bbraun Aesculap Box 100 pcs 3,000
15 Catgut Cromic 3/0 w Needle Serenity Pcs 24 pcs
16 Catgut Plain 3/0 Needle Serenity Pcs 24 pcs
17 Catgut Bedah No.3/0 Plain & Chromic Box 24 set 5,583
18 CHIRUGIC GLOVES , Size 6,5 Box Pcs 7,600
19 CHIRUGIC GLOVES , Size 7,5 Box Pcs 7,370
20 Chloretyl Spray Dus Botol 114,700
21 Daryantule Dus 10 lbr
22 Dermafix 5x7 Box 100 pcs 1,629
23 EXAMINATION Gloves , Size S Box 100 Psc 462
24 EXAMINATION Gloves , Size M Box 100 Pcs 462
25 EXAMINATION Gloves , Size L Box 100 Pcs 462
26 Folikateter 16 Dus 10 pcs 8,000
27 Folikateter 18 Dus 10 pcs 8,000
28 Female Cateter No. 18 AXIMED Pcs Pcs -
29 Female Cateter No. 16 AXIMED Pcs Pcs -
30 Feeding Tube 40 cm No.8 Aximed Pcs Pcs -
31 Feeding Tube 40 cm No.10 Aximed Pcs Pcs
32 Feeding Tube 100 cm No.8 Aximed Pcs Pcs
33 Framycetin Dus 10 lbr
34 Feeding Tube 100 cm No.8 Aximed Pcs Pcs
35 Infus Set Semillas 3D Semillas Pcs Pcs
36 Infusion Set Anak ( Pediatric ) Set set 3,500 4
37 Infusion Set Dewasa ( Adult ) Set set 4,800 4
38 Infusion Set Type-Y Set 50 Pcs 7,590
39 Intrafix Primelin type Mikrodroper Set set 17,391
40 Jarum jahit (bedah) No 12 Box 24 set 2,750
41 Jarum jahit (bedah) No 13 Box 24 set 2,750
42 Jarum jahit (bedah) No 9 Box 24 set 2,750
43 Kapas Berlemak 500 gram Bks bks 16,500
44 Kapas Pembalut Absorben 250 gram Bks bks 12,500
45 Kasa Panjang Rol Rol 145,000
46 Kasa Pembalut Hidrofil 40 m x 80 cm Dus Rol 105,000
47 Kasa pembalut Hidrofil 2 m x 80 cm Dus Rol 10,010
48 Kasa pembalut hidropil 4 m x 15 cm Dus Rol 2,100
49 Kasa Pembalut Hidropil 4 m x 3 cm Dus Rol 590
50 Kasa Pembalut Hidropil 4 m x 5 cm Dus Rol 750
51 Kasa Pembalut Hidropil 4 m x 10 cm Dus Rol 1,500
52 Kasa Steril 10 x 10 cm ply 1x10's Dus kotak 9,431
53 Kasa Hydrophil steril uk 18x22 Dus kotak 7,500
54 Kasa Steril 16 cm x 16 cm Rol 100 pcs 7,900
55 Kertas Puyer Pak 100 pcs 7,000
56 Masker Oxygen Dewasa Serenity Pcs Pcs
57 Masker Oxygen Anak Serenity Pcs Pcs
58 Masker Oxygen Bayi Serenity Pcs Pcs
59 Mucus Extractor Serenity Pcs Pcs
60 Masker Box 50 pcs 19,800
61 Masker Nebulizer Dewasa Pcs Pcs
62 Masker Nebulizer Anak Pcs Pcs
63 Nasal Oxygen, 02 Canula Size M Bks Pcs 6,600
64 Nasal Oxygen, 02 Canula Size S Bks Pcs 6,600
65 Nasal Oxygen, 02 Canula Size L Bks Pcs 6,600
66 Nasal Oxygen, 02 Canula Size XS Bks Pcs 6,600
67 Needle 23 Box 100 set 1,400
