April FK TP 2018

BULAN : MARET 2018
PERMINTAAN:APRIL2018
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 1 2 3 4 5
# ANTI BIOTIKA - - - - -
1 Amok 500 mg - - - - - -
2 Cipro - - - -
3 tetra 500 mg - - - - - -
4 Cotrim - - - - - -
5 Omeprazol - - - - - -
6 Clorampenical - - - - -
7 Ethambutol - - - - - -
8 Grisefulfin - - - - - -
9 Ketokonazol - - - - - -
10 Aciclofir - - - - - -
11 Metronidazol - - - - - -
- - - - - -
# ANALGESIK - - - - - -
1 asmef - - - - - -
2 Ibuprof 200 mg - - - - - -
3 Ibuprof 400 mg - - - - - -
4 Nodic - - - - - -
5 Piroxicam - - - - - -
- - - - - -
# ANTIHISTAMIN - - - - -
1 CTM - - - - - -
- - - - -
# KORTIKOSTEROID - - - - - -
1 Dexametason - - - - - -
2 Prednison - - - - - -
- - - - - -
# ANTIPIRETIK - - - - -
1 Pamol 500 mg - - - - - -
- - - - - -
# CARDIOVASKULAR - - - - -
1 Captopril - - - - - -
2 Nifedipin - - - - - -
3 Furosemid - - - - - -
4 Amplodidin - - - - - -
5 Spinorolocton - - - - - -
- - - - - -
# ANTI DIABETIK - - - - - -
1 Merformin - - - - - -
2 Glibenclamid - - - - - -
- - 36 - - -
# RESPIRATOR - - - - - -
1 salbutamol - - - - - -
2 Acetycysteine - - 10 - - -
- - - - - -
# ANTI DIARE (GASTRO) - - - - - -
1 Antacid - - - - - -
2 Attapulgit - - - - - -
3 DimenHidrinat - - - - - -
4 Ranitidin - - - - - -
5 Bisakodil - - - - - -
6 Oralit - - - - - -
7 Anti H - - - - - -
- - - - - -
# COLESTEROL - - - - - -
BULAN : MARET 2018
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
# ANTI BIOTIKA - - - - - - - - - - -
1 Amok 500 mg - - - - - - - - - - -
2 Cipro - - - - - - - - - -
3 tetra 500 mg - - - - - - - - - -
4 Cotrim - - - - - - - - - - -
5 Omeprazol - - - - - - - - - - -
6 Clorampenical - - - - - - - - - -
7 Ethambutol - - - - - - - - - - -
8 Grisefulfin - - - - - - - - - - -
9 Ketokonazol - - - - - - - - - - -
10 Aciclofir - - - - - - - - - - -
11 Metronidazol - - - - - - - - - - -
- - - - - - - - - - -
# ANALGESIK - - - - - - - - - 9
1 asmef - - - - - - - - - - -
2 Ibuprof 200 mg - - - - - - - - - - -
3 Ibuprof 400 mg - - - - - - - - - - -
4 Nodic - - - - - - - - - -
5 Piroxicam - - - - - - - - - - -
- - - - - - - - - - -
# ANTIHISTAMIN - - - -
1 CTM - - - - - - - - - - -
- - -
# KORTIKOSTEROID -
1 Dexametason - - -
2 Prednison - - - - - - - - - - -
- - - - - - - - - - -
# ANTIPIRETIK -
1 Pamol 500 mg -
-
# CARDIOVASKULAR - - - - - - - - - - -
1 Captopril - - - - - - - - - - -
2 Nifedipin - - - - - - - - - - -
3 Furosemid - - - - - - - - - - -
4 Amplodidin - - - - - - - - - -
5 Spinorolocton - - - - - - - - - - -
- - - - - - - - - - -
# ANTI DIABETIK - - - - - - - - - - -
1 Merformin - - - - - - - - - - -
2 Glibenclamid - - - - - - - - - - -
- 27 49 41
# RESPIRATOR - - - 10
1 salbutamol - - - - - - - - - - -
2 Acetycysteine - - - - - - - - - - -
- - - - - - - - - - -
# ANTI DIARE (GASTRO) - - - - - - - - - - -
1 Antacid - - - - - - - - - - -
2 Attapulgit - - - - - 10 - - - - -
3 DimenHidrinat - - - - - - - - - - -
4 Ranitidin - - - - - - - - - - -
5 Bisakodil - - - - - - - - - - -
6 Oralit - - - - - - - - - - -
7 Anti H - - - - - - - - - - -
- - - - - - - - - - -
# COLESTEROL - - - - - - - - - - -
BULAN : MARET 2018
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
# ANTI BIOTIKA - - - - - - - - - - -
1 Amok 500 mg - - - - - - - - - - -
2 Cipro - - - - - - - - - -
3 tetra 500 mg - - - - - - - - - - -
4 Cotrim - - - - - - - - - - -
5 Omeprazol - - - - - - - - - - -
6 Clorampenical - - - - - - - - - -
7 Ethambutol - - - - - - - - - - -
8 Grisefulfin - - - - - - - - - - -
9 Ketokonazol - - - - - - - - - - -
10 Aciclofir - - - - - - - - - - -
11 Metronidazol - - - - - - - - - - -
- - - - - - - - - - -
# ANALGESIK - - - - - - 9 - - - -
1 asmef - - - - - - - - - - -
2 Ibuprof 200 mg - - - - - - - - - - -
3 Ibuprof 400 mg - - - - - - - - - - -
4 Nodic - - - - - - - - - - -
5 Piroxicam - - - - - - - - - - -
- - - - - - - - - - -
# ANTIHISTAMIN - - - - - - - -
1 CTM - - - - - - - - - - -
- - -
# KORTIKOSTEROID - - -
1 Dexametason - - - - - - -
2 Prednison - - - - - - - - - - -
- - - - - - - - - - -
# ANTIPIRETIK - -
1 Pamol 500 mg - -
-
# CARDIOVASKULAR - - - - - - - - - - -
1 Captopril - - - - - - - - - - -
2 Nifedipin - - - - - - - - - - -
3 Furosemid - - - - - - - - - - -
4 Amplodidin - - - - - - - - - - -
5 Spinorolocton - - - - - - - - - -
- - - - - - - - - - -
# ANTI DIABETIK - - - - - - - - - - -
1 Merformin - - - - - - - - - - -
2 Glibenclamid - - - - - - - - - - -
-
# RESPIRATOR -
1 salbutamol - - - - - - - - - - -
2 Acetycysteine - - - - - - 10 - - - -
- - - - - - - - - - -
# ANTI DIARE (GASTRO) - - - - - - - - - - -
1 Antacid - - - - - - - - - - -
2 Attapulgit - - - - - - - - - - -
3 DimenHidrinat - - - - - - - - - - -
4 Ranitidin - - - - - - - - - - -
5 Bisakodil - - - - - - - - - - -
6 Oralit - - - - - - - - - - -
7 Anti H - - - - - - - - - - -
- - - - - - - - - - -
# COLESTEROL - - - - - - - - - - -
BULAN : MARET 2018
STOK PENERI PERSEDI TOTAL SISA
NO NAMA OBAT
AWAL MAAN AAN 26 27 28 29 30 31 PAKAI STOK
# ANTI BIOTIKA - 0 - - - - - - -
1 Amok 500 mg - 0 - - - - - - -
2 Cipro 0 - - - - - - -
3 tetra 500 mg - 0 - - - - - - -
4 Cotrim - 0 - - - - - - -
5 Omeprazol - 0 - - - - - - -
6 Clorampenical 0 - - - - - - -
7 Ethambutol - 0 - - - - - - -
8 Grisefulfin - 0 - - - - - - -
9 Ketokonazol - 0 - - - - - - -
10 Aciclofir - - - - - - - -
11 Metronidazol - - - - - - - -
- - - - - - - -
# ANALGESIK - 10 - - - - 28 (28)
1 asmef - - - - - - - -
2 Ibuprof 200 mg - - - - - - - -
3 Ibuprof 400 mg - - - - - - - -
4 Nodic - - - - - - - -
5 Piroxicam - - - - - - - -
- - - - - - - -
# ANTIHISTAMIN - - - - - -
1 CTM - - - - - - - -
- - - - - -
# KORTIKOSTEROID - - - - - - - -
1 Dexametason - - - - - - -
2 Prednison - - - - - - - -
- - - - - - - -
# ANTIPIRETIK - - - - - -
1 Pamol 500 mg - - - - - -
- - - - - -
# CARDIOVASKULAR - - - - - - - -
1 Captopril - - - - - - - -
2 Nifedipin - - - - - - - -
3 Furosemid - - - - - - - -
4 Amplodidin - - - - - - - -
5 Spinorolocton - - - - - - - -
- - - - - - - -
# ANTI DIABETIK - - - - - - - -
1 Merformin - - - - - - - -
2 Glibenclamid - - - - - - - -
- - - -
# RESPIRATOR - - - -
1 salbutamol - 0 - - - - - - -
2 Acetycysteine - 0 - 10 - - - 30 (30)
- 0 - - - - - - -
# ANTI DIARE (GASTRO) - 0 - - - - - - -
1 Antacid - 0 - - - - - - -
2 Attapulgit - 8 - - - - - 18 (18)
3 DimenHidrinat - 0 - - - - - - -
4 Ranitidin - 0 - - - - - - -
5 Bisakodil - 0 - - - - - - -
6 Oralit - 0 - - - - - - -
7 Anti H - 0 - - - - - - -
- 0 - - - - - - -
# COLESTEROL - 0 - - - - - - -
BULAN : MARET 2018
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
# ANTI BIOTIKA -
1 Amok 500 mg -
2 Cipro
3 tetra 500 mg -
4 Cotrim -
5 Omeprazol -
6 Clorampenical
7 Ethambutol -
8 Grisefulfin -
9 Ketokonazol -
10 Aciclofir -
11 Metronidazol -
-
# ANALGESIK -
1 asmef -
2 Ibuprof 200 mg -
3 Ibuprof 400 mg -
4 Nodic -
5 Piroxicam -
-
# ANTIHISTAMIN -
1 CTM -
-
# KORTIKOSTEROID -
1 Dexametason -
2 Prednison -
-
# ANTIPIRETIK -
1 Pamol 500 mg -
-
# CARDIOVASKULAR -
1 Captopril -
2 Nifedipin -
3 Furosemid -
4 Amplodidin -
5 Spinorolocton -
-
# ANTI DIABETIK -
1 Merformin -
2 Glibenclamid -
-
# RESPIRATOR -
1 salbutamol -
2 Acetycysteine -
-
# ANTI DIARE (GASTRO) -
1 Antacid -
2 Attapulgit -
3 DimenHidrinat -
4 Ranitidin -
5 Bisakodil -
6 Oralit -
7 Anti H -
-
# COLESTEROL -
STOK PENERI PERSEDI
NO NAMA OBAT
1 Simfastatin - - - - - -
- - - - - -
# MUSCULUS - - - - - -
Alopurinol - - - - - -
- - - - - -
# VITAMIN - - - - - -
1 Vit BC - - - - - -
2 Vit C - - - - - -
3 Vit B 1 - - - - - -
4 vit B6 - - - - - -
5 VIT K - - - - - -
6 Calk - - - - - -
- - - - - -
# EYE / EAR - - - - - -
1 T.T Fenol G - - - - - -
2 T.M Cloramp - - - - - -
- - 10 - - -
# GOL SIRUP - - - - - -
1 Sirup Antasida - - - - - -
2 Sirup Amok - - - - - -
3 Sirup Cotri - - - - - -
4 Sirup Pamol - - - - - -
5 Sirup Metro - - - - - -
- - - - - -
# KATEGORI DERMATOLOG - - - - - -
1 S.K 24 - - - - - -
2 S.K Antifungsi - - - - -
3 S.K Scabimit - - - - - -
4 S.K Miconazol - - - - - -
5 S.K Hidro - - - - - -
6 S.K Betametason - - - - - -
7 S.K Aciklofir - - - - - -
8 S.K Gentamicin - - - - - -
9 Salicil Talk - - - - - -
10 Salicil Spiritus - - - - - -
11 S.K Bioplacenton - - - - - -
- - - - - -
# ALKES - - - - - -
1 Kassa - - - - - -
2 Kapas - - - - - -
3 Alkohol - - - - - -
4 Cloretil - - - - - -
5 Hipafix - - - - - -
6 Mess - - - - - -
7 Infuset D - - - - - -
8 Masker - - - - - -
9 Hanscon - - - - - -
10 Spuit 3cc - - - - - -
11 Catgul 2 / 0 - - - - - -
12 Kassa 15x15 - -
13 Kassa 40 x 80 - - - - - -
14 Kassa Transmisatin - - - - - -
15 Nedle no 25 - - - - - -
16 Cateter no 25 - - - - - -
- - - - - -
# INJECSI - - - - - -
1 Inj. Dexa - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
1 Simfastatin - - - - - - - - - - -
- - - - - - - - - - -
# MUSCULUS - - - - - - - - - - -
Alopurinol - - - - - - - - - - -
- - - - - - - - - - -
# VITAMIN - - 1 1 1 - - - - - -
1 Vit BC - - - - - - - - - - -
2 Vit C - - - - - - - - - - -
3 Vit B 1 - - - - - - - - - - -
4 vit B6 - - - - - - - - - - -
5 VIT K - - - - - - - - - - -
6 Calk - - - - - - - - - - -
- - - - - - - - - - -
# EYE / EAR - - - - - - - - - - -
1 T.T Fenol G - - - - - - - - - - -
2 T.M Cloramp - - - - - - - - - - -
- - - - - - - 18 - 8 38
# GOL SIRUP - - - - - - - - - - -
1 Sirup Antasida - - - - - - - - - - -
2 Sirup Amok - - - - - - - - - - -
3 Sirup Cotri - - - - - - - - - - -
4 Sirup Pamol - - - - - - - - - - -
5 Sirup Metro - - - - - - - - - - -
- - - - - - - - - - -
# KATEGORI DERMATOLOG - - - - - - - - - - -
1 S.K 24 - - - - - - - - - - -
2 S.K Antifungsi - - - - - - - - - - -
3 S.K Scabimit - - - - - - - - - - -
4 S.K Miconazol - - - - - - - - - - -
5 S.K Hidro - - - - - - - - - - -
6 S.K Betametason - - - - - - - - - - -
7 S.K Aciklofir - - - - - - - - - - -
8 S.K Gentamicin - - - - - - - - - - -
9 Salicil Talk - - - - - - - - - - -
10 Salicil Spiritus - - - - - - - - - - -
11 S.K Bioplacenton - - - - - - - - - - -
- - - - - - - - - - -
# ALKES - - - - - - - - - - -
1 Kassa - - - - - - - - - - -
2 Kapas - - - - - - - - - - -
3 Alkohol - - - - - - - - - - -
4 Cloretil - - - - - - - - - - -
5 Hipafix - - - - - - - - - - -
6 Mess - - - - - - - - - - -
7 Infuset D - - - - - - - - - - -
8 Masker - - - - - - - - - - -
9 Hanscon - - - - - - - - - - -
10 Spuit 3cc - - - - - - - - - - -
11 Catgul 2 / 0 - - - - - - - - - - -
12 Kassa 15x15 -
13 Kassa 40 x 80 - - - - - - - - - - -
14 Kassa Transmisatin - - - - - - - - - - -
15 Nedle no 25 - - - - - - - - - - -
16 Cateter no 25 - - - - - - - - - - -
- - - - - - - - - - -
# INJECSI - - - - - - - - - - -
1 Inj. Dexa - - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
1 Simfastatin - - - - - - - - - - -
- - - - - - - - - - -
# MUSCULUS - - - - - - - - - - -
Alopurinol - - - - - - - - - - -
- - - - - - - - - - -
# VITAMIN - - - - - - - - 1 - -
1 Vit BC - - - - - - - - - - -
2 Vit C - - - - - - - - - - -
3 Vit B 1 - - - - - - - - - - -
4 vit B6 - - - - - - - - - - -
5 VIT K - - - - - - - - - - -
6 Calk - - - - - - - - - - -
- - - - - - - - - - -
# EYE / EAR - - - - - - - - - - -
1 T.T Fenol G - - - - - - - - - - -
2 T.M Cloramp - - - - - - - - - - -
- - 6 - 15 8 9 - 8 6 -
# GOL SIRUP - - - - 6 6 - - - - -
1 Sirup Antasida - - - - - 4 6 - - - -
2 Sirup Amok - - - - - - - - - - -
3 Sirup Cotri - - - - - - - - - - -
4 Sirup Pamol - - - - - - - - - - -
5 Sirup Metro - - - - - - - - - - -
- - - - - - - - - - -
# KATEGORI DERMATOLOG - - - - - - - - - - -
1 S.K 24 - - - - - - - - - - -
2 S.K Antifungsi - - - - - - - - - - -
3 S.K Scabimit - - - - - - - - - - -
4 S.K Miconazol - - - - - - - - - - -
5 S.K Hidro - - - - - - - - - - -
6 S.K Betametason - - - - - - - - - - -
7 S.K Aciklofir - - - - - - - - - - -
8 S.K Gentamicin - - - - - - - - - - -
9 Salicil Talk - - - - - - - - - - -
10 Salicil Spiritus - - - - - - - - - - -
11 S.K Bioplacenton - - - - - - - - - - -
- - - - - - - - - - -
# ALKES - - - - - - - - - - -
1 Kassa - - - - - - - - - - -
2 Kapas - - - - - - - - - - -
3 Alkohol - - - - - - - - - - -
4 Cloretil - - - - - - - - - - -
5 Hipafix - - - - - - - - - - -
6 Mess - - - - - - - - -
7 Infuset D - - - - - - - - - - -
8 Masker - - - - - - - - - - -
9 Hanscon - - - - - - - - - - -
10 Spuit 3cc - - - - - - - - - - -
11 Catgul 2 / 0 - - - - - - - - - - -
12 Kassa 15x15 -
13 Kassa 40 x 80 - - - - - - - - - - -
14 Kassa Transmisatin - - - - - - - - - - -
15 Nedle no 25 - - - - - - - - - - -
16 Cateter no 25 - - - - - - - - - - -
- - - - - - - - - - -
# INJECSI - - - - - - - -
1 Inj. Dexa - - - - - - - - - - -
NO NAMA OBAT
1 Simfastatin - 0 - - - - - - -
- 0 - - - - - - -
# MUSCULUS - 0 - - - - - - -
Alopurinol - 0 - - - - - - -
- 0 - - - - - - -
# VITAMIN - 0 - - - - - 4 (4)
1 Vit BC - - - - - - - -
2 Vit C - - - - - - - -
3 Vit B 1 - - - - - - - -
4 vit B6 - - - - - - - -
5 VIT K - - - - - - - -
6 Calk - - - - - - - -
- - - - - - - -
# EYE / EAR - - - - - - - -
1 T.T Fenol G - - - - - - - -
2 T.M Cloramp - - - - - - - -
- - - - - - 126 (126)
# GOL SIRUP - - - - - - 12 (12)
1 Sirup Antasida - - - - - - 10 (10)
2 Sirup Amok - - - - - - - -
3 Sirup Cotri - - - - - - - -
4 Sirup Pamol - - - - - - - -
5 Sirup Metro - - - - - - - -
- - - - - - - -
# KATEGORI DERMATOLOG - - - - - - - -
1 S.K 24 - - - - - - -
2 S.K Antifungsi - - - - - - - -
3 S.K Scabimit - - - - - - - -
4 S.K Miconazol - - - - - - - -
5 S.K Hidro - - - - - - - -
6 S.K Betametason - - - - - - - -
7 S.K Aciklofir - - - - - - - -
8 S.K Gentamicin - - - - - - - -
9 Salicil Talk - - - - - - - -
10 Salicil Spiritus - - - - - - - -
11 S.K Bioplacenton - - - - - - - -
- - - - - - - -
# ALKES - - - - - - - -
1 Kassa - - - - - - - -
2 Kapas - - - - - - - -
3 Alkohol - - - - - - - -
4 Cloretil - - - - - - - -
5 Hipafix - - - - - - - -
6 Mess - - - - - - - -
7 Infuset D - - - - - - - -
8 Masker - - - - - - - -
9 Hanscon - - - - - - - -
10 Spuit 3cc - - - - - - - -
11 Catgul 2 / 0 - - - - - - - -
12 Kassa 15x15 - - - - - -
13 Kassa 40 x 80 - - - - - - - -
14 Kassa Transmisatin - - - - - - - -
15 Nedle no 25 - - - - - - - -
16 Cateter no 25 - - - - - - - -
- - - - - - - -
# INJECSI - - - - - - - -
1 Inj. Dexa - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
1 Simfastatin -
-
# MUSCULUS -
Alopurinol -
-
# VITAMIN -
1 Vit BC -
2 Vit C -
3 Vit B 1 -
4 vit B6 -
5 VIT K -
6 Calk -
-
# EYE / EAR -
1 T.T Fenol G -
2 T.M Cloramp -
-
# GOL SIRUP -
1 Sirup Antasida -
2 Sirup Amok -
3 Sirup Cotri -
4 Sirup Pamol -
5 Sirup Metro -
-
# KATEGORI DERMATOLOG -
1 S.K 24 -
2 S.K Antifungsi -
3 S.K Scabimit -
4 S.K Miconazol -
5 S.K Hidro -
6 S.K Betametason -
7 S.K Aciklofir -
8 S.K Gentamicin -
9 Salicil Talk -
10 Salicil Spiritus -
11 S.K Bioplacenton -
-
# ALKES -
1 Kassa -
2 Kapas -
3 Alkohol -
4 Cloretil -
5 Hipafix -
6 Mess -
7 Infuset D -
8 Masker -
9 Hanscon -
10 Spuit 3cc -
11 Catgul 2 / 0 -
12 Kassa 15x15 -
13 Kassa 40 x 80 -
14 Kassa Transmisatin -
15 Nedle no 25 -
16 Cateter no 25 -
-
# INJECSI -
1 Inj. Dexa -
STOK PENERI PERSEDI
NO NAMA OBAT
2 Inj. Cianocobalamine - - - - - -
3 Inj. Aminopilin - - - - - -
Aseptic hand - - - - - -
kartu golongan darah slide - - - - - -
Lubrikan Jelly - - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
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- - 6 - - -
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- - 10 - - -
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STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
2 Inj. Cianocobalamine - - - - - - - - - - -
3 Inj. Aminopilin - - - - - - - - - - -
Aseptic hand - - - - - - - - - - -
kartu golongan darah slide - - - - - - - - - - -
Lubrikan Jelly - - - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - -
- - - - - - - - - - -
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- - - - - - - - - - -
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- 3 - - - - - 10 - 4 -
- - - - - - - - - - -
- 5 36 23 6 18 6 - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - 1 - - - -
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- - - - - - - - - - -
- - - - - - - - - - -
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- - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
2 Inj. Cianocobalamine - - - - - - - - - - -
3 Inj. Aminopilin - - - - - - - - - - -
Aseptic hand - - - - - - - - - -
kartu golongan darah slide - - - - - - - - - - -
Lubrikan Jelly - - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
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- - 15 - - - - - - - -
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- - - - - - - 9 - 10 -
- - - - - - - - - - -
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- - 22 - - - - - - 10 -
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- - 12 - 22 14 - 12 6 10 -
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- - - - - - 20 - - - -
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- - - - - - - - - - -
- - - - - - - - - - -
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- - - - - - - - - - -
NO NAMA OBAT
2 Inj. Cianocobalamine - - - - - - - -
3 Inj. Aminopilin - - - - - - - -
Aseptic hand - - - - - - - -
kartu golongan darah slide - - - - - - - -
Lubrikan Jelly - - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - 15 (15)
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 10 - - - - 29 (29)
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 6 - - - - - 55 (55)
- 0 - - - - - - -
- 0 6 - - - - 182 (182)
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - 1 (1)
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - 30 (30)
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
2 Inj. Cianocobalamine -
3 Inj. Aminopilin -
Aseptic hand -
kartu golongan darah slide -
Lubrikan Jelly -
-
-
-
-
-
-
-
-
-
-
-
-
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-
-
STOK PENERI PERSEDI
NO NAMA OBAT
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
803 Haloperidol tablet 1.5 mg - - - - - -
804 Haloperidol tablet 2 mg - - - - - -
805 Halopuridol tablet 5 mg - - - - - -
Haldol Decanoat 50 mg / ml inj - - - - - -
Haloperidol / lodomer Drops 15ml - - - - - -
808 Hidrogen Peroksida / H2O2 - - - - - -
809 Hidroklortiazida tab 25 mg - - - - - -
810 Hidrokortison Krim 2,5% - - - - - -
901 Ibuprofen suspensi 100 mg/ 5ml - - - - - -
902 Ibuprofen tablet 200 mg - - - - - -
903 Ibuprofen tablet 400 mg - - - - - -
904 Imipramine 25 mg - - - - - -
906 Infusion set anak - - - - - -
907 Infusion set dewasa - - - - - -
IV Catether No.18 - - - - - -
Iodina Test - - - - - -
909 Isoniazid 100 mg - - - - - -
Isoniazid 300 mg - - - - - -
910 Isosorbid Dinitrat tablet 5 mg - - - - - -
1101 KA-EN 3B infus - 500 ml - - - - - -
1103 Kalsium Hidroksida pasta - - - - - -
1104 Kalsium Laktat tablet 500mg. - - - - - -
1105 Kapas pembalut abs 250 gram - - - - - -
1106 Karbamazepin tablet 200 mg - - - - - -
1108 Kasa Hidrofil 16x16 - - - - - -
1109 Kasa kompres steril 40cm/40cm - - - - - -
1110 Kasa pembalut 2 m x 80 cm - - - - - -
1111 Kasa Pembalut 4x10 cm - - - - - -
1112 Kasa pembalut hidrofil 4mx 3cm - - - - - -
1113 Kasa pembalut hidrofil 4mx15cm - - - - - -
1115 Ketokonazol tablet - - - - - -
Ketokonazol Krim 2 % - - 1 - - -
1116 Klindamycin kapsul 150 mg - - - - - -
1117 Klindamycin kapsul 300 mg - - - - - -
1118 Kloramfenikol injeksi 1 gram - - - - - -
1119 Kloramfenikol kapsul 250 mg - - - - - -
1120 Kloramfenikol Salep Mata 1% - - 1 - - -
1121 Kloramfenikol sirup - 125 mg/ml -60ml - - - - - -
1122 Kloramfenikol tetes mata 0,5% - 5 ml - - - - - -
1123 Kloramfenikol tetes telinga 3% - - - - - -
1124 Klorfeniramina Maleat tablet 4mg - - 8 - - -
1125 Klorpromazina HCL inj 25 mg/ml-1ml - - - - - -
1126 Klorpromazina HCL tab salut 100 mg - - - - - -
1127 Klorpromazina HCL tab salut 25 mg - - - - - -
1128 Kodeina tablet. 10mg - - - - - -
1129 Kotrimoksazol sirup - - - - - -
1130 Kotrimoksazol tablet Adult - - - - - -
Kotrimoksazol tablet Forte - - - - - -
1132 Kuinina Sulfat tablet - - - - - -
Kombipak Kategori 1 - - - - - -
1201 Lanzoprazol kapsul 30 mg - - - - - -
1214 Laxadin sirup 60 ml - - - - - -
Leukoplast Hospital 7.50 cm x 4.5 m - - - - - -
1215 Levofloksasin tablet 500 mg - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
803 Haloperidol tablet 1.5 mg - - - - - - - - - - -
804 Haloperidol tablet 2 mg - - - - - - - - - - -
805 Halopuridol tablet 5 mg - - - - - - - - - - -
Haldol Decanoat 50 mg / ml inj - - - - - - - - - - -
Haloperidol / lodomer Drops 15ml - - - - - - - - - - -
808 Hidrogen Peroksida / H2O2 - - - - - - - - - - -
809 Hidroklortiazida tab 25 mg - - - - - - - - - - -
810 Hidrokortison Krim 2,5% - 1 - - - - - - - - -
901 Ibuprofen suspensi 100 mg/ 5ml - - - - - - - - - - -
902 Ibuprofen tablet 200 mg - - - - - - - - - - -
903 Ibuprofen tablet 400 mg - 10 10 60 - 20 20 5 10 20 -
904 Imipramine 25 mg - - - - - - - - - - -
906 Infusion set anak - - - - - - - - - - -
907 Infusion set dewasa - - - - - - - - - - -
IV Catether No.18 - - - - - - - - - - -
IV Catether No.20 - - - - - - - - - - -
IV Catether No.22 - - - - - - - - - - -
IV Catether No.24 - - - - - - - - - - -
Iodina Test - - - - - - - - - - -
909 Isoniazid 100 mg - 6 32 - - - - - - 20 -
Isoniazid 300 mg - - - - - - - - - - -
910 Isosorbid Dinitrat tablet 5 mg - - - - - - - - - - -
1101 KA-EN 3B infus - 500 ml - - - - - - - - - - -
1103 Kalsium Hidroksida pasta - - - - - - - - - - -
1104 Kalsium Laktat tablet 500mg. - - - - - 10 - - - - 10
1105 Kapas pembalut abs 250 gram - - - - - - - - - - -
1106 Karbamazepin tablet 200 mg - - - - - - - - - - -
1108 Kasa Hidrofil 16x16 - - - - - - - - - - -
1109 Kasa kompres steril 40cm/40cm - - - - - - - - - - -
1110 Kasa pembalut 2 m x 80 cm - - - - - - - - - - -
1111 Kasa Pembalut 4x10 cm - - - - - - - - - - -
1112 Kasa pembalut hidrofil 4mx 3cm - - - - - - - - - - -
1113 Kasa pembalut hidrofil 4mx15cm - - - - - - - - - - -
1115 Ketokonazol tablet - - - - 5 - - - - - -
Ketokonazol Krim 2 % - - - - 1 - - - - - -
1116 Klindamycin kapsul 150 mg - - - - - - - - - - -
1117 Klindamycin kapsul 300 mg - - - - 9 - - - - - -
1118 Kloramfenikol injeksi 1 gram - - - - - - - - - - -
1119 Kloramfenikol kapsul 250 mg - - - - - - - - - - -
1120 Kloramfenikol Salep Mata 1% - - 1 1 1 1 - - - - -
1121 Kloramfenikol sirup - 125 mg/ml -60ml - - - - - - - - - - -
1122 Kloramfenikol tetes mata 0,5% - 5 ml - - - - - - - - - - -
1123 Kloramfenikol tetes telinga 3% - - - - - - - - - - -
1124 Klorfeniramina Maleat tablet 4mg - 21 25 33 36 10 11 9 24 36 2
1125 Klorpromazina HCL inj 25 mg/ml-1ml - - - - - - - - - - -
1126 Klorpromazina HCL tab salut 100 mg - - 20 - - - - - - 10 -
1127 Klorpromazina HCL tab salut 25 mg - - - - - - - - - - -
1128 Kodeina tablet. 10mg - - - - - - - - - - -
1129 Kotrimoksazol sirup - - 2 1 - - - 1 - 1 -
1130 Kotrimoksazol tablet Adult - 5 - 10 - - - 8 - - -
Kotrimoksazol tablet Forte - - - 12 - - - - - - -
1132 Kuinina Sulfat tablet - - - - - - - - - - -
Kombipak Kategori 1 - - - - - - - - - - -
1201 Lanzoprazol kapsul 30 mg - - - - - - - - - - -
1214 Laxadin sirup 60 ml - - - - - - - - - - -
Leukoplast Hospital 7.50 cm x 4.5 m - - - - - - - - - - -
1215 Levofloksasin tablet 500 mg - - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
803 Haloperidol tablet 1.5 mg - - - - - - - - - - -
804 Haloperidol tablet 2 mg - - - - - - - - - - -
