LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN PONKESDES : ARTODUNG
PROPINSI : JAWA TIMUR BULAN : DESEMBER 2023

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 80 200 280 110 170
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0 0
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 110 200 310 100 210
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0 0
26 ANTASIDA DOEN SYIRUP 8 0 8 0 8
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 8 0 8 1 7
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0
31 ASAM ASCORBAT 50 MG 120 100 220 120 100
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
59 DEXAMETHASONE INJEKSI 0 0 0 0 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 130 0 130 70 60
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 0 0 0 0 0
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 0 0 0 0 0
104 HIDROKLORTIAZID (HCT) 25 mg 0 0 0 0 0
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 50 100 150 150 0
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 0 100 100 50 50
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 0 5 5 0
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 100 100 40 60
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0

135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 0 0 0 0 0
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 2 0 2 0 2
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0 0
161 NA.DIKLOFENAC 50 mg 100 200 300 50 250
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 5 0 5 0 5
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 0 0 0 0 0
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 0 100 100 100 0
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 0 0 0 0 0
204 SABU I 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 0 0 1 -1
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 9 0 9 9 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 0 0 0 0 0
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 100 0 100 9 91
5 ALAT SUNTIK 3 ML 32 0 32 10 22
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 360 0 360 38 322
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 1 0 1 0 1
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 1 0 1 0 1
23 HAND SCOEN 7 -7,5 0 0 0 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0 0
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 28 0 28 28 0
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 1 0 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0

19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 120 200 320 60 260
3 ALLOPURINOL 100 MG 0 100 100 100 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 145 0 145 40 105
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 110 100 210 0 210
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 4 0 4 0 4 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 165 0 165 65 100
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 80 200 280 50 230 150
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 85 0 85 10 75
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 150 0 150 50 100
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 150 200 350 85 265
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 60 100 160 100 60 40
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 12 0 12 0 12
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 5 0 5 0 5
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 80 200 280 270 10
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 140 200 340 120 220
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 120 200 320 100 220
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 70 100 170 30 140
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 260 0 260 50 210
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

153 PARASETAMOL 100 mg 0 0 0 0 0

154 PARASETAMOL 500 mg 85 200 285 225 60
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0
158 PHENZACOL TAB 0 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 0 0 0 0 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 44 100 144 144 0
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 3 0 3 0 3
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0

30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 1 0 1 0 1
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 2 0 2 2 0
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 10 0 10 0 10
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

KAPITASI COVID/ BOK 0 0 0 0 0

1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
19 ALKOHOL SWAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 GARAM ORALIT 190 0 190 0 190
8 FACE SHIELD 0 0 0 0 0
9 HAND SANITIZER 0 0 0 0 0
10 HAZMAT PUTIH 0 0 0 0 0
11 HAZMAT 0 0 0 0 0
12 HELM SAFETY 0 0 0 0 0
13 KACAMATA GOOGLE 0 0 0 0 0
14 KRESEK LIMBAH 0 0 0 0 0
15 MASKER ANTIDEBU/N95 0 0 0 0 0
16 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
17 MASKER BEDAH / 3 PLY 0 0 0 0 0
18 RAPID TEST 0 0 0 0 0
19 SANOSIL 5 LITER 0 0 0 0 0
20 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
21 SARUNG TANGAN SESIKU 0 0 0 0 0
22 SEPATU BOOTH 0 0 0 0 0
23 SPANDUK 0 0 0 0 0
24 TABLET TAMBAH DARAH 30 200 230 110 120
25 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
26 POMPA DESINFEKTAN 0 0 0 0 0
27 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PEMBINA
KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS DESA ARTODUNG

MEILA NURISTA SARI, Amd. Keb

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M apt. HAIRUNNISYAH ASFARINA. S,FARM NIP.19900523 202203 2 004
NIP.19670413 198803 1 008 NIP 19950515 202203 2 005
 MENGETAHUI KELAS STOCK PENERI PERSE PEMAK SISA PEMBINA
PERMIN PEMBE
NO NAMA OBAT
KEPALA UPT PUSKESMAS GALIS PENGELOLA
TERAPI
GUDANG PUSKESMAS
SATUAN GALIS DESA ARTODUNG
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

MEILA NURISTA SARI, Amd. Keb

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M apt. HAIRUNNISYAH ASFARINA. S,FARM NIP.19900523 202203 2 004
NIP.19670413 198803 1 008 NIP 19950515 202203 2 005
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : DESEMBER 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 80 200 280 110 110 170
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 110 200 310 60 10 10 10 10 100 210
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0
26 ANTASIDA DOEN SYIRUP 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 5 5 1 1 4
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
30 ASAM ASCORBAT 250 MG 0 0 0 0
31 ASAM ASCORBAT 50 MG 120 100 220 100 10 10 120 100
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 0 0 0 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
68 DOMPERIDONE 10 MG 130 130 60 10 70 60
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 0 0 0 0
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 0 0 0 0
104 HIDROKLORTIAZID (HCT) 25 mg 0 0 0 0
105 IBU PROFEN 200 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
112 KALSIUM LACTAT 500 mg 50 100 150 130 20 150 0
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 0 100 100 50 50 50
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 5 5 5 0
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 100 100 30 10 40 60
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 0 0 0 0
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 2 2 0 2
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0
161 NA.DIKLOFENAC 50 mg 100 200 300 20 10 10 10 50 250
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 5 5 0 5
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 0 0 0 0
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 0 100 100 90 10 100 0
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 0 0 0 0
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 0 1 1 -1
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 9 9 5 1 1 1 1 9 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 0 0 0 0
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 100 100 5 1 1 1 1 9 91
5 ALAT SUNTIK 3 ML 32 32 1 2 2 2 2 1 10 22
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 360 360 2 10 4 2 2 4 2 4 2 4 2 38 322
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 1 1 0 1
16 ETANOL 70% 100 ML 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 1 1 0 1
23 HAND SCOEN 7 -7,5 2 2 0 2
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 28 28 2 10 4 2 2 4 4 28 0
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 1 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 120 200 320 40 20 60 260
3 ALLOPURINOL 100 MG 0 100 100 100 100 0
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 145 145 20 10 10 40 105
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 110 100 210 0 210
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 4 4 0 4
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 165 165 65 65 100
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 80 200 280 50 50 230
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 85 85 10 10 75
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 150 150 50 50 100
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 150 200 350 85 85 265
44 CAPTOPRIL 50 MG 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 60 100 160 100 100 60
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 12 12 0 12
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 5 5 0 5
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 80 200 280 270 270 10
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 140 200 340 80 10 10 10 10 120 220
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 120 200 320 100 100 220
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 70 100 170 30 30 140
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 170 170 30 10 10 50 120
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 85 200 285 225 225 60
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 0 0 0 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0
0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 44 100 144 144 144 0
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 1 1 0 1
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 2 2 1 1 2 0
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
19 ALKOHOL SWAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 GARAM ORALIT 190 190 0 190
8 FACE SHIELD 0 0 0 0
9 HAND SANITIZER 0 0 0 0
10 HAZMAT PUTIH 0 0 0 0
11 HAZMAT 0 0 0 0
12 HELM SAFETY 0 0 0 0
13 KACAMATA GOOGLE 0 0 0 0
14 KRESEK LIMBAH 0 0 0 0
15 MASKER ANTIDEBU/N95 0 0 0 0
16 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
17 MASKER BEDAH / 3 PLY 0 0 0 0
18 RAPID TEST 0 0 0 0
19 SANOSIL 5 LITER 0 0 0 0
20 SARUNG TANGAN DISPOSIBLE 0 0 0 0
21 SARUNG TANGAN SESIKU 0 0 0 0
22 SEPATU BOOTH 0 0 0 0
23 SPANDUK 0 0 0 0
24 TABLET TAMBAH DARAH 30 200 230 100 10 110 120
25 VISOR(PELINDUNG WAJAH) 0 0 0 0
26 POMPA DESINFEKTAN 0 0 0 0
27 MASKER KN95 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB PONKESMAS
KEPALA UPT PUSKESMAS GALIS PUSKESMAS GALIS

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN UNIT YANKES : ARTODUNG
PROPINSI : JAWA TIMUR BULAN : NOPEMBER 2023

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 100 0 100 20 80
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0 0
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 150 0 150 40 110
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0 0
26 ANTASIDA DOEN SYIRUP 8 0 8 0 8
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 8 0 8 0 8
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0
31 ASAM ASCORBAT 50 MG 160 0 160 40 120
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
59 DEXAMETHASONE INJEKSI 0 0 0 0 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0

66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 150 0 150 20 130
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 3 0 3 3 0
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 0 90 90 0
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 6 0 6 6 0
104 HIDROKLORTIAZID (HCT) 25 mg 99 0 99 99 0
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 100 0 100 50 50 200
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 120 0 120 120 0
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 0 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

139 MEBENDAZOLE 100 MG 0 0 0 0 0

140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 0 30 30 0
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 2 0 2 0 2
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0 0
161 NA.DIKLOFENAC 50 mg 120 0 120 20 100
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 5 0 5 0 5
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 5 0 5 5 0
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 90 0 90 90 0
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 2 0 2 2 0
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0

214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 15 0 15 6 9
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0 200
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 0 0 0 0 0
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 100 0 100 0 100
5 ALAT SUNTIK 3 ML 37 0 37 5 32
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 400 0 400 40 360
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 1 0 1 0 1
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 1 0 1 0 1
23 HAND SCOEN 7 -7,5 0 0 0 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

31 IV. CATHETER NO. 24 0 0 0 0 0

32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0 0
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 100 0 100 72 28
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 1 0 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0 1
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 120 0 120 0 120
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 175 0 175 30 145
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 150 0 150 40 110
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 4 0 4 0 4
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 185 0 185 20 165
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 90 0 90 10 80
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 100 0 100 15 85
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 150 0 150 0 150
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 160 0 160 10 150
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 70 0 70 10 60
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 17 0 17 5 12
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 5 0 5 0 5
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 100 0 100 20 80
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 0 0 0 0 0
KLORAMPHENICOL 500 MG KAPSUL
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 180 0 180 40 140
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 120 0 120 0 120
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 100 0 100 30 70
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 290 0 290 30 260
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 180 0 180 95 85
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0

158 PHENZACOL TAB 0 0 0 0 0

159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 0 0 0 0 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 50 0 50 6 44
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 3 0 3 0 3
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0 1
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 1 0 1 0 1
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 2 0 2 0 2
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0

49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 10 0 10 0 10
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
alkohol swb 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 GARAM ORALIT 200 0 200 10 190
8 FACE SHIELD 0 0 0 0 0
9 HAND SANITIZER 0 0 0 0 0
10 HAZMAT PUTIH 0 0 0 0 0
11 HAZMAT 0 0 0 0 0
12 HELM SAFETY 0 0 0 0 0
13 KACAMATA GOOGLE 0 0 0 0 0
14 KRESEK LIMBAH 0 0 0 0 0
15 MASKER ANTIDEBU/N95 0 0 0 0 0
16 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
17 MASKER BEDAH / 3 PLY 0 0 0 0 0
18 RAPID TEST 0 0 0 0 0
19 SANOSIL 5 LITER 0 0 0 0 0
20 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
21 SARUNG TANGAN SESIKU 0 0 0 0 0
22 SEPATU BOOTH 0 0 0 0 0
23 SPANDUK 0 0 0 0 0
24 TABLET TAMBAH DARAH 130 0 130 100 30
25 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
26 POMPA DESINFEKTAN 0 0 0 0 0
27 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI
KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS PEMBINA
DESA ARTODUNG

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M apt. HAIRUNNISYAH ASFARINA. S,FARM MEILA NURISTA SARI, Amd.Keb
NIP.19670413 198803 1 008 NIP 19950515 202203 2 005 NIP.19900523 202203 2 004
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : NOPEMBER 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 100 100 10 10 20 80
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 150 150 10 10 10 10 40 110
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0
26 ANTASIDA DOEN SYIRUP 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 5 5 0 5
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0
31 ASAM ASCORBAT 50 MG 160 160 10 10 10 10 40 120
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 0 0 0 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 150 150 10 10 20 130
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 3 3 1 1 1 3 0
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 90 10 10 10 10 10 10 10 10 10 90 0
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 6 6 1 1 1 1 1 1 6 0
104 HIDROKLORTIAZID (HCT) 25 mg 99 99 99 99 0
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
112 KALSIUM LACTAT 500 mg 100 100 10 10 10 10 10 50 50
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 120 120 120 120 0
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 30 30 30 0
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 2 2 0 2
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0
161 NA.DIKLOFENAC 50 mg 120 120 10 10 20 100
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 5 5 0 5
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 5 5 1 1 1 1 1 5 0
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 90 90 90 90 0
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 2 2 2 2 0
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 15 15 1 1 1 1 1 1 6 9
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 0 0 0 0
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 100 100 0 100
5 ALAT SUNTIK 3 ML 37 37 1 1 1 1 1 5 32
6 ALAT SUNTIK 5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 400 400 2 2 2 2 2 30 40 360
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 1 1 0 1
16 ETANOL 70% 100 ML 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 1 1 0 1
23 HAND SCOEN 7 -7,5 2 2 0 2
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 100 100 2 3 2 3 2 2 3 2 2 2 3 2 3 2 3 2 3 3 2 3 3 2 2 2 3 2 2 3 2 2 72 28
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 1 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 120 120 0 120
3 ALLOPURINOL 100 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 175 175 10 10 10 30 145
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 150 150 10 10 10 10 40 110
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 4 4 0 4
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 185 185 10 10 20 165
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 90 90 10 10 80
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 100 100 5 5 5 15 85
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 150 150 0 150
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 160 160 10 10 150
44 CAPTOPRIL 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 70 70 10 10 60
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 17 17 1 1 1 1 1 5 12
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 5 5 0 5
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 100 100 10 10 20 80
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 180 180 10 10 10 10 40 140
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 120 120 0 120
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 100 100 10 10 10 30 70
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 200 200 10 10 10 30 170
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 180 180 5 10 10 20 10 10 10 10 10 95 85
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 0 0 0 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 50 50 6 6 44
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 1 1 0 1
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 2 2 0 2
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
alkohol swab 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 GARAM ORALIT 200 200 10 10 190
8 FACE SHIELD 0 0 0 0
9 HAND SANITIZER 0 0 0 0
10 HAZMAT PUTIH 0 0 0 0
11 HAZMAT 0 0 0 0
12 HELM SAFETY 0 0 0 0
13 KACAMATA GOOGLE 0 0 0 0
14 KRESEK LIMBAH 0 0 0 0
15 MASKER ANTIDEBU/N95 0 0 0 0
16 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
17 MASKER BEDAH / 3 PLY 0 0 0 0
18 RAPID TEST 0 0 0 0
19 SANOSIL 5 LITER 0 0 0 0
20 SARUNG TANGAN DISPOSIBLE 0 0 0 0
21 SARUNG TANGAN SESIKU 0 0 0 0
22 SEPATU BOOTH 0 0 0 0
23 SPANDUK 0 0 0 0
24 TABLET TAMBAH DARAH 130 130 30 30 30 10 100 30
25 VISOR(PELINDUNG WAJAH) 0 0 0 0
26 POMPA DESINFEKTAN 0 0 0 0
27 MASKER KN95 0 0 0 0
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
2 AUTOCLIK 0 0 0 0
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB PONKESMAS
KEPALA UPT PUSKESMAS GALIS PUSKESMAS GALIS

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN POLINDES : ARTODUNG

PROPINSI : JAWA TIMUR BULAN : OKTOBER 2023
KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 0 30 30 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 200 200 100 100
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0 0
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 30 0 30 30 0
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 0 3 3 0
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 75 200 275 125 150
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0 0
26 ANTASIDA DOEN SYIRUP 8 0 8 0 8
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 3 5 8 0 8
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0
31 ASAM ASCORBAT 50 MG 0 200 200 40 160
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
59 DEXAMETHASONE INJEKSI 0 0 0 0 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

68 DOMPERIDONE 10 MG 0 200 200 50 150

69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 3 0 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 0 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 6 0 6 0 6
104 HIDROKLORTIAZID (HCT) 25 mg 99 0 99 0 99
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 200 200 100 100
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 140 0 140 20 120
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 0 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0

146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 0 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 0 3 3 1 2
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 200 200 80 120
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 0 5 5 0 5
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 5 0 5 0 5
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 140 0 140 50 90
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 1 1 2 0 2
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 15 15 0 15
216 SIANOKOBALAMIN HCL/B12 TAB 0 100 100 100 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

222 TETRACAIN TTS MATA 0 0 0 0 0

223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 0 0 0 0 0
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 100 100 0 100
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 0 0 0 36 -36
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 1 1 0 1
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 1 1 0 1
23 HAND SCOEN 7 -7,5 4 0 4 2 2
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 100 100 0 100
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 0 1 1 0 1
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 200 200 80 120
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 200 200 25 175
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 200 200 50 150
12 AMLODIPIN 5 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 5 5 1 4
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 200 200 15 185
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 200 200 110 90
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 100 100 0 100
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 150 150 0 150
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 0 200 200 40 160
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 100 100 30 70
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 20 20 3 17
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 5 5 0 5
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 200 200 100 100
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

107 KLORAMPHENICOL SYIRUP 0 0 0 0 0

108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 200 200 20 180
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 200 200 80 120
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 100 100 0 100
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 90 200 290 0 290
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 300 300 120 180
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0
158 PHENZACOL TAB 0 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 10 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 0 200 200 150 50
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 3 3 0 3
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 1 1 0 1
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 2 0 2 0 2
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

78 SELANG OXYGEN MASKER DWS 0 0 0 0 0

79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 10 0 10 0 10
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
19 alkohol swab 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 GARAM ORALIT 0 200 200 0 200
8 FACE SHIELD 0 0 0 0 0
9 HAND SANITIZER 0 0 0 0 0
10 HAZMAT PUTIH 0 0 0 0 0
11 HAZMAT 0 0 0 0 0
12 HELM SAFETY 0 0 0 0 0
13 KACAMATA GOOGLE 0 0 0 0 0
14 KRESEK LIMBAH 0 0 0 0 0
15 MASKER ANTIDEBU/N95 0 0 0 0 0
16 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
17 MASKER BEDAH / 3 PLY 0 0 0 0 0
18 RAPID TEST 0 0 0 0 0
19 SANOSIL 5 LITER 0 0 0 0 0
20 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
21 SARUNG TANGAN SESIKU 0 0 0 0 0
22 SEPATU BOOTH 0 0 0 0 0
23 SPANDUK 0 0 0 0 0
24 TERMOMETER GUN 0 200 200 70 130
25 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
26 POMPA DESINFEKTAN 0 0 0 0 0
27 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0

4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PEMBINA
KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS DESA ARTODUNG

MEILA NURISTA SARI, Amd.Keb

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M apt. HAIRUNNISYAH ASFARINA. S,FARM NIP.19900523 202203 2 004
NIP.19670413 198803 1 008 NIP 19950515 202203 2 005
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : OKTOBER 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 30 10 10 10 30 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 0 200 200 100 100 100
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 30 30 10 10 10 30 0
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 3 1 1 1 3 0
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 75 200 275 10 10 50 10 10 10 10 10 5 125 150
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0
26 ANTASIDA DOEN SYIRUP 8 8 0 8
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 5 5 0 5
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0
31 ASAM ASCORBAT 50 MG 0 200 200 40 40 160
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 0 0 0 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 0 200 200 50 50 150
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 3 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 6 6 0 6
104 HIDROKLORTIAZID (HCT) 25 mg 99 99 0 99
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
112 KALSIUM LACTAT 500 mg 0 200 200 100 100 100
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 140 140 20 20 120
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 0 3 3 1 1 2
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 200 200 10 60 10 80 120
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 0 5 5 0 5
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 5 5 0 5
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 140 140 50 50 90
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 1 1 2 0 2
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 15 15 0 15
216 SIANOKOBALAMIN HCL/B12 TAB 0 100 100 100 100 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 0 0 0 0
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 100 100 0 100
5 ALAT SUNTIK 3 ML 37 37 0 37
6 ALAT SUNTIK 5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 436 436 36 36 400
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 1 1 0 1
16 ETANOL 70% 100 ML 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 1 1 0 1
23 HAND SCOEN 7 -7,5 4 4 2 2 2
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 100 100 0 100
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 0 1 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 200 200 80 80 120
3 ALLOPURINOL 100 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 0 200 200 5 20 25 175
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 200 200 50 50 150
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 5 5 1 1 4
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 200 200 5 10 15 185
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 200 200 100 10 110 90
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 0 100 100 0 100
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 150 150 0 150
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 0 200 200 40 40 160
44 CAPTOPRIL 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 100 100 30 30 70
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 20 20 3 3 17
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 5 5 0 5
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 0 200 200 10 80 10 100 100
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 200 200 20 20 180
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 200 200 80 80 120
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 100 100 0 100
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 0 200 200 0 200
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 300 300 10 110 120 180
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 10 10 10 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 0 200 200 150 150 50
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 3 3 0 3
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 1 1 0 1
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 2 2 0 2
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
19 ALKOHOL SWAB 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 GARAM ORALIT 0 200 200 0 200
8 FACE SHIELD 0 0 0 0
9 HAND SANITIZER 0 0 0 0
10 HAZMAT PUTIH 0 0 0 0
11 HAZMAT 0 0 0 0
12 HELM SAFETY 0 0 0 0
13 KACAMATA GOOGLE 0 0 0 0
14 KRESEK LIMBAH 0 0 0 0
15 MASKER ANTIDEBU/N95 0 0 0 0
16 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
17 MASKER BEDAH / 3 PLY 0 0 0 0
18 RAPID TEST 0 0 0 0
19 SANOSIL 5 LITER 0 0 0 0
20 SARUNG TANGAN DISPOSIBLE 0 0 0 0
21 SARUNG TANGAN SESIKU 0 0 0 0
22 SEPATU BOOTH 0 0 0 0
23 SPANDUK 0 0 0 0
24TABLET TAMBAH DARAH 0 200 200 70 70 130
25VISOR(PELINDUNG WAJAH) 0 0 0 0
26POMPA DESINFEKTAN 0 0 0 0
27MASKER KN95 0 0 0 0
28BETAMETASONE SALEP 0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
2 AUTOCLIK 0 0 0 0
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB PONKESMAS
KEPALA UPT PUSKESMAS GALIS PUSKESMAS GALIS

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN PONKESDES :
PROPINSI : JAWA TIMUR BULAN : SEPTEMBER 2023

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 0 30 0 30 100
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 0 0 0 200
7 AMBROXOL 30 MG 0 0 0 0 0 200
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0 10
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 30 0 30 0 30
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 0 3 0 3 7
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 75 0 75 0 75 200
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0 0 200
26 ANTASIDA DOEN SYIRUP 8 0 8 0 8 10
27 ANTI BACTERI DOEN SK 0 0 0 0 0 10
28 ANTI FUNGI SALEP 3 0 3 0 3 10
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0 200
31 ASAM ASCORBAT 50 MG 0 0 0 0 0 200
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0 200
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0 100
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0 10
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0 10
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0 2
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0 200
52 CAPTOPRIL 50 MG 0 0 0 0 0 100
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0 200
55 CETERIZINE SYR 0 0 0 0 0 10
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0 200
59 DEXAMETHASONE INJEKSI 10 0 10 10 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0 100
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 3 0 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0 200
86 GEMFIBROZIL 300 MG 0 0 0 0 0 200
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0 10
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 0 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 6 0 6 0 6
104 HIDROKLORTIAZID (HCT) 25 mg 100 0 100 1 99
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0 200
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 0 0 0 0 200
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 140 0 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 0 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0 200
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0

133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0 200
142 METFORMIN 500 mg 0 0 0 0 0 200
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0 200
149 METOKLORPAMIDE 5 MG 30 0 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0 10
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0 200
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 0 0 0 0 0 10
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0 200
160 NA.DIKLOFENAC 25 mg 0 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0 200
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0 10
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0 200
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 0 0 0 0 0 5
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0 0 300
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 5 0 5 0 5 10
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 360 0 360 220 140
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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202 RIFAMPICIN 450 mg 0 0 0 0 0

203 RINGER LACTAT INFUS 1 0 1 0 1
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0 200
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0 200
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0 100
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0 200
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0 100
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0 30
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0 200
233 ZINK 20 MG TAB 0 0 0 0 0 200
234 ZINKID SIRUP 0 0 0 0 0 10
235 ZINKID DROP 0 0 0 0 0
236 0 0 0 0 0
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 37 0 37 0 37 100
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 436 0 436 0 436
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0

15 ETANOL 70% 1 LTR 0 0 0 0 0 1
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0 2
19 FOLLEY CATETER NO 18 0 0 0 0 0 2
20 FOLLEY CATETER NO 20 0 0 0 0 0 2
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0 1
23 HAND SCOEN 7 -7,5 4 0 4 0 4 10
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0 100
25 HAND SCRUB / SABUN 0 0 0 0 0 1
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0 2
29 IV. CATHETER NO. 20 0 0 0 0 0 2
30 IV. CATHETER NO. 22 0 0 0 0 0 2
31 IV. CATHETER NO. 24 0 0 0 0 0 2
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0 1
34 KASA 2MX 80CM 0 0 0 0 0 1
35 KASA BESAR ( 80X40 ) 0 0 0 0 0 5
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0 5
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 0 0 0 0 100
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0 1
44 PLESTER 5 YARD 0 0 0 0 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0 1
46 POVIDON YODIDA 1 LITER 0 0 0 0 0 1
47 POVIDON YODIDA 30 ML 0 0 0 0 0 2
48 POVIDON YODIDA 300 ML 0 0 0 0 0 1
49 POVIDON YODIDA 60 mL 0 0 0 0 0 1
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0 0
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 0 0
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0

146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 90 0 90 0 90
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0
158 PHENZACOL TAB 0 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 0 0 0 0 0
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 2 0 2 0 2
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 10 0 10 0 10
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

100 URINE BAG 0 0 0 0 0

101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PENANGGUNG JAWAB

KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS POLINDES SAYIDANA ARTODUNG

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M UMMI FARIHAH Amd. Keb

NIP.19670413 198803 1 008 apt. HAIRUNNISYAH ASFARINA. S,FARM
NIP 19950515 202203 2 005 NIP.19811009 201704 2 004
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : SEPTEMBER 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 30 0 30
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 30 30 0 30
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 3 0 3
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 75 75 0 75
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0
26 ANTASIDA DOEN SYIRUP 8 8 0 8
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0
31 ASAM ASCORBAT 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 10 10 10 0
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 3 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 6 6 0 6
104 HIDROKLORTIAZID (HCT) 25 mg 100 100 1 1 99
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
112 KALSIUM LACTAT 500 mg 0 0 0 0
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 140 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 0 0 0 0
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 5 5 0 5
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 360 360 10 10 10 10 10 10 10 10 10 10 20 20 10 20 10 10 10 10 10 220 140
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 1 1 0 1
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 0 0 0 0
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 37 37 0 37
6 ALAT SUNTIK 5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 436 436 0 436
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0
23 HAND SCOEN 7 -7,5 4 4 0 4
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 0 0 0
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 0 0 0 0
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 20 20 0 20
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 0
44 CAPTOPRIL 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 90 90 0 90
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 0 0 0 0
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 2 2 0 2
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 FACE SHIELD 0 0 0 0
8 HAND SANITIZER 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0
10 HAZMAT 0 0 0 0
11 HELM SAFETY 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0
17 RAPID TEST 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0
21 SEPATU BOOTH 0 0 0 0
22 SPANDUK 0 0 0 0
23 TERMOMETER GUN 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0
26 MASKER KN95 0 0 0 0
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB PONKESMAS
KEPALA UPT PUSKESMAS GALIS PUSKESMAS GALIS