68 Needle 25 Box 100 set 1,400
69 Non Woven Fixation 10 x10 cm Aximed Pcs Pcs
70 Non Woven Fixation 5 x10 cm Aximed Pcs Pcs
71 One Srub 4% 100 cc Btl btl
72 Oxyflow Nasal Oxygen Bayi Bks Pcs 5,500
73 Oxyflow Nasal Oxygen Anak Bks Pcs 5,500
74 Oxyflow Nasal Oxygen Dewasa Bks Pcs 5,500
75 Paper Tape 2,5 cm 9,14 m Aximed Pcs Pcs
76 Rivanol 300 cc Botol ml 3,000
77 Plester 5 yard x 2 inch Box 6 rol 4,300
78 Safety box Buah Buah 15,715
79 SEMILAS Non-Woven Medical Tape 10x12 cm Dus Roll 8,855
80 SEMILAS Non-Woven Medical Tape 15x500 cm Dus Roll 180,950
81 SEMILAS Non-Woven I.V. Dressing Dus Roll 70,000
82 SEMILAS Non-Woven Medical Tape 5x500cm Dus Roll 21,753
83 SEMILAS Non-Woven Medical Tape 20x500cm Dus Roll 53,900
84 SEMILAS Non-Woven Medical Tape 4,4x4,4 cm Dus Roll 1,925
SEMILAS Non-Woven Wound Dressing 6x7 cm ( with
85 Dus Roll 4,235
pad )
86 Silk 3/0 + jarum 1/2 GT 35 mm Box 35 set 3,056
87 Syringe 1 cc Box 100 pcs 830
88 Syringe 3 cc Box 100 Pcs 825
89 Syringe 5 cc Box 100 pcs 928
90 Syringe 10 cc Box 100 Pcs 1,302
91 Strip Glukosa On Call Plus Dus Set
92 Stomach Tube 85 cm No. 12 Box Set 7,370
93 Stomach Tube 85 cm No. 18 Box Set 7,370
94 Suction Cthaheter no. 10 Box Set 7,370
95 Suction Cthaheter no. 12 Box Set 7,370
96 Surgical Film Drape 15x20 cm Box Set 52,745
97 Surgical Film Drape 20x30 cm Box Set 57,365
98 Surgical Film Drape 30x40 cm Box Set 64,680
99 Surgical Film Drape 40x50 cm Box Set 75,845
100 Test Kehamilan Box Pcs 163,350
101 Test HIV Device Box Pcs 1,375,000
102 Tansparant Wound Dressing 6x7 cm Box Set 211,750
103 Tansparant Wound Dressing with pad 10x25 Box Set 18,480
104 Tansparant Wound Dressing with pad 9x16 Box Set 10,973
105 Underpads Bks 10 pcs 7,626
106 Vasofix B Brown Ktk 50 pcs -
Wayson Medical Semillas Transparant IV Dressing
107 Pcs Pcs
6cmx7cm
Wayson Medical Semillas Transparant Wound
108 Pcs Pcs
Dressing w/pad 6cmx7cm
109 Waterproof Tansparant Medical Tape 5 x 500 Box Rol 84,700
110 Waterproof Tansparant Medical Tape 15 x 500 Box Rol 180,950
111 Waterproof Tansparant Medical Tape 20 x 500 Box Rol 250,250
112 Wing nedle 23 Set Set 1,400
113 Wing nedle 25 Set Set 1,400
114 With Pad 3x4 cm Box rol 80,850
115 Yodium Povidon 10% 30 ml Btl 1.000 ml 2,900
116 Yodium povidon 10% 60 ml Btl 30 ml 3,700
117 Yodium povidon 10% 300 ml Btl 60 ml 15,386
118 Yodium povidon 10% 1000 ml Btl 300ml -