805 Halopuridol tablet 5 mg - - - - - - - - - - -
Haldol Decanoat 50 mg / ml inj - - - - - - - - - - -
Haloperidol / lodomer Drops 15ml - - - - - - - - - - -
808 Hidrogen Peroksida / H2O2 - - - - - - - - - - -
809 Hidroklortiazida tab 25 mg - - - - - - - - - - -
810 Hidrokortison Krim 2,5% - - - - - - 1 - - - -
901 Ibuprofen suspensi 100 mg/ 5ml - - - - - - - - - - -
902 Ibuprofen tablet 200 mg - - - - - - - - - - -
903 Ibuprofen tablet 400 mg - - - - - - - - - 10 -
904 Imipramine 25 mg - - - - - - - - - - -
906 Infusion set anak - - - - - - - - - - -
907 Infusion set dewasa - - - - - - - - - - -
IV Catether No.18 - - - - - - - - - - -
IV Catether No.20 - - - - - - - - - - -
IV Catether No.22 - - - - - - - - - - -
IV Catether No.24 - - - - - - - - - - -
Iodina Test - - - - - - - - - - -
909 Isoniazid 100 mg - - - - 13 22 - - - - -
Isoniazid 300 mg - - - - - - - - - - -
910 Isosorbid Dinitrat tablet 5 mg - - - - - - - - - - -
1101 KA-EN 3B infus - 500 ml - - - - - - - - - - -
1103 Kalsium Hidroksida pasta - - - - - - - - - - -
1104 Kalsium Laktat tablet 500mg. - - - - - - - - - - -
1105 Kapas pembalut abs 250 gram - - - - - - - - - - -
1106 Karbamazepin tablet 200 mg - - - - - - - - - - -
1108 Kasa Hidrofil 16x16 - - - - - - - - - - -
1109 Kasa kompres steril 40cm/40cm - - - - - - - - - - -
1110 Kasa pembalut 2 m x 80 cm - - - - - - - - - - -
1111 Kasa Pembalut 4x10 cm - - - - - - - - - - -
1112 Kasa pembalut hidrofil 4mx 3cm - - - - - - - - - - -
1113 Kasa pembalut hidrofil 4mx15cm - - - - - - - - - - -
1115 Ketokonazol tablet - - 10 - - - - - - - -
Ketokonazol Krim 2 % - - - - - - 2 1 - 1 -
1116 Klindamycin kapsul 150 mg - - - - - - - - - - -
1117 Klindamycin kapsul 300 mg - - - - - - - - 9 - -
1118 Kloramfenikol injeksi 1 gram - - - - - - - - - - -
1119 Kloramfenikol kapsul 250 mg - - - - - - - 18 - 20 -
1120 Kloramfenikol Salep Mata 1% - - 1 - - 1 1 1 - 1 -
1121 Kloramfenikol sirup - 125 mg/ml -60ml - - - - - - - 2 - - -
1122 Kloramfenikol tetes mata 0,5% - 5 ml - - - - - - - - - - -
1123 Kloramfenikol tetes telinga 3% - - - - - - - - - - -
1124 Klorfeniramina Maleat tablet 4mg - - 34 - 26 9 7 10 - 10 -
1125 Klorpromazina HCL inj 25 mg/ml-1ml - - - - - - - - - - -
1126 Klorpromazina HCL tab salut 100 mg - - - - - 10 20 - - - -
1127 Klorpromazina HCL tab salut 25 mg - - - - 15 - - - - - -
1128 Kodeina tablet. 10mg - - - - - - - - - - -
1129 Kotrimoksazol sirup - - 3 - - 1 - 2 - - -
1130 Kotrimoksazol tablet Adult - - - - 2 6 - - 6 - -
Kotrimoksazol tablet Forte - - - - - 6 - - - 12 -
1132 Kuinina Sulfat tablet - - - - - - - - - - -
Kombipak Kategori 1 - - - - - - - - - - -
1201 Lanzoprazol kapsul 30 mg - - - - - - - - - - -
1214 Laxadin sirup 60 ml - - - - - - - - - - -
Leukoplast Hospital 7.50 cm x 4.5 m - - - - - - - - - - -
1215 Levofloksasin tablet 500 mg - - - - - - - - - - -
NO NAMA OBAT
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
803 Haloperidol tablet 1.5 mg - 0 10 - - - - 10 (10)
804 Haloperidol tablet 2 mg - 0 - - - - - - -
805 Halopuridol tablet 5 mg - 0 - - - - - - -
Haldol Decanoat 50 mg / ml inj - 0 - - - - - - -
Haloperidol / lodomer Drops 15ml - 0 - - - - - - -
808 Hidrogen Peroksida / H2O2 - 0 - - - - - - -
809 Hidroklortiazida tab 25 mg - 0 - - - - - - -
810 Hidrokortison Krim 2,5% - 0 - - - - - 2 (2)
901 Ibuprofen suspensi 100 mg/ 5ml - 0 - - - - - - -
902 Ibuprofen tablet 200 mg - 0 - - - - - - -
903 Ibuprofen tablet 400 mg - 0 - - - - - 165 (165)
904 Imipramine 25 mg - 0 - - - - - - -
906 Infusion set anak - 0 - - - - - - -
907 Infusion set dewasa - 0 - - - - - - -
IV Catether No.18 - 0 - - - - - - -
IV Catether No.20 - 0 - - - - - - -
IV Catether No.22 - 0 - - - - - - -
IV Catether No.24 - 0 - - - - - - -
Iodina Test - 0 - - - - - - -
909 Isoniazid 100 mg - 0 - 21 - - - 114 (114)
Isoniazid 300 mg - 0 - - - - - - -
910 Isosorbid Dinitrat tablet 5 mg - 0 - - - - - - -
1101 KA-EN 3B infus - 500 ml - 0 - - - - - - -
1103 Kalsium Hidroksida pasta - 0 - - - - - - -
1104 Kalsium Laktat tablet 500mg. - 0 - - - - - 20 (20)
1105 Kapas pembalut abs 250 gram - 0 - - - - - - -
1106 Karbamazepin tablet 200 mg - 0 - - - - - - -
1108 Kasa Hidrofil 16x16 - 0 - - - - - - -
1109 Kasa kompres steril 40cm/40cm - 0 - - - - - - -
1110 Kasa pembalut 2 m x 80 cm - 0 - - - - - - -
1111 Kasa Pembalut 4x10 cm - 0 - - - - - - -
1112 Kasa pembalut hidrofil 4mx 3cm - 0 - - - - - - -
1113 Kasa pembalut hidrofil 4mx15cm - 0 - - - - - - -
1115 Ketokonazol tablet - 0 - - - - - 15 (15)
Ketokonazol Krim 2 % - 1 - - - - - 7 (7)
1116 Klindamycin kapsul 150 mg - 0 - - - - - - -
1117 Klindamycin kapsul 300 mg - 0 - - - - - 18 (18)
1118 Kloramfenikol injeksi 1 gram - 0 - - - - - - -
1119 Kloramfenikol kapsul 250 mg - 0 - - - - - 38 (38)
1120 Kloramfenikol Salep Mata 1% - 2 - - - - - 12 (12)
1121 Kloramfenikol sirup - 125 mg/ml -60ml - 0 - - - - - 2 (2)
1122 Kloramfenikol tetes mata 0,5% - 5 ml - 0 - - - - - - -
1123 Kloramfenikol tetes telinga 3% - 0 - - - - - - -
1124 Klorfeniramina Maleat tablet 4mg - 28 10 2 - - - 351 (351)
1125 Klorpromazina HCL inj 25 mg/ml-1ml - 0 - - - - - - -
1126 Klorpromazina HCL tab salut 100 mg - 0 10 - - - - 70 (70)
1127 Klorpromazina HCL tab salut 25 mg - 0 - - - - - 15 (15)
1128 Kodeina tablet. 10mg - 0 - - - - - - -
1129 Kotrimoksazol sirup - 2 1 2 - - - 16 (16)
1130 Kotrimoksazol tablet Adult - 0 - - - - - 37 (37)
Kotrimoksazol tablet Forte - 0 - 6 - - - 36 (36)
1132 Kuinina Sulfat tablet - 0 - - - - - - -
Kombipak Kategori 1 - 0 - - - - - - -
1201 Lanzoprazol kapsul 30 mg - 0 - - - - - - -
1214 Laxadin sirup 60 ml - 0 - - - - - - -
Leukoplast Hospital 7.50 cm x 4.5 m - 0 - - - - - - -
1215 Levofloksasin tablet 500 mg - 0 - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
-
-
-
-
-
803 Haloperidol tablet 1.5 mg -
804 Haloperidol tablet 2 mg -
805 Halopuridol tablet 5 mg -
Haldol Decanoat 50 mg / ml inj -
Haloperidol / lodomer Drops 15ml -
808 Hidrogen Peroksida / H2O2 -
809 Hidroklortiazida tab 25 mg -
810 Hidrokortison Krim 2,5% -
901 Ibuprofen suspensi 100 mg/ 5ml -
902 Ibuprofen tablet 200 mg -
903 Ibuprofen tablet 400 mg -
904 Imipramine 25 mg -
906 Infusion set anak -
907 Infusion set dewasa -
IV Catether No.18 -
IV Catether No.20 -
IV Catether No.22 -
IV Catether No.24 -
Iodina Test -
909 Isoniazid 100 mg -
Isoniazid 300 mg -
910 Isosorbid Dinitrat tablet 5 mg -
1101 KA-EN 3B infus - 500 ml -
1103 Kalsium Hidroksida pasta -
1104 Kalsium Laktat tablet 500mg. -
1105 Kapas pembalut abs 250 gram -
1106 Karbamazepin tablet 200 mg -
1108 Kasa Hidrofil 16x16 -
1109 Kasa kompres steril 40cm/40cm -
1110 Kasa pembalut 2 m x 80 cm -
1111 Kasa Pembalut 4x10 cm -
1112 Kasa pembalut hidrofil 4mx 3cm -
1113 Kasa pembalut hidrofil 4mx15cm -
1115 Ketokonazol tablet -
Ketokonazol Krim 2 % -
1116 Klindamycin kapsul 150 mg -
1117 Klindamycin kapsul 300 mg -
1118 Kloramfenikol injeksi 1 gram -
1119 Kloramfenikol kapsul 250 mg -
1120 Kloramfenikol Salep Mata 1% -
1121 Kloramfenikol sirup - 125 mg/ml -60ml -
1122 Kloramfenikol tetes mata 0,5% - 5 ml -
1123 Kloramfenikol tetes telinga 3% -
1124 Klorfeniramina Maleat tablet 4mg -
1125 Klorpromazina HCL inj 25 mg/ml-1ml -
1126 Klorpromazina HCL tab salut 100 mg -
1127 Klorpromazina HCL tab salut 25 mg -
1128 Kodeina tablet. 10mg -
1129 Kotrimoksazol sirup -
1130 Kotrimoksazol tablet Adult -
Kotrimoksazol tablet Forte -
1132 Kuinina Sulfat tablet -
Kombipak Kategori 1 -
1201 Lanzoprazol kapsul 30 mg -
1214 Laxadin sirup 60 ml -
Leukoplast Hospital 7.50 cm x 4.5 m -
1215 Levofloksasin tablet 500 mg -
STOK PENERI PERSEDI
NO NAMA OBAT
1216 Lidocain 2% injeksi - - - - - -
1217 Lidokaina Comp. Injeksi 2% - - - - - -
1218 Lisol - 1000 ml - - - - - -
1219 Loperamide tablet - 2mg - - - - - -
1220 Loratadin - - 10 - - -
1221 Lysofit sirup - - - - - -
1222 Lytacur 60 ml - - - - - -
Levotiroksin tab 100mcg - - - - - -
Lexavit Kaplet - - - - - -
1301 Magnesium Sulfat injeksi 20% - - - - - -
1302 Magnesium Sulfat injeksi 40% - - - - - -
1303 Maltodextrin tablet / TABURIA - - - - - -
1304 Masker disposable - - - - - -
1305 Masker Oksigen Dewasa - - - - - -
1306 Masker Surgical ear loop'50 - - - - - -
1307 Masker Surgical Plus 3 Ply Plus Earloop - - - - - -
1308 Masker Surgical tie on'50 - - - - - -
Masker Disposable (N95) - - - - - -
1309 Mebendazol sirup 100 mg/ 5 ml - - - - - -
1310 Mebendazol tablet 100 mg - - - - - -
1315 Meloksikam tablet 15 mg - - - - - -
1316 Meloksikam tablet 7,5 mg - - - - - -
1317 Metamizole / Norages injeksi 500mg - - - - - -
1318 Metaneuron tablet - - - - - -
1320 Metformin H Cl tablet 500 mg - - - - - -
1321 Metformin HCL tablet 850mg - - - - - -
1322 Methylpredhisolon 8 mg - - - - - -
1324 Metilergometrina injeksi 0,2 mg/ml -1 ml - - - - - -
1325 Metilergometrina Maleat tablet - - - - - -
1326 Metoclopramide 5 mg - - - - - -
1327 Metoklopramid 10 mg - - - - - -
1328 Metoklopramid Syrup 60 ml - - - - - -
1329 Metronidazol 500mg infus - - - - - -
1330 Metronidazol tablet 250 mg - - - - - -
1331 Metronidazol tablet 500 mg - - - - - -
1332 Meylon injeksi - - - - - -
1334 Mineral mix - - - - - -
1336 Monoklorkamfer Mentol cairan - - - - - -
1337 Mummifying pasta - - - - - -
1401 Na ClO 5.,25 % dan CaOCl212 / BYCLIN - - - - - -
1402 Na F Kristal - - - - - -
1403 Nasaflam 100 mg - - - - - -
1404 Nasaflam 50 mg - - - - - -
1405 Natrium Bikarbonat tablet 500 mg - - - - - -
1406 Natrium Diklofenak 50 mg - - 10 - - -
1407 Natrium Klorida larutan infus 0.9% - - - - - -
1412 Neo Kaominal sirup - - - - - -
1413 Neurobat injeksi - - - - - -
1414 Neurofit E tablet - - - - - -
1415 Neurosanbe 5000 tablet - - - - - -
1416 Nifedipin 10 mg tablet - - - - - -
1417 Nistatin 100.000 IU suspensi - - - - - -
1418 Nistatin 100.000 IU/g tablet vaginal - - - - - -
1419 Nistatin 500.000 IU/g tablet oral - - - - - -
1501 Obat Antituberkulosis kat - Anak - - - - - -
1502 Obat Antituberkulosis kat - I - - 1 - - -
1503 Obat Antituberkulosis kat -II - - - - - -
1504 Obat Batuk Hitam cairan 100ml - - - - - -
1505 OBAT KUSTA M B anak - - - - - -
1506 OBAT KUSTA M B dewasa - - - - - -
1507 OBAT KUSTA P B anak - - - - - -
1508 OBAT KUSTA P B dewasa - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
1216 Lidocain 2% injeksi - - - - - - - - - - -
1217 Lidokaina Comp. Injeksi 2% - - - - - - - - - - -
1218 Lisol - 1000 ml - - - - - - - - - - -
1219 Loperamide tablet - 2mg - - 20 20 5 10 - - - - -
1220 Loratadin - - - - - - - - - - -
1221 Lysofit sirup - - - - - - - - - - -
1222 Lytacur 60 ml - - - - - - - - - - -
Levotiroksin tab 100mcg - - - - - - - - - - -
Lexavit Kaplet - - - - - - - - - - -
1301 Magnesium Sulfat injeksi 20% - - - - - - - - - - -
1303 Maltodextrin tablet / TABURIA - - - - - - - - - - -
1304 Masker disposable - - - - - - - - - - -
1305 Masker Oksigen Dewasa - - - - - - - - - - -
1306 Masker Surgical ear loop'50 - - - - - - - - - - -
1307 Masker Surgical Plus 3 Ply Plus Earloop - - - - - - - - - - -
1308 Masker Surgical tie on'50 - - - - - - - - - - -
Masker Disposable (N95) - - - - - - - - - - -
1309 Mebendazol sirup 100 mg/ 5 ml - - - - - - - - - - -
1310 Mebendazol tablet 100 mg - - - - - - - - - - -
1315 Meloksikam tablet 15 mg - - - - - - - - - - -
1316 Meloksikam tablet 7,5 mg - - - - - - - - - - -
1317 Metamizole / Norages injeksi 500mg - - - - - - - - - - -
1318 Metaneuron tablet - - - - - - - - - 10 -
1320 Metformin H Cl tablet 500 mg - - - - - 10 - - - - -
1321 Metformin HCL tablet 850mg - - - - - - - - - - -
1322 Methylpredhisolon 8 mg - - - - - - - - - - -
1324 Metilergometrina injeksi 0,2 mg/ml -1 ml - - - - - - - - - - -
1325 Metilergometrina Maleat tablet - - - - - - - - - - -
1326 Metoclopramide 5 mg - - - - - - - - - - -
1327 Metoklopramid 10 mg - - - - - - - - - - -
1328 Metoklopramid Syrup 60 ml - - - - - - - - - - -
1329 Metronidazol 500mg infus - - - - - - - - - - -
1330 Metronidazol tablet 250 mg - - - - - - - - - - -
1331 Metronidazol tablet 500 mg - - - - - - 1 - 10 10 -
1332 Meylon injeksi - - - - - - - - - - -
1334 Mineral mix - - - - - - - - - - -
1336 Monoklorkamfer Mentol cairan - - - - - - - - - - -
1337 Mummifying pasta - - - - - - - - - - -
1401 Na ClO 5.,25 % dan CaOCl212 / BYCLIN - - - - - - - - - - -
1402 Na F Kristal - - - - - - - - - - -
1403 Nasaflam 100 mg - - - - - - - - - - -
1404 Nasaflam 50 mg - - - - - - - - - - -
1405 Natrium Bikarbonat tablet 500 mg - - - - - - - - - - -
1406 Natrium Diklofenak 50 mg - 10 10 10 6 30 10 - 10 - -
1407 Natrium Klorida larutan infus 0.9% - - - - - - - - - - -
1412 Neo Kaominal sirup - - - - - - - - - - -
1413 Neurobat injeksi - - - - - - - - - - -
1414 Neurofit E tablet - - - - - - - - - - -
1415 Neurosanbe 5000 tablet - - - - - - - - - - -
1416 Nifedipin 10 mg tablet - - - - - - - - - - -
1417 Nistatin 100.000 IU suspensi - - - - - - - - - - -
1418 Nistatin 100.000 IU/g tablet vaginal - - - - - - - - - - -
1419 Nistatin 500.000 IU/g tablet oral - - - - - - - - - - -
1501 Obat Antituberkulosis kat - Anak - - - - - - - - - - -
1502 Obat Antituberkulosis kat - I - - - - - - - - - - -
1503 Obat Antituberkulosis kat -II - - - - - - - - - - -
1504 Obat Batuk Hitam cairan 100ml - - - - - - - - - - -
1505 OBAT KUSTA M B anak - - - - - - - - - - -
1506 OBAT KUSTA M B dewasa - - - - - - - - - - -
1507 OBAT KUSTA P B anak - - - - - - - - - - -
1508 OBAT KUSTA P B dewasa - - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
1216 Lidocain 2% injeksi - - - - - - - - - - -
1217 Lidokaina Comp. Injeksi 2% - - - - - - - - - - -
1218 Lisol - 1000 ml - - - - - - - - - - -
1219 Loperamide tablet - 2mg - - - - - - - - - - -
1220 Loratadin - - - - - - - - 5 - -
1221 Lysofit sirup - - - - - - - - - - -
1222 Lytacur 60 ml - - - - - - - - - - -
Levotiroksin tab 100mcg - - - - - - - - - - -
Lexavit Kaplet - - - - - - - - - - -
1303 Maltodextrin tablet / TABURIA - - - - - - - - - - -
1304 Masker disposable - - - - - - - - - - -
1305 Masker Oksigen Dewasa - - - - - - - - - - -
1306 Masker Surgical ear loop'50 - - - - - - - - - - -
1307 Masker Surgical Plus 3 Ply Plus Earloop - - - - - - - - - - -
1308 Masker Surgical tie on'50 - - - - - - - - - - -
Masker Disposable (N95) - - - - - - - - - - -
1309 Mebendazol sirup 100 mg/ 5 ml - - - - - - - - - - -
1310 Mebendazol tablet 100 mg - - - - - - - - - - -
1315 Meloksikam tablet 15 mg - - - - - - - - - - -
1316 Meloksikam tablet 7,5 mg - - - - - - - - - - -
1317 Metamizole / Norages injeksi 500mg - - - - - - - - - - -
1318 Metaneuron tablet - - - - 15 - - - - - -
1320 Metformin H Cl tablet 500 mg - - 10 - - 10 20 - 9 - -
1321 Metformin HCL tablet 850mg - - - - - - - - - - -
1322 Methylpredhisolon 8 mg - - - - - - - - - - -
1324 Metilergometrina injeksi 0,2 mg/ml -1 ml - - - - - - - - - - -
1325 Metilergometrina Maleat tablet - - - - - - - - - - -
1326 Metoclopramide 5 mg - - - - - - - - - - -
1327 Metoklopramid 10 mg - - - - - - - - - - -
1328 Metoklopramid Syrup 60 ml - - - - - - - - - - -
1329 Metronidazol 500mg infus - - - - - - - - - - -
1330 Metronidazol tablet 250 mg - - - - - - - - - - -
1331 Metronidazol tablet 500 mg - - 9 - 13 - - 9 - 10 -
1332 Meylon injeksi - - - - - - - - - - -
1334 Mineral mix - - - - - - - - - - -
1336 Monoklorkamfer Mentol cairan - - - - - - - - - - -
1337 Mummifying pasta - - - - - - - - - - -
1401 Na ClO 5.,25 % dan CaOCl212 / BYCLIN - - - - - - - - - - -
1402 Na F Kristal - - - - - - - - - - -
1403 Nasaflam 100 mg - - - - - - - - - - -
1404 Nasaflam 50 mg - - - - - - - - - - -
1405 Natrium Bikarbonat tablet 500 mg - - - - - - - - - - -
1406 Natrium Diklofenak 50 mg - - - - - 10 - - 6 10 -
1407 Natrium Klorida larutan infus 0.9% - - - - - - - - - - -
1412 Neo Kaominal sirup - - - - - - - - - - -
1413 Neurobat injeksi - - - - - - - - - - -
1414 Neurofit E tablet - - - - - - - - - - -
1415 Neurosanbe 5000 tablet - - - - - - - - - - -
1416 Nifedipin 10 mg tablet - - - - - - - - - - -
1417 Nistatin 100.000 IU suspensi - - - - - - - - - - -
1418 Nistatin 100.000 IU/g tablet vaginal - - 19 - - - - - - - -
1419 Nistatin 500.000 IU/g tablet oral - - - - - - - - - - -
1501 Obat Antituberkulosis kat - Anak - - - - - - - - - - -
1502 Obat Antituberkulosis kat - I - - - - - - - - - 1 -
1503 Obat Antituberkulosis kat -II - - - - - - - - - - -
1504 Obat Batuk Hitam cairan 100ml - - - - - - - - - - -
1505 OBAT KUSTA M B anak - - - - - - - - - - -
1506 OBAT KUSTA M B dewasa - - - - - - - - - - -
1507 OBAT KUSTA P B anak - - - - - - - - - - -
1508 OBAT KUSTA P B dewasa - - - - - - - - - - -
NO NAMA OBAT
1216 Lidocain 2% injeksi - 0 - - - - - - -
1217 Lidokaina Comp. Injeksi 2% - 0 - - - - - - -
1218 Lisol - 1000 ml - 0 - - - - - - -
1219 Loperamide tablet - 2mg - 0 4 6 - - - 65 (65)
1220 Loratadin - 0 - - - - - 15 (15)
1221 Lysofit sirup - 0 - - - - - - -
1222 Lytacur 60 ml - 0 - - - - - - -
Levotiroksin tab 100mcg - 0 - - - - - - -
Lexavit Kaplet - 0 - - - - - - -
1301 Magnesium Sulfat injeksi 20% - 0 - - - - - - -
1302 Magnesium Sulfat injeksi 40% - 0 - - - - - - -
1303 Maltodextrin tablet / TABURIA - 0 - - - - - - -
1304 Masker disposable - 0 - - - - - - -
1305 Masker Oksigen Dewasa - 0 - - - - - - -
1306 Masker Surgical ear loop'50 - 0 - - - - - - -
1307 Masker Surgical Plus 3 Ply Plus Earloop - 0 - - - - - 50 (50)
1308 Masker Surgical tie on'50 - 0 - - - - - - -
Masker Disposable (N95) - 0 - - - - - - -
1309 Mebendazol sirup 100 mg/ 5 ml - 0 - - - - - - -
1310 Mebendazol tablet 100 mg - 0 - - - - - - -
1315 Meloksikam tablet 15 mg - 0 - - - - - - -
1316 Meloksikam tablet 7,5 mg - 0 - - - - - - -
1317 Metamizole / Norages injeksi 500mg - 0 - - - - - - -
1318 Metaneuron tablet - 0 10 - - - - 35 (35)
1320 Metformin H Cl tablet 500 mg - 0 - - - - - 59 (59)
1321 Metformin HCL tablet 850mg - 0 - - - - - - -
1322 Methylpredhisolon 8 mg - 0 - - - - - - -
1324 Metilergometrina injeksi 0,2 mg/ml -1 ml - 0 - - - - - - -
1325 Metilergometrina Maleat tablet - 0 - - - - - - -
1326 Metoclopramide 5 mg - 0 - - - - - - -
1327 Metoklopramid 10 mg - 0 - - - - - - -
1328 Metoklopramid Syrup 60 ml - 0 - - - - - - -
1329 Metronidazol 500mg infus - 0 - - - - - - -
1330 Metronidazol tablet 250 mg - 0 - - - - - - -
1331 Metronidazol tablet 500 mg - 0 - - - - - 62 (62)
1332 Meylon injeksi - 0 - - - - - - -
1334 Mineral mix - 0 - - - - - - -
1336 Monoklorkamfer Mentol cairan - 0 - - - - - - -
1337 Mummifying pasta - 0 - - - - - - -
1401 Na ClO 5.,25 % dan CaOCl212 / BYCLIN - 0 - - - - - - -
1402 Na F Kristal - 0 - - - - - - -
1403 Nasaflam 100 mg - 0 - - - - - - -
1404 Nasaflam 50 mg - 0 - - - - - - -
1405 Natrium Bikarbonat tablet 500 mg - 0 - - - - - - -
1406 Natrium Diklofenak 50 mg - 0 - - - - - 122 (122)
1407 Natrium Klorida larutan infus 0.9% - 0 - - - - - - -
1412 Neo Kaominal sirup - 0 - - - - - - -
1413 Neurobat injeksi - 0 - - - - - - -
1414 Neurofit E tablet - 0 - - - - - - -
1415 Neurosanbe 5000 tablet - 0 - - - - - - -
1416 Nifedipin 10 mg tablet - 0 - - - - - - -
1417 Nistatin 100.000 IU suspensi - 0 - - - - - - -
1418 Nistatin 100.000 IU/g tablet vaginal - 0 - - - - - 19 (19)
1419 Nistatin 500.000 IU/g tablet oral - 0 - - - - - - -
1501 Obat Antituberkulosis kat - Anak - 0 - 1 - - - 1 (1)
1502 Obat Antituberkulosis kat - I - 0 1 - - - - 3 (3)
1503 Obat Antituberkulosis kat -II - 0 - - - - - - -
1504 Obat Batuk Hitam cairan 100ml - 0 - - - - - - -
1505 OBAT KUSTA M B anak - 0 - - - - - - -
1506 OBAT KUSTA M B dewasa - 0 - - - - - - -
1507 OBAT KUSTA P B anak - 0 - - - - - - -
1508 OBAT KUSTA P B dewasa - 0 - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
1216 Lidocain 2% injeksi -
1217 Lidokaina Comp. Injeksi 2% -
1218 Lisol - 1000 ml -
1219 Loperamide tablet - 2mg -
1220 Loratadin -
1221 Lysofit sirup -
1222 Lytacur 60 ml -
Levotiroksin tab 100mcg -
Lexavit Kaplet -
1301 Magnesium Sulfat injeksi 20% -
1302 Magnesium Sulfat injeksi 40% -
1303 Maltodextrin tablet / TABURIA -
1304 Masker disposable -
1305 Masker Oksigen Dewasa -
1306 Masker Surgical ear loop'50 -
1307 Masker Surgical Plus 3 Ply Plus Earloop -
1308 Masker Surgical tie on'50 -
Masker Disposable (N95) -
1309 Mebendazol sirup 100 mg/ 5 ml -
1310 Mebendazol tablet 100 mg -
1315 Meloksikam tablet 15 mg -
1316 Meloksikam tablet 7,5 mg -
1317 Metamizole / Norages injeksi 500mg -
1318 Metaneuron tablet -
1320 Metformin H Cl tablet 500 mg -
1321 Metformin HCL tablet 850mg -
1322 Methylpredhisolon 8 mg -
1324 Metilergometrina injeksi 0,2 mg/ml -1 ml -
1325 Metilergometrina Maleat tablet -
1326 Metoclopramide 5 mg -
1327 Metoklopramid 10 mg -
1328 Metoklopramid Syrup 60 ml -
1329 Metronidazol 500mg infus -
1330 Metronidazol tablet 250 mg -
1331 Metronidazol tablet 500 mg -
1332 Meylon injeksi -
1334 Mineral mix -
1336 Monoklorkamfer Mentol cairan -
1337 Mummifying pasta -
1401 Na ClO 5.,25 % dan CaOCl212 / BYCLIN -
1402 Na F Kristal -
1403 Nasaflam 100 mg -
1404 Nasaflam 50 mg -
1405 Natrium Bikarbonat tablet 500 mg -
1406 Natrium Diklofenak 50 mg -
1407 Natrium Klorida larutan infus 0.9% -
1412 Neo Kaominal sirup -
1413 Neurobat injeksi -
1414 Neurofit E tablet -
1415 Neurosanbe 5000 tablet -
1416 Nifedipin 10 mg tablet -
1417 Nistatin 100.000 IU suspensi -
1418 Nistatin 100.000 IU/g tablet vaginal -
1419 Nistatin 500.000 IU/g tablet oral -
1501 Obat Antituberkulosis kat - Anak -
1502 Obat Antituberkulosis kat - I -
1503 Obat Antituberkulosis kat -II -
1504 Obat Batuk Hitam cairan 100ml -
1505 OBAT KUSTA M B anak -
1506 OBAT KUSTA M B dewasa -
1507 OBAT KUSTA P B anak -
1508 OBAT KUSTA P B dewasa -
STOK PENERI PERSEDI
NO NAMA OBAT
1509 Obat Malaria tablet - - - - - -
1510 OBH Tropica Exta Mentol 60 ml - - - - - -
1511 OBH Tropica Plus Anak Jeruk 60 ml - - - - - -
1512 OBH Tropica Plus Mentol 60 ml - - - - - -
1513 Obyek Glass - - - - - -
1515 Oksigen Gas dalam tabung - 1m3 - - - - - -
1516 Oksigen Gas dalam tabung - 6m3 - - - - - -
1517 Oksitetrasiklina HCl injeksi 50 mg/ml - - - - - -
1518 Oksitetrasiklina HCL salep kulit 3 % - - 1 - - -
1519 Oksitetrasiklina HCL salep mata 1% - - - - - -
1520 Oksitosina injeksi 10 IU/ml-1ml - - - - - -
1521 Omeprazol kapsul - - - - - -
1522 Ondansetron tab 4 mg - - - - - -
1523 Ondansetron tab 4 mg/2 ml Inj - Ktk 5 - - - - - -
Oxyflow Nasal Oxygen Anak - - - - - -
Oxyflow Nasal Oxygen Dewasa - - - - - -
Oxyflow Nasal Oxygen Bayi - - - - - -
1603 Paracetamol Drop - - - - - -
1604 Parasetamol sirup 120 mg/5ml - - - - - -
1606 Parasetamol tablet 500 mg - - 76 - - -
1609 Permetrin Krim 5% / Scabimite - - - - - -
1610 Petidina HCL injeksi 50 mg/ml-2ml - - - - - -
1612 Pewarna Ziehl-Neesen / 1 set - - - - - -
1614 Piracetam 800 mg tablet - - - - - -
1615 Piracetam inj 1 gram/5ml - - - - - -
1616 Pirantel Pamoat tablet 125 mg - - - - - -
1617 Pirantel Susp 125mg / 5 ml - - - - - -
1618 Piridoksina HCL tablet 10mg - - - - - -
Piridoksina HCL tablet 25 mg - - - - - -
1619 Piroxicam 20 mg - - - - - -
1621 Plester 5 yard x 2 inch - - - - - -
1622 Plester Flexible non woven 5 x 5 - - - - - -
1623 Plester Kain Roll 1,25cm x 4,5m - - - - - -
1624 Plester Kain Roll 2,5cm x 4,5m - - - - - -
1625 PM-ASI Biskuit - - - - - -
1626 PMT Untuk BUMIL - - - - - -
1627 PMT-AS biskuit - - - - - -
1628 Polikresulen ( Metakresolsulfonat ) - 10 ml - - - - - -
1630 Prednison tablet 5 mg - - - - - -
1634 Procurma Plus Syrup - - - - - -
1635 Prokaina Pen. G injeksi 3 juta IU - - - - - -