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN PONKESDES :
PROPINSI : JAWA TIMUR BULAN : AGUSTUS 2023

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 0 30 0 30
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 5 0 5 5 0
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 30 0 30 0 30
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 0 3 0 3
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 75 0 75 0 75
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0 0
26 ANTASIDA DOEN SYIRUP 8 0 8 0 8
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 3 0 3 0 3
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0
31 ASAM ASCORBAT 50 MG 0 0 0 0 0
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 0 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 3 0 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 0 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 7 0 7 1 6
104 HIDROKLORTIAZID (HCT) 25 mg 100 0 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 0 0 0 0
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 140 0 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 0 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 0 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 0 0 0 0 0
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 0 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 7 0 7 2 5
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 360 0 360 0 360
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 1 0 1 0 1
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0

208 SALEP 2-4 0 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 0 0 0 0 0
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 44 0 44 7 37
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 443 0 443 7 436
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0
16 ETANOL 70% 100 ML 1 0 1 1 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0

23 HAND SCOEN 7 -7,5 4 0 4 0 4
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 0 0 0 0
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 1 0 1 1 0
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0 0
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 0 0
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 90 0 90 0 90
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

158 PHENZACOL TAB 0 0 0 0 0

159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 0 0 0 0 0
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0

35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 2 0 2 0 2
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 10 0 10 0 10
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

5 HAND SCOEN SESIKU 0 0 0 0 0

6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
1 0 1 1 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PENGELOLA POLINDES

KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS DESA ARTODUNG

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M apt. HAIRUNNISYAH ASFARINA. S,FARM UMMI FARIHAH S.Keb

NIP.19670413 198803 1 008 NIP 19950515 202203 2 005 NIP.19811009 201704 2 004
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : AGUSTUS 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 30 0 30
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 5 5 4 1 5 0
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 30 30 0 30
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 3 0 3
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 75 75 0 75
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0
26 ANTASIDA DOEN SYIRUP 8 8 0 8
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0
31 ASAM ASCORBAT 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 3 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 7 7 1 1 6
104 HIDROKLORTIAZID (HCT) 25 mg 100 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
112 KALSIUM LACTAT 500 mg 0 0 0 0
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 140 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 0 0 0 0
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 7 7 1 1 2 5
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 360 360 0 360
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 1 1 0 1
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 0 0 0 0
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 44 44 1 2 1 1 1 1 7 37
6 ALAT SUNTIK 5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 443 443 1 2 1 1 1 1 7 436
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0
16 ETANOL 70% 100 ML 1 1 1 1 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0
23 HAND SCOEN 7 -7,5 4 4 0 4
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 0 0 0
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 0 0 0 0
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 20 20 0 20
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 0
44 CAPTOPRIL 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 90 90 0 90
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 0 0 0 0
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 2 2 0 2
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
1 1 1 1 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 FACE SHIELD 0 0 0 0
8 HAND SANITIZER 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0
10 HAZMAT 0 0 0 0
11 HELM SAFETY 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0
17 RAPID TEST 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0
21 SEPATU BOOTH 0 0 0 0
22 SPANDUK 0 0 0 0
23 TERMOMETER GUN 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0
26 MASKER KN95 0 0 0 0
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB
KEPALA UPT PUSKESMAS GALIS

H. SJAIFUL ILAH, S.Kep,Ns, M,M UMMI FARIHAH S.Keb

NIP : 19670413 198803 1 008 NIP. 19811009 201704 2 004
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN PONKESDES :
PROPINSI : JAWA TIMUR BULAN : JULI 2023

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 0 30 0 30
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 5 0 5 0 5
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 40 0 40 10 30
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 0 3 0 3
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 135 0 135 60 75
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0 0
26 ANTASIDA DOEN SYIRUP 9 0 9 1 8
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0
31 ASAM ASCORBAT 50 MG 0 0 0 0 0
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 0 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
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63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 3 0 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 0 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 11 0 11 4 7
104 HIDROKLORTIAZID (HCT) 25 mg 100 0 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 0 0 0 0
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 140 0 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 0 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
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134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0

135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 0 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 0 0 0 0 0
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 0 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 7 0 7 0 7
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 380 0 380 20 360
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 1 0 1 0 1
204 SABU I 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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KET

205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 60 0 60 60 0
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 50 0 50 6 44
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 449 0 449 6 443
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 7 0 7 0 7
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0
16 ETANOL 70% 100 ML 1 0 1 0 1
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
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19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0
23 HAND SCOEN 7 -7,5 10 0 10 6 4
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 0 0 0 0
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 1 0 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0

19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0 0
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 0 0
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 0 0 0 0 0
KLORAMPHENICOL 500 MG KAPSUL
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 90 0 90 0 90
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0

158 PHENZACOL TAB 0 0 0 0 0

159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 30 0 30 30 0
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 2 0 2 0 2
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 10 0 10 0 10
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

102 YELLOW TIPS 0 0 0 0 0

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0

8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
1 0 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

PENANGGUNG JAWAB
MENGETAHUI PENGELOLA GUDANG PUSKESMAS GALIS POLINDES SAYIDANA ARTODUNG
KEPALA UPT PUSKESMAS GALIS

apt. HAIRUNNISYAH ASFARINA. S,FARM UMMI FARIHAH S. Keb

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M NIP 19950515 202203 2 005 NIP.19811009 201704 2 004
NIP.19670413 198803 1 008
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : JULI 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 30 30 0 30
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 5 5 0 5
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 40 40 10 10 30
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 3 3 0 3
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 135 135 10 10 10 10 10 10 60 75
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0
26 ANTASIDA DOEN SYIRUP 9 9 1 1 8
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0
31 ASAM ASCORBAT 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 3 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 90 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 11 11 2 2 4 7
104 HIDROKLORTIAZID (HCT) 25 mg 100 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
112 KALSIUM LACTAT 500 mg 0 0 0 0
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 140 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 5 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 0
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 30 30 0 30
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 0 0 0 0
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0
161 NA.DIKLOFENAC 50 mg 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 7 7 0 7
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 380 380 10 10 20 360
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 1 1 0 1
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 STIMUNO 60 60 60 60 0
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 50 50 1 1 1 1 1 1 6 44
6 ALAT SUNTIK 5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 449 449 1 1 1 1 1 1 6 443
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 7 7 0 7
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0
16 ETANOL 70% 100 ML 1 1 0 1
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0
23 HAND SCOEN 7 -7,5 10 10 1 1 1 1 1 1 6 4
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 50 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 0 0 0
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 1 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 0
44 CAPTOPRIL 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 60 60 0 60
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 90 90 0 90
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 30 30 10 10 10 30 0
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 2 2 0 2
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 10 10 0 10
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
1 1 0 1
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 FACE SHIELD 0 0 0 0
8 HAND SANITIZER 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0
10 HAZMAT 0 0 0 0
11 HELM SAFETY 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0
17 RAPID TEST 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0
21 SEPATU BOOTH 0 0 0 0
22 SPANDUK 0 0 0 0
23 TERMOMETER GUN 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0
26 MASKER KN95 0 0 0 0
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB
KEPALA UPT PUSKESMAS GALIS PUSKESMAS GALIS

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN POLINDES : ARTODUNG
PROPINSI : JAWA TIMUR BULAN : JUNI 2022

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 30 30 0 30
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0 0
6 ALLOPURINOL 300 MG -60 60 0 0 0
7 AMBROXOL 30 MG -60 100 40 35 5
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 100 100 60 40
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 2 10 12 9 3
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 35 400 435 300 135
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET -100 200 100 100 0
26 ANTASIDA DOEN SYIRUP 0 10 10 1 9
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 200 200 200 0
31 ASAM ASCORBAT 50 MG -140 140 0 0 0
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 200 200 200 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 0 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
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64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0

65 DIFENHIDRAMIN HCL INJ 0 30 30 30 0
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 0 3 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 30 30 30 0
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg -10 100 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 1 10 11 0 11
104 HIDROKLORTIAZID (HCT) 25 mg 0 100 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg -50 200 150 150 0
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 140 0 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 5 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg -10 200 190 190 0
131 KOTRIMOXAZOLE SYIRUP 9 0 9 9 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0

138 MAGNESIUM SULFAS INJ.40% 0 2 2 2 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB -10 10 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 3 3 3 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 60 0 60 30 30
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 2 5 7 7 0
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg -100 140 40 40 0
161 NA.DIKLOFENAC 50 mg 0 90 90 90 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ -3 3 0 0 0
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg -70 300 230 230 0
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 5 10 15 8 7
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 200 200 400 20 380
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 2 3 5 4 1
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 50 0 50 50 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 5 5 5 0
209 SALICYL BEDAK 2% 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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KET

210 SCABIMITE CREAM 1 0 1 1 0

211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 40 40 40 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 100 100 100 0
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 200 200 200 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 3 3 3 0
235 ZINKID DROP 0 0 0 0 0
236 60 0 60 0 60
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 27 100 127 77 50
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 436 100 536 87 449
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 7 7 0 7
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0
16 ETANOL 70% 100 ML 0 1 1 0 1
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0
23 HAND SCOEN 7 -7,5 -5 15 10 0 10
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

26 INFUS SET ANAK 0 0 0 0 0

27 INFUS SET DEWASA 0 2 2 2 0
28 IV. CATHETER NO. 18 0 2 2 2 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 0 0 0 0
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 1 0 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML -1 1 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD -3 3 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
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0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0 0
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 200 200 200 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg -20 50 30 30 0
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
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76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 60 0 60 0 60
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 0 0 0 0 0
KLORAMPHENICOL 500 MG KAPSUL
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 90 0 90 0 90
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0

158 PHENZACOL TAB 0 0 0 0 0

159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 30 0 30 0 30
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0

40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 0 2 2 0 2
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 0 10 10 0 10
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 2 2 2 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0

11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
0 1 1 0 1
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 2 2 2 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PENANGGUNG JAWAB

KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS POLINDES SAYIDANA ARTODUNG

apt. HAIRUNNISYAH ASFARINA. S,FARM UMMI FARIHAH Amd. Keb

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M NIP.19811009 201704 2 004
NIP.19670413 198803 1 008 NIP 19950515 202203 2 005
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : JUNI 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 30 30 0 30
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0
6 ALLOPURINOL 300 MG -60 60 0 0 0
7 AMBROXOL 30 MG -60 100 40 5 5 5 10 10 35 5
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 0 100 100 60 60 40
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 2 10 12 1 1 7 9 3
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 35 400 435 20 120 10 20 10 10 110 300 135
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET -100 200 100 10 10 10 40 20 10 100 0
26 ANTASIDA DOEN SYIRUP 0 10 10 1 1 9
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 200 200 10 10 160 10 10 200 0
31 ASAM ASCORBAT 50 MG -140 140 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 200 200 200 200 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 30 30 1 29 30 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 0 3 3 0 3
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 30 30 10 10 10 30 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg -10 100 90 0 90
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 1 10 11 0 11
104 HIDROKLORTIAZID (HCT) 25 mg 0 100 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
112 KALSIUM LACTAT 500 mg -50 200 150 10 10 10 120 150 0
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 140 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 5 5 0 5
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg -10 200 190 10 180 190 0
131 KOTRIMOXAZOLE SYIRUP 9 9 9 9 0
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 2 2 2 2 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB -10 10 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 3 3 3 3 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 60 60 10 10 10 30 30
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 2 5 7 6 1 7 0
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg -100 140 40 40 40 0
161 NA.DIKLOFENAC 50 mg 0 90 90 10 10 10 60 90 0
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ -3 3 0 0 0
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg -70 300 230 10 10 10 120 10 10 20 20 10 10 230 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 5 10 15 1 1 1 1 1 1 1 1 8 7
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 200 200 400 10 10 20 380
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 2 3 5 1 1 1 1 4 1
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 50 50 50 50 0
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 5 5 5 5 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 1 1 1 1 0
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 40 40 40 40 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 100 100 10 10 20 10 10 20 20 100 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
232 VIT.B.COMPLEX TAB 0 200 200 200 200 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 3 3 1 2 3 0
235 ZINKID DROP 0 0 0 0
236 60 60 0 60
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 27 100 127 1 1 20 1 2 40 5 2 1 1 1 1 1 77 50
6 ALAT SUNTIK 5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 436 100 536 1 1 20 1 2 40 5 2 11 1 1 1 1 87 449
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 7 7 0 7
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0
16 ETANOL 70% 100 ML 0 1 1 0 1
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0
23 HAND SCOEN 7 -7,5 -5 15 10 0 10
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 2 2 2 2 0
28 IV. CATHETER NO. 18 0 2 2 2 2 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 50 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 0 0 0
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 1 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML -1 1 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD -3 3 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 200 200 200 200 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg -20 50 30 30 30 0
44 CAPTOPRIL 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 60 60 0 60
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 90 90 0 90
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 30 30 0 30
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 0 2 2 0 2
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 10 10 0 10
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
103 SAVETY BOX 0 2 2 2 2 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
19 HAND SANITIZER 0 1 1 0 1
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 FACE SHIELD 0 0 0 0
8 HAND SANITIZER 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0
10 HAZMAT 0 2 2 2 2 0
11 HELM SAFETY 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0
17 RAPID TEST 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0
21 SEPATU BOOTH 0 0 0 0
22 SPANDUK 0 0 0 0
23 TERMOMETER GUN 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0
26 MASKER KN95 0 0 0 0
27 VIT B COMPLEK (TAB) 0 100 100 100 100 0
28 MGSO 20% 0 2 2 0 2
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB
KEPALA UPT PUSKESMAS GALIS POLINDES ARTODUNG

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008 UMMI FARIHAH Amd.Keb
NIP.19811009 201704 2 004
 KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN POLINDES : ARTODUNG

PROPINSI : JAWA TIMUR BULAN : MEI 2022

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 0 60 -60 200
7 AMBROXOL 30 MG 0 0 0 60 -60 200
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0 10
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 0 0 0 0 100
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 5 0 5 3 2 10
17 AMOXICILIN 250 mg 0 0 0 0 0 200
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 115 0 115 80 35 400
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 100 -100 300
26 ANTASIDA DOEN SYIRUP 0 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0 200
31 ASAM ASCORBAT 50 MG 0 0 0 140 -140
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0 200
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0 4
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0 10
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0 2
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0 100
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0 200
55 CETERIZINE SYR 0 0 0 0 0 10
56 CIPROFLOXACIN 500 mg 0 0 0 0 0 100
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0 200
59 DEXAMETHASONE INJEKSI 10 0 10 0 10 5
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
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64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0

65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0 30
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0 5
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0 0 5
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0 0 100
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0 10
91 GLIBENCLAMIDE 5mg 0 0 0 10 -10 200
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0 200
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 1 0 1 0 1 5
104 HIDROKLORTIAZID (HCT) 25 mg 0 0 0 0 0
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0 200
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 0 0 50 -50 200
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0 10
115 KETOKONAZOLE 200 mg 140 0 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0 200
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0 100
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0 10
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0 0 10
125 KLORAMPHENICOL SM 0 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 0 10 -10 200
131 KOTRIMOXAZOLE SYIRUP 9 0 9 0 9
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0 5
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0 100
135 LORATADIN 10 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0

137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0 2
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0 2
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0 200
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 10 -10
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0 100
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 60 0 60 0 60
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0 200
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 2 0 2 0 2
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 100 -100
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0 10
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0 200
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0 5
173 OXITOCIN INJ 0 0 0 3 -3
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 70 -70 300
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 8 0 8 3 5 5
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 200 0 200 0 200 200
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 2 0 2 0 2 5
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 50 0 50 0 50
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

208 SALEP 2-4 0 0 0 0 0 5

209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 1 0 1 0 1
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0 200
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0 40
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0 200
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0 200
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0 30
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0 10
232 VIT.B.COMPLEX TAB 0 0 0 0 0 300
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0 10
235 ZINKID DROP 0 0 0 0 0
236 60 0 60 0 60
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 61 0 61 34 27 200
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 436 0 436 0 436 200
9 AQUA PRO INJEKSI 0 0 0 0 0 5
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0 10
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0 1
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0 2
19 FOLLEY CATETER NO 18 0 0 0 0 0 2
20 FOLLEY CATETER NO 20 0 0 0 0 0 2
21 FOLLEY CATETER NO 24 0 0 0 0 0 2
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0 2
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
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AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

23 HAND SCOEN 7 -7,5 0 0 0 5 -5 50

24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0 100
25 HAND SCRUB / SABUN 0 0 0 0 0 2
26 INFUS SET ANAK 0 0 0 0 0 2
27 INFUS SET DEWASA 0 0 0 0 0 2
28 IV. CATHETER NO. 18 0 0 0 0 0 2
29 IV. CATHETER NO. 20 0 0 0 0 0 2
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0 1
35 KASA BESAR ( 80X40 ) 0 0 0 0 0 1
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0 10
40 LISOL 50 % 0 0 0 0 0 1
41 MASKER 3 PLY 0 0 0 0 0 50
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0 1
44 PLESTER 5 YARD 1 0 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0 1
46 POVIDON YODIDA 1 LITER 0 0 0 0 0 1
47 POVIDON YODIDA 30 ML 0 0 0 0 0 5
48 POVIDON YODIDA 300 ML 0 0 0 1 -1 2
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0 1
52 STIK GDA BENECHECK 0 0 0 0 0 1
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0 1
54 UNDER PAD 0 0 0 3 -3
55 URINE BAG 0 0 0 0 0 5
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0 5
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0 1
3 PITA LILA UNTUK WUS 0 0 0 0 0 1
4 PRENAGEN SUSU 0 0 0 0 0 10
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0 30
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0 0
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0 200
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0 200
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 20 -20
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 60 0 60 0 60
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 0 0 0 0 0
KLORAMPHENICOL 500 MG KAPSUL
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0 10
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0 30
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 90 0 90 0 90
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0

158 PHENZACOL TAB 0 0 0 0 0

 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

159 PIRACETAM 400 MG 0 0 0 0 0

160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 30 0 30 0 30
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0

37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 0 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 0 0 0 0 0
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

41 FILTEK 2250 XTA3 0 0 0 0 0

42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU) 2
2 BAJU COVER ALL 0 0 0 0 0 2
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0 2
4 FACE SHIELD 0 0 0 0 0 2
5 HAND SCOEN SESIKU 0 0 0 0 0 10
6 KACAMATA GOOGLE 0 0 0 0 0 2
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0 30
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0 2
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0 2
12 TERMOMETER GUN 0 0 0 0 0 2
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0 2
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0 2
15 HELM SET 0 0 0 0 0 2
16 LAP. MICROFIBER 0 0 0 0 0 2
17 KACA MATA SAFETY SHIELD 0 0 0 0 0 2
18 HANDSCRUB GEL 0 0 0 0 0 2
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0 2
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0 50
14 MASKER ANTIDEBU/N95 0 0 0 0 0 50
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0 2
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0 50
2 AUTOCLIK 0 0 0 0 0 2
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0 10
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0 1
2 TROLI INSTRUMENT 0 0 0 0 0 1
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0 1
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0 2
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0 2
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0 2
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PENANGGUNG JAWAB

KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS POLINDES SAYIDANA ARTODUNG

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M SITI NURUL KOMARIYAH,S.Kep,Ns UMMI FARIHAH Amd. Keb

NIP.19670413 198803 1 008 NIP. 19780228 200003 2 002 NIP.19811009 201704 2 004
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : MEI 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0
6 ALLOPURINOL 300 MG 0 0 10 10 10 10 10 10 60 -60
7 AMBROXOL 30 MG 0 0 10 15 10 10 10 5 60 -60
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 5 5 1 2 3 2
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 115 115 10 10 10 10 10 10 20 80 35
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 10 10 10 10 10 10 10 10 10 10 100 -100
26 ANTASIDA DOEN SYIRUP 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0
31 ASAM ASCORBAT 50 MG 0 0 20 35 10 10 10 20 10 5 10 10 140 -140
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0
59 DEXAMETHASONE INJEKSI 10 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 0 0 10 10 -10
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 1 1 0 1
104 HIDROKLORTIAZID (HCT) 25 mg 0 0 0 0
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 0 10 10 10 10 10 50 -50
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 140 140 0 140
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0
125 KLORAMPHENICOL SM 0 0 0 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 0 10 10 -10
131 KOTRIMOXAZOLE SYIRUP 9 9 0 9
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 10 10 -10
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 60 60 0 60
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 2 2 0 2
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 10 10 10 10 10 10 10 10 20 100 -100
161 NA.DIKLOFENAC 50 mg 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 0 0 3 3 -3
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 0 20 10 10 10 10 10 70 -70
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 8 8 1 2 3 5
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 200 200 0 200
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 2 2 0 2
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 50 50 0 50
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 0 0 0 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 1 1 0 1
211 SEFADROXIL 500 CAPSUL 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 60 60 0 60
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 61 61 3 2 3 2 4 6 3 1 2 2 3 3 34 27
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 436 436 0 436
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0
23 HAND SCOEN 7 -7,5 0 0 5 5 -5
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 50 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 0 0 0
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 1 1 0 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 1 1 -1
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 3 3 -3
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 20 20 -20
44 CAPTOPRIL 50 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 60 60 0 60
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
134 METRONIDAZOLE 500 Mg 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 90 90 0 90
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
178 SEFADROXIL SYIRUP KERING 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 30 30 0 30
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 FACE SHIELD 0 0 0 0
8 HAND SANITIZER 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0
10 HAZMAT 0 0 0 0
11 HELM SAFETY 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0
17 RAPID TEST 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0
21 SEPATU BOOTH 0 0 0 0
22 SPANDUK 0 0 0 0
23 TERMOMETER GUN 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0
26 MASKER KN95 0 0 0 0
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB
KEPALA UPT PUSKESMAS GALIS POLINDES SAYIDANA ARTODUNG

H. SJAIFUL ILAH, S.Kep,Ns, M,M UMMI FARIHAH Amd. Keb

NIP : 19670413 198803 1 008 NIP.19811009 201704 2 004
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN PONKESDES :
PROPINSI : JAWA TIMUR BULAN : APRIL 2022

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0 0 200
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 169 0 169 169 0 200
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0 0 200
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 0 0 0 0 200
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 8 0 8 3 5
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 295 0 295 180 115 400
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 140 0 140 140 0 200
26 ANTASIDA DOEN SYIRUP 0 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0 0 5
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 40 0 40 40 0 200
31 ASAM ASCORBAT 50 MG 200 0 200 200 0 200
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 50 0 50 50 0 300
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0 10
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0 5
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0 10
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0 5
50 CAPTOPRIL 12,5 MG 0 0 0 0 0 200
51 CAPTOPRIL 25 MG 0 0 0 0 0 200
52 CAPTOPRIL 50 MG 0 0 0 0 0 200
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0 200
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 80 0 80 80 0 200
59 DEXAMETHASONE INJEKSI 10 0 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

65 DIFENHIDRAMIN HCL INJ 10 0 10 10 0 50

66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 100 0 100 100 0
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0 10
72 DULCOLAX SUPP ANAK 0 0 0 0 0 10
73 EPHEDRIN 25 mg 0 0 0 0 0 200
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 33 0 33 33 0 200
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0 10
91 GLIBENCLAMIDE 5mg 0 0 0 0 0
92 GLIMEPIRIDE 1 MG 0 0 0 0 0 200
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0 5
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 3 0 3 2 1 10
104 HIDROKLORTIAZID (HCT) 25 mg 100 0 100 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 90 0 90 90 0 200
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0 10
115 KETOKONAZOLE 200 mg 200 0 200 60 140 200
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0 200
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0 0
125 KLORAMPHENICOL SM 3 0 3 3 0 10
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0 10
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0 200
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 180 0 180 180 0 200
131 KOTRIMOXAZOLE SYIRUP 9 0 9 0 9
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0 200
135 LORATADIN 10 MG 0 0 0 0 0 200
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0 5
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0 5

139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0 200
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0 200
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 170 0 170 110 60 100
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0 200
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 8 0 8 6 2 10
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0 200
160 NA.DIKLOFENAC 25 mg 200 0 200 200 0 200
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0 100
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0 10
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0 200
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0 10
173 OXITOCIN INJ 0 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0 200
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 150 0 150 150 0 250
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 8 0 8 0 8 10
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 390 0 390 190 200 200
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 2 0 2 0 2
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 100 0 100 50 50
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 2 0 2 2 0 10
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 2 0 2 1 1 5
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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211 SEFADROXIL 500 CAPSUL 0 0 0 0 0

212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 3 0 3 3 0 100
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0 200
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0 100
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0 10
221 TAB.TAMBAH DARAH 0 0 0 0 0 200
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0 200
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0 60
227 THIAMPHENICOL 500 MG 0 0 0 0 0 200
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0 200
233 ZINK 20 MG TAB 0 0 0 0 0 200
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 STIMUNO 90 0 90 30 60
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0 10
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0 10
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 73 0 73 12 61
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 464 0 464 28 436
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0
23 HAND SCOEN 7 -7,5 0 0 0 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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28 IV. CATHETER NO. 18 0 0 0 0 0

29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 1 0 1 1 0
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 0 0 0 0
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 2 0 2 1 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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2 PITA LILA UNTUK BAYI 0 0 0 0 0

3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 210 0 210 210 0
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 190 0 190 190 0
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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80 GLUKOSA 40% INFUS 0 0 0 0 0

81 GUAIFENICIN TAB 100 0 100 40 60
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 150 0 150 150 0
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 0 0 0 0 0
KLORAMPHENICOL 500 MG KAPSUL
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 200 0 200 200 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 200 0 200 110 90
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0

158 PHENZACOL TAB 0 0 0 0 0

159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
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166 PTU 100 MG 0 0 0 0 0

167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 180 0 180 150 30
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
200 0 200 200 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

44 IV. CATHETER NO 20 0 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 0 0 0 0 0
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0

52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

18 HANDSCRUB GEL 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI
KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS PENGELOLA POLINDES
DESA ARTODUNG

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M SITI NURUL KOMARIYAH,S.Kep,Ns UMMI FARIHAH, Amd.Keb

NIP.19670413 198803 1 008 NIP. 19780228 200003 2 002 NIP.19811009 201704 2 002
 SENSUS HARIAN OBAT
POLINDES SAYIDANA ARTODUNG

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : APRIL 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 169 169 169 169 0
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 8 8 3 3 5
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 295 295 10 160 10 180 115
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 140 140 100 20 10 10 140 0
26 ANTASIDA DOEN SYIRUP 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 40 40 10 30 40 0
31 ASAM ASCORBAT 50 MG 200 200 200 200 0
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 50 50 50 50 0
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 80 80 10 60 10 80 0
59 DEXAMETHASONE INJEKSI 10 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 10 10 1 1 1 3 1 1 1 1 10 0
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 100 100 100 100 0
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 33 33 27 6 33 0
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 0 0 0 0
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 3 3 1 1 2 1
104 HIDROKLORTIAZID (HCT) 25 mg 100 100 100 100 0
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

111 ISOSORBID 5 MG 0 0 0 0
112 KALSIUM LACTAT 500 mg 90 90 90 90 0
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 200 200 60 60 140
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0
125 KLORAMPHENICOL SM 3 3 3 3 0
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 180 180 150 10 10 10 180 0
131 KOTRIMOXAZOLE SYIRUP 9 9 0 9
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 170 170 110 110 60
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 8 8 5 1 6 2
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 200 200 10 190 200 0
161 NA.DIKLOFENAC 50 mg 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 150 150 10 120 10 10 150 0
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 8 8 0 8
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 390 390 180 10 190 200
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 2 2 0 2
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 100 100 50 50 50
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0
208 SALEP 2-4 2 2 2 2 0
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 2 2 1 1 1
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 3 3 1 2 3 0
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