OBAT (TABLET, SIRUP, SALEP, INFUS, NEBULES)

1 Albendazol 200 mg/5ml suspensi Btl 5 ml 4,426

2 Albendazol Tablet 400 mg Box 100 tab 323
3 Alprazolam Tablet 1 mg Box 100 tab 184
4 Alopurinol Tablet 300 mg Box 100 tab
5 Alopurinol Tablet 100 mg Box 100 tab 95
6 Ambroxol tab Box 100 tab 89 100
7 Aminofilin injeksi 24 mg/ml -10 ml Box 30 Amp 4,200
8 Aminofilin tablet 200 mg Btl 100 tab 115
9 Amitriptilin hcl tablet salut 25 mg Box 100 tab 165
10 Amlodipin Tablet 10 mg Box 100 tab 352
11 Amoksisilin syr kering 125 mg/5 ml Btl 60 ml 2,560 10
12 Amoksisilin syr kering 250 mg/5 ml Forte Btl 60 ml 4,730
13 Amoxcilin 500 Mg Box 100 tab 279 100
14 Ampicilin Injeksi Box 10 Vial 5,905
15 Acarbose 100 mg Ktk 100 tab 990
16 Acyclovir 200 mg Tab 100 tab 245
17 Anstrep Syr Btl Botol
18 Anabion Syrup Btl 60 ml 10,350
19 Antalgin (metampiron) tablet 500 mg Btl 1000 tab 154
20 Antalgin injeksi 250 mg/ml -2 ml Box 30 Amp 1,500
21 Antasida doen sirup Btl 60 ml 4,235
22 Antasida doen tablet,kombinasi Btl 1000 tab 78 200
23 Antibakteri doen salep kombinasi Box 25 tube 2,741
24 Antifungi doen kombinasi Box 24 pot 2,096
25 Antihemoroid doen kombinasi Box 10 Supp 2,200
26 Antimigren ( Ergotamin Caffein ) Box tab 113
27 Asam Ascorbat Tab 50 mg Btl 1000 tab 105
28 Asam askorbat (vit c) tablet 250 mg Btl 1000 tab 163
29 Asam traneksamat inj 100mg/ml Box Amp 2,789
30 Asam Folat tablet 1 mg Btl 100 tab 52
31 Anaflu Tablet Box 100 tab -
32 Asam Mefenamat 500 Mg Box 100 tab 113 100
33 Asetosal tablet 100 mg Box 100 tab 153
34 Asetosal tablet 500 mg Box 100 tab 153
35 Atropin sulfat injeksi 0,25 mg/mil -1 ml Box 30 Amp 1,400
36 Atropin sulfat tablet 0,5 mg Btl 1000 tab 66
37 Atropen Spray Btl 20 mg 90,000
38 Benzatin Benzil Penicillin inj Box 10 Vial
39 Bacitrim-polycitrim zalf Box 24 tube 2,741
40 Betametason krim 0,1 % Box 25 tube 1,558
41 Bisoprolol 5 Mg Box 30 tab 695
42 Betahistin Maleat Box 50 tab
43 Carbamazepine 200 mg Box 100 Tab 269
44 Combivent Nebules box 20 vial
45 Cloramex Capsul Box 100 tab
46 Cefadoxil 500 mg Box 100 kap 521
47 Cefadoxil Sy Btl 60 ml 5,286
48 Cetrizine 10 mg Ktk 100 tab 190
49 Cetrizine Sy Dus Botol 2,950
50 Chloramfenicol sy Box Kotak 4,016
51 Cimetidin 200 Mg Box 100 tab 106
52 Ciprofloxacin 500 Mg Box 100 tab 298
53 Codein 10 mg Box 50 tab 517
54 Clozapine 100 Mg box 100 tab
55 Clozapine 25 Mg Box 50 Tab 77,501
56 Doxicixline Cap Box 100 Cap
57 Decasetin Tetes Mata 0,5 % Btl btl
58 Daneuron Box 100 tab 396
61 Deksametason injeksi 5 mg/ml - 1 ml Box 100 Amp 1,544
62 Deksametason tablet 0,5 mg Btl 1000 tab 68 100
63 Deksoksimetason Zalf 15 gram Box 15 gram 9,983
64 Dermazin zalf Box tube -
65 Diazepam injeksi mg /ml -2 ml Box 30 Amp 2,605
66 Diazepam tablet 5 mg Btl 1000 tab 44
67 Diazepam tablet 2 mg Btl 1000 tab 39
68 Difenhidramin hcl injeksi 10 mg/ml-1 ml Box 30 Amp 1,056
69 Digoksin tablet 0,25 mg Box 100 tab 103
70 Diltiazem HCL Tablet 30 mg Box 100 tab 137
71 Doksisiklin 100 mg capsul Box 100 kap 298
72 Domperidon Drops Btl 10 ml 17,100
73 Domperidon Suspensi 5 Mg/5Ml Box 60 ml 3,180 5
75 Domperidon tablet Box 100 tab 118 100
76 Dopamet Tablet Box tab 150
77 Efedrin hcl Inj Box Amp 1,137
78 Efedrin hcl tablet 25 mg Btl 1000 tab 47