1636 Propanolol HCL tablet 10 mg - - - - - -
1637 Propanolol HCL tablet 40 mg - - - - - -
1638 Propiltiourasil tablet 100 mg - - - - - -
1701 Ranitidin 150 mg - - - - - -
1702 Ranitidin 50 mg / 2 ml Inj - - - - - -
1703 RDT Malaria - - - - - -
1716 Renadinac 25 mg - - - - - -
1718 Retinol kap. lunak 100.000 IU - - - - - -
1719 Retinol kap. lunak 200.000 IU - - - - - -
1723 Ringer Asetat infus - 500ml - - - - - -
1724 Ringer Laktat + Glucose 5% infus-500ml - - - - - -
1725 Ringer Laktat Larutan infus - 500 ml - - - - - -
1726 Risperidone 2 mg - - - - - -
1801 Safe Glove Exam L - - - - - -
1802 Safe Glove Exam M - - - - - -
1803 Safe Glove Exam S - - - - - -
1804 Safety box 2,5 lt - - - - - -
1805 Safety box 5 lt - - - - - -
1806 Salbutamol 2 mg - - - - - -
1807 Salbutamol 4 mg - - 10 - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
1509 Obat Malaria tablet - - - - - - - - - - -
1510 OBH Tropica Exta Mentol 60 ml - - - - - - - - - - -
1511 OBH Tropica Plus Anak Jeruk 60 ml - - - - - - - - - - -
1512 OBH Tropica Plus Mentol 60 ml - - - - - - - - - - -
1513 Obyek Glass - - - - - - - - - - -
1515 Oksigen Gas dalam tabung - 1m3 - - - - - - - - - - -
1517 Oksitetrasiklina HCl injeksi 50 mg/ml - - - - - - - - - - -
1518 Oksitetrasiklina HCL salep kulit 3 % - - - - - 1 1 - 1 - -
1519 Oksitetrasiklina HCL salep mata 1% - - - - - - - - - - -
1520 Oksitosina injeksi 10 IU/ml-1ml - - - - - - - - - - -
1521 Omeprazol kapsul - - - - - - - - - - -
1522 Ondansetron tab 4 mg - - - - - - - - - - -
1523 Ondansetron tab 4 mg/2 ml Inj - Ktk 5 - - - - - - - - - - -
Oxyflow Nasal Oxygen Anak - - - - - - - - - - -
Oxyflow Nasal Oxygen Dewasa - - - - - - - - - - -
Oxyflow Nasal Oxygen Bayi - - - - - - - - - - -
1603 Paracetamol Drop - - - - - - - - - - -
1604 Parasetamol sirup 120 mg/5ml - - - - - - - - - - -
1606 Parasetamol tablet 500 mg - 87 66 107 103 58 17 158 74 96 41
1609 Permetrin Krim 5% / Scabimite - - - 1 1 - - - 3 - -
1610 Petidina HCL injeksi 50 mg/ml-2ml - - - - - - - - - - -
1612 Pewarna Ziehl-Neesen / 1 set - - - - - - - - - - -
1614 Piracetam 800 mg tablet - - - - - - - - - - -
1615 Piracetam inj 1 gram/5ml - - - - - - - - - - -
1616 Pirantel Pamoat tablet 125 mg - - - - - - - - - - -
1617 Pirantel Susp 125mg / 5 ml - - - - - - - - - - -
1618 Piridoksina HCL tablet 10mg - 10 - 20 - 10 - - - 22 27
Piridoksina HCL tablet 25 mg - - - - - - - - - - -
1619 Piroxicam 20 mg - - - - - - - - - - -
1621 Plester 5 yard x 2 inch - - - - - - - - - - -
1622 Plester Flexible non woven 5 x 5 - - - - - - - - - - -
1623 Plester Kain Roll 1,25cm x 4,5m - - - - - - - - - - -
1625 PM-ASI Biskuit - - - - - - - - - - -
1626 PMT Untuk BUMIL - - - - - - - - - - -
1627 PMT-AS biskuit - - - - - - - - - - -
1628 Polikresulen ( Metakresolsulfonat ) - 10 ml - - - - - - - - - - -
1630 Prednison tablet 5 mg - - - - - - - - - - -
1634 Procurma Plus Syrup - - - - - - - - - - -
1635 Prokaina Pen. G injeksi 3 juta IU - - - - - - - - - - -

1636 Propanolol HCL tablet 10 mg - - - - - - - - - - -
1638 Propiltiourasil tablet 100 mg - - - - - - - - - - -
1701 Ranitidin 150 mg - - - - - - - - - - -
1702 Ranitidin 50 mg / 2 ml Inj - - - - - - - - - - -
1703 RDT Malaria - - - - - - - - - - -
1716 Renadinac 25 mg - - - - - - - - - - -
1718 Retinol kap. lunak 100.000 IU - - - - - - - - - - -
1719 Retinol kap. lunak 200.000 IU - - - - - - - - - 1 2
1723 Ringer Asetat infus - 500ml - - - - - - - - - - -
1724 Ringer Laktat + Glucose 5% infus-500ml - - - - - - - - - - -
1725 Ringer Laktat Larutan infus - 500 ml - - - - - - - - - - -
1726 Risperidone 2 mg - - 10 - - - 40 - - - -
1801 Safe Glove Exam L - - - - - - - - - - -
1802 Safe Glove Exam M - - - - - - - - - - -
1803 Safe Glove Exam S - - - - - - - - - - -
1804 Safety box 2,5 lt - - - - - - - - - - -
1805 Safety box 5 lt - - - - - - - - - - -
1806 Salbutamol 2 mg - - - 10 - 10 - - 2 - -
1807 Salbutamol 4 mg - - 10 - 3 - - - - 10 10
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
1509 Obat Malaria tablet - - - - - - - - - - -
1510 OBH Tropica Exta Mentol 60 ml - - - - - - - - - - -
1511 OBH Tropica Plus Anak Jeruk 60 ml - - - - - - - - - - -
1512 OBH Tropica Plus Mentol 60 ml - - - - - - - - - - -
1513 Obyek Glass - - - - - - - - - - -
1517 Oksitetrasiklina HCl injeksi 50 mg/ml - - - - - - - - - - -
1518 Oksitetrasiklina HCL salep kulit 3 % - - - - - - - - - - -
1519 Oksitetrasiklina HCL salep mata 1% - - - - - - - - - - -
1520 Oksitosina injeksi 10 IU/ml-1ml - - - - - - - - - - -
1521 Omeprazol kapsul - - - - - - - - - - -
1522 Ondansetron tab 4 mg - - - - - - - - - - -
1523 Ondansetron tab 4 mg/2 ml Inj - Ktk 5 - - - - - - - - - - -
Oxyflow Nasal Oxygen Anak - - - - - - - - - - -
Oxyflow Nasal Oxygen Dewasa - - - - - - - - - - -
Oxyflow Nasal Oxygen Bayi - - - - - - - - - - -
1603 Paracetamol Drop - - - - - - - - - - -
1604 Parasetamol sirup 120 mg/5ml - - 1 - - - - 4 5 5 -
1606 Parasetamol tablet 500 mg - - 72 - 101 129 50 41 37 91 -
1609 Permetrin Krim 5% / Scabimite - - - - 1 - 1 - - - -
1610 Petidina HCL injeksi 50 mg/ml-2ml - - - - - - - - - - -
1612 Pewarna Ziehl-Neesen / 1 set - - - - - - - - - - -
1614 Piracetam 800 mg tablet - - - - - - - - - - -
1615 Piracetam inj 1 gram/5ml - - - - - - - - - - -
1616 Pirantel Pamoat tablet 125 mg - - - - - - - - - - -
1617 Pirantel Susp 125mg / 5 ml - - - - - - - - - - -
1618 Piridoksina HCL tablet 10mg - - 9 - 9 558 9 - 9 20 -
Piridoksina HCL tablet 25 mg - - - - - - - - - - -
1619 Piroxicam 20 mg - - - - - - - - - - -
1621 Plester 5 yard x 2 inch - - - - - - - - - - -
1622 Plester Flexible non woven 5 x 5 - - - - - - - - - - -
1625 PM-ASI Biskuit - - - - - - - - - - -
1626 PMT Untuk BUMIL - - - - - - - - - - -
1627 PMT-AS biskuit - - - - - - - - - - -
1628 Polikresulen ( Metakresolsulfonat ) - 10 ml - - - - - - - - - - -
1630 Prednison tablet 5 mg - - - - - - - - - - -
1634 Procurma Plus Syrup - - - - - - - - - - -
1635 Prokaina Pen. G injeksi 3 juta IU - - - - - - - - - - -

1638 Propiltiourasil tablet 100 mg - - - - - - - - - - -
1701 Ranitidin 150 mg - - - - - - - - - - -
1702 Ranitidin 50 mg / 2 ml Inj - - - - - - - - - - -
1703 RDT Malaria - - - - - - - - - - -
1716 Renadinac 25 mg - - - - - - - - - - -
1723 Ringer Asetat infus - 500ml - - - - - - - - - - -
1724 Ringer Laktat + Glucose 5% infus-500ml - - - - - - - - - - -
1725 Ringer Laktat Larutan infus - 500 ml - - - - - - - - - - -
1726 Risperidone 2 mg - - - - - - - - - - -
1801 Safe Glove Exam L - - - - - - - - - - -
1802 Safe Glove Exam M - - - - - - - - - - -
1803 Safe Glove Exam S - - - - - - - - - - -
1804 Safety box 2,5 lt - - - - - - - - - - -
1805 Safety box 5 lt - - - - - - - - - - -
1806 Salbutamol 2 mg - - - - 10 - - - - - -
1807 Salbutamol 4 mg - - - - - 10 10 - 10 - -
NO NAMA OBAT
1509 Obat Malaria tablet - 0 - - - - - - -
1510 OBH Tropica Exta Mentol 60 ml - 0 - - - - - - -
1511 OBH Tropica Plus Anak Jeruk 60 ml - 0 - - - - - - -
1512 OBH Tropica Plus Mentol 60 ml - 0 - - - - - - -
1513 Obyek Glass - 0 - - - - - - -
1515 Oksigen Gas dalam tabung - 1m3 - 0 - - - - - - -
1516 Oksigen Gas dalam tabung - 6m3 - 0 - - - - - - -
1517 Oksitetrasiklina HCl injeksi 50 mg/ml - 0 - - - - - - -
1518 Oksitetrasiklina HCL salep kulit 3 % - 0 - - - - - 4 (4)
1519 Oksitetrasiklina HCL salep mata 1% - 0 - - - - - - -
1520 Oksitosina injeksi 10 IU/ml-1ml - 0 - - - - - - -
1521 Omeprazol kapsul - 0 - - - - - - -
1522 Ondansetron tab 4 mg - 0 - - - - - - -
1523 Ondansetron tab 4 mg/2 ml Inj - Ktk 5 - 0 - - - - - - -
Oxyflow Nasal Oxygen Anak - 0 - - - - - - -
Oxyflow Nasal Oxygen Dewasa - 0 - - - - - - -
Oxyflow Nasal Oxygen Bayi - 0 - - - - - - -
1603 Paracetamol Drop - 0 - - - - - - -
1604 Parasetamol sirup 120 mg/5ml - 0 8 2 - - - 25 (25)
1606 Parasetamol tablet 500 mg - 89 43 99 - - - 1,635 (1,635)
1609 Permetrin Krim 5% / Scabimite - 0 1 - - - - 8 (8)
1610 Petidina HCL injeksi 50 mg/ml-2ml - 0 - - - - - - -
1612 Pewarna Ziehl-Neesen / 1 set - 0 - - - - - - -
1614 Piracetam 800 mg tablet - 0 - - - - - - -
1615 Piracetam inj 1 gram/5ml - 0 - - - - - - -
1616 Pirantel Pamoat tablet 125 mg - 0 - - - - - - -
1617 Pirantel Susp 125mg / 5 ml - 0 - - - - - - -
1618 Piridoksina HCL tablet 10mg - 0 9 - - - - 712 (712)
Piridoksina HCL tablet 25 mg - 0 - - - - - - -
1619 Piroxicam 20 mg - 0 - - - - - - -
1621 Plester 5 yard x 2 inch - 0 - - - - - - -
1622 Plester Flexible non woven 5 x 5 - 0 - - - - - - -
1623 Plester Kain Roll 1,25cm x 4,5m - 0 - - - - - - -
1624 Plester Kain Roll 2,5cm x 4,5m - 0 - - - - - - -
1625 PM-ASI Biskuit - 0 - - - - - - -
1626 PMT Untuk BUMIL - 0 - - - - - - -
1627 PMT-AS biskuit - 0 - - - - - - -
1628 Polikresulen ( Metakresolsulfonat ) - 10 ml - 0 - - - - - - -
1630 Prednison tablet 5 mg - 0 10 - - - - 10 (10)
1634 Procurma Plus Syrup - 0 - - - - - - -
1635 Prokaina Pen. G injeksi 3 juta IU - 0 - - - - - - -