230 TRAMADOL INJEKSI 0 0 0 0

231 VIT.B.COMPLEX INJEKSI 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 STIMUNO 90 90 30 30 60
237 0 0 0 0
238 0 0 0 0
239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
250 FENITOIN INJ. 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 73 73 1 1 1 1 1 3 1 1 1 1 12 61
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 464 464 1 1 17 1 1 3 1 1 1 1 28 436
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0
23 HAND SCOEN 7 -7,5 0 0 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 50 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 1 1 1 1 0
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 0 0 0
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 2 2 1 1 1
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 210 210 10 190 10 210 0
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 190 190 190 190 0
44 CAPTOPRIL 50 MG 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 100 100 10 30 40 60
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 150 150 10 130 10 150 0
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 200 200 200 200 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 200 200 110 110 90
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 180 180 150 150 30
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
B12 TABLET 200 200 200 200 0
0 0 0 0
0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0
70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
0 0 0 0
KAPITASI
APD SET LENGKAP COVID/ALL,
( COVER BOK 0 0 0 0
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 FACE SHIELD 0 0 0 0
8 HAND SANITIZER 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0
10 HAZMAT 0 0 0 0
11 HELM SAFETY 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0
17 RAPID TEST 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0
21 SEPATU BOOTH 0 0 0 0
22 SPANDUK 0 0 0 0
23 TERMOMETER GUN 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0
26 MASKER KN95 0 0 0 0
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB
KEPALA UPT PUSKESMAS GALIS POLINDES SAYIDANA ARTODUNG

H. SJAIFUL ILAH, S.Kep,Ns, M,M UMMI FARIHAH Amd. Keb

NIP : 19670413 198803 1 008 NIP.19811009 201704 2 004
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN PONKESDES :

PROPINSI : JAWA TIMUR BULAN : MARET 2022

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 200 0 200 31 169
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0 0
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 10 0 10 2 8
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 340 0 340 45 295
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 190 0 190 50 140
26 ANTASIDA DOEN SYIRUP 0 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 60 0 60 20 40
31 ASAM ASCORBAT 50 MG 200 0 200 0 200
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 180 0 180 130 50
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 80 0 80 0 80
59 DEXAMETHASONE INJEKSI 10 0 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 10 0 10 0 10
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 100 0 100 0 100
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 38 0 38 5 33
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 0 0 0 0 0
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 4 0 4 1 3
104 HIDROKLORTIAZID (HCT) 25 mg 100 0 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 180 0 180 90 90
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 200 0 200 0 200
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0 0
125 KLORAMPHENICOL SM 3 0 3 0 3
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 180 0 180 0 180
131 KOTRIMOXAZOLE SYIRUP 10 0 10 1 9
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 170 0 170 0 170
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 10 0 10 2 8
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 200 0 200 0 200
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 0 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 220 0 220 70 150
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 10 0 10 2 8
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 390 0 390 0 390
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 2 0 2 0 2
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 100 0 100 0 100
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 5 0 5 3 2
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 2 0 2 0 2
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 12 0 12 9 3
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 STIMUNO 90 0 90 0 90
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 82 0 82 9 73
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 482 0 482 18 464
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0
23 HAND SCOEN 7 -7,5 0 0 0 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 1 0 1 1 0
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 50 0 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 1 0 1 0 1
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 42 0 42 42 0
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 2 0 2 0 2
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 0 0 0 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 260 0 260 50 210
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 200 0 200 10 190
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 100 0 100 0 100
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 180 0 180 30 150
 89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 200 0 200 0 200
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 200 0 200 0 200
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0
158 PHENZACOL TAB 0 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 10 0 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 200 0 200 20 180
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
197 SIANOKOBALAMIN TAB/ B12 TAB 200 0 200 0 200
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 0 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
 57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 0 0 0 0 0
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
19 HANDSCOEND NON STERIL 36 0 36 36 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI
KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS PENGELOLA POLINDES
DESA ARTODUNG

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M apt. HAIRUNNISYAH ASFARINA. S,FARM UMMI FARIHAH, S.Keb

NIP.19670413 198803 1 008 NIP 19950515 202203 2 005 NIP.19811009 201704 2 002
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : FARMASI

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR

KELAS STOK PERSEDI TANGGAL

NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0

3 ALBENDAZOLE 400 MG 0 0

4 ALBENDAZOLE SYIRUP 0 0

5 ALLOPURINOL 100 MG 200 200 21 10

6 ALLOPURINOL 300 MG 0 0

7 AMBROXOL 30 MG 0 0

8 AMBROXOL DROP 0 0

9 AMBROXOL SYIRUP 0 0

10 AMINOFLUID CAIRAN 0 0
11 AMINOPHILLIN 200 mg 0 0

12 AMINOPHILLIN INJEKSI 0 0
13 AMLODIPIN 5 0 0
14 AMLODIPIN 10 MG 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0

16 AMOXICILIN 125 mg SYIRUP 10 10 1

17 AMOXICILIN 250 mg 0 0

18 AMOXICILIN 250 mg SYIRUP 0 0

19 AMOXICILIN 500 mg 340 340 25 10 10

20 AMPICILIN 500 mg 0 0

21 AMPICILIN 1 GR INJEKSI 0 0

22 AMPICILIN SYIRUP 0 0

23 ANTALGIN 500 mg 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0

25 ANTASIDA DOEN TABLET 190 190 10 10 10

26 ANTASIDA DOEN SYIRUP 0 0

27 ANTI BACTERI DOEN SK 0 0

28 ANTI FUNGI SALEP 0 0

29 ANTI HAEMOROID SUPPOSITORIA 0 0

30 ASAM ASCORBAT 250 MG 60 60 10

31 ASAM ASCORBAT 50 MG 200 200
32 ASAM MEFENAMAT 250 MG 0 0
33 ASAM MEFENAMAT 500 MG 180 180 10 20 10
34 ASAM TRANEXAMAT 500 MG 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0
36 ASETOSAL 500 mg 0 0
37 ASETOSAL 100 MG 0 0
38 ASIKLOVIR 200 mg 0 0

39 ASIKLOVIR 400 mg 0 0
40 ASIKLOVIR SK 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0
42 ATROPIN SULFAS INJ 0 0
43 ATROPIN SULFAS TM 0 0

44 BENZATIN BEN.P 1,2 JT 0 0

45 BENZATIN BEN.P 2,4 JT 0 0
46 BETAHISTIN MESILAT 6 mg 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
47 BETAMETHASONE CREAM 0 0
48 BRICASMA NEB 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0
50 CAPTOPRIL 12,5 MG 0 0
51 CAPTOPRIL 25 MG 0 0
52 CAPTOPRIL 50 MG 0 0
53 CEFOTAXIM 1 GR INJ 0 0
54 CETERIZINE 10 MG 0 0
55 CETERIZINE SYR 0 0
56 CIPROFLOXACIN 500 mg 0 0
57 COMBIVENT NEBULASER 0 0

58 DEXAMETHASONE 0,5 TAB 80 80

59 DEXAMETHASONE INJEKSI 10 10

60 DIAZEPAM /STESOLID RECTAL 0 0

61 DIAZEPAM 2 mg 0 0

62 DIAZEPAM 5 mg 0 0

63 DIAZEPAM INJEKSI 0 0

64 DIETILKARBAMAZIN SITRAT 100 MG 0 0

65 DIFENHIDRAMIN HCL INJ 10 10

66 DIGOXIN 0,25 0 0

67 DIMENHIDRINAT 50 MG 0 0
68 DOMPERIDONE 10 MG 100 100
69 DOMPERIDONE SUSPENSI 0 0
70 DOXICILIN 100 MG 0 0

71 DULCOLAX SUPP DEWASA 0 0

72 DULCOLAX SUPP ANAK 0 0

73 EPHEDRIN 25 mg 0 0

74 EPHINEPRINE INJ 0 0

75 ERITROMICYN 250 MG 0 0

76 ERITROMICYN 500 MG 0 0

77 ERITROMICYN SYIRUP 0 0

78 FENOL GLISEROL TT 10% 0 0

79 FENOXIPENICILIN 250 MG 0 0

80 FENOXIPENICILIN 500 MG 0 0

81 FITOMENADION 10 mg TAB 0 0

82 FITOMENADION INJEKSI 0 0

83 FUROSEMIDE 40 mg 0 0

84 FUROSEMIDE INJEKSI 0 0

85 GARAM ORALIT 200 38 38 5

86 GEMFIBROZIL 300 MG 0 0
87 GENTAMICYN 80 MG INJ. 0 0
88 GENTAMICYN SK 0 0
89 GENTAMICYN TM 0 0
90 GENTIAN VIOLET 1 % 0 0
91 GLIBENCLAMIDE 5mg 0 0
92 GLIMEPIRIDE 1 MG 0 0
93 GLIMEPIRIDE 2 MG 0 0

94 GLIMEPIRIDE 3 MG 0 0
95 GLIMEPIRIDE 4 MG 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0
97 GLISERIN 0 0
98 GLUCOSE 5 % INFUS 0 0

99 GLUCOSE 10 % INFUS 0 0
100 GLUCOSE 40 % INFUS 0 0
101 GRISEOFULVIN 125 mg 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
102 GRISEOFULVIN 500 mg 0 0
103 HIDROCORTISONE 2,5% 4 4
104 HIDROKLORTIAZID (HCT) 25 mg 100 100
105 IBU PROFEN 200 MG 0 0
106 IBU PROFEN 400 Mg 0 0
107 IBU PROFEN SYR 100 MG 0 0
108 INFUS ASERING 0 0
109 INFUS KA-EN 3 B 0 0
110 IODIOL CAP.LUNAK 0 0
111 ISOSORBID 5 MG 0 0
112 KALSIUM LACTAT 500 mg 180 180 10 10 20
113 KARBAMAZEPIN 200 mg 0 0

114 KETOKONAZOLE KRIM 2 % 0 0

115 KETOKONAZOLE 200 mg 200 200

116 KETOPROFEN 100 MG 0 0

117 KETOPROFEN INJ 100 MG 0 0

118 KETOROLAC INJEKSI 0 0

119 KLINDAMYCIN 150 mg 0 0

120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0

121 KLORAMFENIKOL 250 mg 0 0

122 KLORAMPHENICOL SYIRUP 0 0

123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0
125 KLORAMPHENICOL SM 3 3

126 KLORAMPHENICOL TM 0,5 % 0 0

127 KLORAMPHENICOL TT 3% 0 0

128 KLORFENIRAMIN/ CTM 4 mg 0 0

129 KOTRIMOXAZOL 120 mg 0 0

130 KOTRIMOXAZOL 480 mg 180 180

131 KOTRIMOXAZOLE SYIRUP 10 10 1

132 LIDOCAIN INJ /COMB 2 % 0 0

133 LODOMER INJ 0 0

134 LOPERAMID 2 MG/LEXADIUM 0 0

135 LORATADIN 10 MG 0 0

136 MAGNESIUM SULFAS SERBUK. 0 0

137 MAGNESIUM SULFAS INJ.20% 0 0

138 MAGNESIUM SULFAS INJ.40% 0 0

139 MEBENDAZOLE 100 MG 0 0

140 MEBENDAZOLE SIRUP 0 0

141 MECOBALAMIN 500 MG 0 0

142 METFORMIN 500 mg 0 0
143 METFORMIN 850 mg 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0
145 METIL ERGOMETRIN INJEKSI 0 0
146 METILPREDNISOLON INJEKSI 0 0
147 METILPREDNISOLON 4 MG 0 0
148 METOKLORPAMIDE 10 MG 0 0

149 METOKLORPAMIDE 5 MG 170 170

150 METOKLORPAMIDE DROP 0 0
151 METOKLORPAMIDE INJEKSI 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0
153 METRONIDAZOLE SYIRUP 0 0

154 METRONIDAZOLE 250 mg 0 0

155 METRONIDAZOLE 500 mg 0 0
156 METRONIDAZOLE INFUS 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
157 MICONAZOLE 2% CREAM 10 10
158 Na Cl INFUS 0 0
159 NA. BIC 500 MG 0 0
160 NA.DIKLOFENAC 25 mg 200 200
161 NA.DIKLOFENAC 50 mg 0 0
162 NIFEDIPIN 10 Mg 0 0
163 NISTATIN VAG. 100.000 IU 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0
165 OBAT BATUK HITAM SYIRUP 0 0
166 OCUGARD 0 0
167 OFLOXACIN 200 mg 0 0

168 OFLOXACIN 400 MG 0 0

169 OMEPRAZOLE 20 mg 0 0

170 OXITETRA INJEKSI 0 0

171 OXITETRA SK 0 0

172 OXITETRA SM 0 0

173 OXITOCIN INJ 0 0

174 PAN AMIN G INFUS 0 0

175 PAPAVERIN 40 MG 0 0
176 PAPAVERIN INJEKSI 0 0

177 PARASETAMOL 100 MG 0 0

178 PARASETAMOL 500 mg 220 220 30 10 10 10
179 PARASETAMOL DROP 0 0
180 PARASETAMOL SIRUP 10 10 1 1
181 PARASETAMOL/PROPYRETIC SUPP 0 0

182 PENILBUTAZON 200 MG 0 0

183 PIRACETAM 400 MG 0 0

184 PIRACETAM 800 MG 0 0

185 PIRACETAM INJEKSI 0 0

186 PIRANTEL 125 MG 0 0

187 PIRANTEL SIRUP 0 0

188 PIRIDOXIN HCl 10 mg TAB 0 0

189 PIRIDOXIN HCl 25 mg TAB 0 0

190 PIROKSIKAM 10 MG 0 0

191 PIROKSIKAM 20 MG 0 0

192 PPC INJEKSI 0 0

193 PREDNISON TAB 390 390

194 PROPANOLOL HCL 10 MG 0 0

195 PROPANOLOL HCl 40 mg 0 0

196 PTU 100 mg 0 0

197 PULMICORT 0,5 MG NEBULESER 0 0
198 RANITIDIN 150 mg 0 0
199 RANITIDIN INJEKSI 0 0
200 RETINOL 100.000 IU 0 0
201 RETINOL 200.000 IU 0 0
202 RIFAMPICIN 450 mg 0 0
203 RINGER LACTAT INFUS 2 2

204 SABU I 0 0
205 SALBUTAMOL 2 mg 0 0
206 SALBUTAMOL 4 mg 100 100
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0
208 SALEP 2-4 5 5

209 SALICYL BEDAK 2% 0 0

210 SCABIMITE CREAM 2 2
211 SEFADROXIL 500 CAPSUL 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
212 SEFADROXIL SYIRUP KERING 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 12 12 1 1 1 1 2 1
216 SIANOKOBALAMIN HCL/B12 TAB 0 0
217 SIMVASTATIN 10 Mg 0 0
218 SIMVASTATIN 20 Mg 0 0
219 SPIROLACTONE 100 MG TAB 0 0
220 SULFASETAMID Na TM 0,5 % 0 0
221 TAB.TAMBAH DARAH 0 0
222 TETRACAIN TTS MATA 0 0

223 TETRACYCLIN HCL 250 mg 0 0

224 TETRACYCLIN HCL 500 mg 0 0

225 THIAMIN HCL ( B1 ) 50 MG 0 0

226 THIAMIN HCL ( B1 ) INJEKSI 0 0

227 THIAMPHENICOL 500 MG 0 0

228 THIAMPHENICOL SIRUP 0 0

229 TRAMADOL 150 mg 0 0

230 TRAMADOL INJEKSI 0 0

231 VIT.B.COMPLEX INJEKSI 0 0

232 VIT.B.COMPLEX TAB 0 0

233 ZINK 20 MG TAB 0 0
234 ZINKID SIRUP 0 0
235 ZINKID DROP 0 0

236 STIMUNO 90 90

237 0 0

238 0 0

239 0 0

240 0 0

241 0 0

242 0 0

243 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0

245 ALPRAZOLAM 0,25 MG 0 0

246 ALPRAZOLAM 0,5 MG 0 0

247 AMITRIPTILIN 25 MG 0 0

248 CLOBAZAM 10 MG 0 0

249 CODEIN 10 MG 0 0

250 FENITOIN INJ. 0 0

251 FENITOIN 30 MG 0 0
252 FENOBARBITAL INJ. 0 0
253 FENOBARBITAL 100 MG 0 0
254 FENOBARBITAL 30 MG 0 0
255 HALOPERIDOL INJEKSI 0 0
256 HALOPERIDOL 1,5 mg 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0
258 HALOPERIDOL 5 mg 0 0

259 KLORPROMAZIN 100mg 0 0

260 KLORPROMAZIN 25mg 0 0
261 KLORPROMAZIN INJ. 0 0
262 SIKZONOATE INJ. 0 0
263 TRIFLUOPERAZIN 5 MG 0 0

264 TRIHEXYPENIDIL 2 mg 0 0
BMHP PKD 0 0
1 ALAT SUNTIK 0,05 ML 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
2 ALAT SUNTIK 0,5 ML 0 0
3 ALAT SUNTIK 1 ML 0 0
4 ALAT SUNTIK 2,5 ML 0 0
5 ALAT SUNTIK 3 ML 82 82 1 1 1 1 1 1 1
6 ALAT SUNTIK 5 ML 0 0
7 ALAT SUNTIK 10 ML 0 0
8 ALKOHOL SWAB 482 482 2 2 2 2 2 2 2
9 AQUA PRO INJEKSI 0 0
10 AQUADEST (Water One) 1 ltr 0 0
11 CAT GUT CROMIC + PLAIN 0 0
12 CYBOW 0 0

13 DERMAFIX 5X7 CM 0 0

14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0

15 ETANOL 70% 1 LTR 0 0

16 ETANOL 70% 100 ML 0 0

17 ETHIL KLORIDA 0 0

18 FOLLEY CATETER NO 16 0 0

19 FOLLEY CATETER NO 18 0 0

20 FOLLEY CATETER NO 20 0 0
21 FOLLEY CATETER NO 24 0 0

22 HAND RUB 500 ML/ E CARE / FRESCO 0 0

23 HAND SCOEN 7 -7,5 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0
25 HAND SCRUB / SABUN 0 0

26 INFUS SET ANAK 0 0

27 INFUS SET DEWASA 0 0

28 IV. CATHETER NO. 18 0 0

29 IV. CATHETER NO. 20 0 0

30 IV. CATHETER NO. 22 0 0

31 IV. CATHETER NO. 24 0 0

32 KAPAS BERLEMAK 500 GR 0 0

33 KAPAS PEMBALUT 250 GR 1 1 1

34 KASA 2MX 80CM 0 0

35 KASA BESAR ( 80X40 ) 0 0

36 KASA 4 X 15 CM 0 0

37 KASA 4 X 3 CM 50 50

38 KASA KOMPRES 40X40 0 0

39 KASA STERIL 16X16 CM 1 1

40 LISOL 50 % 0 0

41 MASKER 3 PLY 42 42 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
42 MASKER KAIN 0 0
43 PLESTER 2,5 CM X 4 M 0 0
44 PLESTER 5 YARD 2 2
45 PLESTER 7,5 CM X 4 M 0 0
46 POVIDON YODIDA 1 LITER 0 0
47 POVIDON YODIDA 30 ML 0 0
48 POVIDON YODIDA 300 ML 0 0

49 POVIDON YODIDA 60 mL 0 0
50 SILK 0 0
51 STIK ASAM URAT BENECHECK 0 0
52 STIK GDA BENECHECK 0 0
53 STIK KOLESTEROL BENECHECK 0 0

54 UNDER PAD 0 0
55 URINE BAG 0 0
56 ZEIL NELSON 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
57 0 0
58 0 0
59 0 0
60 0 0
61 0 0
62 0 0
63 0 0
64 0 0
65 0 0
66 0 0
67 0 0
VAKSIN 0 0

1 CAMPAK (BIAS) 0 0

2 CAMPAK MR 0 0
3 VAKSIN BCG 0 0

4 VAKSIN DPT-HB-Hib 0 0

5 VAKSIN DT BIAS 0 0

6 VAKSIN HB UNIJEECT 0 0

7 VAKSIN IPV 0 0
8 VAKSIN POLIO 0 0

9 VAKSIN Td BIAS 0 0
10 VAKSIN TT 0 0
11 VAKSIN COVID 19 0 0
12 RAPID TEST 0 0

13 VTM SWABB 0 0
0 0
0 0
PROGRAM : TB / HIV / PARU DLL 0 0

1 ALKOHOL SWAB 0 0

2 EUTHYROX 0 0

3 HB S Ag ( VIRO CHECK ) 0 0

4 LATEX M SUPERCARE 0 0
5 MALATION GALLON 5LITER 0 0

6 MASKER 3 PLY ( PROGRAM TB ) 0 0

7 MDT DEWASA 0 0

8 MINERAL MIX 0 0

9 OBAT KATEGORI ANAK 0 0

10 OBAT KATEGORI I 0 0

11 OBAT KATEGORI II 0 0

12 OBAT SISIPAN 0 0
13 PLESTERIN BULAT 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0
15 R2 ( KHB) 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0
17 RAPIDAN 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0
19 REAGEN ZEIL NELSON 0 0

20 SD HIV 0 0
21 SD SYPHILIS 0 0
22 SAFETY BOX 0 0
0 0
0 0
0 0
0 0
GIZI 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
1 TABURIA 0 0
2 PITA LILA UNTUK BAYI 0 0
3 PITA LILA UNTUK WUS 0 0
4 PRENAGEN SUSU 0 0
5 BISCUIT MILNA 0 0
6 PAN ENTERNAL 0 0
7 NUTRI DRINK 0 0
0 0
0 0
0 0
0 0
OBAT KAPITASI 0 0

1 ACARBOSE 100 MG 0 0

2 ACETYLSISTEINE 200 MG 0 0
3 ALLOPURINOL 100 MG 0 0

4 ALLOPURINOL 300 MG 0 0

5 AMBROXOL 30 MG 260 260 20 10 10

6 AMBROXOL DROP 0 0

7 AMBROXOL SYR 0 0
8 AMINOFLUID CAIRAN 0 0

9 AMINOPHILIN 200 0 0
10 AMINOPHILIN INJ 0 0
11 AMLODIPIN 10 MG 0 0
12 AMLODIPIN 5 MG 0 0

13 AMOKSISILIN 250 mg 0 0

14 AMOKSISILIN 500 mg 0 0

15 AMOXICILIN 1 GR INJ 0 0

16 AMOXICILIN 125 mg SYIRUP 0 0

17 AMOXICILIN 250 mg SYIRUP 0 0

18 ANTALGIN INJEKSI 0 0

19 ANTALGIN / METAMIZOL 500 MG 0 0

20 ANTASIDA DOEN TABLET 0 0

21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0

22 ANTI BACTERI / BACITRASIN DOEN SK 0 0

23 ANTI HEMOROID SUP 2 G 0 0

24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0

25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0

26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0
28 ASAM ASCORBAT 250 MG 0 0
29 ASAM MEFENAMAT 250 MG 0 0
30 ASAM MEFENAMAT 500 MG 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0
32 ASIKLOVIR 200 Mg 0 0
33 ASIKLOVIR 400 Mg 0 0
34 ASIKLOVIR CREAM 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0
36 BETAHISTIN MESILAT 6 MG 0 0
37 BETAMETHASONE CREAM 0 0
38 BIO ATP 0 0
39 BIOCOMBIN 5000 INJ 0 0
40 BISOPROLOL 2,5 MG 0 0
41 BRICASMA NEB 0 0
42 CAPTOPRIL 12,5 Mg 0 0
43 CAPTOPRIL 25 Mg 200 200
44 CAPTOPRIL 50 MG 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
45 CEFOTAKSIM 1 G INJEKSI 0 0
46 CETERIZINE 10 MG 0 0
47 CETERIZINE SIRUP 0 0
48 CHANNA 0 0
49 CIPROFLOXACIN 500 mg 0 0
50 CITICOLIN INJK 0 0
51 CITICOLIN TAB 0 0
52 COMBIVEN NEBULAZER 0 0
53 CYSTONE/ UROLITAS 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0
55 DEXAMETHASONE 0,5 TAB 0 0
56 DEXAMETHASONE INJEKSI 0 0
57 DIFENHIDRAMIN HCL INJ 0 0
58 DIMENHIDRINAT 50 MG 0 0
59 DOMPERIDONE 10 MG 0 0
60 DOMPERIDONE SUSPENSI 0 0
61 EDEMIN 10 INJ 0 0
62 EPHINEPRINE INJ 0 0
63 ERITROMICIN 250 MG 0 0
64 ERITROMICIN 500 MG 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0

66 FITOMINADION 10 mg 0 0

67 FITOMINADION INJEKSI 0 0

68 FLUDANE 0 0

69 GEMFIBROZIL 300 MG 0 0
70 GENTAMICIN SK 0 0
71 GENTAMICIN TM 0 0
72 GENTIAN VIOLET 0 0
73 GLIBENCLAMIDE 5Mg 0 0
74 GLICERYL GUAIACOLAT 0 0
75 GLIMEPIRIDE 1 MG 0 0
76 GLIMEPIRIDE 2 MG 0 0
77 GLIMEPIRIDE 3 MG 0 0
78 GLIMEPIRIDE 4 MG 0 0
79 GLUCOSE 5 % INFUS 0 0
80 GLUKOSA 40% INFUS 0 0
81 GUAIFENICIN TAB 100 100
82 HALOPERIDOL 2 / LODOMER 0 0
83 HALOPERIDOL 5 MG 0 0
84 HCT 25 MG 0 0
85 HEMAFORT 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0

88 IBU PROFEN 200 MG 180 180 10 10 10

89 IBU PROFEN 400 Mg 0 0

90 IBU PROFEN SYR 100 MG 0 0

91 INFUS ASERING 0 0
92 INFUS KA-EN 3 B 0 0

93 INFUS PAN AMIN-G 0 0

94 ISOSORBIDE 5 MG 0 0

95 KALSIUM LACTAT 500 MG 0 0

96 KETOKONAZOLE 200 Mg 0 0
97 KETOKONAZOLE CREAM 5 G 0 0

98 KETOPROFEN INJ 100 MG 0 0

99 KETOPROFEN SUPP 0 0
100 KETOROLAC INJEKSI 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
101 KLINDAMISIN KAPS 300 MG 0 0
102 KLINDAMISIN KAPS I50 MG 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0
105 KLORAMPHENICOL INJEKSI 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0
107 KLORAMPHENICOL SYIRUP 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0
109 KLORAMPHENICOL TT 3% 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 200 200
111 KOTRIMOXAZOL 120 MG 0 0

112 KOTRIMOXAZOL 480 mg 0 0

113 KOTRIMOXAZOLE SYIRUP 0 0

114 LACTO B 0 0
115 LARUTAN HCL 0,1 N 0 0

116 LARUTAN BENEDICT 0 0

117 LARUTAN EDTA 10 % 0 0

118 LARUTAN EMMERSIOAN OIL 0 0

119 LARUTAN EOSIN 2 % 0 0

120 LARUTAN TURK 0 0

121 LIDOCAIN COMB 2 % INJEKSI 0 0

122 LOPERAMID 2 MG/LEXADIUM 0 0
123 LORATADIN 10 MG 0 0
124 METFORMIN 500 MG 0 0

125 METIL ERGOMETRIN INJEKSI 0 0

126 METILPREDNISOLON 4 MG 0 0

127 METILPREDNISOLON INJ 0 0

128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0

129 METOKLOPRAMIDE/GAVISTAL DROP 0 0

130 METOKLORPAMIDE 10 MG 0 0

131 METOKLORPAMIDE 5 MG 0 0

132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0

133 METRONIDAZOLE 250 MG 0 0

134 METRONIDAZOLE 500 Mg 0 0

135 METRONIDAZOLE INFUS 0 0

136 METRONIDAZOLE SIRUP 0 0

137 MG SO 20% 0 0

138 MG SO 40% 0 0

139 MICONAZOLE 2% CREAM 0 0

140 Na Cl INFUS 0 0
141 NA.DIKLOFENAC 25 mg 0 0
142 NA.DIKLOFENAC 50 mg 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0
144 NIFEDIPIN TAB 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0
146 OBH SIRUP 0 0
147 OCUGARD 0 0