79 Epineprin hcl /bitatrant (adrenalin ) inj 0,1 % - 1 ml Box 100 Amp 1,650

80 Erytromisin sirup Btl 60 ml 8,090

81 Erlamicetin tetes mata Box 5 ml 650
82 Farizole Syrup Btl 60 ml 4,350
83 Fenitoin sodium 50 mg inj Dus Vial 208,570
84 Fenitoin natrium kapsul 30 mg Btl 100 Cap 80
85 Fenobarbital injeksi 50 mg / ml-2 ml Box 30 Amp 1,888
86 Fenobarbital tablet 100 mg Btl 1000 tab 140
87 Fenobarbital tablet 30 mg Btl 1000 tab 51
88 Fenol gliserol tetes telinga 10 % Box 24 tube 2,042
89 Fitomenadion ( Vit k ) injeksi 2mg / ml Box 30 Amp 3,754
90 Fitomenadion (vit k) tablet salut 10 mg Btl 100 tab 690
91 Furosemid Injeksi 10 mg Ktk 25 Amp 2,012
92 Gliquidone tab 30 mg Box 100 Tab -
93 Garam oralit untuk 200 ml air Box 100 bks 317 100
94 Genalten Cream Dus Set 5,390
95 Genoin Zalf Mata 0,3% Box Tube 4,500
96 Gentamicin Injeksi Box Amp 3,739
97 Gentamicin Zalf Mata 0,3% Box Tube 4,600
98 Gentian violet larutan 1% Box 24 btl 495
99 Glimepiride Tab 2 mg Ktk 2 mg 447
100 Glibenklamid tablet 5 mg Box 100 tab 61
101 Gliclazide (Glicab) Tablet Ktk 80 mg 251
102 Gliseril Guayakolat Tablet 100 mg Btl 1000 tab 31 100
103 Gliserin Btl 100 ml 5,867
104 Glukosa larutan infus 10% steril Btl 1000 ml 6,270
105 Glukosa larutan infus 5 % steril Btl 1000 ml 5,720 5
106 Grantusif Tab 100 tab 45
107 Griseofulvin tablet 125 mg micronized Btl 100 tab 224 100
108 H2O2 Larutan Btl 1.000 ml -
109 Haloperidol tablet 0,5 mg Box 100 tab 62
110 Haloperidol tablet 1,5 mg Box 100 tab 76
111 Haloperidol tablet 5 mg Box 100 tab 105
112 Hidroklorotiazid (HCT) tablet 25 mg Btl 1000 tab 40
113 Hidrokortison krim 1 % Box Tube 3,514
114 Hidrokortison krim 2,5 % Box 24 Tube 2,868
115 Hidrokortison krim 5 % Box Tube 6,765
116 Histigo Tablet Box 100 tab 725
117 Irbesartan Tab 300 mg Ktk 300 mg 2,717
118 Ibuprofen Suspensi 100 mg/5 ml Btl 60 ml 2,560
119 Ibuprofen tablet 400 mg Box 100 tab 157 100
120 Ibuprofen tablet 200 mg Box 100 tab 121
121 Imuno Syrup Btl 60 ml 18,000
122 Isosorbid dinitrat tablet sublingual 5 mg Box 100 tab 98
123 Komolas Syr Btl botol
124 Kaen 3A Infus Dus 20 kolf 10,000
125 Kaen 3B Infus Dus 20 kolf 10,000
126 Kalium Diklofenak 25 mg Box 50 Tab 146 100
127 kalsium laktat (kalk) tablet 500 mg Btl 1000 tab 69
128 Katopril 12,5 mg Box 100 tab 69 100
129 Katopril 25 Mg Box 60 tab 72 100
130 Katopril 50 Mg Box 100 tab 141
131 Ketokonazol 200 mg Box 50 Tab 320
132 Ketokonazole zalf Box tube 2,633
133 Ketorolac Injeksi 30 mg/ml Amp 1 mg 2,665
134 Kidikol sirup Box 60 ml 6,325
135 Kloramfenikol TTM / Reco TTM Box botol 8,200
136 Kloramfenicol kapsul 500 mg Box 500 cap 231
137 Kloramfenikol kapsul 250 mg Btl 250 Cap 231
138 Kloramfenikol Zalf mata 1% Box 24 tube 1,640
139 Kloramfenikol Syr Dus Botol 3,800
140 Kloramfenikol tetes telinga 3% Box 24 btl 1,759
141 Klorfeniramin Maleat ( CTM ) Tablet 5 mg Box 100 tab 45
142 Klorokuin fosfat tablet 150 mg Btl 1000 tab 94
143 Klorpromazin hcl inj 25 mg/ml-1 ml Box 30 Amp 1,123
144 Klorpromazin hcl tablet salut 100 mg Btl 1000 tab 146
145 Klorpromazin hcl tablet salut 25 mg Btl 1000 tab 50
146 Kodein hcl tablet 10 mg Btl 250 tab 517