1636 Propanolol HCL tablet 10 mg - 0 - - - - - - -
1637 Propanolol HCL tablet 40 mg - 0 - - - - - - -
1638 Propiltiourasil tablet 100 mg - 0 - - - - - - -
1701 Ranitidin 150 mg - 20 20 40 - - - 80 (80)
1702 Ranitidin 50 mg / 2 ml Inj - 0 - - - - - - -
1703 RDT Malaria - 0 - - - - - - -
1716 Renadinac 25 mg - 0 - - - - - - -
1718 Retinol kap. lunak 100.000 IU - 0 - - - - - - -
1719 Retinol kap. lunak 200.000 IU - 0 - - - - - 3 (3)
1723 Ringer Asetat infus - 500ml - 0 - - - - - - -
1724 Ringer Laktat + Glucose 5% infus-500ml - 0 - - - - - - -
1725 Ringer Laktat Larutan infus - 500 ml - 0 - - - - - - -
1726 Risperidone 2 mg - 0 - - - - - 50 (50)
1801 Safe Glove Exam L - 0 - - - - - - -
1802 Safe Glove Exam M - 0 - - - - - - -
1803 Safe Glove Exam S - 0 - - - - - - -
1804 Safety box 2,5 lt - 0 - - - - - - -
1805 Safety box 5 lt - 0 - - - - - - -
1806 Salbutamol 2 mg - 0 6 - - - - 38 (38)
1807 Salbutamol 4 mg - 0 10 - - - - 83 (83)
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
1509 Obat Malaria tablet -
1510 OBH Tropica Exta Mentol 60 ml -
1511 OBH Tropica Plus Anak Jeruk 60 ml -
1512 OBH Tropica Plus Mentol 60 ml -
1513 Obyek Glass -
1515 Oksigen Gas dalam tabung - 1m3 -
1516 Oksigen Gas dalam tabung - 6m3 -
1517 Oksitetrasiklina HCl injeksi 50 mg/ml -
1518 Oksitetrasiklina HCL salep kulit 3 % -
1519 Oksitetrasiklina HCL salep mata 1% -
1520 Oksitosina injeksi 10 IU/ml-1ml -
1521 Omeprazol kapsul -
1522 Ondansetron tab 4 mg -
1523 Ondansetron tab 4 mg/2 ml Inj - Ktk 5 -
Oxyflow Nasal Oxygen Anak -
Oxyflow Nasal Oxygen Dewasa -
Oxyflow Nasal Oxygen Bayi -
1603 Paracetamol Drop -
1604 Parasetamol sirup 120 mg/5ml -
1606 Parasetamol tablet 500 mg -
1609 Permetrin Krim 5% / Scabimite -
1610 Petidina HCL injeksi 50 mg/ml-2ml -
1612 Pewarna Ziehl-Neesen / 1 set -
1614 Piracetam 800 mg tablet -
1615 Piracetam inj 1 gram/5ml -
1616 Pirantel Pamoat tablet 125 mg -
1617 Pirantel Susp 125mg / 5 ml -
1618 Piridoksina HCL tablet 10mg -
Piridoksina HCL tablet 25 mg -
1619 Piroxicam 20 mg -
1621 Plester 5 yard x 2 inch -
1622 Plester Flexible non woven 5 x 5 -
1623 Plester Kain Roll 1,25cm x 4,5m -
1624 Plester Kain Roll 2,5cm x 4,5m -
1625 PM-ASI Biskuit -
1626 PMT Untuk BUMIL -
1627 PMT-AS biskuit -
1628 Polikresulen ( Metakresolsulfonat ) - 10 ml -
1630 Prednison tablet 5 mg -
1634 Procurma Plus Syrup -
1635 Prokaina Pen. G injeksi 3 juta IU -

1636 Propanolol HCL tablet 10 mg -
1637 Propanolol HCL tablet 40 mg -
1638 Propiltiourasil tablet 100 mg -
1701 Ranitidin 150 mg -
1702 Ranitidin 50 mg / 2 ml Inj -
1703 RDT Malaria -
1716 Renadinac 25 mg -
1718 Retinol kap. lunak 100.000 IU -
1719 Retinol kap. lunak 200.000 IU -
1723 Ringer Asetat infus - 500ml -
1724 Ringer Laktat + Glucose 5% infus-500ml -
1725 Ringer Laktat Larutan infus - 500 ml -
1726 Risperidone 2 mg -
1801 Safe Glove Exam L -
1802 Safe Glove Exam M -
1803 Safe Glove Exam S -
1804 Safety box 2,5 lt -
1805 Safety box 5 lt -
1806 Salbutamol 2 mg -
1807 Salbutamol 4 mg -
STOK PENERI PERSEDI
NO NAMA OBAT
Salep 2-4 DOEN (As.Salisilat 2%+Belerang
1808 - - - - - -
Endap 4%)
1809 Salisil Bedak 2% - 50 gram - - - - - -
1810 Sarung Tangan Obgyn ( STERIL ) - - - - - -
1812 Semen Seng Fosfat - - - - - -
1813 Semillas Non Woven 5x500cm - - - - - -
1815 Serum Anti Bisa Ular injeksi (ABU I) - - - - - -
1816 Serum Anti Dipteri injeksi 20.000 IU - - - - - -
1817 Serum Anti Tetanus injeksi 1.500 IU - - - - - -
1818 Serum Anti Tetanus injeksi 20.000 IU - - - - - -
1819 Serum Kontrol - - - - - -
1820 Sianokobalamina (Vit B12) injeksi - - - - - -
1821 Sikzonoate injeksi 25 mg /ml - - - - - -
1822 Silk no 2/0, 24x13x60 cm - - - - - -
1823 Silk no 3/0, 24x13x60 cm - - - - - -
1824 Silver Amalgam serbuk 65-75% - - - - - -
1825 Simvastatin tablet 10 mg - - 10 - - -
1829 Spasmal tablet - - - - - -
Spashi - Injeksi - - - - - -
Spasminal tablet - - - - - -
1830 Spironolactone 25 mg - - - - - -
1831 Spons Gelatin cubicles 1x1x1cm - - - - - -
1834 Stesolid Rectal 10 mg/2,5 ml - - - - - -
1835 Stesolid Rectal 5 mg/2,5 ml - - - - - -
1837 Stolax /Bisakodil Supp 10mg - - - - - -
1841 Sulfasetamida tetes mata 15% - - - - - -
1842 Surgical glove no. 6 - - - - - -
1843 Surgical Glove No. 7 - - - - - -
1844 Surgical Glove No. 7,5 - - - - - -
1845 Surgical Glove No. 8 - - - - - -
Semilas Non Woven 10x 500cm - - - - - -
Tablet Tambah Darah (Besi II Sulfat)
1901 - - - - - -
tab.300mg
1903 Temporary Stopping Fletcher - - - - - -
1904 Teosal tablet - - - - - -
1911 Tetrasiklina HCl kapsul 500 mg - - - - - -
1912 Thiampenicol Sirup - - - - - -
1913 Thiamphenicol 500 mg - - - - - -
1914 Three way Stop Cock - - - - - -
1915 Tiamina (Vit B1) tablet 100 mg - - - - - -
1916 Tiamina (Vit B1) tablet 50 mg - - - - - -
1917 Tiamina HCL injeksi 100mg/ml - - - - - -
1919 Topical Anastesi Gel/Prime Gel - - - - - -
1920 Tramadol injiksi 50 mg/ml - - - - - -
1921 Tramadol kapsul 50 mg - - - - - -
1922 Transfusion set - - - - - -
1923 Trifluoperazin 5 mg / Stesoli tab - - - - - -
1924 Trigliserida ( 3X50 ST ) - - - - - -
1925 Triheksifenidil Hcl tablet - 2 mg - - - - - -
Trikresol Formalin (Forinokresol) cairan - 10
1926 - - - - - -
ml
2001 Ulsikur/ Ulcumet injeksi 200mg - - - - - -
2002 Umbilical Cord - - - - - -
2003 Underpad - - - - - -
2004 Urine bag - - - - - -
2005 Uriscan Gen 11 / 10 Parameter - - - - - -
2006 Uriscan Glucose 1 - - - - - -
2007 Uriscan GP2 for Reduksi + Albumin - - - - - -
USG Gel 250 ml - - - - - -
USG Gel 5 liter - - - - - -
2101 Vaselin Alba - - - - - -
2102 Ventolin / Salbutamol Inhaler 0,5 % - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
1808 - - - - - - - 1 - - -
Endap 4%)
1809 Salisil Bedak 2% - 50 gram - - - - - - - - - - -
1810 Sarung Tangan Obgyn ( STERIL ) - - - - - - - - - - -
1812 Semen Seng Fosfat - - - - - - - - - - -
1813 Semillas Non Woven 5x500cm - - - - - - - - - - -
1815 Serum Anti Bisa Ular injeksi (ABU I) - - - - - - - - - - -
1816 Serum Anti Dipteri injeksi 20.000 IU - - - - - - - - - - -
1817 Serum Anti Tetanus injeksi 1.500 IU - - - - - - - - - - -
1819 Serum Kontrol - - - - - - - - - - -
1820 Sianokobalamina (Vit B12) injeksi - - - - - - - - - - -
1821 Sikzonoate injeksi 25 mg /ml - - - - - - - - - - -
1822 Silk no 2/0, 24x13x60 cm - - - - - - - - - - -
1823 Silk no 3/0, 24x13x60 cm - - - - - - - - - - -
1824 Silver Amalgam serbuk 65-75% - - - - - - - - - - -
1825 Simvastatin tablet 10 mg - - - - - - - - - - -
1829 Spasmal tablet - - - - - - - - - - -
Spashi - Injeksi - - - - - - - - - - -
Spasminal tablet - - - 12 - - - - - - -
1830 Spironolactone 25 mg - - - - - - - - - - -
1831 Spons Gelatin cubicles 1x1x1cm - - - - - - - - - - -
1834 Stesolid Rectal 10 mg/2,5 ml - - - - - - - - - - -
1835 Stesolid Rectal 5 mg/2,5 ml - - - - - - - - - - 4
1837 Stolax /Bisakodil Supp 10mg - - - - - - - - - - -
1841 Sulfasetamida tetes mata 15% - - - - - - - - - - -
1842 Surgical glove no. 6 - - - - - - - - - - -
1843 Surgical Glove No. 7 - - - - - - - - - - -
1844 Surgical Glove No. 7,5 - - - - - - - - - - -
Semilas Non Woven 10x 500cm - - - - - - - - - - -
1901 - - - - - - - - - - 10
tab.300mg
1903 Temporary Stopping Fletcher - - - - - - - - - - -
1904 Teosal tablet - - - - - - - - - - -
1911 Tetrasiklina HCl kapsul 500 mg - - - - - - - - - - -
1912 Thiampenicol Sirup - - - - - - - - - - -
1913 Thiamphenicol 500 mg - - - - - - - - - - -
1914 Three way Stop Cock - - - - - - - - - - -
1915 Tiamina (Vit B1) tablet 100 mg - - - - - - - - - - -
1916 Tiamina (Vit B1) tablet 50 mg - 5 - - - - - 20 - 31 9
1917 Tiamina HCL injeksi 100mg/ml - - - - - - - - - - -
1919 Topical Anastesi Gel/Prime Gel - - - - - - - - - - -
1920 Tramadol injiksi 50 mg/ml - - - - - - - - - - -
1921 Tramadol kapsul 50 mg - - - - - - - - - - -
1922 Transfusion set - - - - - - - - - - -
1923 Trifluoperazin 5 mg / Stesoli tab - - - - - - - - - - -
1924 Trigliserida ( 3X50 ST ) - - - - - - - - - - -
1925 Triheksifenidil Hcl tablet - 2 mg - - 10 - - - 40 - - - -
1926 - - - - - - - - - - -
ml
2001 Ulsikur/ Ulcumet injeksi 200mg - - - - - - - - - - -
2002 Umbilical Cord - - - - - - - - - - -
2003 Underpad - - - - - - - - - - -
2004 Urine bag - - - - - - - - - - -
2005 Uriscan Gen 11 / 10 Parameter - - - - - - - - - - -
2006 Uriscan Glucose 1 - - - - - - - - - - -
2007 Uriscan GP2 for Reduksi + Albumin - - - - - - - - - - -
USG Gel 250 ml - - - - - - - - - - -
USG Gel 5 liter - - - - - - - - - - -
2101 Vaselin Alba - - - - - - - - - - -
2102 Ventolin / Salbutamol Inhaler 0,5 % - - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
1808 - - - - - - - - - - -
Endap 4%)
1809 Salisil Bedak 2% - 50 gram - - - - - - - - - - -
1810 Sarung Tangan Obgyn ( STERIL ) - - - - - - - - - - -
1812 Semen Seng Fosfat - - - - - - - - - - -
1813 Semillas Non Woven 5x500cm - - - - - - - - - - -
1815 Serum Anti Bisa Ular injeksi (ABU I) - - - - - - - - - - -
1816 Serum Anti Dipteri injeksi 20.000 IU - - - - - - - - - - -
1819 Serum Kontrol - - - - - - - - - - -
1820 Sianokobalamina (Vit B12) injeksi - - - - - - - - - - -
1821 Sikzonoate injeksi 25 mg /ml - - - - - - - - - - -
1822 Silk no 2/0, 24x13x60 cm - - - - - - - - - - -
1823 Silk no 3/0, 24x13x60 cm - - - - - - - - - - -
1824 Silver Amalgam serbuk 65-75% - - - - - - - - - - -
1825 Simvastatin tablet 10 mg - - - - - - - - - - -
1829 Spasmal tablet - - - - - - - - - - -
Spashi - Injeksi - - - - - - - - - - -
Spasminal tablet - - - - 3 6 - - - 6 -
1830 Spironolactone 25 mg - - - - - - - - - - -
1831 Spons Gelatin cubicles 1x1x1cm - - - - - - - - - - -
1837 Stolax /Bisakodil Supp 10mg - - - - - - - - - - -
1841 Sulfasetamida tetes mata 15% - - - - - - - - - - -
1842 Surgical glove no. 6 - - - - - - - - - - -
1844 Surgical Glove No. 7,5 - - - - - - - - - - -
Semilas Non Woven 10x 500cm - - - - - - - - - - -
1901 - - - - - - - - - - -
tab.300mg
1903 Temporary Stopping Fletcher - - - - - - - - - - -
1904 Teosal tablet - - - - - - - - - - -
1911 Tetrasiklina HCl kapsul 500 mg - - - - - - - - - - -
1912 Thiampenicol Sirup - - - - - - - - - - -
1913 Thiamphenicol 500 mg - - - - - - 10 - - - -
1914 Three way Stop Cock - - - - - - - - - - -
1915 Tiamina (Vit B1) tablet 100 mg - - - - - - - - - - -
1916 Tiamina (Vit B1) tablet 50 mg - - 19 - 28 - 39 10 - 18 -
1917 Tiamina HCL injeksi 100mg/ml - - - - - - - - - - -
1919 Topical Anastesi Gel/Prime Gel - - - - - - - - - - -
1920 Tramadol injiksi 50 mg/ml - - - - - - - - - - -
1921 Tramadol kapsul 50 mg - - - - - - - - - - -
1922 Transfusion set - - - - - - - - - - -
1923 Trifluoperazin 5 mg / Stesoli tab - - - - - - - - - - -
1924 Trigliserida ( 3X50 ST ) - - - - - - - - - - -
1925 Triheksifenidil Hcl tablet - 2 mg - - 10 - - - 20 - - - -
1926 - - - - - - - - - - -
ml
2001 Ulsikur/ Ulcumet injeksi 200mg - - - - - - - - - - -
2002 Umbilical Cord - - - - - - - - - - -
2003 Underpad - - - - - - - - - - -
2004 Urine bag - - - - - - - - - - -
2005 Uriscan Gen 11 / 10 Parameter - - - - - - - - - - -
2006 Uriscan Glucose 1 - - - - - - - - - - -
2007 Uriscan GP2 for Reduksi + Albumin - - - - - - - - - - -
USG Gel 250 ml - - - - - - - - - - -
USG Gel 5 liter - - - - - - - - - - -
2101 Vaselin Alba - - - - - - - - - - -
2102 Ventolin / Salbutamol Inhaler 0,5 % - - - - - - - - - - -
NO NAMA OBAT
1808 - 0 - - - - - 1 (1)
Endap 4%)
1809 Salisil Bedak 2% - 50 gram - 0 - - - - - - -
1810 Sarung Tangan Obgyn ( STERIL ) - 0 - - - - - - -
1812 Semen Seng Fosfat - 0 - - - - - - -
1813 Semillas Non Woven 5x500cm - 0 - - - - - - -
1815 Serum Anti Bisa Ular injeksi (ABU I) - 0 - - - - - - -
1816 Serum Anti Dipteri injeksi 20.000 IU - 0 - - - - - - -
1817 Serum Anti Tetanus injeksi 1.500 IU - 0 - - - - - - -
1818 Serum Anti Tetanus injeksi 20.000 IU - 0 - - - - - - -
1819 Serum Kontrol - 0 - - - - - - -
1820 Sianokobalamina (Vit B12) injeksi - 0 - - - - - - -
1821 Sikzonoate injeksi 25 mg /ml - 0 - - - - - - -
1822 Silk no 2/0, 24x13x60 cm - 0 - - - - - - -
1823 Silk no 3/0, 24x13x60 cm - 0 - - - - - - -
1824 Silver Amalgam serbuk 65-75% - 0 - - - - - - -
1825 Simvastatin tablet 10 mg - 0 - - - - - 10 (10)
1829 Spasmal tablet - 0 - - - - - - -
Spashi - Injeksi - 0 - - - - - - -
Spasminal tablet - 0 - - - - - 27 (27)
1830 Spironolactone 25 mg - 0 - - - - - - -
1831 Spons Gelatin cubicles 1x1x1cm - 0 - - - - - - -
1834 Stesolid Rectal 10 mg/2,5 ml - 0 - - - - - - -
1835 Stesolid Rectal 5 mg/2,5 ml - 0 - - - - - 4 (4)
1837 Stolax /Bisakodil Supp 10mg - 0 - - - - - - -
1841 Sulfasetamida tetes mata 15% - 0 - - - - - - -
1842 Surgical glove no. 6 - 0 - - - - - - -
1843 Surgical Glove No. 7 - 0 - - - - - - -
1844 Surgical Glove No. 7,5 - 0 - - - - - - -
1845 Surgical Glove No. 8 - 0 - - - - - - -
Semilas Non Woven 10x 500cm - 0 - - - - - - -
1901 - 0 - - - - - 10 (10)
tab.300mg
1903 Temporary Stopping Fletcher - 0 - - - - - - -
1904 Teosal tablet - 0 - - - - - - -
1911 Tetrasiklina HCl kapsul 500 mg - 0 - - - - - - -
1912 Thiampenicol Sirup - 0 - - - - - - -
1913 Thiamphenicol 500 mg - 0 - 11 - - - 21 (21)
1914 Three way Stop Cock - 0 - - - - - - -
1915 Tiamina (Vit B1) tablet 100 mg - 0 - - - - - - -
1916 Tiamina (Vit B1) tablet 50 mg - 0 - - - - - 179 (179)
1917 Tiamina HCL injeksi 100mg/ml - 0 - - - - - - -
1919 Topical Anastesi Gel/Prime Gel - 0 - - - - - - -
1920 Tramadol injiksi 50 mg/ml - 0 - - - - - - -
1921 Tramadol kapsul 50 mg - 0 - - - - - - -
1922 Transfusion set - 0 - - - - - - -
1923 Trifluoperazin 5 mg / Stesoli tab - 0 - - - - - - -
1924 Trigliserida ( 3X50 ST ) - 0 - - - - - - -
1925 Triheksifenidil Hcl tablet - 2 mg - 0 - - - - - 80 (80)
1926 - 0 - - - - - - -
ml
2001 Ulsikur/ Ulcumet injeksi 200mg - 0 - - - - - - -
2002 Umbilical Cord - 0 - - - - - - -
2003 Underpad - 0 - - - - - - -
2004 Urine bag - 0 - - - - - - -
2005 Uriscan Gen 11 / 10 Parameter - 0 - - - - - - -
2006 Uriscan Glucose 1 - 0 - - - - - - -
2007 Uriscan GP2 for Reduksi + Albumin - 0 - - - - - - -
USG Gel 250 ml - 0 - - - - - - -
USG Gel 5 liter - 0 - - - - - - -
2101 Vaselin Alba - 0 - - - - - - -
2102 Ventolin / Salbutamol Inhaler 0,5 % - 0 - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
1808 -
Endap 4%)
1809 Salisil Bedak 2% - 50 gram -
1810 Sarung Tangan Obgyn ( STERIL ) -
1812 Semen Seng Fosfat -
1813 Semillas Non Woven 5x500cm -
1815 Serum Anti Bisa Ular injeksi (ABU I) -
1816 Serum Anti Dipteri injeksi 20.000 IU -
1817 Serum Anti Tetanus injeksi 1.500 IU -
1818 Serum Anti Tetanus injeksi 20.000 IU -
1819 Serum Kontrol -
1820 Sianokobalamina (Vit B12) injeksi -
1821 Sikzonoate injeksi 25 mg /ml -
1822 Silk no 2/0, 24x13x60 cm -
1823 Silk no 3/0, 24x13x60 cm -
1824 Silver Amalgam serbuk 65-75% -
1825 Simvastatin tablet 10 mg -
1829 Spasmal tablet -
Spashi - Injeksi -
Spasminal tablet -
1830 Spironolactone 25 mg -
1831 Spons Gelatin cubicles 1x1x1cm -
1834 Stesolid Rectal 10 mg/2,5 ml -
1835 Stesolid Rectal 5 mg/2,5 ml -
1837 Stolax /Bisakodil Supp 10mg -
1841 Sulfasetamida tetes mata 15% -
1842 Surgical glove no. 6 -
1843 Surgical Glove No. 7 -
1844 Surgical Glove No. 7,5 -
1845 Surgical Glove No. 8 -
Semilas Non Woven 10x 500cm -
1901 -
tab.300mg
1903 Temporary Stopping Fletcher -
1904 Teosal tablet -
1911 Tetrasiklina HCl kapsul 500 mg -
1912 Thiampenicol Sirup -
1913 Thiamphenicol 500 mg -
1914 Three way Stop Cock -
1915 Tiamina (Vit B1) tablet 100 mg -
1916 Tiamina (Vit B1) tablet 50 mg -
1917 Tiamina HCL injeksi 100mg/ml -
1919 Topical Anastesi Gel/Prime Gel -
1920 Tramadol injiksi 50 mg/ml -
1921 Tramadol kapsul 50 mg -
1922 Transfusion set -
1923 Trifluoperazin 5 mg / Stesoli tab -
1924 Trigliserida ( 3X50 ST ) -
1925 Triheksifenidil Hcl tablet - 2 mg -
1926 -
ml
2001 Ulsikur/ Ulcumet injeksi 200mg -
2002 Umbilical Cord -
2003 Underpad -
2004 Urine bag -
2005 Uriscan Gen 11 / 10 Parameter -
2006 Uriscan Glucose 1 -
2007 Uriscan GP2 for Reduksi + Albumin -
USG Gel 250 ml -
USG Gel 5 liter -
2101 Vaselin Alba -
2102 Ventolin / Salbutamol Inhaler 0,5 % -
STOK PENERI PERSEDI
NO NAMA OBAT
Ventolin Nebules /Salbutamol Cairan 2,5
2103 - - - - - -
mg
Voluven - Koloid HES BM 130.000 Lar inf 0,6

- - - - - -
%
2201 Vitamin B Kompleks tablet - - 30 - - -
2302 Wida D5 1/2 NS - - - - - -
2303 Wing Needle bayi no.25 - - - - - -
2402 Xylomidon inj - - - - - -
2501 Yodium Povidon 10% - 30 ml - - - - - -
2502 Yodium Povidon 10% - 300 ml - - - - - -
Yodium Povidon 1000 ml - - - - - -
2601 Zentral sirup - - - - - -
2602 ZINC tablet 20 mg - - - - - -
2603 Zircum KID sirup - - - - - -
2604 Zoralin - - - - - -
Ikaneuron - - - - - -
Novabion - - - - - -
Recovit Plus - - - - - -
PROGRAM IMUNISASI - - - - - -
2701 Pelarut BCG - - - - - -

2704 Vaksin MR - - - - - -
Vaksin BCG - - - - - -
2706 Vaksin DPT Hb - Hib / PENTABIO - - - - - -
2707 Vaksin Polio bOPV 10 Dosis - - - - - -
Vaksin POLIO 20 Dosis - - - - - -
2708 Vaksin DT - - - - - -
2709 Vaksin HB Unijeck - - - - - -
Vaksin Polio IPV 5 Dosis - - - - - -
2711 Vaksin Td - - - - - -
2712 Vaksin TT - - - - - -
2713 Vaksin Meningitis - - - - - -
Vaksin Campak - - - - - -
Pelarut Campak - - - - - -
Pen maker - - - - - -
PROGRAM IMS - - - - - -
2801 Alcohol Swab - - - - - -
2802 Cotton Applicators Sterile - - - - - -
2803 Cover Glass - - - - - -
2804 Hand Gloves - - - - - -
2805 Immersion Oil - - - - - -
2806 Kertas PH 3,8 - 4,2 - - - - - -
2807 KOH 10% - - - - - -
2808 Methylated Spirit - - - - - -
2809 Methylen Blue 0.3% - - - - - -
2810 Nacl 0.9% - - - - - -
2811 Object Glass - - - - - -