148 OMEPRAZOLE 20 MG 200 200

149 ONDANCETRON INJ 0 0
150 OXITOCIN INJ 0 0
151 OXYTETRACYCLIN 3% SK 0 0
152 PAPAVERIN 40 MG 0 0

153 PARASETAMOL 100 mg 0 0

154 PARASETAMOL 500 mg 0 0
155 PARASETAMOL DROP 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
156 PARASETAMOL SIRUP 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0
158 PHENZACOL TAB 0 0
159 PIRACETAM 400 MG 0 0
160 PIRACETAM 800 MG 0 0
161 PIRACETAM INJEKSI 0 0
162 PIRIDOXIN 10 MG 0 0
163 PIROKSIKAM 10 MG 0 0
164 PIROKSIKAM 20 MG 0 0
165 PREDNISON TABLET 5 MG 0 0
166 PTU 100 MG 0 0

167 PULMICORT 0 0

168 RANITIDIN 150 mg 0 0

169 RANITIDIN INJEKSI 0 0

170 SALBUTAMOL 2 mg 0 0

171 SALBUTAMOL 4 mg 0 0

172 SALBUTAMOL/VENTOLIN NEBULESER 0 0

173 SALEP 2-4 0 0

174 SALICYL BEDAK 2% 0 0

175 SEDIAAN ANTI INFLUENZA 0 0

176 SEFADROXIL 250 CAPSUL 0 0

177 SEFADROXIL 500 CAPSUL 0 0
178 SEFADROXIL SYIRUP KERING 10 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0

180 SIANOKOBALAMIN HCL/B12 INJ. 0 0

181 SIKSONOAT INJ 0 0

182 SIMVASTATIN 10 Mg 0 0

183 SIMVASTATIN 20 Mg 0 0

184 TETRACYCLIN HCL 250 mg 0 0

185 TETRACYCLIN HCL 500 mg 0 0

186 THIAMIN HCL ( B1 ) 50 MG 0 0

187 THIAMIN HCL ( B1 ) INJEKSI 0 0

188 THIAMPHENICOL 500 MG / SOLATHIM 0 0

189 THIAMPHENICOL SIRUP 0 0

190 TRAMADOL INJEKSI 0 0

191 VENTOLIN NEB 0 0

192 VIT.B.COMPLEX INJEKSI 0 0

193 VIT.B.COMPLEX TAB 200 200 10 10

194 ZINK DROP 0 0

195 ZINK SYR 0 0

196 ZINKC 20 MG TAB 0 0
197 B12 TAB 200 200
0 0
0 0
0 0
0 0
0 0
BHP KAPITASI 0 0
1 ALAT SUNTIK 0.05 ML 0 0
2 ALAT SUNTIK 0.5 ML 0 0
3 ALAT SUNTIK 1 ML 0 0
4 ALAT SUNTIK 2.5 ML 0 0

5 ALAT SUNTIK 3 ML 0 0
6 ALAT SUNTIK 5 ML 0 0
7 ALAT SUNTIK 10 ML 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
8 ALKOHOL 70 % 1 LITER 0 0
9 ALKOHOL SWAB 0 0
10 AQUA PRO INJEKSI 0 0
11 BLOOD LANCET 0 0
12 BLOOD TRANFUSION SET 0 0
13 BLUE TIPS 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0
16 COVER GLASS 0 0
17 CYBOW (URINE TEST) 0 0
18 DACLON 6/0 DS 12 MM 0 0

19 DERMAFIX 10 X 8 0 0

20 DERMAFIX 5 X 7 0 0

21 ETHYL KLORIDA 0 0
22 FIXOMUL 0 0

23 FOLLEY CATETER NO 16 0 0

24 FOLLEY CATETER NO 18 0 0

25 FOLLEY CATETER NO 22 0 0

26 FOLLEY CATETER NO 24 0 0
27 GEL DOPLER 0 0

28 GEL ULTRASONIC 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0
30 GLUCO PROTEIN URINE TEST 0 0
31 HAND RUB 5 L 0 0

32 HAND RUB 500 ML 0 0

33 HAND SCOEN (PP) 0 0

34 HAND SCOEN Non Steril S,M, L free pwdr 0 0

35 HAND SCOEN STERIL (PF) 0 0

36 HAND SCOEN steril uk. 7/7,5 0 0

37 HAND SCRUB 5 L 0 0

38 HAND SCRUB 500 ML 0 0

39 HYPAFIX / ULTRAVIX 2,5X5 0 0

40 INFUS SET ANAK 0 0

41 INFUS SET DEWASA 0 0

42 IV DRESSING 0 0

43 IV. CATHETER NO 18 0 0

44 IV. CATHETER NO 20 0 0

45 IV. CATHETER NO 22 0 0

46 IV. CATHETER NO 24 0 0

47 JARUM NOVODISK/INSULIN 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0
49 KALIUM PERMANGANAT 0 0
50 KAPAS PEMBALUT 250 GR 0 0
51 KAPAS PEMBALUT 500 GR 0 0
52 KASA BESAR ( 80X40 ) 0 0
53 KASA 2M X 80CM 0 0
54 KASA 4 X 15 CM 0 0

55 KASA 4 X 3 CM 0 0
56 KASA KOMPRES 40X40 0 0
57 KASA STERIL 16 X 16 0 0
58 LEVEMIR FLEXPEN 0 0
59 LISOL 0 0

60 MASKER 3 PLY / BEDAH 0 0

61 MASKER N95 0 0
62 MESS SCALPEL 11/15 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
63 MIKRO PIPET MTSP 0 0
64 MIKROPIPET MT 11 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0
66 NOVO RAPID FLEXPEN 0 0
67 OBJEK GLASS FROSTED 0 0
68 PERHIDROL /H2O2 3 % 0 0
69 PLESTER 2.5 X 4.5 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0
71 PLESTER E CARE 0 0
72 POVIDON YODIDA 30 ML 0 0
73 POVIDON YODIDA 300 ML 0 0

74 POVIDON YODIDA 60 ML 0 0

75 POVIDON YODIDA 1 LITER 0 0

76 RIVANOL 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0

78 SELANG OXYGEN MASKER DWS 0 0

79 SELANG OXYGEN / NEBULIZER DEWASA 0 0

80 SELANG OXYGEN MASKER ANAK 0 0

81 SILK BLACK HR 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0

83 SPALEK KAYU 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0

87 STERICLIN GUSSETE 20 CM X 5 CM 0 0

88 STERICLIN GUSSETE 25 X 6,5 CM 0 0

89 STIK ASAM URAT BENECHECK 0 0

90 STIK GDA ON CALL 0 0

91 STIK GULA DARAH BENECHECK 0 0

92 STIK KOLESTEROL BENECHECK 0 0

93 TABUNG EDTA / VACCUM TUBE 0 0

94 TALI PUSAT STERIL-umbilical cord 0 0

95 TEST KEHAMILAN 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0

97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0

98 TEST TRIP URID ASID (EASY TOUCH) 0 0

99 UNDERPAD 0 0

100 URINE BAG 0 0

101 WHITE TIPS 0 0

102 YELLOW TIPS 0 0

0 0
0 0
0 0
0 0
0 0
0 0
REAGEN 0 0

1 ALBUMIN 0 0
2 BILIRUBIN 0 0
3 CHOLESTEROL 0 0
4 CREATININ 0 0
5 GLUCOSE 0 0

6 GOT (ASAT) 0 0
7 GPT(ALAT) 0 0
8 TOTAL PROTEIN 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
9 TRIGLISERIDE 0 0
10 UREA FS 0 0
11 URIC ACID 0 0
12 ALKACIDE 1 L 0 0
13 ALKAZYME 0 0
14 BENEDICT 1 X 100 ML 0 0
15 CELL CLEAN 0 0
16 CELL PACK 0 0
17 E-CHECK XS 0 0
18 EDTA 10% 1X100 ML 0 0
19 EOSIN 2% 1X100 ML 0 0

20 HCL 100 ML 0 0

21 HDL CHOLESTEROL (DIRECT) 0 0

22 HEMOGLOBIN 0 0
23 IMMERSION OIL 1X100 ML 0 0
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0

25 KOH 0 0

26 LDL 0 0

27 REAGEN DIASTRO CLEANER ABACUS 3 0 0

28 REAGEN DILUENT ABACUS 3 0 0

29 REAGEN FOTOMETER 0 0
30 REAGEN HEMATOLOGI 0 0
31 REAGEN LYSE ABACUS 3 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0

33 REST ECKER 0 0

34 STRIP HB 0 0

35 STROMATOLYSER-4DL (FFD-220A) 0 0

36 STROMATOLYSER-4DL (FFS-800A) 0 0

37 SULFOLYSER 500 ML 5LS-210A 0 0

38 ZEIL NELSON 3X100 ML 0 0

0 0
0 0
OBAT KAPITASI GIGI 0 0

1 ABDER SINGLE BOND 2 0 0

2 ALGENIUX 0 0

3 ALGINAT 0 0

4 ALVOGIL 0 0

5 ANTISEPTIK LIQUID 100 ML 0 0

6 ARTICULATING PAPER 6/12 0 0

7 ATTAQUE GEL 0 0
8 BIOCLASS C 0 0
9 CALCIDOR 0 0
10 CALSETIN 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0
12 CALLPLUS 0 0
13 CAMPHENOL/CHKM 0 0
14 CAVIT BOTTLE W 0 0

15 CAVIT G BOTTLE RF 28G 0 0

16 CAVIT W 0 0
17 CAVITON 0 0
18 CEIVITRON PINK 0 0
19 CELLULOID STRIP 0 0

20 CHKM 0 0
21 CLOREXORAL 2 % 0 0
22 COTTON ROLL 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
23 CRESHOPENE 0 0
24 CRESOTIN LIQ NO 2 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0
26 CRESOTIN PASTE 0 0
27 CURASPON 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0
30 DEVITALISASI PASTA 0 0
31 EDTA GEL 0 0
32 elite cement 0 0
33 EMAIL PREPARATOR BLUE 0 0

34 ENDOSEAL 0 0

35 EPOXIDIN ROOT CANAL 0 0

36 ETCHANT GEL VIAL 9 ML 0 0

37 EUGENOL 0 0

38 fg diamond mata bur high speed 0 0

39 FILLTEMP 0 0

40 FILTEK P60 A3 0 0

41 FILTEK 2250 XTA3 0 0

42 FORMOKRESOL 0 0

43 GIC ANTERIOR 0 0
44 GIC POSTERIOR 0 0
45 GUTTA PERCAPA NO 15-40 0 0
46 GUTTA PERCAPA NO 45-80 0 0

47 HYDCAL PASTE, BASE AND CATALIST 0 0

48 IMMERSION OIL 1x100mL 0 0

49 IODOFORM 0 0

50 IODOTIN PASTE IN JAR 0 0

51 KETAC UNIVERSAL HM INTRO KIT A3 0 0

52 KOMPOSITE ANTERIOR 0 0

53 KOMPOSITE POSTERIOR 0 0

54 k-reamers 15-40 L-21 0 0

55 MAJOR ALGENIUX 0 0

56 MASTER BOND 0 0

57 MASTER FLOW 0 0

58 MICRON SUPERIOR 0 0

59 multiflix 0 0

60 ORAFIL PLUS 0 0

61 PAPER POINT NO 15-40 0 0

62 PAPER POINT NO 45-80 0 0

63 PARAMONOCHLOROFENOL 0 0
64 POSTERIUR SYR 0 0
65 PULP X 0 0
66 POLIREN PASTA NO 1 0 0
67 PUPERIL 0 0
68 RELYX ULTIMATE CLIKER A1 0 0
69 RELYX ULTIMATE CLIKER A3 0 0

70 RETRAFLEX 0 0
71 ROST SYR 3G 0 0
72 SALIVA EJECTOR 0 0
73 SCAPEL BLADE 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0

75 SOF LEX DIAMOND SPIRAL 0 0

76 SOF LEX EXTRA XTHIN FINE 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
78 SOF LEX XTHIN COARSE 0 0
79 SOF LEX XTHIN MEDIUM 0 0
80 SOF LEX XTHIN/SFINE 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0
82 STAIN REMOVER 0 0
83 STAIN REMOVER 0 0
84 TEHNODENT 0 0
85 TRICRESOL FORMALINA 0 0
86 TRIKRESOL FORMALIN 0 0
87 VARNAL 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0

89 ZINC F 0 0

90 ZINC PHOSPATE 0 0

91 ZITEMP 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
GOLONGAN DARAH 0 0

1 GOLONGAN DARAH A 0 0

2 GOLONGAN DARAH AB 0 0

3 GOLONGAN DARAH B 0 0

4 GOLONGAN DARAH 0 0 0

5 FEBRILE ANTIGEN H - TYPH 0 0

6 FEBRILE ANTIGEN O - A TYPH 0 0

7 FEBRILE ANTIGEN O - B TYPH 0 0

8 FEBRILE ANTIGEN O - D TYPH 0 0
0 0
0 0

APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0

2 BAJU COVER ALL 0 0

3 BAHAN DESINFEKTAN PERMUKAAN 0 0

4 FACE SHIELD 0 0
5 HAND SCOEN SESIKU 0 0
6 KACAMATA GOOGLE 0 0
7 MASKER 3 PLY 0 0
8 MASKER N 95 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0
11 SEPATU KHUSUS 0 0

12 TERMOMETER GUN 0 0
13 VISOR (PELINDUNG WAJAH) 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0
15 HELM SET 0 0
16 LAP. MICROFIBER 0 0

17 KACA MATA SAFETY SHIELD 0 0

18 HANDSCRUB GEL 0 0

HANDSCOEND NON STERIL 36 36 2 4 6 2 2 2 2 2

 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
0 0
0 0
0 0

HIBAH 0 0
1 ACCU CECK 0 0
2 APD LENGKAP SATU SET 0 0
3 ALKOHOL SWABS 0 0
4 BAJU APD (COVER ALL) 0 0
5 CLODINE 5 L 0 0
6 DESINFEKTAN @ 20 LITER 0 0
7 FACE SHIELD 0 0

8 HAND SANITIZER 0 0

9 HAZMAT PUTIH 0 0

10 HAZMAT 0 0
11 HELM SAFETY 0 0

12 KACAMATA GOOGLE 0 0

13 KRESEK LIMBAH 0 0

14 MASKER ANTIDEBU/N95 0 0

15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0

16 MASKER BEDAH / 3 PLY 0 0

17 RAPID TEST 0 0
18 SANOSIL 5 LITER 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0
20 SARUNG TANGAN SESIKU 0 0

21 SEPATU BOOTH 0 0

22 SPANDUK 0 0

23 TERMOMETER GUN 0 0

24 VISOR(PELINDUNG WAJAH) 0 0

25 POMPA DESINFEKTAN 0 0

26 MASKER KN95 0 0
0 0

PROGRAM KB 0 0
1 IUD 0 0

2 Kondom 0 0

3 PIL KB 0 0

4 SPUIT 3CC KB 0 0

5 SUSUK 0 0
ADRK : 0 0

1 BLOOD LANCET 0 0

2 AUTOCLIK 0 0
3 HB SAHLI 0 0
4 TES KEHAMILAN 0 0
0 0
0 0

ALKES 0 0
1 ABN DM 500 DIGITAL ANAK 0 0
2 TROLI INSTRUMENT 0 0

3 ROSSMAX WEIGHSCALE DEWASA 0 0

4 Q. FLEXIBEL TERMOMETER 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0
0 0
0 0

MENGETAHUI
KEPALA UPT PUSKESMAS GALIS

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008
 KELAS STOK PERSEDI TANGGAL
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
MENGETAHUI
1 KEPALA
2 UPT PUSKESMAS3GALIS 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

H. SJAIFUL ILAH, S.Kep,Ns, M,M

NIP : 19670413 198803 1 008
 HARIAN OBAT
ESMAS GALIS

BULAN : MARET 2023

TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
31 169
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 2 8
0 0
0 0
45 295
0 0
0 0
0 0
0 0
0 0
10 10 50 140
0 0
0 0
0 0
0 0
10 20 40
0 200
0 0
20 10 20 20 10 10 130 50
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 80
0 10
0 0
0 0
0 0
0 0
0 0
0 10
0 0
0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
5 33
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
1 1 3
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 40 90 90
0 0
0 0
0 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 3
0 0
0 0
0 0
0 0
0 180
1 9
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 170
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

1 1 2 8
0 0
0 0
0 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 70 150
0 0
2 8
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 390
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 2
0 0
0 0
0 100
0 0
2 1 3 2
0 0
0 2
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
1 1 9 3
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 90
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
1 1 9 73
0 0
0 0
2 2 18 464
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
0 0
0 0
0 0
0 50
0 0
0 1
0 0
2 2 2 2 2 42 0
0 0
0 0
0 2
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 50 210
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10 10 190
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
30 150
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 10
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20 180
0 0
0 0
0 0
0 200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 2 2 2 2 2 2 36 0
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

PENANGGUNG JAWAB PONKESMAS

PUSKESMAS GALIS
TANGGAL SISA
JML
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 STOK
PENANGGUNG JAWAB PONKESMAS
24 25 26 27 28 29 30 31 32PUSKESMAS
33 34 GALIS
35 36 37 38 39 40
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN PONKESDES : POL ARTODUNG
PROPINSI : JAWA TIMUR BULAN : PEBRUARI 2023

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 200 200 0 200
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0 0
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 10 10 0 10
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 0 400 400 60 340
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 200 200 10 190
26 ANTASIDA DOEN SYIRUP 0 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 100 100 40 60
31 ASAM ASCORBAT 50 MG 0 200 200 0 200
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 200 200 20 180
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0
55 CETERIZINE SYR 0 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 100 100 20 80
59 DEXAMETHASONE INJEKSI 0 10 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 10 10 0 10
66 DIGOXIN 0,25 0 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 0 100 100 0 100
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 50 50 12 38
86 GEMFIBROZIL 300 MG 0 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0
89 GENTAMICYN TM 0 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0 0
91 GLIBENCLAMIDE 5mg 0 0 0 0 0
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 0 5 5 1 4
104 HIDROKLORTIAZID (HCT) 25 mg 0 100 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0 0
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 200 200 20 180
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0
115 KETOKONAZOLE 200 mg 0 200 200 0 200
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0 0
125 KLORAMPHENICOL SM 0 3 3 0 3
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 200 200 20 180
131 KOTRIMOXAZOLE SYIRUP 0 10 10 0 10
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0
149 METOKLORPAMIDE 5 MG 0 200 200 30 170
150 METOKLORPAMIDE DROP 0 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 0 10 10 0 10
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 200 200 0 200
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 0 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 300 300 80 220
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 0 10 10 0 10
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 0 400 400 10 390
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 0 2 2 0 2
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 100 100 0 100
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 5 5 0 5
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 2 2 0 2
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 30 30 18 12
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0 0
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0
236 0 90 90 0 90
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 100 100 18 82
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 0 500 500 18 482
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 1 1 1 0
23 HAND SCOEN 7 -7,5 0 0 0 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0 0
26 INFUS SET ANAK 0 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0 0
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 1 1 0 1
34 KASA 2MX 80CM 0 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 0 50 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 3 3 2 1
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 100 100 58 42
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0
44 PLESTER 5 YARD 0 3 3 1 2
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0 0
47 POVIDON YODIDA 30 ML 0 2 2 2 0
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 300 300 40 260
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 0 200 200 0 200
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 100 100 0 100
 82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 200 200 20 180
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 0 0 0 0 0
KLORAMPHENICOL 500 MG KAPSUL
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 200 200 0 200
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 0 200 200 0 200
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0

158 PHENZACOL TAB 0 0 0 0 0

159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 0 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 0 200 200 0 200
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 200 200 0 200
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 0 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 10 10 10 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 0 0 0 0 0
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
0 100 100 64 36
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
 2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 20 20 20 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PENGELOLA PONKESDES

KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS DESA

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M SITI NURUL KOMARIYAH,S.Kep,Ns

NIP.19670413 198803 1 008 NIP. 19780228 200003 2 002
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : polides artodung

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : PEBRUARI 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0
5 ALLOPURINOL 100 MG 0 200 200 0 200
6 ALLOPURINOL 300 MG 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0
8 AMBROXOL DROP 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0
13 AMLODIPIN 5 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 10 10 0 10
17 AMOXICILIN 250 mg 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0
19 AMOXICILIN 500 mg 0 400 400 10 20 20 10 60 340
20 AMPICILIN 500 mg 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0
25 ANTASIDA DOEN TABLET 0 200 200 10 10 190
26 ANTASIDA DOEN SYIRUP 0 0 0 0
27 ANTI BACTERI DOEN SK 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 100 100 10 10 10 10 40 60
31 ASAM ASCORBAT 50 MG 0 200 200 0 200
32 ASAM MEFENAMAT 250 MG 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 200 200 10 10 20 180
34 ASAM TRANEXAMAT 500 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

35 ASAM TRANEXAMAT INJEKSI 0 0 0 0

36 ASETOSAL 500 mg 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0
48 BRICASMA NEB 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0
50 CAPTOPRIL 12,5 MG 0 0 0 0
51 CAPTOPRIL 25 MG 0 0 0 0
52 CAPTOPRIL 50 MG 0 0 0 0
53 CEFOTAXIM 1 GR INJ 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0
55 CETERIZINE SYR 0 0 0 0
56 CIPROFLOXACIN 500 mg 0 0 0 0
57 COMBIVENT NEBULASER 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 100 100 10 10 20 80
59 DEXAMETHASONE INJEKSI 0 10 10 0 10
60 DIAZEPAM /STESOLID RECTAL 0 0 0 0
61 DIAZEPAM 2 mg 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 10 10 0 10
66 DIGOXIN 0,25 0 0 0 0
67 DIMENHIDRINAT 50 MG 0 0 0 0
68 DOMPERIDONE 10 MG 0 100 100 0 100
69 DOMPERIDONE SUSPENSI 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0
75 ERITROMICYN 250 MG 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

78 FENOL GLISEROL TT 10% 0 0 0 0

79 FENOXIPENICILIN 250 MG 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0
84 FUROSEMIDE INJEKSI 0 0 0 0
85 GARAM ORALIT 200 0 50 50 6 6 12 38
86 GEMFIBROZIL 300 MG 0 0 0 0
87 GENTAMICYN 80 MG INJ. 0 0 0 0
88 GENTAMICYN SK 0 0 0 0
89 GENTAMICYN TM 0 0 0 0
90 GENTIAN VIOLET 1 % 0 0 0 0
91 GLIBENCLAMIDE 5mg 0 0 0 0
92 GLIMEPIRIDE 1 MG 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0
97 GLISERIN 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0
101 GRISEOFULVIN 125 mg 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0
103 HIDROCORTISONE 2,5% 0 5 5 1 1 4
104 HIDROKLORTIAZID (HCT) 25 mg 0 100 100 0 100
105 IBU PROFEN 200 MG 0 0 0 0
106 IBU PROFEN 400 Mg 0 0 0 0
107 IBU PROFEN SYR 100 MG 0 0 0 0
108 INFUS ASERING 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 200 200 10 10 20 180
113 KARBAMAZEPIN 200 mg 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0
115 KETOKONAZOLE 200 mg 0 200 200 0 200
116 KETOPROFEN 100 MG 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

121 KLORAMFENIKOL 250 mg 0 0 0 0

122 KLORAMPHENICOL SYIRUP 0 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0
125 KLORAMPHENICOL SM 0 3 3 0 3
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0
129 KOTRIMOXAZOL 120 mg 0 0 0 0
130 KOTRIMOXAZOL 480 mg 0 200 200 10 10 20 180
131 KOTRIMOXAZOLE SYIRUP 0 10 10 0 10
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0
133 LODOMER INJ 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
135 LORATADIN 10 MG 0 0 0 0
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0
149 METOKLORPAMIDE 5 MG 0 200 200 10 10 10 30 170
150 METOKLORPAMIDE DROP 0 0 0 0
151 METOKLORPAMIDE INJEKSI 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0
154 METRONIDAZOLE 250 mg 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0
156 METRONIDAZOLE INFUS 0 0 0 0
157 MICONAZOLE 2% CREAM 0 10 10 0 10
158 Na Cl INFUS 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 200 200 0 200
161 NA.DIKLOFENAC 50 mg 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0
163 NISTATIN VAG. 100.000 IU 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

164 NISTATIN/ KANDISTATIN DROP 0 0 0 0

165 OBAT BATUK HITAM SYIRUP 0 0 0 0
166 OCUGARD 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0
170 OXITETRA INJEKSI 0 0 0 0
171 OXITETRA SK 0 0 0 0
172 OXITETRA SM 0 0 0 0
173 OXITOCIN INJ 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0
178 PARASETAMOL 500 mg 0 300 300 10 10 10 20 20 10 80 220
179 PARASETAMOL DROP 0 0 0 0
180 PARASETAMOL SIRUP 0 10 10 0 10
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0
192 PPC INJEKSI 0 0 0 0
193 PREDNISON TAB 0 400 400 10 10 390
194 PROPANOLOL HCL 10 MG 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0
196 PTU 100 mg 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0
198 RANITIDIN 150 mg 0 0 0 0
199 RANITIDIN INJEKSI 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0
203 RINGER LACTAT INFUS 0 2 2 0 2
204 SABU I 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0
206 SALBUTAMOL 4 mg 0 100 100 0 100
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0

208 SALEP 2-4 0 5 5 0 5
209 SALICYL BEDAK 2% 0 0 0 0
210 SCABIMITE CREAM 0 2 2 0 2
211 SEFADROXIL 500 CAPSUL 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 30 30 1 1 1 2 1 1 1 2 2 1 1 3 1 18 12
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0
219 SPIROLACTONE 100 MG TAB 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
227 THIAMPHENICOL 500 MG 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0
233 ZINK 20 MG TAB 0 0 0 0
234 ZINKID SIRUP 0 0 0 0
235 ZINKID DROP 0 0 0 0
236 STIMUNO CAPS 0 90 90 0 90

239 0 0 0 0
240 0 0 0 0
241 0 0 0 0
242 0 0 0 0
243 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0
249 CODEIN 10 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

250 FENITOIN INJ. 0 0 0 0

251 FENITOIN 30 MG 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0
BMHP PKD 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0
5 ALAT SUNTIK 3 ML 0 100 100 1 1 1 2 1 1 1 2 2 1 1 3 1 18 82
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL SWAB 0 500 500 1 1 1 2 1 1 1 2 2 1 1 3 1 18 482
9 AQUA PRO INJEKSI 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0
11 CAT GUT CROMIC + PLAIN 0 0 0 0
12 CYBOW 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0
19 FOLLEY CATETER NO 18 0 0 0 0
20 FOLLEY CATETER NO 20 0 0 0 0
21 FOLLEY CATETER NO 24 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 1 1 1 1 0
23 HAND SCOEN 7 -7,5 0 0 0 0
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0
25 HAND SCRUB / SABUN 0 0 0 0
26 INFUS SET ANAK 0 0 0 0
27 INFUS SET DEWASA 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

28 IV. CATHETER NO. 18 0 0 0 0

29 IV. CATHETER NO. 20 0 0 0 0
30 IV. CATHETER NO. 22 0 0 0 0
31 IV. CATHETER NO. 24 0 0 0 0
32 KAPAS BERLEMAK 500 GR 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 1 1 0 1
34 KASA 2MX 80CM 0 0 0 0
35 KASA BESAR ( 80X40 ) 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0
37 KASA 4 X 3 CM 0 50 50 0 50
38 KASA KOMPRES 40X40 0 0 0 0
39 KASA STERIL 16X16 CM 0 3 3 1 1 2 1
40 LISOL 50 % 0 0 0 0
41 MASKER 3 PLY 0 100 100 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 58 42
42 MASKER KAIN 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0
44 PLESTER 5 YARD 0 3 3 1 1 2
45 PLESTER 7,5 CM X 4 M 0 0 0 0
46 POVIDON YODIDA 1 LITER 0 0 0 0
47 POVIDON YODIDA 30 ML 0 2 2 1 1 2 0
48 POVIDON YODIDA 300 ML 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0
50 SILK 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0
54 UNDER PAD 0 0 0 0
55 URINE BAG 0 0 0 0
56 ZEIL NELSON 0 0 0 0
57 0 0 0 0
58 0 0 0 0
59 0 0 0 0
60 0 0 0 0
61 0 0 0 0
62 0 0 0 0
63 0 0 0 0
64 0 0 0 0
65 0 0 0 0
66 0 0 0 0
67 0 0 0 0
VAKSIN 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0
2 CAMPAK MR 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