147 Kombinasi pirimetamin 25 mg + sulfadoksiin 500 mg Box 100 tab 520

148 Kotrimoksazol Syrup Btl 60 ml 2,298

149 Kotrimoksazol Tablet Dewasa 480 mg Box 100 tab 152
150 Kuinin dihidroklorida inj.25% -2 ml Box 30 Amp 800
151 Kuinin sulfat tablet 222 mg (7 h2o) Box 60 tab 399
152 Levopar Btl 100 ml 97
153 Levofloksasin 500 mg Box 100 tab 581
154 Lidokain inj 2 % box 100 Amp
155 Lidokain Kompositum injeksi Box 30 Amp 1,137
156 Lisol Btl 1000 ml 41,000
157 Lodomer Inj 5 mg Box Amp 82,500
158 Loperamid Tab 2 mg Box Tab 97
159 Loratadine Tablet 10 mg Box Tab 170
160 Lytamin Syr Dus Botol -
161 Meloxicam tab Tab Tab 234
162 Metformin Hcl 500 mg Box 100 tab 119
 Metilergometrin maleat inj.0,200 mg - 1 ml/
163 Box 30 Amp 2,684
Myomergin Inj
164 Metilergometrin maleat tablet salut 0,125 mg Box 100 tab 169
165 Metilprednisolone 4 mg Bos 100 tab 209
166 Metilprednisolone 8 mg Ktk 100 Tab 390
167 Metoclopramide HCL Tablet 5 mg Ktk 100 Tab 111
168 Metildopa Tablet Salut 250 mg Ktk 100 tab 880
169 Miniaspri Tab 80 mg Ktk 80 mg 148
170 Metrodinazol Infus Btl 100 ml 12,980
171 Metronidazol syrup 125 mg/ml Btl 60 ml 3,800
172 Metronidazol tablet 500 mg Box 100 tab 169
173 MgSO4 20% Dus Kolf 3,200
174 MgSO4 40% Dus Kolf 3,650
175 Miconazole zalf Tube Kolf 3,075
176 mirabion tablet Box 100 tab 825
177 Mirasic drop Btl 30 ml 16,280
178 Multivitamin Dewasa Box tab 836 100
179 My Jelly 82 gram tube tube 29,550
180 Myomergin Injeksi Box amp 2,684
181 Natrium Bikarbonat Tablet 500 mg Btl 1000 tab 16
182 Natrium Diklofenak tab 25 mg Box 100 tab 146 100
183 Natrium Diklofenak tab 50 mg Box 50 tab 193
184 Natrium klorida larutan infus 0,9 % steril Btl 500 ml 5,390
185 Neurotropic Tab Box tab 550
186 Neocenta Gel / Jel Luka Bakar 5 gr Tube Tube 19,500
187 Neo Kaominal Sy Btl 60 ml 5,500
188 Neo-K Inj Amp Amp 13,950
189 Nifedipin Tab Ktk 10 mg 110
190 Nistatin 100.000 iu tablet vaginal Box 100 tab 1
191 Nistatin 500.000 iu tablet salut Box 100 tab 448
192 Obat batuk hitam (o.b.h)cairan Btl 60 ml 1,150
193 Oksitetrasiklin hcl salep mata 1 % Box 25 tube 2,112
194 Oksitetrasiklin hcl.inj.i.m.50 mg/ml- 10 ml Box 10 Vial 3,410
195 Oksitosin injeksi 10 iu/ml - 1 ml Box 30 Amp 1,900
196 Omeprazole tab Tab Kap 221
197 Omecough Syr Dus 50 btl 10,000