2812 Reagen Sifilis RPR/kit (10ml untk 500 test) - - - - - -
2813 Reagen Sifilis TPHA - - - - - -
2814 Vaculab/Tabung darah plastic tutup merah - - - - - -
2815 Xylol - - - - - -
2816 Yellow dan Blue Tip - - - - - -
Reagen Rapid syphilis/Standar Diagnostic - - - - - -
Performa Test Strips/ Stik GDA ACCU - - - - - -
Safe-T Pro Uno - - - - - -
Focus TPHA (100 test) - - - - - -
Total Hardness: 12-537 mg/ L CaCO3 - - - - - -
Stip Glukosa Merk Easytouch - - - - - -
Stip Urid Acid Merk Easytouch - - - - - -
Stip Colesterol Merk Easytouch - - - - - -
Asam Cuka 25 % - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
2103 - - - - - - - - - - -
mg

- - - - - - - - - - -
%
2201 Vitamin B Kompleks tablet - 174 73 147 81 118 20 106 45 109 -
2302 Wida D5 1/2 NS - - - - - - - - - - -
2303 Wing Needle bayi no.25 - - - - - - - - - - -
2402 Xylomidon inj - - - - - - - - - - -
2501 Yodium Povidon 10% - 30 ml - - - - - - - - - - -
Yodium Povidon 1000 ml - - - - - - - - - - -
2601 Zentral sirup - - - - - - - - - - -
2602 ZINC tablet 20 mg - - 30 10 - 10 10 - - - -
2603 Zircum KID sirup - - - - - - - - - - -
2604 Zoralin - - - - - - - - - - -
Ikaneuron - - - - - - - - - - -
Novabion - - - - - - - - - - -
Recovit Plus - - - - - - - - - - -
PROGRAM IMUNISASI - - - - - - - - - - -
2701 Pelarut BCG - - - - - - - - - - -

2704 Vaksin MR - - - - - - - - - - -
Vaksin BCG - - - - - - - - - - -
2706 Vaksin DPT Hb - Hib / PENTABIO - - - - - - - - - - -
2707 Vaksin Polio bOPV 10 Dosis - - - - - - - - - - -
Vaksin POLIO 20 Dosis - - - - - - - - - - -
2708 Vaksin DT - - - - - - - - - - -
2709 Vaksin HB Unijeck - - - - - - - - - - -
Vaksin Polio IPV 5 Dosis - - - - - - - - - - -
2711 Vaksin Td - - - - - - - - - - -
2712 Vaksin TT - - - - - - - - - - -
2713 Vaksin Meningitis - - - - - - - - - - -
Vaksin Campak - - - - - - - - - - -
Pelarut Campak - - - - - - - - - - -
Pen maker - - - - - - - - - - -
PROGRAM IMS - - - - - - - - - - -
2801 Alcohol Swab - - - - - - - - - - -
2802 Cotton Applicators Sterile - - - - - - - - - - -
2803 Cover Glass - - - - - - - - - - -
2804 Hand Gloves - - - - - - - - - - -
2805 Immersion Oil - - - - - - - - - - -
2806 Kertas PH 3,8 - 4,2 - - - - - - - - - - -
2807 KOH 10% - - - - - - - - - - -
2808 Methylated Spirit - - - - - - - - - - -
2809 Methylen Blue 0.3% - - - - - - - - - - -
2810 Nacl 0.9% - - - - - - - - - - -
2811 Object Glass - - - - - - - - - - -

2812 Reagen Sifilis RPR/kit (10ml untk 500 test) - - - - - - - - - - -
2813 Reagen Sifilis TPHA - - - - - - - - - - -
2814 Vaculab/Tabung darah plastic tutup merah - - - - - - - - - - -
2815 Xylol - - - - - - - - - - -
2816 Yellow dan Blue Tip - - - - - - - - - - -
Reagen Rapid syphilis/Standar Diagnostic - - - - - - - - - - -
Performa Test Strips/ Stik GDA ACCU - - - - - - - - - - -
Safe-T Pro Uno - - - - - - - - - - -
Focus TPHA (100 test) - - - - - - - - - - -
Total Hardness: 12-537 mg/ L CaCO3 - - - - - - - - - - -
Stip Glukosa Merk Easytouch - - - - - - - - - - -
Stip Urid Acid Merk Easytouch - - - - - - - - - - -
Stip Colesterol Merk Easytouch - - - - - - - - - - -
Asam Cuka 25 % - - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
2103 - - - - - - - - - - -
mg

- - - - - - - - - - -
%
2201 Vitamin B Kompleks tablet - - 62 - 131 204 81 45 39 55 -
2302 Wida D5 1/2 NS - - - - - - - - - - -
2303 Wing Needle bayi no.25 - - - - - - - - - - -
2402 Xylomidon inj - - - - - - - - - - -
Yodium Povidon 1000 ml - - - - - - - - - - -
2601 Zentral sirup - - - - - - - - - - -
2602 ZINC tablet 20 mg - - 20 - 20 10 - 20 10 10 -
2603 Zircum KID sirup - - - - - - - - - - -
2604 Zoralin - - - - - - - - - - -
Ikaneuron - - - - - - - - - - -
Novabion - - - - - - - - - - -
Recovit Plus - - - - - - - - - - -
PROGRAM IMUNISASI - - - - - - - - - - -
2701 Pelarut BCG - - - - - - - - - - -

2704 Vaksin MR - - - - - - - - - - -
Vaksin BCG - - - - - - - - - - -
2706 Vaksin DPT Hb - Hib / PENTABIO - - - - - - - - - - -
2707 Vaksin Polio bOPV 10 Dosis - - - - - - - - - - -
Vaksin POLIO 20 Dosis - - - - - - - - - - -
2708 Vaksin DT - - - - - - - - - - -
2709 Vaksin HB Unijeck - - - - - - - - - - -
Vaksin Polio IPV 5 Dosis - - - - - - - - - - -
2711 Vaksin Td - - - - - - - - - - -
2712 Vaksin TT - - - - - - - - - - -
2713 Vaksin Meningitis - - - - - - - - - - -
Vaksin Campak - - - - - - - - - - -
Pelarut Campak - - - - - - - - - - -
Pen maker - - - - - - - - - - -
PROGRAM IMS - - - - - - - - - - -
2801 Alcohol Swab - - - - - - - - - - -
2802 Cotton Applicators Sterile - - - - - - - - - - -
2803 Cover Glass - - - - - - - - - - -
2804 Hand Gloves - - - - - - - - - - -
2805 Immersion Oil - - - - - - - - - - -
2806 Kertas PH 3,8 - 4,2 - - - - - - - - - - -
2807 KOH 10% - - - - - - - - - - -
2808 Methylated Spirit - - - - - - - - - - -
2809 Methylen Blue 0.3% - - - - - - - - - - -
2810 Nacl 0.9% - - - - - - - - - - -
2811 Object Glass - - - - - - - - - - -

2812 Reagen Sifilis RPR/kit (10ml untk 500 test) - - - - - - - - - - -
2813 Reagen Sifilis TPHA - - - - - - - - - - -
2814 Vaculab/Tabung darah plastic tutup merah - - - - - - - - - - -
2815 Xylol - - - - - - - - - - -
2816 Yellow dan Blue Tip - - - - - - - - - - -
Reagen Rapid syphilis/Standar Diagnostic - - - - - - - - - - -
Performa Test Strips/ Stik GDA ACCU - - - - - - - - - - -
Safe-T Pro Uno - - - - - - - - - - -
Focus TPHA (100 test) - - - - - - - - - - -
Total Hardness: 12-537 mg/ L CaCO3 - - - - - - - - - - -
Stip Glukosa Merk Easytouch - - - - - - - - - - -
Stip Urid Acid Merk Easytouch - - - - - - - - - - -
Stip Colesterol Merk Easytouch - - - - - - - - - - -
Asam Cuka 25 % - - - - - - - - - - -
NO NAMA OBAT
2103 - 0 - - - - - - -
mg

- 0 - - - - - - -
%
2201 Vitamin B Kompleks tablet - 19 90 86 - - - 1,715 (1,715)
2302 Wida D5 1/2 NS - 0 - - - - - - -
2303 Wing Needle bayi no.25 - 0 - - - - - - -
2402 Xylomidon inj - 0 - - - - - - -
2501 Yodium Povidon 10% - 30 ml - 0 - - - - - - -
2502 Yodium Povidon 10% - 300 ml - 0 - - - - - - -
Yodium Povidon 1000 ml - 0 - - - - - - -
2601 Zentral sirup - 0 - - - - - - -
2602 ZINC tablet 20 mg - 0 10 - - - - 160 (160)
2603 Zircum KID sirup - 0 - - - - - - -
2604 Zoralin - 0 - - - - - - -
Ikaneuron - 0 - - - - - - -
Novabion - 0 - - - - - - -
Recovit Plus - 0 - - - - - - -
PROGRAM IMUNISASI - 0 - - - - - - -
2701 Pelarut BCG - 0 - - - - - - -

2704 Vaksin MR - 0 - - - - - - -
Vaksin BCG - 0 - - - - - - -
2706 Vaksin DPT Hb - Hib / PENTABIO - 0 - - - - - - -
2707 Vaksin Polio bOPV 10 Dosis - 0 - - - - - - -
Vaksin POLIO 20 Dosis - 0 - - - - - - -
2708 Vaksin DT - 0 - - - - - - -
2709 Vaksin HB Unijeck - 0 - - - - - - -
Vaksin Polio IPV 5 Dosis - 0 - - - - - - -
2711 Vaksin Td - 0 - - - - - - -
2712 Vaksin TT - 0 - - - - - - -
2713 Vaksin Meningitis - 0 - - - - - - -
Vaksin Campak - 0 - - - - - - -
Pelarut Campak - 0 - - - - - - -
Pen maker - 0 - - - - - - -
PROGRAM IMS - 0 - - - - - - -
2801 Alcohol Swab - 0 - - - - - - -
2802 Cotton Applicators Sterile - 0 - - - - - - -
2803 Cover Glass - 0 - - - - - - -
2804 Hand Gloves - 0 - - - - - - -
2805 Immersion Oil - 0 - - - - - - -
2806 Kertas PH 3,8 - 4,2 - 0 - - - - - - -
2807 KOH 10% - 0 - - - - - - -
2808 Methylated Spirit - 0 - - - - - - -
2809 Methylen Blue 0.3% - 0 - - - - - - -
2810 Nacl 0.9% - 0 - - - - - - -
2811 Object Glass - 0 - - - - - - -

2812 Reagen Sifilis RPR/kit (10ml untk 500 test) - 0 - - - - - - -
2813 Reagen Sifilis TPHA - 0 - - - - - - -
2814 Vaculab/Tabung darah plastic tutup merah - 0 - - - - - - -
2815 Xylol - 0 - - - - - - -
2816 Yellow dan Blue Tip - 0 - - - - - - -
Reagen Rapid syphilis/Standar Diagnostic - 0 - - - - - - -
Performa Test Strips/ Stik GDA ACCU - 0 - - - - - - -
Safe-T Pro Uno - 0 - - - - - - -
Focus TPHA (100 test) - 0 - - - - - - -
Total Hardness: 12-537 mg/ L CaCO3 - 0 - - - - - - -
Stip Glukosa Merk Easytouch - 0 - - - - - - -
Stip Urid Acid Merk Easytouch - 0 - - - - - - -
Stip Colesterol Merk Easytouch - 0 - - - - - - -
Asam Cuka 25 % - 0 - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN

2103 -
mg

-
%
2201 Vitamin B Kompleks tablet -
2302 Wida D5 1/2 NS -
2303 Wing Needle bayi no.25 -
2402 Xylomidon inj -
2501 Yodium Povidon 10% - 30 ml -
2502 Yodium Povidon 10% - 300 ml -
Yodium Povidon 1000 ml -
2601 Zentral sirup -
2602 ZINC tablet 20 mg -
2603 Zircum KID sirup -
2604 Zoralin -
Ikaneuron -
Novabion -
Recovit Plus -
PROGRAM IMUNISASI -
2701 Pelarut BCG -

2704 Vaksin MR -
Vaksin BCG -
2706 Vaksin DPT Hb - Hib / PENTABIO -
2707 Vaksin Polio bOPV 10 Dosis -
Vaksin POLIO 20 Dosis -
2708 Vaksin DT -
2709 Vaksin HB Unijeck -
Vaksin Polio IPV 5 Dosis -
2711 Vaksin Td -
2712 Vaksin TT -
2713 Vaksin Meningitis -
Vaksin Campak -
Pelarut Campak -
Pen maker -
PROGRAM IMS -
2801 Alcohol Swab -
2802 Cotton Applicators Sterile -
2803 Cover Glass -
2804 Hand Gloves -
2805 Immersion Oil -
2806 Kertas PH 3,8 - 4,2 -
2807 KOH 10% -
2808 Methylated Spirit -
2809 Methylen Blue 0.3% -
2810 Nacl 0.9% -
2811 Object Glass -

2812 Reagen Sifilis RPR/kit (10ml untk 500 test) -
2813 Reagen Sifilis TPHA -
2814 Vaculab/Tabung darah plastic tutup merah -
2815 Xylol -
2816 Yellow dan Blue Tip -
Reagen Rapid syphilis/Standar Diagnostic -
Performa Test Strips/ Stik GDA ACCU -
Safe-T Pro Uno -
Focus TPHA (100 test) -
Total Hardness: 12-537 mg/ L CaCO3 -
Stip Glukosa Merk Easytouch -
Stip Urid Acid Merk Easytouch -
Stip Colesterol Merk Easytouch -
Asam Cuka 25 % -
STOK PENERI PERSEDI
NO NAMA OBAT
Autocheck total Kolesterol 10 Strip - - - - - -
Spekulum Disposble - - - - - -
Cotton swab - - - - - -
Larutan Chlorine - - - - - -
Sputum Pot - - - - - -
Paket Alat Deteksi Resiko Kehamilan - - - - - -
Catridge TCM - - - - - -
Gluco Protein - - - - - -
Tube EDTA plh 13x75 3,0 blblce lav - - - - - -
Ultra Once Test Hamil - - - - - -
3002 Widal Salmonella Thypi O Antigen A - - - - - -
3003 Widal Salmonella Thypi O Antigen B - - - - - -
3004 Widal Salmonella Thypi O Antigen C - - - - - -
3005 Widal Salmonella Thypi O - - - - - -
3006 Widal Salmonella Thypi H Antigen A - - - - - -
3007 Widal Salmonella Thypi H Antigen B - - - - - -
3008 Widal Salmonella Thypi H Antigen C - - - - - -
3009 Widal Salmonella Thypi H - - - - - -
3010 Control Positive Polyvalent - - - - - -
3011 Control Negatif Polyvalent - - - - - -
3012 HBsAg Strip Tes - - - - - -
3013 HBsAb Strip Tes - - - - - -
3014 Determine HIV - - - - - -
3015 Rapid Syphilis - - - - - -
3016 ICT Malaria - - - - - -
3018 Golongan Darah Anti A - - - - - -
3019 Golongan Darah Anti B - - - - - -

3020 Golongan Darah Anti AB - - - - - -
3021 Golongan Darah Anti D - - - - - -
709 Reagen Giemsa + Buffer Giemds - - - - - -
1836 Stick Urine 10 PM - - - - - -
1839 Strip Urine 11 PM - - - - - -
1840 Strip Urine 3 PM - - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
Pengecatan - - - - - -
3101 Brilliant Cresyl Blue 1 % - - - - - -
3102 Giemsa - - - - - -
3103 Larutan Drabkin - - - - - -
3104 Larutan Eosin 2 % - - - - - -
3105 Larutan Turk - - - - - -
3106 Oil Imersion - - - - - -
3107 Pewarna Gram - - - - - -
Pewarna Rapid/ sediaan apus darah
3108 - - - - - -
tepi/MDT
3109 Pewarna Ziehl Nellsen - - - - - -
3110 Xylol - - - - - -
PROGRAM HIV - - - - - -
1905 Tes HIV I (Oncoprobe ) - - - - - -

1906 Tes HIV II ( Intech Triline ) ) - - - - - -
1907 Tes HIV III (Vikia ) - - - - - -
Reagen I SD Bioline HIV 1/2 - - - - - -
Reagen I Intec One Step Anti HIV Tri Line
- - - - - -
Tes Carrd
Reagen Penghitung CD 4 - - - - - -
Reagen Penghitung CD 4 Control - - - - - -
Catridge TCM - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
Autocheck total Kolesterol 10 Strip - - - - - - - - - - -
Spekulum Disposble - - - - - - - - - - -
Cotton swab - - - - - - - - - - -
Larutan Chlorine - - - - - - - - - - -
Sputum Pot - - - - - - - - - - -
Paket Alat Deteksi Resiko Kehamilan - - - - - - - - - - -
Catridge TCM - - - - - - - - - - -
Gluco Protein - - - - - - - - - - -
Tube EDTA plh 13x75 3,0 blblce lav - - - - - - - - - - -
Ultra Once Test Hamil - - - - - - - - - - -
3002 Widal Salmonella Thypi O Antigen A - - - - - - - - - - -
3003 Widal Salmonella Thypi O Antigen B - - - - - - - - - - -
3004 Widal Salmonella Thypi O Antigen C - - - - - - - - - - -
3005 Widal Salmonella Thypi O - - - - - - - - - - -
3006 Widal Salmonella Thypi H Antigen A - - - - - - - - - - -
3007 Widal Salmonella Thypi H Antigen B - - - - - - - - - - -
3008 Widal Salmonella Thypi H Antigen C - - - - - - - - - - -
3009 Widal Salmonella Thypi H - - - - - - - - - - -
3010 Control Positive Polyvalent - - - - - - - - - - -
3011 Control Negatif Polyvalent - - - - - - - - - - -
3012 HBsAg Strip Tes - - - - - - - - - - -
3013 HBsAb Strip Tes - - - - - - - - - - -
3014 Determine HIV - - - - - - - - - - -
3015 Rapid Syphilis - - - - - - - - - - -
3016 ICT Malaria - - - - - - - - - - -
3018 Golongan Darah Anti A - - - - - - - - - - -
3019 Golongan Darah Anti B - - - - - - - - - - -

3020 Golongan Darah Anti AB - - - - - - - - - - -
3021 Golongan Darah Anti D - - - - - - - - - - -
709 Reagen Giemsa + Buffer Giemds - - - - - - - - - - -
1836 Stick Urine 10 PM - - - - - - - - - - -
1839 Strip Urine 11 PM - - - - - - - - - - -
1840 Strip Urine 3 PM - - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
Pengecatan - - - - - - - - - - -
3101 Brilliant Cresyl Blue 1 % - - - - - - - - - - -
3102 Giemsa - - - - - - - - - - -
3103 Larutan Drabkin - - - - - - - - - - -
3104 Larutan Eosin 2 % - - - - - - - - - - -
3105 Larutan Turk - - - - - - - - - - -
3106 Oil Imersion - - - - - - - - - - -
3107 Pewarna Gram - - - - - - - - - - -
3108 - - - - - - - - - - -
tepi/MDT
3109 Pewarna Ziehl Nellsen - - - - - - - - - - -
3110 Xylol - - - - - - - - - - -
PROGRAM HIV - - - - - - - - - - -
1905 Tes HIV I (Oncoprobe ) - - - - - - - - - - -

1906 Tes HIV II ( Intech Triline ) ) - - - - - - - - - - -
1907 Tes HIV III (Vikia ) - - - - - - - - - - -
Reagen I SD Bioline HIV 1/2 - - - - - - - - - - -
- - - - - - - - - - -
Tes Carrd
Reagen Penghitung CD 4 - - - - - - - - - - -
Reagen Penghitung CD 4 Control - - - - - - - - - - -
Catridge TCM - - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
Autocheck total Kolesterol 10 Strip - - - - - - - - - - -
Spekulum Disposble - - - - - - - - - - -
Cotton swab - - - - - - - - - - -
Larutan Chlorine - - - - - - - - - - -
Sputum Pot - - - - - - - - - - -
Paket Alat Deteksi Resiko Kehamilan - - - - - - - - - - -
Catridge TCM - - - - - - - - - - -
Gluco Protein - - - - - - - - - - -
Tube EDTA plh 13x75 3,0 blblce lav - - - - - - - - - - -
Ultra Once Test Hamil - - - - - - - - - - -
3002 Widal Salmonella Thypi O Antigen A - - - - - - - - - - -
3003 Widal Salmonella Thypi O Antigen B - - - - - - - - - - -
3004 Widal Salmonella Thypi O Antigen C - - - - - - - - - - -
3005 Widal Salmonella Thypi O - - - - - - - - - - -
3006 Widal Salmonella Thypi H Antigen A - - - - - - - - - - -
3007 Widal Salmonella Thypi H Antigen B - - - - - - - - - - -
3008 Widal Salmonella Thypi H Antigen C - - - - - - - - - - -
3009 Widal Salmonella Thypi H - - - - - - - - - - -
3010 Control Positive Polyvalent - - - - - - - - - - -
3011 Control Negatif Polyvalent - - - - - - - - - - -
3012 HBsAg Strip Tes - - - - - - - - - - -
3013 HBsAb Strip Tes - - - - - - - - - - -
3014 Determine HIV - - - - - - - - - - -
3015 Rapid Syphilis - - - - - - - - - - -
3016 ICT Malaria - - - - - - - - - - -
3018 Golongan Darah Anti A - - - - - - - - - - -
3019 Golongan Darah Anti B - - - - - - - - - - -

3020 Golongan Darah Anti AB - - - - - - - - - - -
3021 Golongan Darah Anti D - - - - - - - - - - -
709 Reagen Giemsa + Buffer Giemds - - - - - - - - - - -
1836 Stick Urine 10 PM - - - - - - - - - - -
1839 Strip Urine 11 PM - - - - - - - - - - -
1840 Strip Urine 3 PM - - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
Pengecatan - - - - - - - - - - -
3101 Brilliant Cresyl Blue 1 % - - - - - - - - - - -
3102 Giemsa - - - - - - - - - - -
3103 Larutan Drabkin - - - - - - - - - - -
3104 Larutan Eosin 2 % - - - - - - - - - - -
3105 Larutan Turk - - - - - - - - - - -
3106 Oil Imersion - - - - - - - - - - -
3107 Pewarna Gram - - - - - - - - - - -
3108 - - - - - - - - - - -
tepi/MDT
3109 Pewarna Ziehl Nellsen - - - - - - - - - - -
3110 Xylol - - - - - - - - - - -
PROGRAM HIV - - - - - - - - - - -
1905 Tes HIV I (Oncoprobe ) - - - - - - - - - - -

1906 Tes HIV II ( Intech Triline ) ) - - - - - - - - - - -
1907 Tes HIV III (Vikia ) - - - - - - - - - - -
Reagen I SD Bioline HIV 1/2 - - - - - - - - - - -
- - - - - - - - - - -
Tes Carrd
Reagen Penghitung CD 4 - - - - - - - - - - -
Reagen Penghitung CD 4 Control - - - - - - - - - - -
Catridge TCM - - - - - - - - - - -
NO NAMA OBAT
Autocheck total Kolesterol 10 Strip - 0 - - - - - - -
Spekulum Disposble - 0 - - - - - - -
Cotton swab - 0 - - - - - - -
Larutan Chlorine - 0 - - - - - - -
Sputum Pot - 0 - - - - - - -
Paket Alat Deteksi Resiko Kehamilan - 0 - - - - - - -
Catridge TCM - 0 - - - - - - -
Gluco Protein - 0 - - - - - - -
Tube EDTA plh 13x75 3,0 blblce lav - 0 - - - - - - -
Ultra Once Test Hamil - 0 - - - - - - -
3002 Widal Salmonella Thypi O Antigen A - 0 - - - - - - -
3003 Widal Salmonella Thypi O Antigen B - 0 - - - - - - -
3004 Widal Salmonella Thypi O Antigen C - 0 - - - - - - -
3005 Widal Salmonella Thypi O - 0 - - - - - - -
3006 Widal Salmonella Thypi H Antigen A - 0 - - - - - - -
3007 Widal Salmonella Thypi H Antigen B - 0 - - - - - - -
3008 Widal Salmonella Thypi H Antigen C - 0 - - - - - - -
3009 Widal Salmonella Thypi H - 0 - - - - - - -
3010 Control Positive Polyvalent - 0 - - - - - - -
3011 Control Negatif Polyvalent - 0 - - - - - - -
3012 HBsAg Strip Tes - 0 - - - - - - -
3013 HBsAb Strip Tes - 0 - - - - - - -
3014 Determine HIV - 0 - - - - - - -
3015 Rapid Syphilis - 0 - - - - - - -
3016 ICT Malaria - 0 - - - - - - -
3018 Golongan Darah Anti A - 0 - - - - - - -
3019 Golongan Darah Anti B - 0 - - - - - - -

3020 Golongan Darah Anti AB - 0 - - - - - - -
3021 Golongan Darah Anti D - 0 - - - - - - -
709 Reagen Giemsa + Buffer Giemds - 0 - - - - - - -
1836 Stick Urine 10 PM - 0 - - - - - - -
1839 Strip Urine 11 PM - 0 - - - - - - -
1840 Strip Urine 3 PM - 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
- 0 - - - - - - -
Pengecatan - 0 - - - - - - -
3101 Brilliant Cresyl Blue 1 % - 0 - - - - - - -
3102 Giemsa - 0 - - - - - - -
3103 Larutan Drabkin - 0 - - - - - - -
3104 Larutan Eosin 2 % - 0 - - - - - - -
3105 Larutan Turk - 0 - - - - - - -
3106 Oil Imersion - 0 - - - - - - -
3107 Pewarna Gram - 0 - - - - - - -
3108 - 0 - - - - - - -
tepi/MDT
3109 Pewarna Ziehl Nellsen - 0 - - - - - - -
3110 Xylol - 0 - - - - - - -
PROGRAM HIV - 0 - - - - - - -
1905 Tes HIV I (Oncoprobe ) - 0 - - - - - - -