3 VAKSIN BCG 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0
7 VAKSIN IPV 0 0 0 0
8 VAKSIN POLIO 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0
10 VAKSIN TT 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0
12 RAPID TEST 0 0 0 0
13 VTM SWABB 0 0 0 0
0 0 0 0
0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0
2 EUTHYROX 0 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0
7 MDT DEWASA 0 0 0 0
8 MINERAL MIX 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0
12 OBAT SISIPAN 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0
15 R2 ( KHB) 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0
17 RAPIDAN 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0
20 SD HIV 0 0 0 0
21 SD SYPHILIS 0 0 0 0
22 SAFETY BOX 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GIZI 0 0 0 0
1 TABURIA 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

3 PITA LILA UNTUK WUS 0 0 0 0

4 PRENAGEN SUSU 0 0 0 0
5 BISCUIT MILNA 0 0 0 0
6 PAN ENTERNAL 0 0 0 0
7 NUTRI DRINK 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI/BLUD 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0
5 AMBROXOL 30 MG 0 300 300 10 20 10 40 260
6 AMBROXOL DROP 0 0 0 0
7 AMBROXOL SYR 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
34 ASIKLOVIR CREAM 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0
38 BIO ATP 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0
41 BRICASMA NEB 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0
43 CAPTOPRIL 25 Mg 0 200 200 0 200
44 CAPTOPRIL 50 MG 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0
47 CETERIZINE SIRUP 0 0 0 0
48 CHANNA 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0
50 CITICOLIN INJK 0 0 0 0
51 CITICOLIN TAB 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0
68 FLUDANE 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0
70 GENTAMICIN SK 0 0 0 0
71 GENTAMICIN TM 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

78 GLIMEPIRIDE 4 MG 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0
81 GUAIFENICIN TAB 0 100 100 0 100
82 HALOPERIDOL 2 / LODOMER 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0
84 HCT 25 MG 0 0 0 0
85 HEMAFORT 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0
88 IBU PROFEN 200 MG 0 200 200 10 10 20 180
89 IBU PROFEN 400 Mg 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0
91 INFUS ASERING 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 200 200 0 200
111 KOTRIMOXAZOL 120 MG 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0
114 LACTO B 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0
120 LARUTAN TURK 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0

122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0
131 METOKLORPAMIDE 5 MG 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0
137 MG SO 20% 0 0 0 0
138 MG SO 40% 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0
140 Na Cl INFUS 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0
146 OBH SIRUP 0 0 0 0
147 OCUGARD 0 0 0 0
148 OMEPRAZOLE 20 MG 0 200 200 0 200
149 ONDANCETRON INJ 0 0 0 0
150 OXITOCIN INJ 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0
158 PHENZACOL TAB 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

164 PIROKSIKAM 20 MG 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0
166 PTU 100 MG 0 0 0 0
167 PULMICORT 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0
173 SALEP 2-4 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0
178 SEFADROXIL SYIRUP KERING 0 10 10 0 10
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0
191 VENTOLIN NEB 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0
193 VIT.B.COMPLEX TAB 0 200 200 0 200
194 ZINK DROP 0 0 0 0
195 ZINK SYR 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0
197 SIANOKOBALAMIN TAB 0 200 200 0 200
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
BHP KAPITASI 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

4 ALAT SUNTIK 2.5 ML 0 0 0 0

5 ALAT SUNTIK 3 ML 0 0 0 0
6 ALAT SUNTIK 5 ML 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0
11 BLOOD LANCET 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0
13 BLUE TIPS 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0
16 COVER GLASS 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0
22 FIXOMUL 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0
27 GEL DOPLER 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0
31 HAND RUB 5 L 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0
40 INFUS SET ANAK 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0
42 IV DRESSING 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0
44 IV. CATHETER NO 20 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

47 JARUM NOVODISK/INSULIN 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0
53 KASA 2M X 80CM 0 10 10 10 10 0
54 KASA 4 X 15 CM 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0
59 LISOL 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0
61 MASKER N95 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0
71 PLESTER E CARE 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0
76 RIVANOL 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0
81 SILK BLACK HR 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0
83 SPALEK KAYU 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

90 STIK GDA ON CALL 0 0 0 0

91 STIK GULA DARAH BENECHECK 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0
TEST TRIP CHOLESTEROL (EASY
96 TOUCH)
0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0
99 UNDERPAD 0 0 0 0
100 URINE BAG 0 0 0 0
101 WHITE TIPS 0 0 0 0
102 YELLOW TIPS 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
REAGEN 0 0 0 0
1 ALBUMIN 0 0 0 0
2 BILIRUBIN 0 0 0 0
3 CHOLESTEROL 0 0 0 0
4 CREATININ 0 0 0 0
5 GLUCOSE 0 0 0 0
6 GOT (ASAT) 0 0 0 0
7 GPT(ALAT) 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0
9 TRIGLISERIDE 0 0 0 0
10 UREA FS 0 0 0 0
11 URIC ACID 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0
13 ALKAZYME 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0
15 CELL CLEAN 0 0 0 0
16 CELL PACK 0 0 0 0
17 E-CHECK XS 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0
20 HCL 100 ML 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0
22 HEMOGLOBIN 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
K3 EDTA 3ML / TABUNG
24 VACOUNTAINER
0 0 0 0
25 KOH 0 0 0 0
26 LDL 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0
33 REST ECKER 0 0 0 0
34 STRIP HB 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0
0 0 0 0
0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0
2 ALGENIUX 0 0 0 0
3 ALGINAT 0 0 0 0
4 ALVOGIL 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0
7 ATTAQUE GEL 0 0 0 0
8 BIOCLASS C 0 0 0 0
9 CALCIDOR 0 0 0 0
10 CALSETIN 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0
12 CALLPLUS 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0
16 CAVIT W 0 0 0 0
17 CAVITON 0 0 0 0
18 CEIVITRON PINK 0 0 0 0
19 CELLULOID STRIP 0 0 0 0
20 CHKM 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0
22 COTTON ROLL 0 0 0 0
23 CRESHOPENE 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

26 CRESOTIN PASTE 0 0 0 0
27 CURASPON 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0
31 EDTA GEL 0 0 0 0
32 elite cement 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0
34 ENDOSEAL 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0
37 EUGENOL 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0
39 FILLTEMP 0 0 0 0
40 FILTEK P60 A3 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0
42 FORMOKRESOL 0 0 0 0
43 GIC ANTERIOR 0 0 0 0
44 GIC POSTERIOR 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0
49 IODOFORM 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0
56 MASTER BOND 0 0 0 0
57 MASTER FLOW 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0
59 multiflix 0 0 0 0
60 ORAFIL PLUS 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0
64 POSTERIUR SYR 0 0 0 0
65 PULP X 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0
67 PUPERIL 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

69 RELYX ULTIMATE CLIKER A3 0 0 0 0

70 RETRAFLEX 0 0 0 0
71 ROST SYR 3G 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0
73 SCAPEL BLADE 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0
82 STAIN REMOVER 0 0 0 0
83 STAIN REMOVER 0 0 0 0
84 TEHNODENT 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0
87 VARNAL 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0
89 ZINC F 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0
91 ZITEMP 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
GOLONGAN DARAH 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0
0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0 0
APD SETKAPITASI
LENGKAPCOVID/
( COVERBOK 0 0
0 0
ALL,
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0 0
2 BAJU COVER ALL 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0
4 FACE SHIELD 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0
7 MASKER 3 PLY 0 0 0 0
8 MASKER N 95 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0
12 TERMOMETER GUN 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0
15 HELM SET 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0
19 HANDSCOEND NON STERIL 0 100 100 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 4 2 2 2 4 2 6 2 2 2 2 64 36
0 0 0 0
0 0 0 0
0 0 0 0
HIBAH 0 0 0 0
1 ACCU CECK 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0
5 CLODINE 5 L 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0
7 FACE SHIELD 0 0 0 0
8 HAND SANITIZER 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0
10 HAZMAT 0 0 0 0
11 HELM SAFETY 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0
14 MASKER ANTIDEBU/N95 0 20 20 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0
17 RAPID TEST 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

19 SARUNG TANGAN DISPOSIBLE 0 0 0 0

20 SARUNG TANGAN SESIKU 0 0 0 0
21 SEPATU BOOTH 0 0 0 0
22 SPANDUK 0 0 0 0
23 TERMOMETER GUN 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0
26 MASKER KN95 0 0 0 0
0 0 0 0
PROGRAM KB 0 0 0 0
1 IUD 0 0 0 0
2 Kondom 0 0 0 0
3 PIL KB 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0
5 SUSUK 0 0 0 0
ADRK : 0 0 0 0
1 BLOOD LANCET 0 0 0 0
2 AUTOCLIK 0 0 0 0
3 HB SAHLI 0 0 0 0
4 TES KEHAMILAN 0 0 0 0
0 0 0 0
0 0 0 0
ALKES 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0
CHOLCEMMED MD-300 ( PULS
5 OXYMETER )
0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0
0 0 0 0
0 0 0 0
MENGETAHUI PENANGGUNG JAWAB
KEPALA UPT PUSKESMAS GALIS POLINDES ARTODUNG

H. SJAIFUL ILAH, S.Kep,Ns, M,M UMMI FARIHAH S.Keb

NIP : 19670413 198803 1 008 NIP. 19811009 201704 2 004
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS : 05 01
SUB UNIT PELAYANAN : PUSKESMAS GALIS
KECAMATAN : GALIS
KAB/KODYA : PAMEKASAN PONKESDES :
PROPINSI : JAWA TIMUR BULAN : JANUARI 2022

KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE

NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

1 2 3 4 5 6 7 8 9 11 12 17
OBAT PKD
1 ACETYLSISTEINE 200 MG 0 0 0 0 0
2 ADALAT OROS/NIFEDIPIN 20 MG 0 0 0 0 0
3 ALBENDAZOLE 400 MG 0 0 0 0 0
4 ALBENDAZOLE SYIRUP 0 0 0 0 0
5 ALLOPURINOL 100 MG 0 0 0 0 0 200
6 ALLOPURINOL 300 MG 0 0 0 0 0
7 AMBROXOL 30 MG 0 0 0 0 0
8 AMBROXOL DROP 0 0 0 0 0
9 AMBROXOL SYIRUP 0 0 0 0 0
10 AMINOFLUID CAIRAN 0 0 0 0 0
11 AMINOPHILLIN 200 mg 0 0 0 0 0
12 AMINOPHILLIN INJEKSI 0 0 0 0 0
13 AMLODIPIN 5 0 0 0 0 0
14 AMLODIPIN 10 MG 0 0 0 0 0
15 AMOXICILIN 1 GR INJEKSI 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0 10
17 AMOXICILIN 250 mg 0 0 0 0 0
18 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
19 AMOXICILIN 500 mg 0 0 0 0 0 400
20 AMPICILIN 500 mg 0 0 0 0 0
21 AMPICILIN 1 GR INJEKSI 0 0 0 0 0
22 AMPICILIN SYIRUP 0 0 0 0 0
23 ANTALGIN 500 mg 0 0 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI 0 0 0 0 0
25 ANTASIDA DOEN TABLET 0 0 0 0 0 200
26 ANTASIDA DOEN SYIRUP 0 0 0 0 0 10
27 ANTI BACTERI DOEN SK 0 0 0 0 0
28 ANTI FUNGI SALEP 0 0 0 0 0 5
29 ANTI HAEMOROID SUPPOSITORIA 0 0 0 0 0
30 ASAM ASCORBAT 250 MG 0 0 0 0 0 200
31 ASAM ASCORBAT 50 MG 0 0 0 0 0 200
32 ASAM MEFENAMAT 250 MG 0 0 0 0 0
33 ASAM MEFENAMAT 500 MG 0 0 0 0 0 400
34 ASAM TRANEXAMAT 500 MG 0 0 0 0 0
35 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
36 ASETOSAL 500 mg 0 0 0 0 0
37 ASETOSAL 100 MG 0 0 0 0 0
38 ASIKLOVIR 200 mg 0 0 0 0 0
39 ASIKLOVIR 400 mg 0 0 0 0 0
40 ASIKLOVIR SK 0 0 0 0 0 10
41 ASIKLOVIR SALEP MATA 3%(temiral) 0 0 0 0 0
42 ATROPIN SULFAS INJ 0 0 0 0 0
43 ATROPIN SULFAS TM 0 0 0 0 0
44 BENZATIN BEN.P 1,2 JT 0 0 0 0 0
45 BENZATIN BEN.P 2,4 JT 0 0 0 0 0
46 BETAHISTIN MESILAT 6 mg 0 0 0 0 0
47 BETAMETHASONE CREAM 0 0 0 0 0 10
48 BRICASMA NEB 0 0 0 0 0
49 CALSIUM GLUCONAS INJEKSI 0 0 0 0 0 2
50 CAPTOPRIL 12,5 MG 0 0 0 0 0 100
51 CAPTOPRIL 25 MG 0 0 0 0 0 100
52 CAPTOPRIL 50 MG 0 0 0 0 0 100
53 CEFOTAXIM 1 GR INJ 0 0 0 0 0
54 CETERIZINE 10 MG 0 0 0 0 0 200
55 CETERIZINE SYR 0 0 0 0 0 10
56 CIPROFLOXACIN 500 mg 0 0 0 0 0 200
57 COMBIVENT NEBULASER 0 0 0 0 0
58 DEXAMETHASONE 0,5 TAB 0 0 0 0 0 200
59 DEXAMETHASONE INJEKSI 0 0 0 0 0 30
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

60 DIAZEPAM /STESOLID RECTAL 0 0 0 0 0

61 DIAZEPAM 2 mg 0 0 0 0 0
62 DIAZEPAM 5 mg 0 0 0 0 0
63 DIAZEPAM INJEKSI 0 0 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 0 0
65 DIFENHIDRAMIN HCL INJ 0 0 0 0 0 30
66 DIGOXIN 0,25 0 0 0 0 0 100
67 DIMENHIDRINAT 50 MG 0 0 0 0 0
68 DOMPERIDONE 10 MG 0 0 0 0 0 100
69 DOMPERIDONE SUSPENSI 0 0 0 0 0
70 DOXICILIN 100 MG 0 0 0 0 0
71 DULCOLAX SUPP DEWASA 0 0 0 0 0
72 DULCOLAX SUPP ANAK 0 0 0 0 0
73 EPHEDRIN 25 mg 0 0 0 0 0
74 EPHINEPRINE INJ 0 0 0 0 0 3
75 ERITROMICYN 250 MG 0 0 0 0 0
76 ERITROMICYN 500 MG 0 0 0 0 0
77 ERITROMICYN SYIRUP 0 0 0 0 0
78 FENOL GLISEROL TT 10% 0 0 0 0 0
79 FENOXIPENICILIN 250 MG 0 0 0 0 0
80 FENOXIPENICILIN 500 MG 0 0 0 0 0
81 FITOMENADION 10 mg TAB 0 0 0 0 0
82 FITOMENADION INJEKSI 0 0 0 0 0
83 FUROSEMIDE 40 mg 0 0 0 0 0 100
84 FUROSEMIDE INJEKSI 0 0 0 0 0
85 GARAM ORALIT 200 0 0 0 0 0 200
86 GEMFIBROZIL 300 MG 0 0 0 0 0 200
87 GENTAMICYN 80 MG INJ. 0 0 0 0 0
88 GENTAMICYN SK 0 0 0 0 0 10
89 GENTAMICYN TM 0 0 0 0 0 10
90 GENTIAN VIOLET 1 % 0 0 0 0 0 10
91 GLIBENCLAMIDE 5mg 0 0 0 0 0 200
92 GLIMEPIRIDE 1 MG 0 0 0 0 0
93 GLIMEPIRIDE 2 MG 0 0 0 0 0
94 GLIMEPIRIDE 3 MG 0 0 0 0 0
95 GLIMEPIRIDE 4 MG 0 0 0 0 0
96 GLISERIL GUAIACOLAT 100 mg 0 0 0 0 0 200
97 GLISERIN 0 0 0 0 0
98 GLUCOSE 5 % INFUS 0 0 0 0 0
99 GLUCOSE 10 % INFUS 0 0 0 0 0
100 GLUCOSE 40 % INFUS 0 0 0 0 0 2
101 GRISEOFULVIN 125 mg 0 0 0 0 0
102 GRISEOFULVIN 500 mg 0 0 0 0 0
103 HIDROCORTISONE 2,5% 0 0 0 0 0 10
104 HIDROKLORTIAZID (HCT) 25 mg 0 0 0 0 0 200
105 IBU PROFEN 200 MG 0 0 0 0 0 200
106 IBU PROFEN 400 Mg 0 0 0 0 0 200
107 IBU PROFEN SYR 100 MG 0 0 0 0 0 10
108 INFUS ASERING 0 0 0 0 0
109 INFUS KA-EN 3 B 0 0 0 0 0
110 IODIOL CAP.LUNAK 0 0 0 0 0
111 ISOSORBID 5 MG 0 0 0 0 0
112 KALSIUM LACTAT 500 mg 0 0 0 0 0 200
113 KARBAMAZEPIN 200 mg 0 0 0 0 0
114 KETOKONAZOLE KRIM 2 % 0 0 0 0 0 10
115 KETOKONAZOLE 200 mg 0 0 0 0 0 200
116 KETOPROFEN 100 MG 0 0 0 0 0
117 KETOPROFEN INJ 100 MG 0 0 0 0 0
118 KETOROLAC INJEKSI 0 0 0 0 0
119 KLINDAMYCIN 150 mg 0 0 0 0 0 200
120 KLORAMFENIKOL / CLORAMEX 500 Mg 0 0 0 0 0
121 KLORAMFENIKOL 250 mg 0 0 0 0 0 200
122 KLORAMPHENICOL SYIRUP 0 0 0 0 0 10
123 KLORAMPHENICOL INJ/CLORAMIDINE 0 0 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN 0 0 0 0 0
125 KLORAMPHENICOL SM 0 0 0 0 0 10
126 KLORAMPHENICOL TM 0,5 % 0 0 0 0 0
127 KLORAMPHENICOL TT 3% 0 0 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg 0 0 0 0 0 200
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

129 KOTRIMOXAZOL 120 mg 0 0 0 0 0

130 KOTRIMOXAZOL 480 mg 0 0 0 0 0 200
131 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0 10
132 LIDOCAIN INJ /COMB 2 % 0 0 0 0 0
133 LODOMER INJ 0 0 0 0 0
134 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0 200
135 LORATADIN 10 MG 0 0 0 0 0 200
136 MAGNESIUM SULFAS SERBUK. 0 0 0 0 0
137 MAGNESIUM SULFAS INJ.20% 0 0 0 0 0
138 MAGNESIUM SULFAS INJ.40% 0 0 0 0 0
139 MEBENDAZOLE 100 MG 0 0 0 0 0
140 MEBENDAZOLE SIRUP 0 0 0 0 0
141 MECOBALAMIN 500 MG 0 0 0 0 0
142 METFORMIN 500 mg 0 0 0 0 0
143 METFORMIN 850 mg 0 0 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB 0 0 0 0 0
145 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
146 METILPREDNISOLON INJEKSI 0 0 0 0 0
147 METILPREDNISOLON 4 MG 0 0 0 0 0
148 METOKLORPAMIDE 10 MG 0 0 0 0 0 200
149 METOKLORPAMIDE 5 MG 0 0 0 0 0
150 METOKLORPAMIDE DROP 0 0 0 0 0 10
151 METOKLORPAMIDE INJEKSI 0 0 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP 0 0 0 0 0
153 METRONIDAZOLE SYIRUP 0 0 0 0 0 10
154 METRONIDAZOLE 250 mg 0 0 0 0 0
155 METRONIDAZOLE 500 mg 0 0 0 0 0 200
156 METRONIDAZOLE INFUS 0 0 0 0 0
157 MICONAZOLE 2% CREAM 0 0 0 0 0 10
158 Na Cl INFUS 0 0 0 0 0
159 NA. BIC 500 MG 0 0 0 0 0
160 NA.DIKLOFENAC 25 mg 0 0 0 0 0 200
161 NA.DIKLOFENAC 50 mg 0 0 0 0 0
162 NIFEDIPIN 10 Mg 0 0 0 0 0 200
163 NISTATIN VAG. 100.000 IU 0 0 0 0 0
164 NISTATIN/ KANDISTATIN DROP 0 0 0 0 0
165 OBAT BATUK HITAM SYIRUP 0 0 0 0 0 10
166 OCUGARD 0 0 0 0 0
167 OFLOXACIN 200 mg 0 0 0 0 0
168 OFLOXACIN 400 MG 0 0 0 0 0
169 OMEPRAZOLE 20 mg 0 0 0 0 0 200
170 OXITETRA INJEKSI 0 0 0 0 0
171 OXITETRA SK 0 0 0 0 0
172 OXITETRA SM 0 0 0 0 0
173 OXITOCIN INJ 0 0 0 0 0
174 PAN AMIN G INFUS 0 0 0 0 0
175 PAPAVERIN 40 MG 0 0 0 0 0
176 PAPAVERIN INJEKSI 0 0 0 0 0
177 PARASETAMOL 100 MG 0 0 0 0 0
178 PARASETAMOL 500 mg 0 0 0 0 0 300
179 PARASETAMOL DROP 0 0 0 0 0
180 PARASETAMOL SIRUP 0 0 0 0 0 10
181 PARASETAMOL/PROPYRETIC SUPP 0 0 0 0 0
182 PENILBUTAZON 200 MG 0 0 0 0 0
183 PIRACETAM 400 MG 0 0 0 0 0
184 PIRACETAM 800 MG 0 0 0 0 0
185 PIRACETAM INJEKSI 0 0 0 0 0
186 PIRANTEL 125 MG 0 0 0 0 0
187 PIRANTEL SIRUP 0 0 0 0 0
188 PIRIDOXIN HCl 10 mg TAB 0 0 0 0 0
189 PIRIDOXIN HCl 25 mg TAB 0 0 0 0 0
190 PIROKSIKAM 10 MG 0 0 0 0 0
191 PIROKSIKAM 20 MG 0 0 0 0 0
192 PPC INJEKSI 0 0 0 0 0
193 PREDNISON TAB 0 0 0 0 0 200
194 PROPANOLOL HCL 10 MG 0 0 0 0 0
195 PROPANOLOL HCl 40 mg 0 0 0 0 0
196 PTU 100 mg 0 0 0 0 0
197 PULMICORT 0,5 MG NEBULESER 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

198 RANITIDIN 150 mg 0 0 0 0 0

199 RANITIDIN INJEKSI 0 0 0 0 0
200 RETINOL 100.000 IU 0 0 0 0 0
201 RETINOL 200.000 IU 0 0 0 0 0
202 RIFAMPICIN 450 mg 0 0 0 0 0
203 RINGER LACTAT INFUS 0 0 0 0 0 2
204 SABU I 0 0 0 0 0
205 SALBUTAMOL 2 mg 0 0 0 0 0
206 SALBUTAMOL 4 mg 0 0 0 0 0 100
207 SALBUTAMOL/ VENTOLIN NEBULASER 0 0 0 0 0
208 SALEP 2-4 0 0 0 0 0 5
209 SALICYL BEDAK 2% 0 0 0 0 0
210 SCABIMITE CREAM 0 0 0 0 0 5
211 SEFADROXIL 500 CAPSUL 0 0 0 0 0
212 SEFADROXIL SYIRUP KERING 0 0 0 0 0
213 SERUM ANTI TETANUS 1500 UI 0 0 0 0 0
214 SERUM ANTI TETANUS 20,000 UI 0 0 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0 100
216 SIANOKOBALAMIN HCL/B12 TAB 0 0 0 0 0
217 SIMVASTATIN 10 Mg 0 0 0 0 0
218 SIMVASTATIN 20 Mg 0 0 0 0 0 100
219 SPIROLACTONE 100 MG TAB 0 0 0 0 0
220 SULFASETAMID Na TM 0,5 % 0 0 0 0 0
221 TAB.TAMBAH DARAH 0 0 0 0 0
222 TETRACAIN TTS MATA 0 0 0 0 0
223 TETRACYCLIN HCL 250 mg 0 0 0 0 0
224 TETRACYCLIN HCL 500 mg 0 0 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0 100
227 THIAMPHENICOL 500 MG 0 0 0 0 0
228 THIAMPHENICOL SIRUP 0 0 0 0 0
229 TRAMADOL 150 mg 0 0 0 0 0
230 TRAMADOL INJEKSI 0 0 0 0 0
231 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
232 VIT.B.COMPLEX TAB 0 0 0 0 0 200
233 ZINK 20 MG TAB 0 0 0 0 0 200
234 ZINKID SIRUP 0 0 0 0 0
235 ZINKID DROP 0 0 0 0 0 200
236 0 0 0 0 0
237 0 0 0 0 0
238 0 0 0 0 0
239 0 0 0 0 0
240 0 0 0 0 0
241 0 0 0 0 0
242 0 0 0 0 0
243 0 0 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 0 0
245 ALPRAZOLAM 0,25 MG 0 0 0 0 0
246 ALPRAZOLAM 0,5 MG 0 0 0 0 0
247 AMITRIPTILIN 25 MG 0 0 0 0 0
248 CLOBAZAM 10 MG 0 0 0 0 0
249 CODEIN 10 MG 0 0 0 0 0
250 FENITOIN INJ. 0 0 0 0 0
251 FENITOIN 30 MG 0 0 0 0 0
252 FENOBARBITAL INJ. 0 0 0 0 0
253 FENOBARBITAL 100 MG 0 0 0 0 0
254 FENOBARBITAL 30 MG 0 0 0 0 0
255 HALOPERIDOL INJEKSI 0 0 0 0 0
256 HALOPERIDOL 1,5 mg 0 0 0 0 0
257 HALOPERIDOL 2 mg / LODOMER 0 0 0 0 0
258 HALOPERIDOL 5 mg 0 0 0 0 0
259 KLORPROMAZIN 100mg 0 0 0 0 0
260 KLORPROMAZIN 25mg 0 0 0 0 0
261 KLORPROMAZIN INJ. 0 0 0 0 0
262 SIKZONOATE INJ. 0 0 0 0 0
263 TRIFLUOPERAZIN 5 MG 0 0 0 0 0
264 TRIHEXYPENIDIL 2 mg 0 0 0 0 0
BMHP PKD 0 0 0 0 0
1 ALAT SUNTIK 0,05 ML 0 0 0 0 0
2 ALAT SUNTIK 0,5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2,5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0 100
6 ALAT SUNTIK 5 ML 0 0 0 0 0 50
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL SWAB 0 0 0 0 0 100
9 AQUA PRO INJEKSI 0 0 0 0 0
10 AQUADEST (Water One) 1 ltr 0 0 0 0 0 2
11 CAT GUT CROMIC + PLAIN 0 0 0 0 0
12 CYBOW 0 0 0 0 0
13 DERMAFIX 5X7 CM 0 0 0 0 0 10
14 ETAKRIDIN LAR (RIVANOL) 0,1% 0 0 0 0 0
15 ETANOL 70% 1 LTR 0 0 0 0 0
16 ETANOL 70% 100 ML 0 0 0 0 0
17 ETHIL KLORIDA 0 0 0 0 0
18 FOLLEY CATETER NO 16 0 0 0 0 0 2
19 FOLLEY CATETER NO 18 0 0 0 0 0 2
20 FOLLEY CATETER NO 20 0 0 0 0 0 2
21 FOLLEY CATETER NO 24 0 0 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO 0 0 0 0 0
23 HAND SCOEN 7 -7,5 0 0 0 0 0 50
24 HAND SCOEN NON STERIL S/M/L 0 0 0 0 0 100
25 HAND SCRUB / SABUN 0 0 0 0 0 1
26 INFUS SET ANAK 0 0 0 0 0 2
27 INFUS SET DEWASA 0 0 0 0 0 2
28 IV. CATHETER NO. 18 0 0 0 0 0
29 IV. CATHETER NO. 20 0 0 0 0 0 2
30 IV. CATHETER NO. 22 0 0 0 0 0 2
31 IV. CATHETER NO. 24 0 0 0 0 0 2
32 KAPAS BERLEMAK 500 GR 0 0 0 0 0
33 KAPAS PEMBALUT 250 GR 0 0 0 0 0 2
34 KASA 2MX 80CM 0 0 0 0 0 2
35 KASA BESAR ( 80X40 ) 0 0 0 0 0
36 KASA 4 X 15 CM 0 0 0 0 0
37 KASA 4 X 3 CM 0 0 0 0 0 10
38 KASA KOMPRES 40X40 0 0 0 0 0
39 KASA STERIL 16X16 CM 0 0 0 0 0 100
40 LISOL 50 % 0 0 0 0 0
41 MASKER 3 PLY 0 0 0 0 0 10
42 MASKER KAIN 0 0 0 0 0
43 PLESTER 2,5 CM X 4 M 0 0 0 0 0 2
44 PLESTER 5 YARD 0 0 0 0 0 2
45 PLESTER 7,5 CM X 4 M 0 0 0 0 0 2
46 POVIDON YODIDA 1 LITER 0 0 0 0 0 1
47 POVIDON YODIDA 30 ML 0 0 0 0 0 10
48 POVIDON YODIDA 300 ML 0 0 0 0 0
49 POVIDON YODIDA 60 mL 0 0 0 0 0
50 SILK 0 0 0 0 0
51 STIK ASAM URAT BENECHECK 0 0 0 0 0
52 STIK GDA BENECHECK 0 0 0 0 0
53 STIK KOLESTEROL BENECHECK 0 0 0 0 0
54 UNDER PAD 0 0 0 0 0
55 URINE BAG 0 0 0 0 0 2
56 ZEIL NELSON 0 0 0 0 0
57 0 0 0 0 0
58 0 0 0 0 0
59 0 0 0 0 0
60 0 0 0 0 0
61 0 0 0 0 0
62 0 0 0 0 0
63 0 0 0 0 0
64 0 0 0 0 0
65 0 0 0 0 0
66 0 0 0 0 0
67 0 0 0 0 0
VAKSIN 0 0 0 0 0
1 CAMPAK (BIAS) 0 0 0 0 0
2 CAMPAK MR 0 0 0 0 0
3 VAKSIN BCG 0 0 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0 0 0
5 VAKSIN DT BIAS 0 0 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0 0 0
7 VAKSIN IPV 0 0 0 0 0
8 VAKSIN POLIO 0 0 0 0 0
9 VAKSIN Td BIAS 0 0 0 0 0
10 VAKSIN TT 0 0 0 0 0
11 VAKSIN COVID 19 0 0 0 0 0
12 RAPID TEST 0 0 0 0 0
13 VTM SWABB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0 0 0
1 ALKOHOL SWAB 0 0 0 0 0
2 EUTHYROX 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