198 OAT Kategori I Paket Paket -
199 OAT Kategori II Paket Paket
200 Ondansetron Inj Amp 4 mg 1,650
201 Oratifed Syr Dus 50 btl 6,500
202 Oxybiotic Injeksi Box 10 Vial 11,000
203 Oxytetra Salep Tube Tube 8,950
204 Paramidon Inj / Adimidon Inj Box 10 Vial 9,000
205 Parasetamol syrup 120 mg/5 ml Btl 60 ml 1,119 10
206 Parasetamol tablet 500 mg / Novagesic Btl 1000 Tab 88 200
207 Pehacain inj 2% Box Amp 1,499
208 Panvit - C Box 100 tab 836
209 Pirantel pamoat tablet 365 mg Box 60 tab 318
210 Pirantel pamoat tablet 125 mg Box Tab 318
211 Pirantel Syrup Box Btl 9,100
212 Piridoksin hcl tablet 10 mg Btl 1000 tab 136
213 Piroksicam capsul Box 100 cap 115
214 Pularex Tab Ktk 630 mg 220 100
215 Plutamol sirup Btl 60 ml 11,000
216 Prednison tablet 5 mg Btl 1000 tab 125
217 Primakuin tablet 15 mg Btl 1000 tab 125
218 Primpen Suspensi Btl 60 ml 11,000
219 Propiltioltiourasil tablet 100 mg Btl 100 tab 351
220 Propranolol hcl tablet 40 mg Box 100 tab 114
221 Propranolol hcl tablet 10 mg Box 100 tab 114
222 Ranitidine Injeksi Box 10 Vial 52,910
223 Ranitidin 150 mg tab Box 100 tab 128 100
224 Recolpar Tablet 0,5 mg Box 30 tab 4,345
225 Reserpin tablet 0,25 mg Btl 1000 tab 97
226 Resperidone 2 mg Tablet Box 50 tab
227 Ringer laktat larutan infus steril Btl 100 ml 7,150
228 Salbutamol syrup Botol ml 5,463
229 Salbutamol tablet 2 mg Box 100 tab 91
230 Salbutamol tablet 4 mg Box 100 tab 91 100
231 Salep 2- 4 kombinasi Box 24 tube 1,980
232 Salisil bedak 2 % Box 100 gr 1,350
233 scopma tablet Btl 100 tab 420
234 Sefotaxime inj 1000 mg Box Amp 5,884
235 Serum anti bisa ular polivalen inj.5 ml (abu i) Box 10 Amp 543,950
236 Serum anti difteri inj. 20.000 iu/vial (a.d.s) Box 10 Amp -
237 Serum anti tetanus inj.1.500 iu/Amp (a.t.s) Box 10 Amp 170,000
238 Serum anti tetanus inj.20.000 iu/Amp (a.t.s) Box 10 Amp 5,500
239 Sianokobalamin (vib.b 12)inj.500 mcg/ml Box 100 Amp 1,050
240 Sianokobalamin (Vit.B12 ) Tablet Btl 1000 tab 14
241 Simvastatin Tablet 10 mg Box Tab 177 100
242 Simvastatin Tablet 20 mg Box Tab 252
243 Spironolactone 25 mg Ktk 25 mg 350
244 Stelazin 5 Mg tab Box 100 tab 880
245 Stesolit Rectal 10 mg tube Box 5 tube 18,458
246 Stesolit Rectal 5 mg tube Box 5 tube 12,749
247 Tablet tambah darah kombinasi Box 3000 tab 21,615