1906 Tes HIV II ( Intech Triline ) ) - 0 - - - - - - -
1907 Tes HIV III (Vikia ) - 0 - - - - - - -
Reagen I SD Bioline HIV 1/2 - 0 - - - - - - -
- 0 - - - - - - -
Tes Carrd
Reagen Penghitung CD 4 - 0 - - - - - - -
Reagen Penghitung CD 4 Control - 0 - - - - - - -
Catridge TCM - 0 - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
Autocheck total Kolesterol 10 Strip -
Spekulum Disposble -
Cotton swab -
Larutan Chlorine -
Sputum Pot -
Paket Alat Deteksi Resiko Kehamilan -
Catridge TCM -
Gluco Protein -
Tube EDTA plh 13x75 3,0 blblce lav -
Ultra Once Test Hamil -
3002 Widal Salmonella Thypi O Antigen A -
3003 Widal Salmonella Thypi O Antigen B -
3004 Widal Salmonella Thypi O Antigen C -
3005 Widal Salmonella Thypi O -
3006 Widal Salmonella Thypi H Antigen A -
3007 Widal Salmonella Thypi H Antigen B -
3008 Widal Salmonella Thypi H Antigen C -
3009 Widal Salmonella Thypi H -
3010 Control Positive Polyvalent -
3011 Control Negatif Polyvalent -
3012 HBsAg Strip Tes -
3013 HBsAb Strip Tes -
3014 Determine HIV -
3015 Rapid Syphilis -
3016 ICT Malaria -
3018 Golongan Darah Anti A -
3019 Golongan Darah Anti B -

3020 Golongan Darah Anti AB -
3021 Golongan Darah Anti D -
709 Reagen Giemsa + Buffer Giemds -
1836 Stick Urine 10 PM -
1839 Strip Urine 11 PM -
1840 Strip Urine 3 PM -
-
-
-
-
-
Pengecatan -
3101 Brilliant Cresyl Blue 1 % -
3102 Giemsa -
3103 Larutan Drabkin -
3104 Larutan Eosin 2 % -
3105 Larutan Turk -
3106 Oil Imersion -
3107 Pewarna Gram -
3108 -
tepi/MDT
3109 Pewarna Ziehl Nellsen -
3110 Xylol -
PROGRAM HIV -
1905 Tes HIV I (Oncoprobe ) -

1906 Tes HIV II ( Intech Triline ) ) -
1907 Tes HIV III (Vikia ) -
Reagen I SD Bioline HIV 1/2 -
-
Tes Carrd
Reagen Penghitung CD 4 -
Reagen Penghitung CD 4 Control -
Catridge TCM -
STOK PENERI PERSEDI
NO NAMA OBAT
Efavirenz (EFV) 600mg - - - - - -
Nevirapine ( NVP ) 200mg - - - - - -
Zidofudine ( ZDV ) 300mg + Lamivudine
- - - - - -
( 3TC ) 150mg
Tenofovir 300+Lamivudin 300+Efavien 600
- - - - - -
Dewasa

- - - - - -
30mg+Nevirapine 50mg ( Triple FDC ) Anak
Zidofudine (ZDV ) 100 mg tablet - - - - - -
Tenofovir 300 mg tablet - - - - - -

Efavirenz (EFV) 200 mg - - - - - -
Tenofovir 300 mg + Emcitritabine 200 (FCT) - - - - - -
Abacavir (ABC) 300 mg - - - - - -

Lamivudine 150 mg tablet - - - - - -
Right Sign - - - - - -
Verorab Serum - - - - - -
Anti-HIV1/2 Cassette (FOKUS 25 test) - - - - - -
Acon Hb Hemoglobin Strip 50 test mission - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 6 7 8 9 10 11 12 13 14 15
Efavirenz (EFV) 600mg - - - - - - - - - - -
Nevirapine ( NVP ) 200mg - - - - - - - - - - -
- - - - - - - - - - -
( 3TC ) 150mg
- - - - - - - - - - -
Dewasa

- - - - - - - - - - -
Zidofudine (ZDV ) 100 mg tablet - - - - - - - - - - -
Tenofovir 300 mg tablet - - - - - - - - - - -

Efavirenz (EFV) 200 mg - - - - - - - - - - -
Tenofovir 300 mg + Emcitritabine 200 (FCT) - - - - - - - - - - -
Abacavir (ABC) 300 mg - - - - - - - - - - -

Lamivudine 150 mg tablet - - - - - - - - - - -
Right Sign - - - - - - - - - - -
Verorab Serum - - - - - - - - - - -
Anti-HIV1/2 Cassette (FOKUS 25 test) - - - - - - - - - - -
Acon Hb Hemoglobin Strip 50 test mission - - - - - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT
AWAL MAAN AAN 16 17 18 19 20 21 22 23 24 25
Efavirenz (EFV) 600mg - - - - - - - - - - -
Nevirapine ( NVP ) 200mg - - - - - - - - - - -
- - - - - - - - - - -
( 3TC ) 150mg
- - - - - - - - - - -
Dewasa

- - - - - - - - - - -
Zidofudine (ZDV ) 100 mg tablet - - - - - - - - - - -
Tenofovir 300 mg tablet - - - - - - - - - - -

Efavirenz (EFV) 200 mg - - - - - - - - - - -
Tenofovir 300 mg + Emcitritabine 200 (FCT) - - - - - - - - - - -
Abacavir (ABC) 300 mg - - - - - - - - - - -

Lamivudine 150 mg tablet - - - - - - - - - - -
Right Sign - - - - - - - - - - -
Verorab Serum - - - - - - - - - - -
Anti-HIV1/2 Cassette (FOKUS 25 test) - - - - - - - - - - -
Acon Hb Hemoglobin Strip 50 test mission - - - - - - - - - - -
NO NAMA OBAT
Efavirenz (EFV) 600mg - 0 - - - - - - -
Nevirapine ( NVP ) 200mg - 0 - - - - - - -
- 0 - - - - - - -
( 3TC ) 150mg
- 0 - - - - - - -
Dewasa

- 0 - - - - - - -
Zidofudine (ZDV ) 100 mg tablet - 0 - - - - - - -
Tenofovir 300 mg tablet - 0 - - - - - - -

Efavirenz (EFV) 200 mg - 0 - - - - - - -
Tenofovir 300 mg + Emcitritabine 200 (FCT) - 0 - - - - - - -
Abacavir (ABC) 300 mg - 0 - - - - - - -

Lamivudine 150 mg tablet - 0 - - - - - - -
Right Sign - 0 - - - - - - -
Verorab Serum - 0 - - - - - - -
Anti-HIV1/2 Cassette (FOKUS 25 test) - 0 - - - - - - -
Acon Hb Hemoglobin Strip 50 test mission - 0 - - - - - - -
STOK PENERI PERSEDI
NO NAMA OBAT KET.
AWAL MAAN AAN
Efavirenz (EFV) 600mg -
Nevirapine ( NVP ) 200mg -
-
( 3TC ) 150mg
-
Dewasa

-
Zidofudine (ZDV ) 100 mg tablet -
Tenofovir 300 mg tablet -

Efavirenz (EFV) 200 mg -
Tenofovir 300 mg + Emcitritabine 200 (FCT) -
Abacavir (ABC) 300 mg -

Lamivudine 150 mg tablet -
Right Sign -
Verorab Serum -
Anti-HIV1/2 Cassette (FOKUS 25 test) -
Acon Hb Hemoglobin Strip 50 test mission -
LAPORAN BULANAN PELAYANAN KEFARMASIAN DI PUSKESMAS
NAMA PUSKESMAS
KABUPATEN/KOTA
PROVINSI
LAPORAN BULAN
N0 TANGGAL ASAL RESEP ASAL RESEP TOTAL UMUM BPJS TOTAL

PUSLI TOTAL RAWAT TOTAL
BP KIA GIGI IGD VK
NG INAP
1 01/02/2018 14 5 1 20 0 20 14 6 20
2 02/02/2018 14 3 1 18 0 18 11 7 18
3 03/02/2018 20 4 1 25 0 25 14 11 25
4 04/02/2018 0 0 0 0
5 05/02/2018 13 7 1 21 0 21 9 12 21
6 06/02/2018 23 3 1 27 5 5 32 7 25 32
7 07/02/2018 20 4 3 27 0 27 11 16 27
8 08/02/2018 21 11 32 3 3 35 16 19 35
9 09/02/2018 12 5 3 20 0 20 12 8 20
10 10/02/2018 19 5 2 26 0 26 11 15 26
11 11/02/2018 0 0 0 0
12 12/02/2018 18 7 5 30 0 30 18 12 30
13 13/02/2018 24 6 2 32 0 32 18 14 32
14 14/02/2018 27 8 1 36 0 36 18 18 36
15 15/02/2018 9 4 4 17 2 2 19 8 11 19
16 16/02/2018 0 0 0 0
17 17/02/2018 21 8 1 1 31 0 31 16 15 31
18 18/02/2018 0 0 0 0
19 19/02/2018 23 9 3 35 1 1 36 19 17 36
20 20/02/2018 36 4 1 2 43 2 2 45 34 11 45
21 21/02/2018 20 8 3 31 0 31 11 20 31
22 22/02/2018 9 8 2 19 2 2 21 7 14 21
23 23/02/2018 12 3 4 19 0 19 12 7 19
24 24/02/2018 18 7 25 4 4 29 14 15 29
25 25/02/2018 0 0 0 0
26 26/02/2018 12 6 3 2 23 2 2 25 12 13 25
27 27/02/2018 22 10 4 36 1 1 37 20 17 37
28 28/02/2018 16 9 25 1 1 26 18 8 26
N0 TANGGAL ASAL RESEP ASAL RESEP TOTAL UMUM BPJS TOTAL
PUSLI TOTAL RAWAT TOTAL
BP KIA GIGI IGD VK
NG INAP
TOTAL 423 144 41 10 0 618 23 641 641
Lembengan 0 0 0 0
Suren1 108 225 333 0 333 107 226 333
Suren2 156 165 95 416 0 416 105 311 416
Sumber Anget 218 218 0 218 121 97 218
Karang Paiton 29 31 19 79 0 79 39 40 79
Suko Gidri 220 220 0 220 150 70 220
Sumber Lesung 470 470 0 470 350 120 470
Sumber Salak 34 48 127 209 0 209 142 67 209
Ledokombo 77 50 118 245 0 245 165 80 245
Sumber Bulus 150 173 88 411 0 411 18 393 411
Slateng 132 6 120 258 0 258 171 87 258
UGD 64 0 64 24 40 64
R. Bersalin 45 0 45 15 30 45
TOTAL 1329 1305 41 10 792 3586 0 0 23 3609 1737 1872 3609
Mengetahui,
Kepala UPT. Puskesmas Ledokombo
dr. Rita Wahyuningsih

NIP. 1760126 200801 2 012
TANGGAL : 1 NOVEMBER 2017
NO
KETERANGAN
NAMA PASIEN
ANTI BIOTIKA
Amok 500 mg
Cipro
tetra 500 mg
Cotrim
Omeprazol
Clorampenical
Ethambutol
Grisefulfin
Ketokonazol
Aciclofir
Metronidazol
ANALGESIK
asmef
Ibuprof 200 mg
Ibuprof 400 mg
Nodic
Piroxicam
ANTIHISTAMIN
CTM
KORTIKOSTEROID
Dexametason
Prednison
ANTIPIRETIK
Pamol 500 mg
NO
KETERANGAN
NAMA PASIEN
CARDIOVASKULAR
Captopril
Nifedipin
Furosemid
Amplodidin
Spinorolocton
ANTI DIABETIK
Merformin
Glibenclamid
RESPIRATOR
salbutamol
Acetycysteine
ANTI DIARE (GASTRO)

Antacid
Attapulgit
DimenHidrinat
Ranitidin
Bisakodil
Oralit
Anti H
COLESTEROL
Simfastatin
MUSCULUS
Alopurinol
NO
KETERANGAN
NAMA PASIEN
VITAMIN
Vit BC
Vit C
Vit B 1
vit B6
VIT K
Calk
EYE / EAR
T.T Fenol G
T.M Cloramp
GOL SIRUP
Sirup Antasida
Sirup Amok
Sirup Cotri
Sirup Pamol
Sirup Metro
KATEGORI DERMATOLOG
S.K 24
S.K Antifungsi
S.K Scabimit
S.K Miconazol
S.K Hidro
S.K Betametason
S.K Aciklofir
S.K Gentamicin
NO
KETERANGAN
NAMA PASIEN
Salicil Talk
Salicil Spiritus
S.K Bioplacenton
ALKES
Kassa
Kapas
Alkohol
Cloretil
Hipafix
Mess
Infuset D
Masker
Hanscon
Spuit 3cc
Catgul 2 / 0
Kassa 15x15
Kassa 40 x 80
Kassa Transmisatin
Nedle no 25
Cateter no 25
INJECSI
Inj. Dexa
Inj. Cianocobalamine
Inj. Aminopilin
Aseptic hand
kartu golongan darah slide
Lubrikan Jelly
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
NO
KETERANGAN
NAMA PASIEN
Triheksifenidil Hcl tablet - 2 mg

Trikresol Formalin (Forinokresol) cairan - 10 ml
Ulsikur/ Ulcumet injeksi 200mg
Umbilical Cord
Underpad
Urine bag
Uriscan Gen 11 / 10 Parameter
Uriscan Glucose 1
NO
KETERANGAN
NAMA PASIEN
Uriscan GP2 for Reduksi + Albumin

USG Gel 250 ml
USG Gel 5 liter
Vaselin Alba
Ventolin / Salbutamol Inhaler 0,5 %
Ventolin Nebules /Salbutamol Cairan 2,5 mg
Voluven - Koloid HES BM 130.000 Lar inf 0,6 %
Vitamin B Kompleks tablet
Wida D5 1/2 NS
Wing Needle bayi no.25
Xylomidon inj
Yodium Povidon 10% - 30 ml
Yodium Povidon 1000 ml
Zentral sirup
ZINC tablet 20 mg
Zircum KID sirup
Zoralin
Ikaneuron
Novabion
Recovit Plus
PROGRAM IMUNISASI
Pelarut BCG
Vaksin MR
Vaksin BCG
Vaksin DPT Hb - Hib / PENTABIO
Vaksin Polio bOPV 10 Dosis
Vaksin POLIO 20 Dosis
Vaksin DT
Vaksin HB Unijeck
Vaksin Polio IPV 5 Dosis
NO
KETERANGAN
NAMA PASIEN
Vaksin Td
Vaksin TT
Vaksin Meningitis
Vaksin Campak
Pelarut Campak
Pen maker
PROGRAM IMS
Alcohol Swab
Cotton Applicators Sterile
Cover Glass
Hand Gloves
Immersion Oil
Kertas PH 3,8 - 4,2
KOH 10%
Methylated Spirit
Methylen Blue 0.3%
Nacl 0.9%
Object Glass
Reagen Sifilis RPR/kit (10ml untk 500 test)
Reagen Sifilis TPHA
Vaculab/Tabung darah plastic tutup merah
Xylol
Yellow dan Blue Tip
Reagen Rapid syphilis/Standar Diagnostic
Performa Test Strips/ Stik GDA ACCU
Safe-T Pro Uno
Focus TPHA (100 test)
Total Hardness: 12-537 mg/ L CaCO3
Stip Glukosa Merk Easytouch
NO
KETERANGAN
NAMA PASIEN
Stip Urid Acid Merk Easytouch

Stip Colesterol Merk Easytouch
Asam Cuka 25 %
Autocheck total Kolesterol 10 Strip
Spekulum Disposble
Cotton swab
Larutan Chlorine
Sputum Pot
Paket Alat Deteksi Resiko Kehamilan
Catridge TCM
Gluco Protein
Tube EDTA plh 13x75 3,0 blblce lav
Ultra Once Test Hamil
Widal Salmonella Thypi O Antigen A
Widal Salmonella Thypi O Antigen B
Widal Salmonella Thypi O Antigen C
Widal Salmonella Thypi O
Widal Salmonella Thypi H Antigen A
Widal Salmonella Thypi H Antigen B
Widal Salmonella Thypi H Antigen C
Widal Salmonella Thypi H
Control Positive Polyvalent
Control Negatif Polyvalent
HBsAg Strip Tes
HBsAb Strip Tes
Determine HIV
Rapid Syphilis
ICT Malaria
Golongan Darah Anti A
NO
KETERANGAN
NAMA PASIEN
Golongan Darah Anti B

Golongan Darah Anti AB
Golongan Darah Anti D
Reagen Giemsa + Buffer Giemds
Stick Urine 10 PM
Strip Urine 11 PM
Strip Urine 3 PM
Pengecatan
Brilliant Cresyl Blue 1 %
Giemsa
Larutan Drabkin
Larutan Eosin 2 %
Larutan Turk
Oil Imersion
Pewarna Gram
Pewarna Rapid/ sediaan apus darah tepi/MDT
Pewarna Ziehl Nellsen
Xylol
PROGRAM HIV
Tes HIV I (Oncoprobe )
Tes HIV II ( Intech Triline ) )
Tes HIV III (Vikia )
Reagen I SD Bioline HIV 1/2
Reagen I Intec One Step Anti HIV Tri Line Tes Carrd
NO
KETERANGAN
NAMA PASIEN
Reagen Penghitung CD 4
Reagen Penghitung CD 4 Control
Catridge TCM
Efavirenz (EFV) 600mg
Nevirapine ( NVP ) 200mg
Zidofudine ( ZDV ) 300mg + Lamivudine ( 3TC ) 150mg
Tenofovir 300+Lamivudin 300+Efavien 600 Dewasa

Zidofudine (ZDV ) 100 mg tablet
Tenofovir 300 mg tablet
Efavirenz (EFV) 200 mg
Tenofovir 300 mg + Emcitritabine 200 (FCT)
Abacavir (ABC) 300 mg
Lamivudine 150 mg tablet
Right Sign
Verorab Serum
Anti-HIV1/2 Cassette (FOKUS 25 test)
Acon Hb Hemoglobin Strip 50 test mission
Balsem
Minyak kayu putih
ZINC tablet 20 mg
Zircum KID sirup
Zoralin
Ikaneuron
Novabion
Recovit Plus
PROGRAM IMUNISASI
NO
KETERANGAN
NAMA PASIEN
Pelarut BCG
Vaksin MR
Vaksin BCG
TANGGAL : 1 NOVEMBER 2017
NO
KETERANGAN
NAMA PASIEN
JUMLAH
ANTI BIOTIKA 0
Amok 500 mg 0
Cipro 0
tetra 500 mg 0
Cotrim 0
Omeprazol 0
Clorampenical 0
Ethambutol 0
Grisefulfin 0
Ketokonazol 0
Aciclofir 0
Metronidazol 0
0
ANALGESIK 0
asmef 0
Ibuprof 200 mg 0
Ibuprof 400 mg 0
Nodic 0
Piroxicam 0
0
ANTIHISTAMIN 0
CTM 0
0
KORTIKOSTEROID 0
Dexametason 0
Prednison 0
0
ANTIPIRETIK 0
Pamol 500 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
CARDIOVASKULAR 0
Captopril 0
Nifedipin 0
Furosemid 0
Amplodidin 0
Spinorolocton 0
0
ANTI DIABETIK 0
Merformin 0
Glibenclamid 0
0
RESPIRATOR 0
salbutamol 0
Acetycysteine 0
0
ANTI DIARE (GASTRO) 0
Antacid 0
Attapulgit 0
DimenHidrinat 0
Ranitidin 0
Bisakodil 0
Oralit 0
Anti H 0
0
COLESTEROL 0
Simfastatin 0
0
MUSCULUS 0
Alopurinol 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
VITAMIN 0
Vit BC 0
Vit C 0
Vit B 1 0
vit B6 0
VIT K 0
Calk 0
0
EYE / EAR 0
T.T Fenol G 0
T.M Cloramp 0
0
GOL SIRUP 0
Sirup Antasida 0
Sirup Amok 0
Sirup Cotri 0
Sirup Pamol 0
Sirup Metro 0
0
KATEGORI DERMATOLOG 0
S.K 24 0
S.K Antifungsi 0
S.K Scabimit 0
S.K Miconazol 0
S.K Hidro 0
S.K Betametason 0
S.K Aciklofir 0
S.K Gentamicin 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Salicil Talk 0
Salicil Spiritus 0
S.K Bioplacenton 0
0
ALKES 0
Kassa 0
Kapas 0
Alkohol 0
Cloretil 0
Hipafix 0
Mess 0
Infuset D 0
Masker 0
Hanscon 0
Spuit 3cc 0
Catgul 2 / 0 0
Kassa 15x15 0
Kassa 40 x 80 0
Kassa Transmisatin 0
Nedle no 25 0
Cateter no 25 0
0
INJECSI 0
Inj. Dexa 0
Inj. Cianocobalamine 0
Inj. Aminopilin 0
Aseptic hand 0
kartu golongan darah slide 0
Lubrikan Jelly 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Triheksifenidil Hcl tablet - 2 mg 0
Trikresol Formalin (Forinokresol) cairan - 10 ml 0
Ulsikur/ Ulcumet injeksi 200mg 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Gen 11 / 10 Parameter 0
Uriscan Glucose 1 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Uriscan GP2 for Reduksi + Albumin 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Ventolin / Salbutamol Inhaler 0,5 % 0
Ventolin Nebules /Salbutamol Cairan 2,5 mg 0
Voluven - Koloid HES BM 130.000 Lar inf 0,6 % 0
Vitamin B Kompleks tablet 0
Wida D5 1/2 NS 0
Wing Needle bayi no.25 0
Xylomidon inj 0
Yodium Povidon 10% - 30 ml 0
Yodium Povidon 1000 ml 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DPT Hb - Hib / PENTABIO 0
Vaksin Polio bOPV 10 Dosis 0
Vaksin POLIO 20 Dosis 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Polio IPV 5 Dosis 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cotton Applicators Sterile 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Methylen Blue 0.3% 0
Nacl 0.9% 0
Object Glass 0
Reagen Sifilis RPR/kit (10ml untk 500 test) 0
Reagen Sifilis TPHA 0
Vaculab/Tabung darah plastic tutup merah 0
Xylol 0
Yellow dan Blue Tip 0
Reagen Rapid syphilis/Standar Diagnostic 0
Performa Test Strips/ Stik GDA ACCU 0
Safe-T Pro Uno 0
Focus TPHA (100 test) 0
Total Hardness: 12-537 mg/ L CaCO3 0
Stip Glukosa Merk Easytouch 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Stip Urid Acid Merk Easytouch 0
Stip Colesterol Merk Easytouch 0
Asam Cuka 25 % 0
Autocheck total Kolesterol 10 Strip 0
Spekulum Disposble 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Paket Alat Deteksi Resiko Kehamilan 0
Catridge TCM 0
Gluco Protein 0
Tube EDTA plh 13x75 3,0 blblce lav 0
Ultra Once Test Hamil 0
Widal Salmonella Thypi O Antigen A 0
Widal Salmonella Thypi O Antigen B 0
Widal Salmonella Thypi O Antigen C 0
Widal Salmonella Thypi O 0
Widal Salmonella Thypi H Antigen A 0
Widal Salmonella Thypi H Antigen B 0
Widal Salmonella Thypi H Antigen C 0
Widal Salmonella Thypi H 0
Control Positive Polyvalent 0
Control Negatif Polyvalent 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Golongan Darah Anti A 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Golongan Darah Anti B 0
Golongan Darah Anti AB 0
Golongan Darah Anti D 0
Reagen Giemsa + Buffer Giemds 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
0
0
Pengecatan 0
Brilliant Cresyl Blue 1 % 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Pewarna Rapid/ sediaan apus darah tepi/MDT 0
Pewarna Ziehl Nellsen 0
Xylol 0
PROGRAM HIV 0
Tes HIV I (Oncoprobe ) 0
Tes HIV II ( Intech Triline ) ) 0
Tes HIV III (Vikia ) 0
Reagen I SD Bioline HIV 1/2 0
Reagen I Intec One Step Anti HIV Tri Line Tes Carrd 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Reagen Penghitung CD 4 0
Reagen Penghitung CD 4 Control 0
Catridge TCM 0
Efavirenz (EFV) 600mg 0
Nevirapine ( NVP ) 200mg 0
Zidofudine ( ZDV ) 300mg + Lamivudine ( 3TC ) 150mg 0
Tenofovir 300+Lamivudin 300+Efavien 600 Dewasa 0