3 HB S Ag ( VIRO CHECK ) 0 0 0 0 0
4 LATEX M SUPERCARE 0 0 0 0 0
5 MALATION GALLON 5LITER 0 0 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0 0 0
7 MDT DEWASA 0 0 0 0 0
8 MINERAL MIX 0 0 0 0 0
9 OBAT KATEGORI ANAK 0 0 0 0 0
10 OBAT KATEGORI I 0 0 0 0 0
11 OBAT KATEGORI II 0 0 0 0 0
12 OBAT SISIPAN 0 0 0 0 0
13 PLESTERIN BULAT 0 0 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0 0 0
15 R2 ( KHB) 0 0 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0 0 0
17 RAPIDAN 0 0 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0 0 0
19 REAGEN ZEIL NELSON 0 0 0 0 0
20 SD HIV 0 0 0 0 0
21 SD SYPHILIS 0 0 0 0 0
22 SAFETY BOX 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GIZI 0 0 0 0 0
1 TABURIA 0 0 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0 0 0
3 PITA LILA UNTUK WUS 0 0 0 0 0
4 PRENAGEN SUSU 0 0 0 0 0
5 BISCUIT MILNA 0 0 0 0 0
6 PAN ENTERNAL 0 0 0 0 0
7 NUTRI DRINK 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI 0 0 0 0 0
1 ACARBOSE 100 MG 0 0 0 0 0
2 ACETYLSISTEINE 200 MG 0 0 0 0 0
3 ALLOPURINOL 100 MG 0 0 0 0 0
4 ALLOPURINOL 300 MG 0 0 0 0 0
5 AMBROXOL 30 MG 0 0 0 0 0
6 AMBROXOL DROP 0 0 0 0 0
7 AMBROXOL SYR 0 0 0 0 0
8 AMINOFLUID CAIRAN 0 0 0 0 0
9 AMINOPHILIN 200 0 0 0 0 0
10 AMINOPHILIN INJ 0 0 0 0 0
11 AMLODIPIN 10 MG 0 0 0 0 0
12 AMLODIPIN 5 MG 0 0 0 0 0
13 AMOKSISILIN 250 mg 0 0 0 0 0
14 AMOKSISILIN 500 mg 0 0 0 0 0
15 AMOXICILIN 1 GR INJ 0 0 0 0 0
16 AMOXICILIN 125 mg SYIRUP 0 0 0 0 0
17 AMOXICILIN 250 mg SYIRUP 0 0 0 0 0
18 ANTALGIN INJEKSI 0 0 0 0 0
19 ANTALGIN / METAMIZOL 500 MG 0 0 0 0 0
20 ANTASIDA DOEN TABLET 0 0 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) 0 0 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK 0 0 0 0 0
23 ANTI HEMOROID SUP 2 G 0 0 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA 0 0 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) 0 0 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) 0 0 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG 0 0 0 0 0
28 ASAM ASCORBAT 250 MG 0 0 0 0 0
29 ASAM MEFENAMAT 250 MG 0 0 0 0 0
30 ASAM MEFENAMAT 500 MG 0 0 0 0 0
31 ASAM TRANEXAMAT INJEKSI 0 0 0 0 0
32 ASIKLOVIR 200 Mg 0 0 0 0 0
33 ASIKLOVIR 400 Mg 0 0 0 0 0
34 ASIKLOVIR CREAM 0 0 0 0 0
35 BACITRACIN / ANTI BACTERI SALEP 0 0 0 0 0
36 BETAHISTIN MESILAT 6 MG 0 0 0 0 0
37 BETAMETHASONE CREAM 0 0 0 0 0
38 BIO ATP 0 0 0 0 0
39 BIOCOMBIN 5000 INJ 0 0 0 0 0
40 BISOPROLOL 2,5 MG 0 0 0 0 0
41 BRICASMA NEB 0 0 0 0 0
42 CAPTOPRIL 12,5 Mg 0 0 0 0 0
43 CAPTOPRIL 25 Mg 0 0 0 0 0
44 CAPTOPRIL 50 MG 0 0 0 0 0
45 CEFOTAKSIM 1 G INJEKSI 0 0 0 0 0
46 CETERIZINE 10 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

47 CETERIZINE SIRUP 0 0 0 0 0
48 CHANNA 0 0 0 0 0
49 CIPROFLOXACIN 500 mg 0 0 0 0 0
50 CITICOLIN INJK 0 0 0 0 0
51 CITICOLIN TAB 0 0 0 0 0
52 COMBIVEN NEBULAZER 0 0 0 0 0
53 CYSTONE/ UROLITAS 0 0 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET 0 0 0 0 0
55 DEXAMETHASONE 0,5 TAB 0 0 0 0 0
56 DEXAMETHASONE INJEKSI 0 0 0 0 0
57 DIFENHIDRAMIN HCL INJ 0 0 0 0 0
58 DIMENHIDRINAT 50 MG 0 0 0 0 0
59 DOMPERIDONE 10 MG 0 0 0 0 0
60 DOMPERIDONE SUSPENSI 0 0 0 0 0
61 EDEMIN 10 INJ 0 0 0 0 0
62 EPHINEPRINE INJ 0 0 0 0 0
63 ERITROMICIN 250 MG 0 0 0 0 0
64 ERITROMICIN 500 MG 0 0 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML 0 0 0 0 0
66 FITOMINADION 10 mg 0 0 0 0 0
67 FITOMINADION INJEKSI 0 0 0 0 0
68 FLUDANE 0 0 0 0 0
69 GEMFIBROZIL 300 MG 0 0 0 0 0
70 GENTAMICIN SK 0 0 0 0 0
71 GENTAMICIN TM 0 0 0 0 0
72 GENTIAN VIOLET 0 0 0 0 0
73 GLIBENCLAMIDE 5Mg 0 0 0 0 0
74 GLICERYL GUAIACOLAT 0 0 0 0 0
75 GLIMEPIRIDE 1 MG 0 0 0 0 0
76 GLIMEPIRIDE 2 MG 0 0 0 0 0
77 GLIMEPIRIDE 3 MG 0 0 0 0 0
78 GLIMEPIRIDE 4 MG 0 0 0 0 0
79 GLUCOSE 5 % INFUS 0 0 0 0 0
80 GLUKOSA 40% INFUS 0 0 0 0 0
81 GUAIFENICIN TAB 0 0 0 0 0
82 HALOPERIDOL 2 / LODOMER 0 0 0 0 0
83 HALOPERIDOL 5 MG 0 0 0 0 0
84 HCT 25 MG 0 0 0 0 0
85 HEMAFORT 0 0 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR 0 0 0 0 0
87 HIDROCORTISONE CREAM 2,5% 0 0 0 0 0
88 IBU PROFEN 200 MG 0 0 0 0 0
89 IBU PROFEN 400 Mg 0 0 0 0 0
90 IBU PROFEN SYR 100 MG 0 0 0 0 0
91 INFUS ASERING 0 0 0 0 0
92 INFUS KA-EN 3 B 0 0 0 0 0
93 INFUS PAN AMIN-G 0 0 0 0 0
94 ISOSORBIDE 5 MG 0 0 0 0 0
95 KALSIUM LACTAT 500 MG 0 0 0 0 0
96 KETOKONAZOLE 200 Mg 0 0 0 0 0
97 KETOKONAZOLE CREAM 5 G 0 0 0 0 0
98 KETOPROFEN INJ 100 MG 0 0 0 0 0
99 KETOPROFEN SUPP 0 0 0 0 0
100 KETOROLAC INJEKSI 0 0 0 0 0
101 KLINDAMISIN KAPS 300 MG 0 0 0 0 0
102 KLINDAMISIN KAPS I50 MG 0 0 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL 0 0 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL 0 0 0 0 0
105 KLORAMPHENICOL INJEKSI 0 0 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE 0 0 0 0 0
107 KLORAMPHENICOL SYIRUP 0 0 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) 0 0 0 0 0
109 KLORAMPHENICOL TT 3% 0 0 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG 0 0 0 0 0
111 KOTRIMOXAZOL 120 MG 0 0 0 0 0
112 KOTRIMOXAZOL 480 mg 0 0 0 0 0
113 KOTRIMOXAZOLE SYIRUP 0 0 0 0 0
114 LACTO B 0 0 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0 0 0
116 LARUTAN BENEDICT 0 0 0 0 0
117 LARUTAN EDTA 10 % 0 0 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0 0 0
120 LARUTAN TURK 0 0 0 0 0
121 LIDOCAIN COMB 2 % INJEKSI 0 0 0 0 0
122 LOPERAMID 2 MG/LEXADIUM 0 0 0 0 0
123 LORATADIN 10 MG 0 0 0 0 0
124 METFORMIN 500 MG 0 0 0 0 0
125 METIL ERGOMETRIN INJEKSI 0 0 0 0 0
126 METILPREDNISOLON 4 MG 0 0 0 0 0
127 METILPREDNISOLON INJ 0 0 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI 0 0 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP 0 0 0 0 0
130 METOKLORPAMIDE 10 MG 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

131 METOKLORPAMIDE 5 MG 0 0 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP 0 0 0 0 0
133 METRONIDAZOLE 250 MG 0 0 0 0 0
134 METRONIDAZOLE 500 Mg 0 0 0 0 0
135 METRONIDAZOLE INFUS 0 0 0 0 0
136 METRONIDAZOLE SIRUP 0 0 0 0 0
137 MG SO 20% 0 0 0 0 0
138 MG SO 40% 0 0 0 0 0
139 MICONAZOLE 2% CREAM 0 0 0 0 0
140 Na Cl INFUS 0 0 0 0 0
141 NA.DIKLOFENAC 25 mg 0 0 0 0 0
142 NA.DIKLOFENAC 50 mg 0 0 0 0 0
143 NEW ANTIDES (ATTAPULGITE) 0 0 0 0 0
144 NIFEDIPIN TAB 0 0 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI 0 0 0 0 0
146 OBH SIRUP 0 0 0 0 0
147 OCUGARD 0 0 0 0 0
148 OMEPRAZOLE 20 MG 0 0 0 0 0
149 ONDANCETRON INJ 0 0 0 0 0
150 OXITOCIN INJ 0 0 0 0 0
151 OXYTETRACYCLIN 3% SK 0 0 0 0 0
152 PAPAVERIN 40 MG 0 0 0 0 0
153 PARASETAMOL 100 mg 0 0 0 0 0
154 PARASETAMOL 500 mg 0 0 0 0 0
155 PARASETAMOL DROP 0 0 0 0 0
156 PARASETAMOL SIRUP 0 0 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) 0 0 0 0 0
158 PHENZACOL TAB 0 0 0 0 0
159 PIRACETAM 400 MG 0 0 0 0 0
160 PIRACETAM 800 MG 0 0 0 0 0
161 PIRACETAM INJEKSI 0 0 0 0 0
162 PIRIDOXIN 10 MG 0 0 0 0 0
163 PIROKSIKAM 10 MG 0 0 0 0 0
164 PIROKSIKAM 20 MG 0 0 0 0 0
165 PREDNISON TABLET 5 MG 0 0 0 0 0
166 PTU 100 MG 0 0 0 0 0
167 PULMICORT 0 0 0 0 0
168 RANITIDIN 150 mg 0 0 0 0 0
169 RANITIDIN INJEKSI 0 0 0 0 0
170 SALBUTAMOL 2 mg 0 0 0 0 0
171 SALBUTAMOL 4 mg 0 0 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER 0 0 0 0 0
173 SALEP 2-4 0 0 0 0 0
174 SALICYL BEDAK 2% 0 0 0 0 0
175 SEDIAAN ANTI INFLUENZA 0 0 0 0 0
176 SEFADROXIL 250 CAPSUL 0 0 0 0 0
177 SEFADROXIL 500 CAPSUL 0 0 0 0 0
178 SEFADROXIL SYIRUP KERING 0 0 0 0 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU 0 0 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. 0 0 0 0 0
181 SIKSONOAT INJ 0 0 0 0 0
182 SIMVASTATIN 10 Mg 0 0 0 0 0
183 SIMVASTATIN 20 Mg 0 0 0 0 0
184 TETRACYCLIN HCL 250 mg 0 0 0 0 0
185 TETRACYCLIN HCL 500 mg 0 0 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG 0 0 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI 0 0 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM 0 0 0 0 0
189 THIAMPHENICOL SIRUP 0 0 0 0 0
190 TRAMADOL INJEKSI 0 0 0 0 0
191 VENTOLIN NEB 0 0 0 0 0
192 VIT.B.COMPLEX INJEKSI 0 0 0 0 0
193 VIT.B.COMPLEX TAB 0 0 0 0 0
194 ZINK DROP 0 0 0 0 0
195 ZINK SYR 0 0 0 0 0
196 ZINKC 20 MG TAB 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
BHP KAPITASI 0 0 0 0 0
1 ALAT SUNTIK 0.05 ML 0 0 0 0 0
2 ALAT SUNTIK 0.5 ML 0 0 0 0 0
3 ALAT SUNTIK 1 ML 0 0 0 0 0
4 ALAT SUNTIK 2.5 ML 0 0 0 0 0
5 ALAT SUNTIK 3 ML 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

6 ALAT SUNTIK 5 ML 0 0 0 0 0
7 ALAT SUNTIK 10 ML 0 0 0 0 0
8 ALKOHOL 70 % 1 LITER 0 0 0 0 0
9 ALKOHOL SWAB 0 0 0 0 0
10 AQUA PRO INJEKSI 0 0 0 0 0
11 BLOOD LANCET 0 0 0 0 0
12 BLOOD TRANFUSION SET 0 0 0 0 0
13 BLUE TIPS 0 0 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM 0 0 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM 0 0 0 0 0
16 COVER GLASS 0 0 0 0 0
17 CYBOW (URINE TEST) 0 0 0 0 0
18 DACLON 6/0 DS 12 MM 0 0 0 0 0
19 DERMAFIX 10 X 8 0 0 0 0 0
20 DERMAFIX 5 X 7 0 0 0 0 0
21 ETHYL KLORIDA 0 0 0 0 0
22 FIXOMUL 0 0 0 0 0
23 FOLLEY CATETER NO 16 0 0 0 0 0
24 FOLLEY CATETER NO 18 0 0 0 0 0
25 FOLLEY CATETER NO 22 0 0 0 0 0
26 FOLLEY CATETER NO 24 0 0 0 0 0
27 GEL DOPLER 0 0 0 0 0
28 GEL ULTRASONIC 0 0 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK 0 0 0 0 0
30 GLUCO PROTEIN URINE TEST 0 0 0 0 0
31 HAND RUB 5 L 0 0 0 0 0
32 HAND RUB 500 ML 0 0 0 0 0
33 HAND SCOEN (PP) 0 0 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr 0 0 0 0 0
35 HAND SCOEN STERIL (PF) 0 0 0 0 0
36 HAND SCOEN steril uk. 7/7,5 0 0 0 0 0
37 HAND SCRUB 5 L 0 0 0 0 0
38 HAND SCRUB 500 ML 0 0 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 0 0
40 INFUS SET ANAK 0 0 0 0 0
41 INFUS SET DEWASA 0 0 0 0 0
42 IV DRESSING 0 0 0 0 0
43 IV. CATHETER NO 18 0 0 0 0 0
44 IV. CATHETER NO 20 0 0 0 0 0
45 IV. CATHETER NO 22 0 0 0 0 0
46 IV. CATHETER NO 24 0 0 0 0 0
47 JARUM NOVODISK/INSULIN 0 0 0 0 0
48 JELLY /CATHEJELL LIDOCAIN 0 0 0 0 0
49 KALIUM PERMANGANAT 0 0 0 0 0
50 KAPAS PEMBALUT 250 GR 0 0 0 0 0
51 KAPAS PEMBALUT 500 GR 0 0 0 0 0
52 KASA BESAR ( 80X40 ) 0 0 0 0 0
53 KASA 2M X 80CM 0 0 0 0 0
54 KASA 4 X 15 CM 0 0 0 0 0
55 KASA 4 X 3 CM 0 0 0 0 0
56 KASA KOMPRES 40X40 0 0 0 0 0
57 KASA STERIL 16 X 16 0 0 0 0 0
58 LEVEMIR FLEXPEN 0 0 0 0 0
59 LISOL 0 0 0 0 0
60 MASKER 3 PLY / BEDAH 0 0 0 0 0
61 MASKER N95 0 0 0 0 0
62 MESS SCALPEL 11/15 0 0 0 0 0
63 MIKRO PIPET MTSP 0 0 0 0 0
64 MIKROPIPET MT 11 0 0 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0 0 0
67 OBJEK GLASS FROSTED 0 0 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0 0 0
69 PLESTER 2.5 X 4.5 0 0 0 0 0
70 PLESTER 7.5 CM X 4.5 CM 0 0 0 0 0
71 PLESTER E CARE 0 0 0 0 0
72 POVIDON YODIDA 30 ML 0 0 0 0 0
73 POVIDON YODIDA 300 ML 0 0 0 0 0
74 POVIDON YODIDA 60 ML 0 0 0 0 0
75 POVIDON YODIDA 1 LITER 0 0 0 0 0
76 RIVANOL 0 0 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK 0 0 0 0 0
78 SELANG OXYGEN MASKER DWS 0 0 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA 0 0 0 0 0
80 SELANG OXYGEN MASKER ANAK 0 0 0 0 0
81 SILK BLACK HR 0 0 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

83 SPALEK KAYU 0 0 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0 0 0
89 STIK ASAM URAT BENECHECK 0 0 0 0 0
90 STIK GDA ON CALL 0 0 0 0 0
91 STIK GULA DARAH BENECHECK 0 0 0 0 0
92 STIK KOLESTEROL BENECHECK 0 0 0 0 0
93 TABUNG EDTA / VACCUM TUBE 0 0 0 0 0
94 TALI PUSAT STERIL-umbilical cord 0 0 0 0 0
95 TEST KEHAMILAN 0 0 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) 0 0 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) 0 0 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) 0 0 0 0 0
99 UNDERPAD 0 0 0 0 0
100 URINE BAG 0 0 0 0 0
101 WHITE TIPS 0 0 0 0 0
102 YELLOW TIPS 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
REAGEN 0 0 0 0 0
1 ALBUMIN 0 0 0 0 0
2 BILIRUBIN 0 0 0 0 0
3 CHOLESTEROL 0 0 0 0 0
4 CREATININ 0 0 0 0 0
5 GLUCOSE 0 0 0 0 0
6 GOT (ASAT) 0 0 0 0 0
7 GPT(ALAT) 0 0 0 0 0
8 TOTAL PROTEIN 0 0 0 0 0
9 TRIGLISERIDE 0 0 0 0 0
10 UREA FS 0 0 0 0 0
11 URIC ACID 0 0 0 0 0
12 ALKACIDE 1 L 0 0 0 0 0
13 ALKAZYME 0 0 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0 0 0
15 CELL CLEAN 0 0 0 0 0
16 CELL PACK 0 0 0 0 0
17 E-CHECK XS 0 0 0 0 0
18 EDTA 10% 1X100 ML 0 0 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0 0 0
20 HCL 100 ML 0 0 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0 0 0
22 HEMOGLOBIN 0 0 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0 0 0
24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0 0 0
25 KOH 0 0 0 0 0
26 LDL 0 0 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0 0 0
29 REAGEN FOTOMETER 0 0 0 0 0
30 REAGEN HEMATOLOGI 0 0 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0 0 0
33 REST ECKER 0 0 0 0 0
34 STRIP HB 0 0 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
OBAT KAPITASI GIGI 0 0 0 0 0
1 ABDER SINGLE BOND 2 0 0 0 0 0
2 ALGENIUX 0 0 0 0 0
3 ALGINAT 0 0 0 0 0
4 ALVOGIL 0 0 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0 0 0
7 ATTAQUE GEL 0 0 0 0 0
8 BIOCLASS C 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

9 CALCIDOR 0 0 0 0 0
10 CALSETIN 0 0 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0 0 0
12 CALLPLUS 0 0 0 0 0
13 CAMPHENOL/CHKM 0 0 0 0 0
14 CAVIT BOTTLE W 0 0 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0 0 0
16 CAVIT W 0 0 0 0 0
17 CAVITON 0 0 0 0 0
18 CEIVITRON PINK 0 0 0 0 0
19 CELLULOID STRIP 0 0 0 0 0
20 CHKM 0 0 0 0 0
21 CLOREXORAL 2 % 0 0 0 0 0
22 COTTON ROLL 0 0 0 0 0
23 CRESHOPENE 0 0 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0 0 0
26 CRESOTIN PASTE 0 0 0 0 0
27 CURASPON 0 0 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0 0 0
30 DEVITALISASI PASTA 0 0 0 0 0
31 EDTA GEL 0 0 0 0 0
32 elite cement 0 0 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0 0 0
34 ENDOSEAL 0 0 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0 0 0
37 EUGENOL 0 0 0 0 0
38 fg diamond mata bur high speed 0 0 0 0 0
39 FILLTEMP 0 0 0 0 0
40 FILTEK P60 A3 0 0 0 0 0
41 FILTEK 2250 XTA3 0 0 0 0 0
42 FORMOKRESOL 0 0 0 0 0
43 GIC ANTERIOR 0 0 0 0 0
44 GIC POSTERIOR 0 0 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0 0 0
49 IODOFORM 0 0 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0 0 0
54 k-reamers 15-40 L-21 0 0 0 0 0
55 MAJOR ALGENIUX 0 0 0 0 0
56 MASTER BOND 0 0 0 0 0
57 MASTER FLOW 0 0 0 0 0
58 MICRON SUPERIOR 0 0 0 0 0
59 multiflix 0 0 0 0 0
60 ORAFIL PLUS 0 0 0 0 0
61 PAPER POINT NO 15-40 0 0 0 0 0
62 PAPER POINT NO 45-80 0 0 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0 0 0
64 POSTERIUR SYR 0 0 0 0 0
65 PULP X 0 0 0 0 0
66 POLIREN PASTA NO 1 0 0 0 0 0
67 PUPERIL 0 0 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0 0 0
69 RELYX ULTIMATE CLIKER A3 0 0 0 0 0
70 RETRAFLEX 0 0 0 0 0
71 ROST SYR 3G 0 0 0 0 0
72 SALIVA EJECTOR 0 0 0 0 0
73 SCAPEL BLADE 0 0 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0 0 0
82 STAIN REMOVER 0 0 0 0 0
83 STAIN REMOVER 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

84 TEHNODENT 0 0 0 0 0
85 TRICRESOL FORMALINA 0 0 0 0 0
86 TRIKRESOL FORMALIN 0 0 0 0 0
87 VARNAL 0 0 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0 0 0
89 ZINC F 0 0 0 0 0
90 ZINC PHOSPATE 0 0 0 0 0
91 ZITEMP 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
GOLONGAN DARAH 0 0 0 0 0
1 GOLONGAN DARAH A 0 0 0 0 0
2 GOLONGAN DARAH AB 0 0 0 0 0
3 GOLONGAN DARAH B 0 0 0 0 0
4 GOLONGAN DARAH 0 0 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
KAPITASI COVID/ BOK 0 0 0 0 0
1 APD SET LENGKAP ( COVER ALL, VISOR,HAND 0 0 0 0 0
SCOND SE SIKU, SEPATU)
2 BAJU COVER ALL 0 0 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0 0 0
4 FACE SHIELD 0 0 0 0 0
5 HAND SCOEN SESIKU 0 0 0 0 0
6 KACAMATA GOOGLE 0 0 0 0 0
7 MASKER 3 PLY 0 0 0 0 0
8 MASKER N 95 0 0 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0 0 0
11 SEPATU KHUSUS 0 0 0 0 0
12 TERMOMETER GUN 0 0 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0 0 0
15 HELM SET 0 0 0 0 0
16 LAP. MICROFIBER 0 0 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0 0 0
18 HANDSCRUB GEL 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
HIBAH 0 0 0 0 0
1 ACCU CECK 0 0 0 0 0
2 APD LENGKAP SATU SET 0 0 0 0 0
3 ALKOHOL SWABS 0 0 0 0 0
4 BAJU APD (COVER ALL) 0 0 0 0 0
5 CLODINE 5 L 0 0 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0 0 0
7 FACE SHIELD 0 0 0 0 0
8 HAND SANITIZER 0 0 0 0 0
9 HAZMAT PUTIH 0 0 0 0 0
10 HAZMAT 0 0 0 0 0
11 HELM SAFETY 0 0 0 0 0
12 KACAMATA GOOGLE 0 0 0 0 0
13 KRESEK LIMBAH 0 0 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0 0 0
17 RAPID TEST 0 0 0 0 0
18 SANOSIL 5 LITER 0 0 0 0 0
19 SARUNG TANGAN DISPOSIBLE 0 0 0 0 0
20 SARUNG TANGAN SESIKU 0 0 0 0 0
21 SEPATU BOOTH 0 0 0 0 0
22 SPANDUK 0 0 0 0 0
 KELAS STOCK PENERI PERSE PEMAK SISA PERMIN PEMBE
NO NAMA OBAT TERAPI
SATUAN
AWAL MAAN DIAAN AIAN STOCK TAAN RIAN
KET