248 Tetagam Human Tetanus Imunoglobin inj 250 Iu Box vail 170,000

249 Tetrasiklin Hidrokortison Cream 2,5 % ( Terikortin ) Tube tube 2,712

250 Tetrasiklin hcl kapsul 500 mg/Novabiotik 500 mg Box 100 Cap 226

251 Thiamfenicol 500 Mg Box 100 cap 440

252 Tiamin hcl (vib b.1)inj.100 mg/ml -1 ml Box 30 Amp 770
253 Tiamin hcl monohitrat (vib b 1)tablet 50 mg Btl 1000 tab 91
254 Trifalgin 500 Mg ( Antalgin ) Btl 1000 tab 125
255 Trifastan 500 mg tab Box 100 tab 298
256 Trifluperazin Tab 5 mg Box 59 tab 682
257 Triheksifenidil Hidroklorida tablet 2 mg Box 100 tab 44
258 Ulcusan Syrup (Ulsafate) Btl 60 ml 14,450
259 Vaksin Hepatitis B Dewasa Box vial 100
260 Vaksin rabies vero Box vial -
261 Ventolin Nebules Box amp 4,000
262 Vicanatal Box 100 tab 472
263 Vitamin B kompleks tablet Btl 1000 tab 112 100
264 Vitamin B kompleks Injeksi Box vial 8,250
265 Vitamin Neutropik inj Box vial 7,150
266 Vitamin Syrup Dewasa Botol ml 17,800
267 Zinc Tablet Box 100 tab 592 100
268 Zyrcum Syr / zinc sulafte syr Btl ml 16,478 5
REAGEN DAN PERALATAN GIGI
1 Aroma Fine Normal Dus Pack 214,500
2 Bonding agent ( g-Bond ) Botol ml 1,749,990
3 Caviton Pink Box Pot 324,500
4 Charisma Smart Kit Box Set 4,950,000
5 Dentin Conditioner 25 gr Box Botol 565,400
6 Diluent Hematology Analyzer Box Set 1,595,000
7 EDTA Tab 3 ml Dus Tabung 244,750
8 Eugenol cairan Box 12 Btl 20,815
9 EZ Cleanser Box Botol 737,000
10 Fuji VII, Pink Dus Set 1,257,850
11 Fuji VII, Putih Dus Set 1,257,850
12 Fuji IX extra StrengthA2 Dus Set 1,431,980
13 HBSAb Rapid Test Box Set 1,303,500
14 HBSAg Rapid Test Box Set 756,250
15 Hemoglobin Strip Test Mission Box Set 400,000
16 HCG Strip Test Box Set 1,634
17 HCG Pregnancy Test Box 50 Pcs 194
18 HCI 0,1 N Dus Botol 37,400
19 Larutan Asam Asetat 6% Btl 100 ml 30,800
20 Larutan Bennedict Btl 100 ml 37,400
21 Larutan Drabkins Btl 500 ml 75,460
22 Larutan Erlich Btl 100 ml 193,600
23 Larutan Garam, Pewarna Gram Set 3x100 ml 467,500
24 Larutan KOH 10% Btl 100 ml 40,480
25 Larutan Natrium sitrat Btl 100 ml 36,850
26 Larutan Rees Ecker Btl 100 ml 89,650
27 Larutan Sulfosalisilat 20% Btl 100 ml 535,700