23 TERMOMETER GUN 0 0 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0 0 0
25 POMPA DESINFEKTAN 0 0 0 0 0
26 MASKER KN95 0 0 0 0 0
0 0 0 0 0
PROGRAM KB 0 0 0 0 0
1 IUD 0 0 0 0 0
2 Kondom 0 0 0 0 0
3 PIL KB 0 0 0 0 0
4 SPUIT 3CC KB 0 0 0 0 0
5 SUSUK 0 0 0 0 0
ADRK : 0 0 0 0 0
1 BLOOD LANCET 0 0 0 0 0
2 AUTOCLIK 0 0 0 0 0
3 HB SAHLI 0 0 0 0 0
4 TES KEHAMILAN 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
ALKES 0 0 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0 0 0
2 TROLI INSTRUMENT 0 0 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0

MENGETAHUI PENANGGUNG JAWAB

KEPALA UPT PUSKESMAS GALIS PENGELOLA GUDANG PUSKESMAS GALIS POLINDES ARTODUNG

H. SJAIFUL ILLAH,S.Kep,Ns,.M.M SITI NURUL KOMARIYAH,S.Kep,Ns UMMI FARIHAH S.Keb

NIP.19670413 198803 1 008 NIP. 19780228 200003 2 002 NIP. 19811009 201704 2 004
15

14
13
12
11
10
9

8
7
6
5
4
3

2
1
 SENSUS HARIAN OBAT
PUSKESMAS GALIS

KODE PUSKESMAS : 05.01

SUB UNIT : POLINDES ARTODUNG

KECAMATAN : GALIS

KAB/KODYA : PAMEKASAN

PROPINSI : JAWA TIMUR BULAN : JANUARI 2023

KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT PKD

1 ACETYLSISTEINE 200 MG Tab 0 0 0

2 ADALAT OROS/NIFEDIPIN 20 MG Tab 0 0 0
3 ALBENDAZOLE 400 MG Tab 0 0 0
4 ALBENDAZOLE SYIRUP Btl 0 0 0
5 ALLOPURINOL 100 MG Tab 0 0 0
6 ALLOPURINOL 300 MG Tab 0 0 0
7 AMBROXOL 30 MG Tab 0 0 0
8 AMBROXOL DROP Btl 0 0 0
9 AMBROXOL SYIRUP Btl 0 0 0
10 AMINOFLUID CAIRAN Btl 0 0 0
11 AMINOPHILLIN 200 mg Tab 0 0 0
12 AMINOPHILLIN INJEKSI Amp 0 0 0
13 AMLODIPIN 5 Tab 0 0 0
14 AMLODIPIN 10 MG Tab 0 0 0
15 AMOXICILIN 1 GR INJEKSI Vial 0 0 0
16 AMOXICILIN 125 mg SYIRUP Btl 0 0 0
17 AMOXICILIN 250 mg Kap 0 0 0
18 AMOXICILIN 250 mg SYIRUP Btl 0 0 0
19 AMOXICILIN 500 mg Tab 0 0 0
20 AMPICILIN 500 mg Tab 0 0 0
21 AMPICILIN 1 GR INJEKSI Vial 0 0 0
22 AMPICILIN SYIRUP Btl 0 0 0
23 ANTALGIN 500 mg Tab 0 0 0
24 ANTALGIN / METAMIZOL INJEKSI Amp 0 0 0
25 ANTASIDA DOEN TABLET Tab 0 0 0
26 ANTASIDA DOEN SYIRUP Btl 0 0 0
27 ANTI BACTERI DOEN SK Tube 0 0 0
28 ANTI FUNGI SALEP Pot 0 0 0
29 ANTI HAEMOROID SUPPOSITORIA Supp 0 0 0
30 ASAM ASCORBAT 250 MG Tab 0 0 0
31 ASAM ASCORBAT 50 MG Tab 0 0 0
32 ASAM MEFENAMAT 250 MG Kap 0 0 0
33 ASAM MEFENAMAT 500 MG Tab 0 0 0
34 ASAM TRANEXAMAT 500 MG Tab 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

35 ASAM TRANEXAMAT INJEKSI Amp 0 0 0

36 ASETOSAL 500 mg Tab 0 0 0
37 ASETOSAL 100 MG Tab 0 0 0
38 ASIKLOVIR 200 mg Tab 0 0 0
39 ASIKLOVIR 400 mg Tab 0 0 0
40 ASIKLOVIR SK Tube 0 0 0
41 ASIKLOVIR SALEP MATA 3%(temiral) Tube 0 0 0
42 ATROPIN SULFAS INJ Vial 0 0 0
43 ATROPIN SULFAS TM Tube 0 0 0
44 BENZATIN BEN.P 1,2 JT Vial 0 0 0
45 BENZATIN BEN.P 2,4 JT Vial 0 0 0
46 BETAHISTIN MESILAT 6 mg Tab 0 0 0
47 BETAMETHASONE CREAM Tube 0 0 0
48 BRICASMA NEB Amp 0 0 0
49 CALSIUM GLUCONAS INJEKSI Amp 0 0 0
50 CAPTOPRIL 12,5 MG Tab 0 0 0
51 CAPTOPRIL 25 MG Tab 0 0 0
52 CAPTOPRIL 50 MG Tab 0 0 0
53 CEFOTAXIM 1 GR INJ Vial 0 0 0
54 CETERIZINE 10 MG Tab 0 0 0
55 CETERIZINE SYR Btl 0 0 0
56 CIPROFLOXACIN 500 mg Tab 0 0 0
57 COMBIVENT NEBULASER Amp 0 0 0
58 DEXAMETHASONE 0,5 TAB Tab 0 0 0
59 DEXAMETHASONE INJEKSI Amp 0 0 0
60 DIAZEPAM /STESOLID RECTAL Supp 0 0 0
61 DIAZEPAM 2 mg Tab 0 0 0
62 DIAZEPAM 5 mg Tab 0 0 0
63 DIAZEPAM INJEKSI Amp 0 0 0
64 DIETILKARBAMAZIN SITRAT 100 MG Tab 0 0 0
65 DIFENHIDRAMIN HCL INJ Amp 0 0 0
66 DIGOXIN 0,25 Tab 0 0 0
67 DIMENHIDRINAT 50 MG Tab 0 0 0
68 DOMPERIDONE 10 MG Tab 0 0 0
69 DOMPERIDONE SUSPENSI Btl 0 0 0
70 DOXICILIN 100 MG Tab 0 0 0
71 DULCOLAX SUPP DEWASA Supp 0 0 0
72 DULCOLAX SUPP ANAK Supp 0 0 0
73 EPHEDRIN 25 mg Tab 0 0 0
74 EPHINEPRINE INJ Amp 0 0 0
75 ERITROMICYN 250 MG Kap 0 0 0
76 ERITROMICYN 500 MG Kap 0 0 0
77 ERITROMICYN SYIRUP Btl 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

78 FENOL GLISEROL TT 10% Tube 0 0 0

79 FENOXIPENICILIN 250 MG Tab 0 0 0
80 FENOXIPENICILIN 500 MG Tab 0 0 0
81 FITOMENADION 10 mg TAB Tab 0 0 0
82 FITOMENADION INJEKSI Amp 0 0 0
83 FUROSEMIDE 40 mg Tab 0 0 0
84 FUROSEMIDE INJEKSI Amp 0 0 0
85 GARAM ORALIT 200 Sachet 0 0 0
86 GEMFIBROZIL 300 MG Kap 0 0 0
87 GENTAMICYN 80 MG INJ. Vial 0 0 0
88 GENTAMICYN SK Tube 0 0 0
89 GENTAMICYN TM Tube 0 0 0
90 GENTIAN VIOLET 1 % Tube 0 0 0
91 GLIBENCLAMIDE 5mg Tab 0 0 0
92 GLIMEPIRIDE 1 MG Tab 0 0 0
93 GLIMEPIRIDE 2 MG Tab 0 0 0
94 GLIMEPIRIDE 3 MG Tab 0 0 0
95 GLIMEPIRIDE 4 MG Tab 0 0 0
96 GLISERIL GUAIACOLAT 100 mg Tab 0 0 0
97 GLISERIN Tab 0 0 0
98 GLUCOSE 5 % INFUS Flas 0 0 0
99 GLUCOSE 10 % INFUS Flas 0 0 0
100 GLUCOSE 40 % INFUS Flas 0 0 0
101 GRISEOFULVIN 125 mg Tab 0 0 0
102 GRISEOFULVIN 500 mg Tab 0 0 0
103 HIDROCORTISONE 2,5% Tube 0 0 0
104 HIDROKLORTIAZID (HCT) 25 mg Tab 0 0 0
105 IBU PROFEN 200 MG Kap 0 0 0
106 IBU PROFEN 400 Mg Tube 0 0 0
107 IBU PROFEN SYR 100 MG Btl 0 0 0
108 INFUS ASERING Flas 0 0 0
109 INFUS KA-EN 3 B Flas 0 0 0
110 IODIOL CAP.LUNAK Kap 0 0 0
111 ISOSORBID 5 MG Tab 0 0 0
112 KALSIUM LACTAT 500 mg Tab 0 0 0
113 KARBAMAZEPIN 200 mg Tab 0 0 0
114 KETOKONAZOLE KRIM 2 % Tube 0 0 0
115 KETOKONAZOLE 200 mg Tab 0 0 0
116 KETOPROFEN 100 MG Tab 0 0 0
117 KETOPROFEN INJ 100 MG Amp 0 0 0
118 KETOROLAC INJEKSI Amp 0 0 0
119 KLINDAMYCIN 150 mg Kap 0 0 0
120 KLORAMFENIKOL / CLORAMEX 500 Mg Kap 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

121 KLORAMFENIKOL 250 mg Kap 0 0 0

122 KLORAMPHENICOL SYIRUP Btl 0 0 0
123 KLORAMPHENICOL INJ/CLORAMIDINE Amp 0 0 0
124 KLORAMPHENICOL SK/ BUFACETIN Tube 0 0 0
125 KLORAMPHENICOL SM Tube 0 0 0
126 KLORAMPHENICOL TM 0,5 % Pcs 0 0 0
127 KLORAMPHENICOL TT 3% Pcs 0 0 0
128 KLORFENIRAMIN/ CTM 4 mg Tab 0 0 0
129 KOTRIMOXAZOL 120 mg Tab 0 0 0
130 KOTRIMOXAZOL 480 mg Tab 0 0 0
131 KOTRIMOXAZOLE SYIRUP Btl 0 0 0
132 LIDOCAIN INJ /COMB 2 % Amp 0 0 0
133 LODOMER INJ Amp 0 0 0
134 LOPERAMID 2 MG/LEXADIUM Tab 0 0 0
135 LORATADIN 10 MG Tab 0 0 0
136 MAGNESIUM SULFAS SERBUK. Vial 0 0 0
137 MAGNESIUM SULFAS INJ.20% Vial 0 0 0
138 MAGNESIUM SULFAS INJ.40% Vial 0 0 0
139 MEBENDAZOLE 100 MG Tab 0 0 0
140 MEBENDAZOLE SIRUP Btl 0 0 0
141 MECOBALAMIN 500 MG Tab 0 0 0
142 METFORMIN 500 mg Tab 0 0 0
143 METFORMIN 850 mg Tab 0 0 0
144 METHIL ERGOMETRIN 0,125 TAB Tab 0 0 0
145 METIL ERGOMETRIN INJEKSI Amp 0 0 0
146 METILPREDNISOLON INJEKSI Amp 0 0 0
147 METILPREDNISOLON 4 MG Tab 0 0 0
148 METOKLORPAMIDE 10 MG Tab 0 0 0
149 METOKLORPAMIDE 5 MG Tab 0 0 0
150 METOKLORPAMIDE DROP Btl 0 0 0
151 METOKLORPAMIDE INJEKSI Amp 0 0 0
152 METOKLORPAMIDE/LEXAPRAM SYIRUP Amp 0 0 0
153 METRONIDAZOLE SYIRUP Btl 0 0 0
154 METRONIDAZOLE 250 mg Tab 0 0 0
155 METRONIDAZOLE 500 mg Tab 0 0 0
156 METRONIDAZOLE INFUS Btl 0 0 0
157 MICONAZOLE 2% CREAM Tube 0 0 0
158 Na Cl INFUS Flas 0 0 0
159 NA. BIC 500 MG Tab 0 0 0
160 NA.DIKLOFENAC 25 mg Tab 0 0 0
161 NA.DIKLOFENAC 50 mg Tab 0 0 0
162 NIFEDIPIN 10 Mg Tab 0 0 0
163 NISTATIN VAG. 100.000 IU Tab 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

164 NISTATIN/ KANDISTATIN DROP Btl 0 0 0

165 OBAT BATUK HITAM SYIRUP Btl 0 0 0
166 OCUGARD Tab 0 0 0
167 OFLOXACIN 200 mg Kap 0 0 0
168 OFLOXACIN 400 MG Kap 0 0 0
169 OMEPRAZOLE 20 mg Kap 0 0 0
170 OXITETRA INJEKSI Tube 0 0 0
171 OXITETRA SK Tube 0 0 0
172 OXITETRA SM Tube 0 0 0
173 OXITOCIN INJ Amp 0 0 0
174 PAN AMIN G INFUS Flas 0 0 0
175 PAPAVERIN 40 MG Tab 0 0 0
176 PAPAVERIN INJEKSI Amp 0 0 0
177 PARASETAMOL 100 MG Tab 0 0 0
178 PARASETAMOL 500 mg Tab 0 0 0
179 PARASETAMOL DROP Btl 0 0 0
180 PARASETAMOL SIRUP Btl 0 0 0
181 PARASETAMOL/PROPYRETIC SUPP Supp 0 0 0
182 PENILBUTAZON 200 MG Tab 0 0 0
183 PIRACETAM 400 MG Tab 0 0 0
184 PIRACETAM 800 MG Tab 0 0 0
185 PIRACETAM INJEKSI Amp 0 0 0
186 PIRANTEL 125 MG Tab 0 0 0
187 PIRANTEL SIRUP Btl 0 0 0
188 PIRIDOXIN HCl 10 mg TAB Tab 0 0 0
189 PIRIDOXIN HCl 25 mg TAB Tab 0 0 0
190 PIROKSIKAM 10 MG Tab 0 0 0
191 PIROKSIKAM 20 MG Kap 0 0 0
192 PPC INJEKSI Amp 0 0 0
193 PREDNISON TAB Tab 0 0 0
194 PROPANOLOL HCL 10 MG Tab 0 0 0
195 PROPANOLOL HCl 40 mg Tab 0 0 0
196 PTU 100 mg Tab 0 0 0
197 PULMICORT 0,5 MG NEBULESER Amp 0 0 0
198 RANITIDIN 150 mg Tab 0 0 0
199 RANITIDIN INJEKSI Amp 0 0 0
200 RETINOL 100.000 IU Kap 0 0 0
201 RETINOL 200.000 IU Kap 0 0 0
202 RIFAMPICIN 450 mg Tab 0 0 0
203 RINGER LACTAT INFUS Flas 0 0 0
204 SABU I Amp 0 0 0
205 SALBUTAMOL 2 mg Tab 0 0 0
206 SALBUTAMOL 4 mg Tab 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

207 SALBUTAMOL/ VENTOLIN NEBULASER Amp 0 0 0

208 SALEP 2-4 pot 0 0 0
209 SALICYL BEDAK 2% sachet 0 0 0
210 SCABIMITE CREAM Tube 0 0 0
211 SEFADROXIL 500 CAPSUL Kap 0 0 0
212 SEFADROXIL SYIRUP KERING Btl 0 0 0
213 SERUM ANTI TETANUS 1500 UI Amp 0 0 0
214 SERUM ANTI TETANUS 20,000 UI Amp 0 0 0
215 SIANOKOBALAMIN HCL/B12 INJ. Amp 0 0 0
216 SIANOKOBALAMIN HCL/B12 TAB Tab 0 0 0
217 SIMVASTATIN 10 Mg Tab 0 0 0
218 SIMVASTATIN 20 Mg Tab 0 0 0
219 SPIROLACTONE 100 MG TAB Tab 0 0 0
220 SULFASETAMID Na TM 0,5 % Tube 0 0 0
221 TAB.TAMBAH DARAH Tab 0 0 0
222 TETRACAIN TTS MATA Tube 0 0 0
223 TETRACYCLIN HCL 250 mg Kap 0 0 0
224 TETRACYCLIN HCL 500 mg Kap 0 0 0
225 THIAMIN HCL ( B1 ) 50 MG Tab 0 0 0
226 THIAMIN HCL ( B1 ) INJEKSI Amp 0 0 0
227 THIAMPHENICOL 500 MG Tab 0 0 0
228 THIAMPHENICOL SIRUP Btl 0 0 0
229 TRAMADOL 150 mg Tab 0 0 0
230 TRAMADOL INJEKSI Amp 0 0 0
231 VIT.B.COMPLEX INJEKSI Vial 0 0 0
232 VIT.B.COMPLEX TAB Tab 0 0 0
233 ZINK 20 MG TAB Tab 0 0 0
234 ZINKID SIRUP ba 0 0 0
235 ZINKID DROP Btl 0 0 0
236 0 0 0
237 0 0 0
238 0 0 0
239 0 0 0
240 0 0 0
241 0 0 0
242 0 0 0
243 0 0 0
244 NARKOTIK / PSOKOTROPIKA / OOT 0 0 0
245 ALPRAZOLAM 0,25 MG Tab 0 0 0
246 ALPRAZOLAM 0,5 MG Tab 0 0 0
247 AMITRIPTILIN 25 MG Tab 0 0 0
248 CLOBAZAM 10 MG Tab 0 0 0
249 CODEIN 10 MG Tab 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

250 FENITOIN INJ. Amp 0 0 0

251 FENITOIN 30 MG Tab 0 0 0
252 FENOBARBITAL INJ. Amp 0 0 0
253 FENOBARBITAL 100 MG Tab 0 0 0
254 FENOBARBITAL 30 MG Tab 0 0 0
255 HALOPERIDOL INJEKSI Amp 0 0 0
256 HALOPERIDOL 1,5 mg Tab 0 0 0
257 HALOPERIDOL 2 mg / LODOMER Tab 0 0 0
258 HALOPERIDOL 5 mg Tab 0 0 0
259 KLORPROMAZIN 100mg Tab 0 0 0
260 KLORPROMAZIN 25mg Tab 0 0 0
261 KLORPROMAZIN INJ. Amp 0 0 0
262 SIKZONOATE INJ. Amp 0 0 0
263 TRIFLUOPERAZIN 5 MG Tab 0 0 0
264 TRIHEXYPENIDIL 2 mg Tab 0 0 0
BMHP PKD 0 0 0
1 ALAT SUNTIK 0,05 ML BH 0 0 0
2 ALAT SUNTIK 0,5 ML BH 0 0 0
3 ALAT SUNTIK 1 ML BH 0 0 0
4 ALAT SUNTIK 2,5 ML BH 0 0 0
5 ALAT SUNTIK 3 ML BH 0 0 0
6 ALAT SUNTIK 5 ML BH 0 0 0
7 ALAT SUNTIK 10 ML BH 0 0 0
8 ALKOHOL SWAB Box 0 0 0
9 AQUA PRO INJEKSI Vial 0 0 0
10 AQUADEST (Water One) 1 ltr Btl 0 0 0
11 CAT GUT CROMIC + PLAIN Pcs 0 0 0
12 CYBOW Btl 0 0 0
13 DERMAFIX 5X7 CM Pcs 0 0 0
14 ETAKRIDIN LAR (RIVANOL) 0,1% Btl 0 0 0
15 ETANOL 70% 1 LTR Btl 0 0 0
16 ETANOL 70% 100 ML Btl 0 0 0
17 ETHIL KLORIDA Btl 0 0 0
18 FOLLEY CATETER NO 16 BH 0 0 0
19 FOLLEY CATETER NO 18 BH 0 0 0
20 FOLLEY CATETER NO 20 BH 0 0 0
21 FOLLEY CATETER NO 24 BH 0 0 0
22 HAND RUB 500 ML/ E CARE / FRESCO Btl 0 0 0
23 HAND SCOEN 7 -7,5 Pasang 0 0 0
24 HAND SCOEN NON STERIL S/M/L Pcs 0 0 0
25 HAND SCRUB / SABUN Btl 0 0 0
26 INFUS SET ANAK Pcs 0 0 0
27 INFUS SET DEWASA Pcs 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

28 IV. CATHETER NO. 18 BH 0 0 0

29 IV. CATHETER NO. 20 BH 0 0 0
30 IV. CATHETER NO. 22 BH 0 0 0
31 IV. CATHETER NO. 24 BH 0 0 0
32 KAPAS BERLEMAK 500 GR Pcs 0 0 0
33 KAPAS PEMBALUT 250 GR Pcs 0 0 0
34 KASA 2MX 80CM Roll 0 0 0
35 KASA BESAR ( 80X40 ) Roll 0 0 0
36 KASA 4 X 15 CM Roll 0 0 0
37 KASA 4 X 3 CM Roll 0 0 0
38 KASA KOMPRES 40X40 Roll 0 0 0
39 KASA STERIL 16X16 CM Box 0 0 0
40 LISOL 50 % Btl 0 0 0
41 MASKER 3 PLY Pcs 0 0 0
42 MASKER KAIN Pcs 0 0 0
43 PLESTER 2,5 CM X 4 M Pcs 0 0 0
44 PLESTER 5 YARD Pcs 0 0 0
45 PLESTER 7,5 CM X 4 M Pcs 0 0 0
46 POVIDON YODIDA 1 LITER Btl 0 0 0
47 POVIDON YODIDA 30 ML Btl 0 0 0
48 POVIDON YODIDA 300 ML Btl 0 0 0
49 POVIDON YODIDA 60 mL Btl 0 0 0
50 SILK Pcs 0 0 0
51 STIK ASAM URAT BENECHECK Box 0 0 0
52 STIK GDA BENECHECK Box 0 0 0
53 STIK KOLESTEROL BENECHECK Box 0 0 0
54 UNDER PAD Pcs 0 0 0
55 URINE BAG Pcs 0 0 0
56 ZEIL NELSON Pkt 0 0 0
57 0 0 0
58 0 0 0
59 0 0 0
60 0 0 0
61 0 0 0
62 0 0 0
63 0 0 0
64 0 0 0
65 0 0 0
66 0 0 0
67 0 0 0
VAKSIN 0 0 0
1 CAMPAK (BIAS) 0 0 0
2 CAMPAK MR 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

3 VAKSIN BCG 0 0 0
4 VAKSIN DPT-HB-Hib 0 0 0
5 VAKSIN DT BIAS 0 0 0
6 VAKSIN HB UNIJEECT 0 0 0
7 VAKSIN IPV 0 0 0
8 VAKSIN POLIO 0 0 0
9 VAKSIN Td BIAS 0 0 0
10 VAKSIN TT 0 0 0
11 VAKSIN COVID 19 0 0 0
12 RAPID TEST 0 0 0
13 VTM SWABB 0 0 0
0 0 0
0 0 0
PROGRAM : TB / HIV / PARU DLL 0 0 0
1 ALKOHOL SWAB 0 0 0
2 EUTHYROX 0 0 0
3 HB S Ag ( VIRO CHECK ) 0 0 0
4 LATEX M SUPERCARE 0 0 0
5 MALATION GALLON 5LITER 0 0 0
6 MASKER 3 PLY ( PROGRAM TB ) 0 0 0
7 MDT DEWASA 0 0 0
8 MINERAL MIX 0 0 0
9 OBAT KATEGORI ANAK 0 0 0
10 OBAT KATEGORI I 0 0 0
11 OBAT KATEGORI II 0 0 0
12 OBAT SISIPAN 0 0 0
13 PLESTERIN BULAT 0 0 0
14 POT DAHAK / SAMPLE CONTAINER 0 0 0
15 R2 ( KHB) 0 0 0
16 R3 (DIAGNOSTAR HIV 1/2) 0 0 0
17 RAPIDAN 0 0 0
18 REAGEN HB S Ag/VIRO CHECK 0 0 0
19 REAGEN ZEIL NELSON 0 0 0
20 SD HIV 0 0 0
21 SD SYPHILIS 0 0 0
22 SAFETY BOX 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
GIZI 0 0 0
1 TABURIA 0 0 0
2 PITA LILA UNTUK BAYI 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

3 PITA LILA UNTUK WUS 0 0 0

4 PRENAGEN SUSU 0 0 0
5 BISCUIT MILNA 0 0 0
6 PAN ENTERNAL 0 0 0
7 NUTRI DRINK 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
OBAT KAPITASI 0 0 0
1 ACARBOSE 100 MG Tab 0 0 0
2 ACETYLSISTEINE 200 MG Tab 0 0 0
3 ALLOPURINOL 100 MG Tab 0 0 0
4 ALLOPURINOL 300 MG Tab 0 0 0
5 AMBROXOL 30 MG Tab 0 0 0
6 AMBROXOL DROP Btl 0 0 0
7 AMBROXOL SYR Btl 0 0 0
8 AMINOFLUID CAIRAN Btl 0 0 0
9 AMINOPHILIN 200 Tab 0 0 0
10 AMINOPHILIN INJ Amp 0 0 0
11 AMLODIPIN 10 MG Tab 0 0 0
12 AMLODIPIN 5 MG Tab 0 0 0
13 AMOKSISILIN 250 mg Ka 0 0 0
14 AMOKSISILIN 500 mg Tab 0 0 0
15 AMOXICILIN 1 GR INJ Vial 0 0 0
16 AMOXICILIN 125 mg SYIRUP Btl 0 0 0
17 AMOXICILIN 250 mg SYIRUP Btl 0 0 0
18 ANTALGIN INJEKSI Amp 0 0 0
19 ANTALGIN / METAMIZOL 500 MG Tab 0 0 0
20 ANTASIDA DOEN TABLET Btl 0 0 0
21 ANTI ANEMIA KOMBINASI (HEMAFORT) Tab 0 0 0
22 ANTI BACTERI / BACITRASIN DOEN SK Tube 0 0 0
23 ANTI HEMOROID SUP 2 G Supp 0 0 0
24 ANTI INFLAMASI (CENDO TROPIN 0,5%) TETES MATA Tube 0 0 0
25 ANTIBIOTIKA (THIAMPHENICOL SYRUP) Btl 0 0 0
26 ANTITUSIF ANAK (SAMCODRIL SYRUP) Btl 0 0 0
27 APTOR / ASETOSAL/ASPILET 100 MG Tab 0 0 0
28 ASAM ASCORBAT 250 MG Tab 0 0 0
29 ASAM MEFENAMAT 250 MG Tab 0 0 0
30 ASAM MEFENAMAT 500 MG Tab 0 0 0
31 ASAM TRANEXAMAT INJEKSI Amp 0 0 0
32 ASIKLOVIR 200 Mg Tab 0 0 0
33 ASIKLOVIR 400 Mg Tab 0 0 0
34 ASIKLOVIR CREAM Tube 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
35 BACITRACIN / ANTI BACTERI SALEP Tube 0 0 0
36 BETAHISTIN MESILAT 6 MG Tab 0 0 0
37 BETAMETHASONE CREAM Tube 0 0 0
38 BIO ATP Tab 0 0 0
39 BIOCOMBIN 5000 INJ Amp 0 0 0
40 BISOPROLOL 2,5 MG Tab 0 0 0
41 BRICASMA NEB Amp 0 0 0
42 CAPTOPRIL 12,5 Mg Tab 0 0 0
43 CAPTOPRIL 25 Mg Tab 0 0 0
44 CAPTOPRIL 50 MG Tab 0 0 0
45 CEFOTAKSIM 1 G INJEKSI Vial 0 0 0
46 CETERIZINE 10 MG Tab 0 0 0
47 CETERIZINE SIRUP Btl 0 0 0
48 CHANNA pcs 0 0 0
49 CIPROFLOXACIN 500 mg Tab 0 0 0
50 CITICOLIN INJK Amp 0 0 0
51 CITICOLIN TAB Tab 0 0 0
52 COMBIVEN NEBULAZER Amp 0 0 0
53 CYSTONE/ UROLITAS 0 0 0
54 DEMACOLIN / ANTI INFLUENZA TABLET Tab 0 0 0
55 DEXAMETHASONE 0,5 TAB Tab 0 0 0
56 DEXAMETHASONE INJEKSI Amp 0 0 0
57 DIFENHIDRAMIN HCL INJ Amp 0 0 0
58 DIMENHIDRINAT 50 MG Tab 0 0 0
59 DOMPERIDONE 10 MG Tab 0 0 0
60 DOMPERIDONE SUSPENSI Btl 0 0 0
61 EDEMIN 10 INJ Amp 0 0 0
62 EPHINEPRINE INJ Amp 0 0 0
63 ERITROMICIN 250 MG Kap 0 0 0
64 ERITROMICIN 500 MG Tab 0 0 0
65 ERITROMICYN SYRUP 200 MG/5ML Btl 0 0 0
66 FITOMINADION 10 mg Tab 0 0 0
67 FITOMINADION INJEKSI Amp 0 0 0
68 FLUDANE Tab 0 0 0
69 GEMFIBROZIL 300 MG Kap 0 0 0
70 GENTAMICIN SK Tube 0 0 0
71 GENTAMICIN TM Tube 0 0 0
72 GENTIAN VIOLET Tube 0 0 0
73 GLIBENCLAMIDE 5Mg Tab 0 0 0
74 GLICERYL GUAIACOLAT Tab 0 0 0
75 GLIMEPIRIDE 1 MG Tab 0 0 0
76 GLIMEPIRIDE 2 MG Tab 0 0 0
77 GLIMEPIRIDE 3 MG Tab 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

78 GLIMEPIRIDE 4 MG Tab 0 0 0
79 GLUCOSE 5 % INFUS Flas 0 0 0
80 GLUKOSA 40% INFUS Flas 0 0 0
81 GUAIFENICIN TAB Tab 0 0 0
82 HALOPERIDOL 2 / LODOMER Tab 0 0 0
83 HALOPERIDOL 5 MG Tab 0 0 0
84 HCT 25 MG Tab 0 0 0
85 HEMAFORT Tab 0 0 0
86 HEPAGARD ( NATURAL HEPATOPROTEKTOR Tab 0 0 0
87 HIDROCORTISONE CREAM 2,5% Tube 0 0 0
88 IBU PROFEN 200 MG Kap 0 0 0
89 IBU PROFEN 400 Mg Kap 0 0 0
90 IBU PROFEN SYR 100 MG Btl 0 0 0
91 INFUS ASERING Flas 0 0 0
92 INFUS KA-EN 3 B Flas 0 0 0
93 INFUS PAN AMIN-G Btl 0 0 0
94 ISOSORBIDE 5 MG Tab 0 0 0
95 KALSIUM LACTAT 500 MG Tab 0 0 0
96 KETOKONAZOLE 200 Mg Tab 0 0 0
97 KETOKONAZOLE CREAM 5 G Tube 0 0 0
98 KETOPROFEN INJ 100 MG Tab 0 0 0
99 KETOPROFEN SUPP Supp 0 0 0
100 KETOROLAC INJEKSI Amp 0 0 0
101 KLINDAMISIN KAPS 300 MG Kap 0 0 0
102 KLINDAMISIN KAPS I50 MG Kap 0 0 0
103 KLORAMPHENICOL 250 MG KAPSUL Kap 0 0 0
104 KLORAMPHENICOL 500 MG KAPSUL Tab 0 0 0
105 KLORAMPHENICOL INJEKSI Amp 0 0 0
106 KLORAMPHENICOL SK/ BUFACETIN TUBE Tube 0 0 0
107 KLORAMPHENICOL SYIRUP Btl 0 0 0
108 KLORAMPHENICOL TM 0,5 % (RECO) Tube 0 0 0
109 KLORAMPHENICOL TT 3% Tube 0 0 0
110 KLORPHENIRAMIN MALEAT 4 MG Tab 0 0 0
111 KOTRIMOXAZOL 120 MG Tab 0 0 0
112 KOTRIMOXAZOL 480 mg Tab 0 0 0
113 KOTRIMOXAZOLE SYIRUP Btl 0 0 0
114 LACTO B 0 0 0
115 LARUTAN HCL 0,1 N 0 0 0
116 LARUTAN BENEDICT 0 0 0
117 LARUTAN EDTA 10 % 0 0 0
118 LARUTAN EMMERSIOAN OIL 0 0 0
119 LARUTAN EOSIN 2 % 0 0 0
120 LARUTAN TURK 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

121 LIDOCAIN COMB 2 % INJEKSI Amp 0 0 0

122 LOPERAMID 2 MG/LEXADIUM Tab 0 0 0
123 LORATADIN 10 MG Tab 0 0 0
124 METFORMIN 500 MG Tab 0 0 0
125 METIL ERGOMETRIN INJEKSI Amp 0 0 0
126 METILPREDNISOLON 4 MG Tab 0 0 0
127 METILPREDNISOLON INJ Amp 0 0 0
128 METOCLOPRAMEDE/ SOTATIK INJEKSI Amp 0 0 0
129 METOKLOPRAMIDE/GAVISTAL DROP Btl 0 0 0
130 METOKLORPAMIDE 10 MG Tab 0 0 0
131 METOKLORPAMIDE 5 MG Tab 0 0 0
132 METOKLORPAMIDE/LEXAPRAM SIRUP Btl 0 0 0
133 METRONIDAZOLE 250 MG Tab 0 0 0
134 METRONIDAZOLE 500 Mg Tab 0 0 0
135 METRONIDAZOLE INFUS Btl 0 0 0
136 METRONIDAZOLE SIRUP Btl 0 0 0
137 MG SO 20% 0 0 0
138 MG SO 40% 0 0 0
139 MICONAZOLE 2% CREAM Tube 0 0 0
140 Na Cl INFUS Flas 0 0 0
141 NA.DIKLOFENAC 25 mg Tab 0 0 0
142 NA.DIKLOFENAC 50 mg Tab 0 0 0
143 NEW ANTIDES (ATTAPULGITE) Tab 0 0 0
144 NIFEDIPIN TAB Tab 0 0 0
145 NORAGES / ANTRAIN/ PROGESOL INJEKSI Amp 0 0 0
146 OBH SIRUP Btl 0 0 0
147 OCUGARD Tab 0 0 0
148 OMEPRAZOLE 20 MG Kap 0 0 0
149 ONDANCETRON INJ Amp 0 0 0
150 OXITOCIN INJ Amp 0 0 0
151 OXYTETRACYCLIN 3% SK Tube 0 0 0
152 PAPAVERIN 40 MG Tab 0 0 0
153 PARASETAMOL 100 mg Tab 0 0 0
154 PARASETAMOL 500 mg Tab 0 0 0
155 PARASETAMOL DROP Btl 0 0 0
156 PARASETAMOL SIRUP Btl 0 0 0
157 PARASETAMOL SUPP (PROPYRETIC) Supp 0 0 0
158 PHENZACOL TAB Tab 0 0 0
159 PIRACETAM 400 MG Tab 0 0 0
160 PIRACETAM 800 MG Tab 0 0 0
161 PIRACETAM INJEKSI Amp 0 0 0
162 PIRIDOXIN 10 MG Tab 0 0 0
163 PIROKSIKAM 10 MG Tab 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

164 PIROKSIKAM 20 MG Kap 0 0 0

165 PREDNISON TABLET 5 MG Tab 0 0 0
166 PTU 100 MG Tab 0 0 0
167 PULMICORT Amp 0 0 0
168 RANITIDIN 150 mg Tab 0 0 0
169 RANITIDIN INJEKSI Amp 0 0 0
170 SALBUTAMOL 2 mg Tab 0 0 0
171 SALBUTAMOL 4 mg Tab 0 0 0
172 SALBUTAMOL/VENTOLIN NEBULESER Amp 0 0 0
173 SALEP 2-4 Pot 0 0 0
174 SALICYL BEDAK 2% Pcs 0 0 0
175 SEDIAAN ANTI INFLUENZA Tab 0 0 0
176 SEFADROXIL 250 CAPSUL Kap 0 0 0
177 SEFADROXIL 500 CAPSUL Kap 0 0 0
178 SEFADROXIL SYIRUP KERING Btl 0 0 0
179 SERUM ANTI TETANUS 1500 UITETAGAM INJ 250 IU Amp 0 0 0
180 SIANOKOBALAMIN HCL/B12 INJ. Amp 0 0 0
181 SIKSONOAT INJ Amp 0 0 0
182 SIMVASTATIN 10 Mg Tab 0 0 0
183 SIMVASTATIN 20 Mg Tab 0 0 0
184 TETRACYCLIN HCL 250 mg Kap 0 0 0
185 TETRACYCLIN HCL 500 mg Kap 0 0 0
186 THIAMIN HCL ( B1 ) 50 MG Tab 0 0 0
187 THIAMIN HCL ( B1 ) INJEKSI Amp 0 0 0
188 THIAMPHENICOL 500 MG / SOLATHIM Tab 0 0 0
189 THIAMPHENICOL SIRUP Btl 0 0 0
190 TRAMADOL INJEKSI Amp 0 0 0
191 VENTOLIN NEB Amp 0 0 0
192 VIT.B.COMPLEX INJEKSI Amp 0 0 0
193 VIT.B.COMPLEX TAB Tab 0 0 0
194 ZINK DROP Btl 0 0 0
195 ZINK SYR Btl 0 0 0
196 ZINKC 20 MG TAB Tab 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
BHP KAPITASI 0 0 0
1 ALAT SUNTIK 0.05 ML BH 0 0 0
2 ALAT SUNTIK 0.5 ML BH 0 0 0
3 ALAT SUNTIK 1 ML BH 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

4 ALAT SUNTIK 2.5 ML BH 0 0 0

5 ALAT SUNTIK 3 ML BH 0 0 0
6 ALAT SUNTIK 5 ML BH 0 0 0
7 ALAT SUNTIK 10 ML BH 0 0 0
8 ALKOHOL 70 % 1 LITER Btl 0 0 0
9 ALKOHOL SWAB Box 0 0 0
10 AQUA PRO INJEKSI Vial 0 0 0
11 BLOOD LANCET BOX 0 0 0
12 BLOOD TRANFUSION SET 0 0 0
13 BLUE TIPS 0 0 0
14 CATGUT CHROMIC 2/0- 3/0 HR 24-26 MM Pcs 0 0 0
15 CATGUT PLAIN 2/0- 3/0 Ds 24-26 MM Pcs 0 0 0
16 COVER GLASS Box 0 0 0
17 CYBOW (URINE TEST) BT 0 0 0
18 DACLON 6/0 DS 12 MM Pcs 0 0 0
19 DERMAFIX 10 X 8 Pcs 0 0 0
20 DERMAFIX 5 X 7 Pcs 0 0 0
21 ETHYL KLORIDA Btl 0 0 0
22 FIXOMUL 0 0 0
23 FOLLEY CATETER NO 16 BH 0 0 0
24 FOLLEY CATETER NO 18 BH 0 0 0
25 FOLLEY CATETER NO 22 BH 0 0 0
26 FOLLEY CATETER NO 24 BH 0 0 0
27 GEL DOPLER Btl 0 0 0
28 GEL ULTRASONIC 0 0 0
29 GELANG PASIEN/ID BAND BLUE/PINK Pcs 0 0 0
30 GLUCO PROTEIN URINE TEST Btl 0 0 0
31 HAND RUB 5 L Galon 0 0 0
32 HAND RUB 500 ML Btl 0 0 0
33 HAND SCOEN (PP) Pasang 0 0 0
34 HAND SCOEN Non Steril S,M, L free pwdr Pasang 0 0 0
35 HAND SCOEN STERIL (PF) Pasang 0 0 0
36 HAND SCOEN steril uk. 7/7,5 Pasang 0 0 0
37 HAND SCRUB 5 L Galon 0 0 0
38 HAND SCRUB 500 ML Btl 0 0 0
39 HYPAFIX / ULTRAVIX 2,5X5 Pcs 0 0 0
40 INFUS SET ANAK BH 0 0 0
41 INFUS SET DEWASA BH 0 0 0
42 IV DRESSING btl 0 0 0
43 IV. CATHETER NO 18 BH 0 0 0
44 IV. CATHETER NO 20 BH 0 0 0
45 IV. CATHETER NO 22 BH 0 0 0
46 IV. CATHETER NO 24 BH 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

47 JARUM NOVODISK/INSULIN Pcs 0 0 0

48 JELLY /CATHEJELL LIDOCAIN Pcs 0 0 0
49 KALIUM PERMANGANAT 0 0 0
50 KAPAS PEMBALUT 250 GR Rol 0 0 0
51 KAPAS PEMBALUT 500 GR Rol 0 0 0
52 KASA BESAR ( 80X40 ) Rol 0 0 0
53 KASA 2M X 80CM Rol 0 0 0
54 KASA 4 X 15 CM Rol 0 0 0
55 KASA 4 X 3 CM Rol 0 0 0
56 KASA KOMPRES 40X40 Rol 0 0 0
57 KASA STERIL 16 X 16 Box 0 0 0
58 LEVEMIR FLEXPEN 0 0 0
59 LISOL 0 0 0
60 MASKER 3 PLY / BEDAH Pcs 0 0 0
61 MASKER N95 Pcs 0 0 0
62 MESS SCALPEL 11/15 Pcs 0 0 0
63 MIKRO PIPET MTSP 0 0 0
64 MIKROPIPET MT 11 0 0 0
65 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML 0 0 0
66 NOVO RAPID FLEXPEN 0 0 0
67 OBJEK GLASS FROSTED 0 0 0
68 PERHIDROL /H2O2 3 % 0 0 0
69 PLESTER 2.5 X 4.5 Pcs 0 0 0
70 PLESTER 7.5 CM X 4.5 CM Pcs 0 0 0
71 PLESTER E CARE Pcs 0 0 0
72 POVIDON YODIDA 30 ML Btl 0 0 0
73 POVIDON YODIDA 300 ML Btl 0 0 0
74 POVIDON YODIDA 60 ML Btl 0 0 0
75 POVIDON YODIDA 1 LITER Btl 0 0 0
76 RIVANOL Btl 0 0 0
77 SELANG OXYGEN / NEBULIZER ANAK Pcs 0 0 0
78 SELANG OXYGEN MASKER DWS Pcs 0 0 0
79 SELANG OXYGEN / NEBULIZER DEWASA Pcs 0 0 0
80 SELANG OXYGEN MASKER ANAK Pcs 0 0 0
81 SILK BLACK HR Pcs 0 0 0
82 SILK BLACK 2/0-3/0 DS 24-26 MM Pcs 0 0 0
83 SPALEK KAYU Pcs 0 0 0
84 STERICLIN FLAT 20 CM X 200 M 0 0 0
85 STERICLIN FLAT 7,5 CM X 200 M 0 0 0
86 STERICLIN GUSSETE 15 X 5 CM 0 0 0
87 STERICLIN GUSSETE 20 CM X 5 CM 0 0 0
88 STERICLIN GUSSETE 25 X 6,5 CM 0 0 0
89 STIK ASAM URAT BENECHECK Box 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

90 STIK GDA ON CALL 0 0 0

91 STIK GULA DARAH BENECHECK Box 0 0 0
92 STIK KOLESTEROL BENECHECK Box 0 0 0
93 TABUNG EDTA / VACCUM TUBE Pcs 0 0 0
94 TALI PUSAT STERIL-umbilical cord Pcs 0 0 0
95 TEST KEHAMILAN Pcs 0 0 0
96 TEST TRIP CHOLESTEROL (EASY TOUCH) Box 0 0 0
97 TEST TRIP GLUKOSA (EASY TOUCH) Box 0 0 0
98 TEST TRIP URID ASID (EASY TOUCH) Box 0 0 0
99 UNDERPAD Pcs 0 0 0
100 URINE BAG Pcs 0 0 0
101 WHITE TIPS 0 0 0
102 YELLOW TIPS 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
REAGEN 0 0 0
1 ALBUMIN 0 0 0
2 BILIRUBIN 0 0 0
3 CHOLESTEROL 0 0 0
4 CREATININ 0 0 0
5 GLUCOSE 0 0 0
6 GOT (ASAT) 0 0 0
7 GPT(ALAT) 0 0 0
8 TOTAL PROTEIN 0 0 0
9 TRIGLISERIDE 0 0 0
10 UREA FS 0 0 0
11 URIC ACID 0 0 0
12 ALKACIDE 1 L 0 0 0
13 ALKAZYME 0 0 0
14 BENEDICT 1 X 100 ML 0 0 0
15 CELL CLEAN 0 0 0
16 CELL PACK 0 0 0
17 E-CHECK XS 0 0 0
18 EDTA 10% 1X100 ML 0 0 0
19 EOSIN 2% 1X100 ML 0 0 0
20 HCL 100 ML 0 0 0
21 HDL CHOLESTEROL (DIRECT) 0 0 0
22 HEMOGLOBIN 0 0 0
23 IMMERSION OIL 1X100 ML 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

24 K3 EDTA 3ML / TABUNG VACOUNTAINER 0 0 0

25 KOH 0 0 0
26 LDL 0 0 0
27 REAGEN DIASTRO CLEANER ABACUS 3 0 0 0
28 REAGEN DILUENT ABACUS 3 0 0 0
29 REAGEN FOTOMETER 0 0 0
30 REAGEN HEMATOLOGI 0 0 0
31 REAGEN LYSE ABACUS 3 0 0 0
32 REAGEN SERUM KONTROL HEMATOLOGI 0 0 0
33 REST ECKER 0 0 0
34 STRIP HB 0 0 0
35 STROMATOLYSER-4DL (FFD-220A) 0 0 0
36 STROMATOLYSER-4DL (FFS-800A) 0 0 0
37 SULFOLYSER 500 ML 5LS-210A 0 0 0
38 ZEIL NELSON 3X100 ML 0 0 0
0 0 0
0 0 0
OBAT KAPITASI GIGI 0 0 0
1 ABDER SINGLE BOND 2 0 0 0
2 ALGENIUX 0 0 0
3 ALGINAT 0 0 0
4 ALVOGIL 0 0 0
5 ANTISEPTIK LIQUID 100 ML 0 0 0
6 ARTICULATING PAPER 6/12 0 0 0
7 ATTAQUE GEL 0 0 0
8 BIOCLASS C 0 0 0
9 CALCIDOR 0 0 0
10 CALSETIN 0 0 0
CALCIUM HYDROXIDE
11 PASTE/CITODUR/CALCIDOR
0 0 0
12 CALLPLUS 0 0 0
13 CAMPHENOL/CHKM 0 0 0
14 CAVIT BOTTLE W 0 0 0
15 CAVIT G BOTTLE RF 28G 0 0 0
16 CAVIT W 0 0 0
17 CAVITON 0 0 0
18 CEIVITRON PINK 0 0 0
19 CELLULOID STRIP 0 0 0
20 CHKM 0 0 0
21 CLOREXORAL 2 % 0 0 0
22 COTTON ROLL 0 0 0
23 CRESHOPENE 0 0 0
24 CRESOTIN LIQ NO 2 0 0 0
25 CRESOTIN LIQUID II TEHNODENT CRESOTIN PASTE 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

26 CRESOTIN PASTE 0 0 0
27 CURASPON 0 0 0
28 DENTAL GYPSUM TIPE II (PUTIH) 0 0 0
29 DENTAL GYPSUM TIPE III (BIRU) 0 0 0
30 DEVITALISASI PASTA 0 0 0
31 EDTA GEL 0 0 0
32 elite cement 0 0 0
33 EMAIL PREPARATOR BLUE 0 0 0
34 ENDOSEAL 0 0 0
35 EPOXIDIN ROOT CANAL 0 0 0
36 ETCHANT GEL VIAL 9 ML 0 0 0
37 EUGENOL 0 0 0
38 fg diamond mata bur high speed 0 0 0
39 FILLTEMP 0 0 0
40 FILTEK P60 A3 0 0 0
41 FILTEK 2250 XTA3 0 0 0
42 FORMOKRESOL 0 0 0
43 GIC ANTERIOR 0 0 0
44 GIC POSTERIOR 0 0 0
45 GUTTA PERCAPA NO 15-40 0 0 0
46 GUTTA PERCAPA NO 45-80 0 0 0
47 HYDCAL PASTE, BASE AND CATALIST 0 0 0
48 IMMERSION OIL 1x100mL 0 0 0
49 IODOFORM 0 0 0
50 IODOTIN PASTE IN JAR 0 0 0
51 KETAC UNIVERSAL HM INTRO KIT A3 0 0 0
52 KOMPOSITE ANTERIOR 0 0 0
53 KOMPOSITE POSTERIOR 0 0 0
54 k-reamers 15-40 L-21 0 0 0
55 MAJOR ALGENIUX 0 0 0
56 MASTER BOND 0 0 0
57 MASTER FLOW 0 0 0
58 MICRON SUPERIOR 0 0 0
59 multiflix 0 0 0
60 ORAFIL PLUS 0 0 0
61 PAPER POINT NO 15-40 0 0 0
62 PAPER POINT NO 45-80 0 0 0
63 PARAMONOCHLOROFENOL 0 0 0
64 POSTERIUR SYR 0 0 0
65 PULP X 0 0 0
66 POLIREN PASTA NO 1 0 0 0
67 PUPERIL 0 0 0
68 RELYX ULTIMATE CLIKER A1 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

69 RELYX ULTIMATE CLIKER A3 0 0 0

70 RETRAFLEX 0 0 0
71 ROST SYR 3G 0 0 0
72 SALIVA EJECTOR 0 0 0
73 SCAPEL BLADE 0 0 0
74 SINGLE BOND 2 RF LA/APAC 0 0 0
75 SOF LEX DIAMOND SPIRAL 0 0 0
76 SOF LEX EXTRA XTHIN FINE 0 0 0
77 SOF LEX PREPOLISH SPIRAL 0 0 0
78 SOF LEX XTHIN COARSE 0 0 0
79 SOF LEX XTHIN MEDIUM 0 0 0
80 SOF LEX XTHIN/SFINE 0 0 0
81 SPONGOSTON DENTAL (CURASPON) 0 0 0
82 STAIN REMOVER 0 0 0
83 STAIN REMOVER 0 0 0
84 TEHNODENT 0 0 0
85 TRICRESOL FORMALINA 0 0 0
86 TRIKRESOL FORMALIN 0 0 0
87 VARNAL 0 0 0
88 Z250 XT REST SYR 3G LA/APAC/MEA 0 0 0
89 ZINC F 0 0 0
90 ZINC PHOSPATE 0 0 0
91 ZITEMP 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
GOLONGAN DARAH 0 0 0
1 GOLONGAN DARAH A 0 0 0
2 GOLONGAN DARAH AB 0 0 0
3 GOLONGAN DARAH B 0 0 0
4 GOLONGAN DARAH 0 0 0 0
5 FEBRILE ANTIGEN H - TYPH 0 0 0
6 FEBRILE ANTIGEN O - A TYPH 0 0 0
7 FEBRILE ANTIGEN O - B TYPH 0 0 0
8 FEBRILE ANTIGEN O - D TYPH 0 0 0
0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
0 0 0
KAPITASI
APD SET LENGKAP COVID/ALL,
( COVER BOK 0 0 0
1 VISOR,HAND SCOND SE SIKU, SEPATU) 0 0 0
2 BAJU COVER ALL 0 0 0
3 BAHAN DESINFEKTAN PERMUKAAN 0 0 0
4 FACE SHIELD 0 0 0
5 HAND SCOEN SESIKU 0 0 0
6 KACAMATA GOOGLE 0 0 0
7 MASKER 3 PLY 0 0 0
8 MASKER N 95 0 0 0
9 NURSE CUP (PELINDUNG RAMBUT PINK) 0 0 0
10 SANOSIL 5 LTR DESINFEKTAN 0 0 0
11 SEPATU KHUSUS 0 0 0
12 TERMOMETER GUN 0 0 0
13 VISOR (PELINDUNG WAJAH) 0 0 0
14 BAJU BEDAH/SURGICAL GOWN 0 0 0
15 HELM SET 0 0 0
16 LAP. MICROFIBER 0 0 0
17 KACA MATA SAFETY SHIELD 0 0 0
18 HANDSCRUB GEL 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
HIBAH 0 0 0
1 ACCU CECK 0 0 0
2 APD LENGKAP SATU SET 0 0 0
3 ALKOHOL SWABS 0 0 0
4 BAJU APD (COVER ALL) 0 0 0
5 CLODINE 5 L 0 0 0
6 DESINFEKTAN @ 20 LITER 0 0 0
7 FACE SHIELD 0 0 0
8 HAND SANITIZER 0 0 0
9 HAZMAT PUTIH 0 0 0
10 HAZMAT 0 0 0
11 HELM SAFETY 0 0 0
12 KACAMATA GOOGLE 0 0 0
13 KRESEK LIMBAH 0 0 0
14 MASKER ANTIDEBU/N95 0 0 0
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0
16 MASKER BEDAH / 3 PLY 0 0 0
17 RAPID TEST 0 0 0
18 SANOSIL 5 LITER 0 0 0
 KELAS STOK PERSEDI TANGGAL SISA
NO NAMA OBAT TERAPI
SATUAN
AWAL
TERIMA
AAN
JML
STOK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

19 SARUNG TANGAN DISPOSIBLE 0 0 0

20 SARUNG TANGAN SESIKU 0 0 0
21 SEPATU BOOTH 0 0 0
22 SPANDUK 0 0 0
23 TERMOMETER GUN 0 0 0
24 VISOR(PELINDUNG WAJAH) 0 0 0
25 POMPA DESINFEKTAN 0 0 0
26 MASKER KN95 0 0 0
0 0 0
PROGRAM KB 0 0 0
1 IUD 0 0 0
2 Kondom 0 0 0
3 PIL KB 0 0 0
4 SPUIT 3CC KB 0 0 0
5 SUSUK 0 0 0
ADRK : 0 0 0
1 BLOOD LANCET 0 0 0
2 AUTOCLIK 0 0 0
3 HB SAHLI 0 0 0
4 TES KEHAMILAN 0 0 0
0 0 0
0 0 0
ALKES 0 0 0
1 ABN DM 500 DIGITAL ANAK 0 0 0
2 TROLI INSTRUMENT 0 0 0
3 ROSSMAX WEIGHSCALE DEWASA 0 0 0
4 Q. FLEXIBEL TERMOMETER 0 0 0
5 CHOLCEMMED MD-300 ( PULS OXYMETER ) 0 0 0
6 CLASSIC STETHOSCOPE DEWASA 0 0 0
0 0 0
0 0 0

MENGETAHUI PENANGGUNG JAWAB

KEPALA UPT PUSKESMAS GALIS POLINDES ARTODUNG

UMMI FARIHAH S.Keb

H. SJAIFUL ILAH, S.Kep,Ns, M,M NIP. 19811009 201704 2 004
NIP : 19670413 198803 1 008