28 Larutan TURK Btl 100 ml 44,000
29 Lyse Hematology Analyzer Box Set 2,447,500
30 Multi Drugs 6 Panel Box 25 Pcs 3,025,000
31 Mucus Extractor Serenity Pcs Pcs
32 RDT ( igg/lgm ) Box 25 pcs 2,499,200
33 RDT ( NS1 ) Box 25 pcs 3,749,900
34 Reagen Urine Strip 11 G Botol Set 110,000
35 Reagen Ziehl Neelsen Set 3x100 ml 286,000
36 Reagen Glukosa kit 4x100 ml 1,116,940
37 Reagen Asam Urat kit 4x100 ml 2,883,980
38 Reagen Total Cholesterol kit 4x100 mlk 1,862,410
39 Reagen SGPT Box Set 1,596,210
40 Reagen SGOT Box Set 1,596,100
41 Reagen Trygliceride Box Set 3,144,900
42 Rinse Hematology Analyzer Set Set 1,815,000
43 Saliva Ejector Set Set 144,980
44 Stick Pemeriksaan Cholesterol Easy Touch Dus Set 249,150
45 Stick Pemeriksaan Glucose Easy Touch Dus Set 149,050
46 Strip Glukosa On Call Plus Dus Set
47 Stick Pemeriksaan Uric Acid Easy Touch Dus Set 149,050
48 Test Kehamilan Box Pcs 163,350
49 Test HIV Device Box Pcs 1,375,000
50 Urine Test Reagen Box box
Lain - Lain
1 urine bag
2 furosemide tab 40 mg
3 cefadroxil 250 mg
4 sodium diclofenac 25 mg
5 sodium diclofenac 50 mg
6 sukralfat syr
7 gentamicin sulfate tetes mata 0,3%
8 alat suntik sekali pakai 0,5 cc
9 lansoprazole 30 mg
10 cervical collar
11 betadine zalf
waterproof & transparant IV dressing w/paper frame
12 6x7cm with pad
waterproof & transparant IV dressing with paper
13 frame 6x7cm common
14 polifix 10 x 5 cm
15 polifix 15 x 5 cm
16 policrepe 15 x 4,55
17 policrepe 10 x 4,55
18 solvitron tab
19 ulsidex 500 mg
20 selesbion
21 Tes IgG/IgM dengue
22 Tes antigen TB
23 tabung antigen TB
24 flucetin syr
25 dimenhydrinat 50 mg
26 erythomicyn 500 mg
27 cairan infus sodium chlorida 0,9%
28 Uji malaria
29 Scabimite zalf
30 Soft U derm lotion
31 Ondansetron 10 Mg
32 Zinc oxyd plaster 1,5 x 450
33 Zinc oxyd plaster 2,5 x 450
34 Zinc oxyd plaster 5 x 450
35 Masker N 95
36 HCV strip
37 Armsling Comfort uk L
38 Armsling comfort uk S
39 Papsmear Kit uk S
40 Papsmear kit uk M
41 Umbilical cord
TOTAL
UMUM BPJS JUMLAH JUMLAH
JUMLAH KUNJUNGAN RESEP

Yang menerima / Melapor

Penanggung Jawab Pustu/Poskesde/Polindes

.AGUS FATHANI, Amd.Kep

NIP. 198703142014031001