0
Zidofudine (ZDV ) 100 mg tablet 0
Tenofovir 300 mg tablet 0
Efavirenz (EFV) 200 mg 0
Tenofovir 300 mg + Emcitritabine 200 (FCT) 0
Abacavir (ABC) 300 mg 0
Lamivudine 150 mg tablet 0
Right Sign 0
Verorab Serum 0
Anti-HIV1/2 Cassette (FOKUS 25 test) 0
Acon Hb Hemoglobin Strip 50 test mission 0
Balsem 0
Minyak kayu putih 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
0
PROGRAM IMUNISASI 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
TANGGAL : 2 FEBRUARI 2018
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
KETERANGAN
IMAM TURMUDZIF
SUHARTININGSIH
NAMA PASIEN
SITI FATIMAH
MUTMAINAH
AYU DIAH
ALVIATUL
SAIDATIR
JUMLAH
ZAM ZAM
MULYADI
M. RAFIN
MUKTAR
SUMIATI
NAWATI
SAHATI
RISKA
MIFTA
RAKA
DEWI
ANTI BIOTIKA 0
Amok 500 mg 0
Cipro 0
tetra 500 mg 0
Cotrim 0
Omeprazol 0
Clorampenical 0
Ethambutol 0
Grisefulfin 0
Ketokonazol 0
Aciclofir 0
Metronidazol 0
0
ANALGESIK 0
asmef 0
Ibuprof 200 mg 0
Ibuprof 400 mg 0
Nodic 0
Piroxicam 0
0
ANTIHISTAMIN 5 5
CTM 0
10 10 10 9 39
KORTIKOSTEROID 0
Prednison 0
0
ANTIPIRETIK 6 6
Pamol 500 mg 0
0
CARDIOVASKULAR 2 2
Captopril 0
Nifedipin 0
Furosemid 0
Amplodidin 0
Spinorolocton 0
0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
KETERANGAN
IMAM TURMUDZIF
SUHARTININGSIH
NAMA PASIEN
SITI FATIMAH
MUTMAINAH
AYU DIAH
ALVIATUL
SAIDATIR
JUMLAH
ZAM ZAM
MULYADI
M. RAFIN
MUKTAR
SUMIATI
NAWATI
SAHATI
RISKA
MIFTA
RAKA
DEWI
ANTI DIABETIK 0
Merformin 0
Glibenclamid 0
2 3 10 5 6 10 36
RESPIRATOR 0
salbutamol 0
Acetycysteine 10 10
0
Antacid 0
Attapulgit 0
DimenHidrinat 0
Ranitidin 0
Bisakodil 0
Oralit 0
Anti H 0
0
COLESTEROL 0
Simfastatin 0
0
MUSCULUS 0
Alopurinol 0
0
VITAMIN 0
Vit BC 0
Vit C 0
Vit B 1 0
vit B6 0
VIT K 0
Calk 0
0
EYE / EAR 0
T.T Fenol G 0
T.M Cloramp 0
10 10
GOL SIRUP 0
Sirup Antasida 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
KETERANGAN
IMAM TURMUDZIF
SUHARTININGSIH
NAMA PASIEN
SITI FATIMAH
MUTMAINAH
AYU DIAH
ALVIATUL
SAIDATIR
JUMLAH
ZAM ZAM
MULYADI
M. RAFIN
MUKTAR
SUMIATI
NAWATI
SAHATI
RISKA
MIFTA
RAKA
DEWI
Sirup Amok 0
Sirup Cotri 0
Sirup Pamol 0
Sirup Metro 0
0
S.K 24 0
S.K Antifungsi 10 10
S.K Scabimit 0
S.K Miconazol 0
S.K Hidro 0
S.K Betametason 0
S.K Aciklofir 0
S.K Gentamicin 0
Salicil Talk 0
Salicil Spiritus 0
S.K Bioplacenton 0
0
ALKES 0
Kassa 0
Kapas 0
Alkohol 0
Cloretil 0
Hipafix 0
Mess 0
Infuset D 0
Masker 0
Hanscon 0
Spuit 3cc 0
Catgul 2 / 0 0
Kassa 15x15 10 10 20
Kassa 40 x 80 0
Nedle no 25 0
Cateter no 25 0
0
INJECSI 0
Inj. Dexa 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
KETERANGAN
IMAM TURMUDZIF
SUHARTININGSIH
NAMA PASIEN
SITI FATIMAH
MUTMAINAH
AYU DIAH
ALVIATUL
SAIDATIR
JUMLAH
ZAM ZAM
MULYADI
M. RAFIN
MUKTAR
SUMIATI
NAWATI
SAHATI
RISKA
MIFTA
RAKA
DEWI
Inj. Aminopilin 0
Aseptic hand 0
Lubrikan Jelly 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
4
AYU DIAH
5
SUMIATI
6
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
10
MUKTAR
NAWATI
SAHATI
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
0
0
10
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
1
3
RISKA
5
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
3
1
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
MUKTAR
NAWATI
SAHATI
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
8
0
0
0
1
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
MUKTAR
NAWATI
SAHATI
10
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
0
0
0
0
0
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
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
1
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
MUKTAR
10
NAWATI
SAHATI
SUHARTININGSIH
1
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
10
JUMLAH
NO
KETERANGAN
NAMA PASIEN
2
1
RAKA
3
2
M. RAFIN
3
RISKA
6
4
AYU DIAH
5
10
SUMIATI
5
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
10 10 10
ALVIATUL
MUKTAR
NAWATI
SAHATI
10 10
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
76
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
10
MUKTAR
NAWATI
SAHATI
10
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
0
0
0
0
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
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
5
MULYADI
ALVIATUL
MUKTAR
10
NAWATI
5
SAHATI
SUHARTININGSIH
SITI FATIMAH
10
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
MUKTAR
NAWATI
SAHATI
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
MUKTAR
NAWATI
SAHATI
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
JUMLAH
NO
KETERANGAN
NAMA PASIEN
1
RAKA
2
M. RAFIN
3
RISKA
4
AYU DIAH
5
SUMIATI
6
SAIDATIR
7
IMAM TURMUDZIF
8
ZAM ZAM
9
DEWI
MULYADI
ALVIATUL
MUKTAR
NAWATI
SAHATI
SUHARTININGSIH
SITI FATIMAH
MUTMAINAH
10 11 12 13 14 15 16 17 18
MIFTA
0
0
JUMLAH
TANGGAL : 3 JANUARI 2018
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
ANTI BIOTIKA 0
Amok 500 mg 0
Cipro 0
tetra 500 mg 0
Cotrim 0
Omeprazol 0
Clorampenical 0
Ethambutol 0
Grisefulfin 0
Ketokonazol 0
Aciclofir 0
Metronidazol 0
0
ANALGESIK 0
asmef 0
Ibuprof 200 mg 0
Ibuprof 400 mg 0
Nodic 0
Piroxicam 0
0
ANTIHISTAMIN 0
CTM 0
KORTIKOSTEROID 0
CARDIOVASKULAR 0
RESPIRATOR 0
Acetycysteine 0
S.K Scabimit 0
S.K Miconazol 0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
ANTI BIOTIKA 0
Amok 500 mg 0
Cipro 0
tetra 500 mg 0
Cotrim 0
Omeprazol 0
Clorampenical 0
Ethambutol 0
Grisefulfin 0
Ketokonazol 0
Aciclofir 0
Metronidazol 0
0
ANALGESIK 0
asmef 0
Ibuprof 200 mg 0
Ibuprof 400 mg 0
Nodic 0
Piroxicam 0
0
ANTIHISTAMIN 0
CTM 0
0
KORTIKOSTEROID 0
Dexametason 0
Prednison 0
0
ANTIPIRETIK 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Pamol 500 mg 0
0
CARDIOVASKULAR 0
Captopril 0
Nifedipin 0
Furosemid 0
Amplodidin 0
Spinorolocton 0
0
ANTI DIABETIK 0
Merformin 0
Glibenclamid 0
0
RESPIRATOR 0
salbutamol 0
Acetycysteine 0
0
Antacid 0
Attapulgit 0
DimenHidrinat 0
Ranitidin 0
Bisakodil 0
Oralit 0
Anti H 0
0
COLESTEROL 0
Simfastatin 0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
MUSCULUS 0
Alopurinol 0
0
VITAMIN 0
Vit BC 0
Vit C 0
Vit B 1 0
vit B6 0
VIT K 0
Calk 0
0
EYE / EAR 0
T.T Fenol G 0
T.M Cloramp 0
0
GOL SIRUP 0
Sirup Antasida 0
Sirup Amok 0
Sirup Cotri 0
Sirup Pamol 0
Sirup Metro 0
0
S.K 24 0
S.K Antifungsi 0
S.K Scabimit 0
S.K Miconazol 0
S.K Hidro 0
S.K Betametason 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
S.K Aciklofir 0
S.K Gentamicin 0
Salicil Talk 0
Salicil Spiritus 0
S.K Bioplacenton 0
0
ALKES 0
Kassa 0
Kapas 0
Alkohol 0
Cloretil 0
Hipafix 0
Mess 0
Infuset D 0
Masker 0
Hanscon 0
Spuit 3cc 0
Catgul 2 / 0 0
Kassa 15x15 0
Kassa 40 x 80 0
Nedle no 25 0
Cateter no 25 0
0
INJECSI 0
Inj. Dexa 0
Inj. Aminopilin 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Aseptic hand 0
Lubrikan Jelly 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO
KETERANGAN
NAMA PASIEN
0
0
JUMLAH
NO 1 2 3 4 5 6 7 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
KETERANGAN U U U U U U U U U B B B B B B B B B B B B B B B B B B B B B B B
AHMAD AMRULLAH
ALWI SAHRANI
NAMA PASIEN
SRI SUGIARTI
AHMAD REZA
JO LAKSONO
CHAIRIANTO
SUPARMAN
BUDIANTO
UAWATUN
DJUMAATI
RUMIYATI
SUWOTO
VIA MITA
WIDARA
JUMLAH
HAWIYA
WILDAN
NASIMA
KOISAH
NOVAL
ARSIDI
M. DWI
ASMIN
ROSID
MAKIS
YOGA
FADIL
ZEPO
TURI
ENIL
ETO
ITA
IIS
Aminofilina injeksi 24mg/ml-10ml 1 1
Amlodipin 10 mg 5 5 5 15
Amoksilin kaplet - 500 mg 9 10 19
Amoksilin kapsul - 250 mg 10 10
Antalgin tablet 500mg 6 9 15
Antasida Doen tablet 10 10 10 10 10 10 60
Antrain injeksi 2ml /5 1 1
Asam Askorbat (vit C) tablet 50 mg 3 2 2 5 10 5 27
Deksametason tablet 0,5 mg 9 9
Difenhidramina HCL injeksi 10 mg 1 1
Furosemida tablet 40 mg 3 3
Garam Oralit untuk 200 ml air 5 5
Gliseril Guayakolat tablet 100 mg 0
Hidrokortison Krim 2,5% 1 1
Ibuprofen tablet 400 mg 10 10
Isoniazid 100 mg 6 6
Klorfeniramina Maleat tablet 4mg 2 9 10 21
Kotrimoksazol tablet Adult 5 5
Natrium Diklofenak 50 mg 10 10
Parasetamol tablet 500 mg 2 2 2 5 5 6 10 5 10 10 10 10 10 87
Piridoksina HCL tablet 10mg 10 10
Tiamina (Vit B1) tablet 50 mg 5 5
Vitamin B Kompleks tablet 10 10 9 9 9 7 9 5 9 9 9 9 9 10 10 10 8 3 10 10 174
NO 18 19 20 21 22 23 24 25 26
KETERANGAN B B B B B B B B B
SITI UMI KULSIUM

NAMA PASIEN
HERMAWATI
RAMELAN
SANIMAH
RAYKONI
JUMLAH
WIWID
DANI
FINO
FIKO
Amlodipin 10 mg 10
Amoksilin Sirup Kering 1 2
Antalgin tablet 500mg 10 10
Antasi DOEN II Suspensi,Kombi 1
Antasida Doen tablet 10 10 50
Asam Askorbat (vit C) tablet 50 mg 49
Betametason krim 1 1
Deksametason tablet 0,5 mg 10 9 10 10 3 42
Garam Oralit untuk 200 ml air 6 6 36
Isoniazid 100 mg 32
Kloramfenikol Salep Mata 1% 1
Klorfeniramina Maleat tablet 4mg 10 9 3 3 25
Klorpromazina HCL tab salut 100 mg 20
Kotrimoksazol sirup 1 1 2
Loperamide tablet - 2mg 10 20
Parasetamol tablet 500 mg 10 10 3 3 66
Risperidone 2 mg 10
Salbutamol 4 mg 10
Vitamin B Kompleks tablet 10 10 8 73
ZINC tablet 20 mg 10 30
NO 34 35
KETERANGAN B B
NAMA PASIEN
SRI WAHYUNI
JUMLAH
DIMAS
Alopurinol tablet 10
Amlodipin 10 mg 20
Amoksilin kaplet - 500 mg 30
Amoksilin kapsul - 250 mg 10
Amoksilin Sirup Kering 3
Antasi DOEN II Suspensi,Kombi 1 1
Antasida Doen tablet 10 82
Asam Mefenamat kaplet 500 mg 10
Betametason krim 1
Deksametason tablet 0,5 mg 22
Garam Oralit untuk 200 ml air 23
Ibuprofen tablet 400 mg 60
Klorfeniramina Maleat tablet 4mg 33
Kotrimoksazol sirup 1
Kotrimoksazol tablet Adult 10
Kotrimoksazol tablet Forte 6 12
Loperamide tablet - 2mg 20
Natrium Diklofenak 50 mg 10
Parasetamol tablet 500 mg 107
Permetrin Krim 5% / Scabimite 1
Salbutamol 2 mg 10
Spasminal tablet 6 6 12
NO 9 10 11 12 13 14 15 16 17 18 19 20
KETERANGAN U U U U B B B B B B B B
NAMA PASIEN
INDRAWATI
ACH. SAKA
SURYANA
ALI WAFA
HAMDANI
MARSYA
TRI YULI
M. AFKA
JUMLAH
PARNO
ALFIA
DIMO
JAMI
Amoksilin kaplet - 500 mg 10 10 10 9 68

Amoksilin Sirup Kering 1 1 1 1 4
Asam Askorbat (vit C) tablet 50 mg 3 3 3 6 5 20
Betametason krim 1 1
Ketokonazol tablet 5
Ketokonazol Krim 2 % 1
Klindamycin kapsul 300 mg 9
Kloramfenikol Salep Mata 1% 1 1
Klorfeniramina Maleat tablet 4mg 3 3 10 36
Parasetamol tablet 500 mg 2 2 3 10 10 10 10 10 6 103
Salbutamol 4 mg 3 3
Vitamin B Kompleks tablet 10 10 10 10 81
NO 17 18 19 20 21 22 23 24 25 26
KETERANGAN B B B B B B B B B B
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Acon Stik for Plano Test 0
Acyclovir krim 0
Acyclovir tablet - 200 mg 0
Acyclovir tablet - 400 mg 12 12
Air raksa dental use 0
Alat Suntik 10 ml 0
Alat suntik sekali pakai 1 ml 0
Alat suntik sekali pakai 2,5 ml 0
Albendazol tablet 400 mg 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Ambroxol sirup 60 ml 0
Ambroxol tablet 30 mg 0
Aminofilina injeksi 24mg/ml-10ml 0
Aminofilina tablet 200 mg 0
Amitriptilina HCL tablet 25 mg 0
Amoksilin Forte Sirup Kering 0
Amoksilin kaplet - 500 mg 10 50
Ampisilina injeksi 1 gram 0
Antalgin injeksi 24 mg/ml-10ml 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Antalgin tablet 500mg 0
Antasida Doen tablet 10 10 10 10 50
Anti Hemmoroid Suppositoria 0
Asam tranexamat injeksi 100mg/ml 0
AsamTraneksamat HCL tablet 500mg 0
Aseptic Gel + Disp 500 ml 0
Asetosal tablet 100 mg 0
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Atropina Sulfat injeksi 0
Autodisposable Syringe 0,05 ml 0
Autodisposable Syringe 0,5 ml (Soloshot) 0
Autodisposable Syringe 5 ml (Soloshot) 0
Azitromicin 250 mg tab 0
Bahan tumpatan sementara/Caviton 0
Becefort tablet 0
Benzatin Bensil Pen.inj 2,4 juta IU 0
Betahistin Mesilat 6 mg 0
Betametason krim 0
Betametason N crem 0
Bisakodil Supp 10mg 0
0
NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Bisoprolol tablet 5 mg 0
Bist Mess No.24 0
Blood Lancet 0
Blood Lancet ( GEA ) 0
Bonding Liq 0
Bunofa 400 0
Calcium Gluconas infus 0
Captopril tablet 12,5 mg 0
Captopril tablet 25 mg 0
Cover Glass 18 x 18 cm 0
Carpiaton 100 mg 0
Catgut Chrom 2/0 + jarum 0
Catgut Plain 2/0 + jarum 0
Cefadroxil kapsul 500 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Ceftriaxone 1.Og inj Kering 0
Cendo Lyteer 0
Cetirizine Kapsul 10mg 0
Chlorhexidine gluconat 0,2% / ASEPTAN 0

Chlorhexidine gluconat 4% 500 cc + dispenser / ONE
0
SCROB
Chlorhexidine gluconat 0,5 W/v 70 % / ASEPTAN 0
Cimetidin tablet 200 mg 0
Clorin / One Clean 0
Colfin Syrup 0
NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Composit Light Curing A2 0
Composit Light Curing A3,5 0
Corsafen 500 mg 0
Cover Glass 0
Cresopen (obat gigi) 0
Cyprofloxacin kapsul 500 mg 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Daryan Tulle :Flamisetin Sulfat 10 x 10 cm 0
Decullin tablet 30mg 0
Deksametason Injeksi 5mg/ml 0
Demacolin tablet 0
Dentin Conditioner / Mini Pack 0
Depo Progestin Injeksi 3 bln 0
Dermazin salep kulit 1% - 25gram /BioplaN 0
Devitalisasi pasta 0
Dextral sirup 0
Dextran infus - 500 ml 0
Dextrofen Sirup 0
Diazepam Injeksi 5mg/ml-2ml 0
Diazepam tablet 2 mg 0
Diethylcarbamazine 0
Difenhidramina HCL injeksi 10 mg 0
Digoksina tablet 0,25 mg 0
Doksisiklin kapsul 100 mg 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Domperidon tablet 10 mg 0
Dulcolax supp Adult 10 mg / Bisakadil 0
Epinefrina HCL/Bitart injeksi 0.1% - l ml 0
Erithromicin kaplet 500 mg 0
Erithromicin kapsul 250 mg 0
Erithromicin sirup - 60 ml Kering 0
Etanol 70% - 1000 ml 0
Etching+bonding Liquit SDI 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Etil Klorida semprot 0
Eugenol Cairan - 10 ml 0
Farmoten 12,5 mg 0
Feeding tube No. 10 0
Fenitoina Natrium kapsul 100 mg 0
Fenobarbital Injeksi 50mg/ml-2ml 0
Fenobarbital tablet 30 mg 0
Fenoksimetil Penisilina tablet 250 mg 0
Fitomenadion injeksi 10mg/ml 0
Fitomenadion injeksi 2 mg/ml 0
Fitomenadion tablet 10 mg 0
Flagil / Metronidazol Ovuo 500mg 0
Fluoksetin 10 mg 0
Fluconazole 150 mg 0
NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Fluoride Sediaan Topical/Clinpro White 0
Folley Catheter No. 14 0
Formaten 25 mg 0
Furosemida tablet 40 mg 0
Furosemide 10mg/ml injeksi 0
Gastrusid Blister 0
Gastrusid sirup - 60ml 0
Gentamycin injeksi 80 mg/2 ml 0
Gentamycin salep kulit 0
Gentamycin salep mata 0
Gentamycin tetes mata 0
Gentian violet larutan 1% 0
Glass Ionomer Cement 0
Glibenklamida tablet 5 mg 0
Glimepiride 1 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
Glukosa infus 0,225% - 500 ml 0
Glukosa lar. infus 10% steril 0
Griseofulvin tablet 125mg 0
Griseofulvin tablet 500 mg 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Gynaecology gloves/ OBGYN 0
Haloperidol tablet 0.5 mg 0
Haloperidol tablet 2 mg 0
Halopuridol tablet 5 mg 0
Haldol Decanoat 50 mg / ml inj 0
Haloperidol / lodomer Drops 15ml 0
Hidrogen Peroksida / H2O2 0
Hidroklortiazida tab 25 mg 0
Hidrokortison Krim 2,5% 0
Ibuprofen suspensi 100 mg/ 5ml 0
Ibuprofen tablet 400 mg 10 10 20
Imipramine 25 mg 0
Infusion set anak 0
Infusion set dewasa 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
Isosorbid Dinitrat tablet 5 mg 0
KA-EN 3B infus - 500 ml 0
Kalsium Hidroksida pasta 0
Kalsium Laktat tablet 500mg. 10
Kapas pembalut abs 250 gram 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Karbamazepin tablet 200 mg 0
Kasa Hidrofil 16x16 0
Kasa kompres steril 40cm/40cm 0
Kasa pembalut 2 m x 80 cm 0
Kasa Pembalut 4x10 cm 0
Kasa pembalut hidrofil 4mx 3cm 0
Kasa pembalut hidrofil 4mx15cm 0
Kloramfenikol injeksi 1 gram 0
Kloramfenikol kapsul 250 mg 0
Kloramfenikol sirup - 125 mg/ml -60ml 0
Kloramfenikol tetes mata 0,5% - 5 ml 0
Kloramfenikol tetes telinga 3% 0
Klorpromazina HCL inj 25 mg/ml-1ml 0
Kodeina tablet. 10mg 0
Kotrimoksazol tablet Forte 0
Kuinina Sulfat tablet 0
Kombipak Kategori 1 0
Lanzoprazol kapsul 30 mg 0
NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Laxadin sirup 60 ml 0
Leukoplast Hospital 7.50 cm x 4.5 m 0
Levofloksasin tablet 500 mg 0
Lidocain 2% injeksi 0
Lidokaina Comp. Injeksi 2% 0
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Levotiroksin tab 100mcg 0
Lexavit Kaplet 0
Magnesium Sulfat injeksi 20% 0
Maltodextrin tablet / TABURIA 0
Masker disposable 0
Masker Oksigen Dewasa 0
Masker Surgical ear loop'50 0
Masker Surgical Plus 3 Ply Plus Earloop 0
Masker Surgical tie on'50 0
Masker Disposable (N95) 0
Mebendazol sirup 100 mg/ 5 ml 0
Mebendazol tablet 100 mg 0
Meloksikam tablet 15 mg 0
Meloksikam tablet 7,5 mg 0
Metamizole / Norages injeksi 500mg 0
Metaneuron tablet 0
Metformin H Cl tablet 500 mg 10

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Metformin HCL tablet 850mg 0
Methylpredhisolon 8 mg 0
Metilergometrina injeksi 0,2 mg/ml -1 ml 0
Metilergometrina Maleat tablet 0
Metoclopramide 5 mg 0
Metoklopramid 10 mg 0
Metoklopramid Syrup 60 ml 0
Metronidazol 500mg infus 0
Metronidazol tablet 250 mg 0
Meylon injeksi 0
Mineral mix 0
Monoklorkamfer Mentol cairan 0
Mummifying pasta 0
Na ClO 5.,25 % dan CaOCl212 / BYCLIN 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Natrium Bikarbonat tablet 500 mg 0
Natrium Klorida larutan infus 0.9% 0
Neo Kaominal sirup 0
Neurobat injeksi 0
Neurofit E tablet 0
Neurosanbe 5000 tablet 0
Nifedipin 10 mg tablet 0
Nistatin 100.000 IU suspensi 0
Nistatin 100.000 IU/g tablet vaginal 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Nistatin 500.000 IU/g tablet oral 0
Obat Antituberkulosis kat - Anak 0
Obat Antituberkulosis kat - I 0
Obat Antituberkulosis kat -II 0
Obat Batuk Hitam cairan 100ml 0
OBAT KUSTA M B anak 0
OBAT KUSTA M B dewasa 0
OBAT KUSTA P B anak 0
OBAT KUSTA P B dewasa 0
Obat Malaria tablet 0
OBH Tropica Exta Mentol 60 ml 0
OBH Tropica Plus Anak Jeruk 60 ml 0
OBH Tropica Plus Mentol 60 ml 0
Obyek Glass 0
Oksigen Gas dalam tabung - 1m3 0
Oksitetrasiklina HCl injeksi 50 mg/ml 0
Oksitetrasiklina HCL salep kulit 3 % 1
Oksitetrasiklina HCL salep mata 1% 0
Oksitosina injeksi 10 IU/ml-1ml 0
Omeprazol kapsul 0
Ondansetron tab 4 mg 0
Ondansetron tab 4 mg/2 ml Inj - Ktk 5 0
Oxyflow Nasal Oxygen Anak 0
Oxyflow Nasal Oxygen Dewasa 0
Oxyflow Nasal Oxygen Bayi 0
Paracetamol Drop 0
Parasetamol sirup 120 mg/5ml 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Parasetamol tablet 500 mg 10 10 58
Petidina HCL injeksi 50 mg/ml-2ml 0
Pewarna Ziehl-Neesen / 1 set 0
Piracetam 800 mg tablet 0
Piracetam inj 1 gram/5ml 0
Pirantel Pamoat tablet 125 mg 0
Pirantel Susp 125mg / 5 ml 0
Piridoksina HCL tablet 10mg 10
Piridoksina HCL tablet 25 mg 0
Piroxicam 20 mg 0
Plester 5 yard x 2 inch 0
Plester Flexible non woven 5 x 5 0
Plester Kain Roll 1,25cm x 4,5m 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Polikresulen ( Metakresolsulfonat ) - 10 ml 0
Prednison tablet 5 mg 0
Procurma Plus Syrup 0
Prokaina Pen. G injeksi 3 juta IU 0
Propanolol HCL tablet 10 mg 0
Propiltiourasil tablet 100 mg 0
Ranitidin 150 mg 0
Ranitidin 50 mg / 2 ml Inj 0
RDT Malaria 0
NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Renadinac 25 mg 0
Retinol kap. lunak 100.000 IU 0
Ringer Asetat infus - 500ml 0
Ringer Laktat + Glucose 5% infus-500ml 0
Ringer Laktat Larutan infus - 500 ml 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 10 10
Salbutamol 4 mg 0
Salep 2-4 DOEN (As.Salisilat 2%+Belerang Endap 4%) 0
Salisil Bedak 2% - 50 gram 0
Sarung Tangan Obgyn ( STERIL ) 0
Semen Seng Fosfat 0
Simvastatin tablet 10 mg 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Spironolactone 25 mg 0
Spons Gelatin cubicles 1x1x1cm 0
Stesolid Rectal 10 mg/2,5 ml 0
Stolax /Bisakodil Supp 10mg 0
Sulfasetamida tetes mata 15% 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Surgical glove no. 6 0
Surgical Glove No. 7 0
Surgical Glove No. 7,5 0
Semilas Non Woven 10x 500cm 0
Tablet Tambah Darah (Besi II Sulfat) tab.300mg 0
Temporary Stopping Fletcher 0
Teosal tablet 0
Tetrasiklina HCl kapsul 500 mg 0
Thiampenicol Sirup 0
Thiamphenicol 500 mg 0
Three way Stop Cock 0
Tiamina (Vit B1) tablet 100 mg 0
Tiamina HCL injeksi 100mg/ml 0
Topical Anastesi Gel/Prime Gel 0
Tramadol injiksi 50 mg/ml 0
Tramadol kapsul 50 mg 0
Transfusion set 0
Trifluoperazin 5 mg / Stesoli tab 0
Trigliserida ( 3X50 ST ) 0
Umbilical Cord 0
Underpad 0
Urine bag 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Zentral sirup 0
ZINC tablet 20 mg 10
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0

NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
Catridge TCM 0

Zidofudine ( ZDV ) 60mg + Lamivudine 30mg+Nevirapine
0
50mg ( Triple FDC ) Anak
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
0
NO 17 18 19 20 21 22 23 24 25 26
NAMA PASIEN
SENINGGAN
JUHAIRIYAH
RUDIYANTI
DJUMAATI
SUTIKNO
JUMLAH
HAWIYA
WIWIK
SUTIK
LILIS
AJIS
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
NO
Vaksin BCG
KETERANGAN
NAMA PASIEN
B
DJUMAATI
B
JUHAIRIYAH
B
SENINGGAN
B
AJIS
B
SUTIKNO
B
LILIS
B
SUTIK
B
HAWIYA
B
RUDIYANTI
B
17 18 19 20 21 22 23 24 25 26
WIWIK
0
JUMLAH
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Antasida Doen tablet 25
Bist Mess No.24 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0

0
SCROB
Colfin Syrup 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Gliserin 1 liter 0
Gliserin 100 ml 0
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Risperidone 2 mg 40
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 0
Semen Seng Fosfat 0
Semillas Non Woven 5x500cm 0
Serum Anti Bisa Ular injeksi (ABU I) 0
Serum Anti Dipteri injeksi 20.000 IU 0
Serum Anti Tetanus injeksi 1.500 IU 0
Serum Kontrol 0
Sianokobalamina (Vit B12) injeksi 0
Sikzonoate injeksi 25 mg /ml 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Silver Amalgam serbuk 65-75% 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0

NO
KETERANGAN
NAMA PASIEN
JUMLAH
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Catridge TCM 0

0
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
KETERANGAN U U U U B B B B B B B B B B B B
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 0
Amoksilin kaplet - 500 mg 9 9 9 9 9 85
Amoksilin kapsul - 250 mg 10 14 34
Antasida DOEN II Suspensi,Kombi 1
Antasida Doen tablet 9 9 10 37
Antibakteri DOEN (Basitrasin + Polimiksin) 0
Antifungi DOEN (As Benzoat 3%+As Salisilat 6%) 0
Antimigren DOEN (Ergotamina Trt + Kofeina) 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Antrain injeksi 2ml /5 0
Aqua pro injeksi steril - 20 ml 0
Aquadest steril - 1000 ml 0
Air utk Irigra Lar Infus 1000 ml 0
Aquagel Sterile Jely 82 gr 0
Asam Askorbat (vit C) tablet 50 mg 9 9 52
Asam Mefenamat kaplet 500 mg 9 9 9 36
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Captopril tablet 12,5 mg 10 18
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
0
SCROB
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Dextral sirup 0
Dextrofen Sirup 0
Digoksina tablet 0,25 mg 10 10
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
Metaneuron tablet 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
Omeprazol kapsul 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Paracetamol Drop 0
Parasetamol tablet 500 mg 5 10 9 9 9 9 9 9 9 10 158
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 0
Salep 2-4 DOEN (As.Salisilat 2%+Belerang Endap 4%) 1 1

Semen Seng Fosfat 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Teosal tablet 0
Tiamina (Vit B1) tablet 50 mg 10 10 20
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
0
0
Pengecatan 0
Giemsa
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
NO 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
NAMA PASIEN
ABDUR ROFIK
SITI MARYAM
NURFADILAG
UMMARIYAH
HELMIYAH
KARISMA
JUMAADI
MAHRUS
JUMLAH
NUFIDA
SATIMA
RESTU
MISNA
INTAN
FADIL
AYES
SATY
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
0
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
KETERANGAN U U U U U U B B B B B B B B B B B B B B
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amoksilin kaplet - 500 mg 10 10 10 30
Amoksilin kapsul - 250 mg 10 10 10 30
Amoksilin Sirup Kering 1 1 1 1 4
Asam Askorbat (vit C) tablet 50 mg 2 2 3 3 2 10 5 5 5 5 42
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Attapulgit 600 mg 0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
0
SCROB
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Deksametason tablet 0,5 mg 2 3 5 10
Demacolin tablet 0
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Imipramine 25 mg 0
Infusion set anak 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
Klorfeniramina Maleat tablet 4mg 2 10 6 6 24
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Lisol - 1000 ml 0
Lytacur 60 ml 0
Masker disposable 0
Metaneuron tablet 0
Metronidazol tablet 500 mg 10 10
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
Oksitetrasiklina HCL salep kulit 3 % 1 1
Omeprazol kapsul 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Paracetamol Drop 0
Parasetamol tablet 500 mg 2 2 3 2 10 5 10 5 10 10 5 10 74
Permetrin Krim 5% / Scabimite 1 1 1 3
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 2 2
Salbutamol 4 mg 0
Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Teosal tablet 0
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Vitamin B Kompleks tablet 10 10 10 5 5 5 45
Wida D5 1/2 NS 0
Xylomidon inj 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
AHMAT RAMADANI
SITI MAUFIROH
SRI MASTUTIK
NAMA PASIEN
SITI MARYAM
MUTMAINAH
M. KHOIRUL
SITI ASIYAH
SAFINATUN
M. IRFAN
RAHMAD
SAWANA
MARBUA
JUMLAH
ADINDA
NADIAH
ASMAD
KEYSA
ISTIN
MERI
NIRI
IKFI
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Catridge TCM 0
0
Pengecatan 0
Giemsa 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
NO 1 2 3 4 5 6 7 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
KETERANGAN U U U U U U U U U U U U U B B B B B B B B B B B B B B B B B B B B B B B
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
JAZULI
SISWO
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Acyclovir krim 0
Amlodipin 10 mg 10 10
Amoksilin kaplet - 500 mg 9 9 9 9 9 45
Amoksilin kapsul - 250 mg 12 10 22
Amoksilin Sirup Kering 1 1 2
Antasida Doen tablet 6 9 3 10 28
Asam Askorbat (vit C) tablet 50 mg 10 2 3 10 3 10 9 47
Asam Mefenamat kaplet 500 mg 9 9
Attapulgit 600 mg 0
Attapulgit 630 mg 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Deksametason tablet 0,5 mg 9 9 6 6 4 10 10 54
Demacolin tablet 0
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Glimepiride 1 mg 0

Ibuprofen tablet 400 mg 10 10 20
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 5 15 20
Isoniazid 300 mg 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Klorfeniramina Maleat tablet 4mg 9 9 4 6 2 6 36
Klorpromazina HCL tab salut 100 mg 10 10
Kotrimoksazol sirup 1 1
Lisol - 1000 ml 0
Lytacur 60 ml 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Lexavit Kaplet 0
Masker disposable 0

Metaneuron tablet 10 10
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0

Paracetamol Drop 0
Parasetamol tablet 500 mg 6 9 10 2 2 2 2 6 9 4 10 9 9 6 10 96

Piridoksina HCL tablet 10mg 6 9 7 22
RDT Malaria 0
Renadinac 25 mg 0
Retinol kap. lunak 200.000 IU 1 1
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Semen Seng Fosfat 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Teosal tablet 0
Tiamina (Vit B1) tablet 50 mg 6 9 10 6 31
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Vitamin B Kompleks tablet 9 9 9 10 7 10 9 9 9 10 9 9 109
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0

Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0

Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0

Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
0
Pengecatan 0
Giemsa
Larutan Drabkin
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
NO 1 2 3 4 5 6 7 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
ACHMAD REZA
NAMA PASIEN
SRI WAHYUNI
SITI FATIMAH
SUPRAYITNO
SITI MUSIAH
WINDHATUL
MARYAMAH
HALIMATUS
M. SOFYAN
NIKMATUN
HELMIYAH
MAULIDIA
AULATUN
SUPARMI
BINTANG
FATWATI
RAHMAD
DESINTA
M. AFKA
JUMLAH
MURDAI
SAFITRI
ANDIKA
YURIKE
KAMALI
AHMAD
HAIKAL
REFAN
SISWO
JAZULI
ALFAD
LINDA
BAYU
DEWI
RIDO
ALDI
DUL
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
50mg ( Triple FDC ) Anak 0
Right Sign 0
Verorab Serum 0
NO 13 14 15 16 17 18
KETERANGAN B B B B B B
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 9
Alpara 0
Amlodipin 10 mg 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Asam Askorbat (vit C) tablet 50 mg 10 23
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Chlorhexidine gluconat 4% 500 cc + dispenser / ONE SCROB 0
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Kalsium Laktat tablet 500mg. 10 10
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
Metaneuron tablet 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
Retinol kap. lunak 200.000 IU 2 2
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 10
Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Spasminal tablet 0
Stesolid Rectal 5 mg/2,5 ml 2 4
Tablet Tambah Darah (Besi II Sulfat) tab.300mg 10 10
Teosal tablet 0
Transfusion set 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
NO 13 14 15 16 17 18
SULISTIOWATI
NAMA PASIEN
SUHARTATIK
SUPARMAN
KHOIRIYAH
JUMLAH
ANDIKA
BUADI
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
Zidofudine ( ZDV ) 60mg + Lamivudine 30mg+Nevirapine 50mg
( Triple FDC ) Anak
0
Right Sign 0
Verorab Serum 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Amlodipin 10 mg 0
Salbutamol 2 mg 0
Teosal tablet 0
NO 25 26 27 28 29 30 31
KETERANGAN B B B B B B B
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 6 6 10 10 41
Antalgin tablet 500mg 6 6 6 43
Attapulgit 600 mg 0
Attapulgit 630 mg 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
0
SCROB
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Cyprofloxacin kapsul 500 mg 10 10
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 2
Dextrofen Sirup 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
Formaten 25 mg 0
Furosemida tablet 40 mg 6 6 6 4 22
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
Ketokonazol tablet 10 10
Klorfeniramina Maleat tablet 4mg 6 34
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
Metaneuron tablet 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 0

Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Teosal tablet 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
0
0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
0
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
NO 25 26 27 28 29 30 31
SLAMET RIYADI
NAMA PASIEN
DELFAIDA
SUDARSE
M. ROFII
JUMLAH
BUNAWI
SUPRIA
TUTIK
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
SCROB 0
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Lisol - 1000 ml 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
Metaneuron tablet 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
Omeprazol kapsul 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Paracetamol Drop 0
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Risperidone 2 mg 0
Semen Seng Fosfat 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
0
Zidofudine ( ZDV ) 300mg + Lamivudine ( 3TC ) 150mg
Zidofudine ( ZDV ) 60mg + Lamivudine 30mg+Nevirapine 0
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
SCROB 0
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 1 1 2
Dextrofen Sirup 0
Digoksina tablet 0,25 mg 8 13
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 13 13
Isoniazid 300 mg 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
Metaneuron tablet 15
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
Parasetamol tablet 500 mg 9 9 6 9 9 9 101
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 4 mg 0
Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 3
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Teosal tablet 0
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Vitamin B Kompleks tablet 9 9 9 9 9 9 14 9 131
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Rapid Syphilis 0
ICT Malaria 0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
NO 27 28 29 30 31 32 33 34 35 36
NAMA PASIEN
MUHAMMAD
SITI ANISA
SUPIYAN
JUMLAH
ROFIAH
BOYAN
NURUL
NURIN
SULI
AFIF
TUN
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
KETERANGAN B B B B B B B B B B B B B B B B B
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 0
Antasi DOEN II Suspensi,Kombi 1 1
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Aqua pro injeksi steril - 20 ml 10 10
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Captopril tablet 25 mg 6 6
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
SCROB
0
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Dextral sirup 0
Dextrofen Sirup 0
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 13 9 22
Isoniazid 300 mg 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Kotrimoksazol tablet Forte 6 6
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Metaneuron tablet 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
Piridoksina HCL tablet 10mg 9 20 ### 558
Piroxicam 20 mg 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 10

Semen Seng Fosfat 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 6 6
Teosal tablet 0
Transfusion set 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Vitamin B Kompleks tablet 9 9 9 14 10 9 9 9 9 204
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0

Safe-T Pro Uno 0
Asam Cuka 25 % 0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0

Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
NO 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45
NAMA PASIEN
MUHAMMAD
ALFIATUS
MUNASIO
ROFIKOH
RUKYANI
TURYADI
FAHRIYA
SAMSUL
JUMLAH
TURIMA
HAMULI
WARDA
SURAJI
NURIL
MISKI
REZA
TIMA
HERI
MDR
0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
0
Right Sign 0
Verorab Serum 0
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
KETERANGAN U U B U U U U U U U U U U U B B B B B B B B B B B B B B B B B
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Acon Stik for Plano Test
Acyclovir krim
Acyclovir tablet - 200 mg
Acyclovir tablet - 400 mg
Air raksa dental use
Alat Suntik 10 ml
Alat suntik sekali pakai 1 ml
Alat suntik sekali pakai 2,5 ml
Alat suntik sekali pakai 5 ml
Albendazol tablet 400 mg
Albumin
Alkohol 95 %
Alkohol Swab
Alopurinol tablet 9
Alpara
Ambroxol sirup 60 ml
Ambroxol tablet 30 mg
Aminofilina injeksi 24mg/ml-10ml
Aminofilina tablet 200 mg
Amitriptilina HCL tablet 25 mg
Amlodipin 10 mg
Amoksilin Forte Sirup Kering
Amoksilin kaplet - 500 mg 9 9 10 9 9 9 9 10
Amoksilin Sirup Kering
Ampisilina injeksi 1 gram
Antalgin injeksi 24 mg/ml-10ml
Antalgin tablet 500mg 9 9 9 9 9 6 9 9 9 10
Antasida DOEN II Suspensi,Kombi
Anti Hemmoroid Suppositoria
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Asam Askorbat (vit C) tablet 50 mg 9 9 10
Asam tranexamat injeksi 100mg/ml
Aseptic Gel + Disp 500 ml
Asetosal tablet 100 mg
Attapulgit 600 mg
Attapulgit 630 mg
Atropina Sulfat injeksi
Autodisposable Syringe 0,05 ml
Autodisposable Syringe 0,5 ml (Soloshot)
Autodisposable Syringe 5 ml (Soloshot)
Azitromicin 250 mg tab
Azitromicin 500 mg tab
Bahan tumpatan sementara/Caviton
Becefort tablet
Benzatin Bensil Pen.inj 2,4 juta IU
Betahistin Mesilat 6 mg
Betametason krim
Betametason N crem
Bisakodil Supp 10mg
Bisoprolol tablet 5 mg
Bist Mess No.24
Blood Lancet
Blood Lancet ( GEA )
Bonding Liq
Bunofa 400
Calcium Gluconas infus
Captopril tablet 25 mg
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Cover Glass 18 x 18 cm
Carpiaton 100 mg
Catgut Chrom 2/0 + jarum
Catgut Chrom 3/0 + jarum
Catgut Plain 2/0 + jarum
Catgut Plain 3/0 + jarum
Cefadroxil kapsul 500 mg
Cefixime 100mg
Cefotaxim injeksi
Ceftriaxone 1.Og inj Kering
Cendo Lyteer
Cetirizine Kapsul 10mg
Chlorhexidine gluconat 0,2% / ASEPTAN
SCROB
Chlorhexidine gluconat 0,5 W/v 70 % / ASEPTAN
Cimetidin tablet 200 mg
Clorin / One Clean
Colfin Syrup
Composit Light Curing A2
Composit Light Curing A3
Composit Light Curing A3,5
Corsafen 500 mg
Cover Glass
Cresopen (obat gigi)
Cyprofloxacin kapsul 500 mg
Clobazam 10 mg
Clozapin 25 mg
Daryan Tulle :Flamisetin Sulfat 10 x 10 cm
Decullin tablet 30mg
Deksametason Injeksi 5mg/ml
Demacolin tablet
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Dentin Conditioner / Mini Pack
Depo Progestin Injeksi 3 bln
Dermazin salep kulit 1% - 25gram /BioplaN
Devitalisasi pasta
Dextral sirup 1
Dextran infus - 500 ml
Dextrofen Sirup
Diazepam Injeksi 5mg/ml-2ml
Diazepam tablet 2 mg
Diazepam tablet 5 mg
Diethylcarbamazine
Difenhidramina HCL injeksi 10 mg
Digoksina tablet 0,25 mg
Doksisiklin kapsul 100 mg
Domperidon tablet 10 mg
Dulcolax supp Adult 10 mg / Bisakadil
Epinefrina HCL/Bitart injeksi 0.1% - l ml
Erithromicin kaplet 500 mg
Erithromicin kapsul 250 mg
Erithromicin sirup - 60 ml Kering
Etanol 70% - 1000 ml
Etching+bonding Liquit SDI
Ethambutol 250 mg
Ethambutol 500 mg
Etil Klorida semprot
Eugenol Cairan - 10 ml
Farmoten 12,5 mg
Feeding tube No. 10
Feeding tube No. 16
Feeding tube No. 5
Feeding tube No. 8
Fenitoina Natrium kapsul 100 mg
Fenobarbital Injeksi 50mg/ml-2ml
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Fenobarbital tablet 30 mg
Fenoksimetil Penisilina tablet 250 mg
Fenoksimetil Penisilina tablet 500 mg
Fitomenadion injeksi 10mg/ml
Fitomenadion injeksi 2 mg/ml
Fitomenadion tablet 10 mg
Flagil / Metronidazol Ovuo 500mg
Fluoksetin 10 mg
Fluconazole 150 mg
Fluoride Sediaan Topical/Clinpro White
Folley Catheter No. 14
Formaten 25 mg
Furosemida tablet 40 mg
Furosemide 10mg/ml injeksi
Garam Oralit untuk 200 ml air
Gastrusid Blister
Gastrusid sirup - 60ml
Gentamycin injeksi 80 mg/2 ml
Gentamycin salep kulit
Gentamycin salep mata
Gentamycin tetes mata
Gentian violet larutan 1%
Glass Ionomer Cement

Glimepiride 1 mg
Glimepiride 2 mg
Gliseril Guayakolat tablet 100 mg
Haloperidol tablet 2 mg
Halopuridol tablet 5 mg
Haldol Decanoat 50 mg / ml inj
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Haloperidol / lodomer Drops 15ml
Hidrogen Peroksida / H2O2
Hidroklortiazida tab 25 mg
Ibuprofen suspensi 100 mg/ 5ml
Ibuprofen tablet 200 mg
Ibuprofen tablet 400 mg
Imipramine 25 mg
Infusion set anak
Infusion set dewasa
IV Catether No.18
IV Catether No.20
IV Catether No.22
IV Catether No.24
Iodina Test
Isoniazid 100 mg
Isoniazid 300 mg
Isosorbid Dinitrat tablet 5 mg
KA-EN 3B infus - 500 ml
Kalsium Hidroksida pasta
Kalsium Laktat tablet 500mg.
Kapas pembalut abs 250 gram
Karbamazepin tablet 200 mg
Kasa Hidrofil 16x16
Kasa kompres steril 40cm/40cm
Kasa pembalut 2 m x 80 cm
Kasa Pembalut 4x10 cm
Kasa pembalut hidrofil 4mx 3cm
Kasa pembalut hidrofil 4mx15cm
Ketokonazol tablet
Ketokonazol Krim 2 % 1 1
Klindamycin kapsul 150 mg
Klindamycin kapsul 300 mg
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Kloramfenikol injeksi 1 gram
Kloramfenikol kapsul 250 mg
Kloramfenikol sirup - 125 mg/ml -60ml
Kloramfenikol tetes mata 0,5% - 5 ml
Kloramfenikol tetes telinga 3%
Klorpromazina HCL inj 25 mg/ml-1ml
Klorpromazina HCL tab salut 25 mg
Kodeina tablet. 10mg
Kotrimoksazol sirup
Kotrimoksazol tablet Adult
Kotrimoksazol tablet Forte
Kuinina Sulfat tablet
Kombipak Kategori 1
Lanzoprazol kapsul 30 mg
Laxadin sirup 60 ml
Leukoplast Hospital 7.50 cm x 4.5 m
Levofloksasin tablet 500 mg
Lidocain 2% injeksi
Lidokaina Comp. Injeksi 2%
Lisol - 1000 ml
Loperamide tablet - 2mg
Loratadin
Lysofit sirup
Lytacur 60 ml
Levotiroksin tab 100mcg
Lexavit Kaplet
Magnesium Sulfat injeksi 20%
Magnesium Sulfat injeksi 40%
Maltodextrin tablet / TABURIA
Masker disposable
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Masker Oksigen Dewasa
Masker Surgical ear loop'50
Masker Surgical Plus 3 Ply Plus Earloop
Masker Surgical tie on'50
Masker Disposable (N95)
Mebendazol sirup 100 mg/ 5 ml
Mebendazol tablet 100 mg
Meloksikam tablet 15 mg
Meloksikam tablet 7,5 mg
Metamizole / Norages injeksi 500mg
Metaneuron tablet
Metformin H Cl tablet 500 mg 10 10
Metformin HCL tablet 850mg
Methylpredhisolon 8 mg
Metilergometrina injeksi 0,2 mg/ml -1 ml
Metilergometrina Maleat tablet
Metoclopramide 5 mg
Metoklopramid 10 mg
Metoklopramid Syrup 60 ml
Metronidazol 500mg infus
Metronidazol tablet 250 mg
Metronidazol tablet 500 mg
Meylon injeksi
Mineral mix
Monoklorkamfer Mentol cairan
Mummifying pasta
Na ClO 5.,25 % dan CaOCl212 / BYCLIN
Na F Kristal
Nasaflam 100 mg
Nasaflam 50 mg
Natrium Bikarbonat tablet 500 mg
Natrium Diklofenak 50 mg
Natrium Klorida larutan infus 0.9%
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Neo Kaominal sirup
Neurobat injeksi
Neurofit E tablet
Neurosanbe 5000 tablet
Nifedipin 10 mg tablet
Nistatin 100.000 IU suspensi
Nistatin 100.000 IU/g tablet vaginal
Nistatin 500.000 IU/g tablet oral
Obat Antituberkulosis kat - Anak
Obat Antituberkulosis kat - I
Obat Antituberkulosis kat -II
Obat Batuk Hitam cairan 100ml
OBAT KUSTA M B anak
OBAT KUSTA M B dewasa
OBAT KUSTA P B anak
OBAT KUSTA P B dewasa
Obat Malaria tablet
OBH Tropica Exta Mentol 60 ml
OBH Tropica Plus Anak Jeruk 60 ml
OBH Tropica Plus Mentol 60 ml
Obyek Glass
Oksigen Gas dalam tabung - 1m3
Oksigen Gas dalam tabung - 6m3
Oksitetrasiklina HCl injeksi 50 mg/ml
Oksitetrasiklina HCL salep kulit 3 %
Oksitetrasiklina HCL salep mata 1%
Oksitosina injeksi 10 IU/ml-1ml
Omeprazol kapsul
Ondansetron tab 4 mg
Ondansetron tab 4 mg/2 ml Inj - Ktk 5
Oxyflow Nasal Oxygen Anak
Oxyflow Nasal Oxygen Dewasa
Oxyflow Nasal Oxygen Bayi
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Paracetamol Drop
Parasetamol sirup 120 mg/5ml
Parasetamol tablet 500 mg 10 6 6 9 9 10
Petidina HCL injeksi 50 mg/ml-2ml
Pewarna Ziehl-Neesen / 1 set
Piracetam 800 mg tablet
Piracetam inj 1 gram/5ml
Pirantel Pamoat tablet 125 mg
Pirantel Susp 125mg / 5 ml
Piridoksina HCL tablet 25 mg
Piroxicam 20 mg
Plester 5 yard x 2 inch
Plester Flexible non woven 5 x 5
Plester Kain Roll 1,25cm x 4,5m
Plester Kain Roll 2,5cm x 4,5m
PM-ASI Biskuit
PMT Untuk BUMIL
PMT-AS biskuit
Polikresulen ( Metakresolsulfonat ) - 10 ml
Prednison tablet 5 mg
Procurma Plus Syrup
Prokaina Pen. G injeksi 3 juta IU
Propanolol HCL tablet 10 mg
Propanolol HCL tablet 40 mg
Propiltiourasil tablet 100 mg
Ranitidin 150 mg
Ranitidin 50 mg / 2 ml Inj
RDT Malaria
Renadinac 25 mg
Retinol kap. lunak 100.000 IU
Retinol kap. lunak 200.000 IU
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Ringer Asetat infus - 500ml
Ringer Laktat + Glucose 5% infus-500ml
Ringer Laktat Larutan infus - 500 ml
Risperidone 2 mg
Safe Glove Exam L
Safe Glove Exam M
Safe Glove Exam S
Safety box 2,5 lt
Safety box 5 lt
Salbutamol 2 mg
Salbutamol 4 mg 10
Salep 2-4 DOEN (As.Salisilat 2%+Belerang Endap 4%)
Salisil Bedak 2% - 50 gram
Sarung Tangan Obgyn ( STERIL )
Semen Seng Fosfat
Semillas Non Woven 5x500cm
Serum Anti Bisa Ular injeksi (ABU I)
Serum Anti Dipteri injeksi 20.000 IU
Serum Anti Tetanus injeksi 1.500 IU
Serum Anti Tetanus injeksi 20.000 IU
Serum Kontrol
Sianokobalamina (Vit B12) injeksi
Sikzonoate injeksi 25 mg /ml
Silk no 2/0, 24x13x60 cm
Silk no 3/0, 24x13x60 cm
Silver Amalgam serbuk 65-75%
Simvastatin tablet 10 mg
Spasmal tablet
Spashi - Injeksi
Spasminal tablet
Spironolactone 25 mg
Spons Gelatin cubicles 1x1x1cm
Stesolid Rectal 10 mg/2,5 ml
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Stesolid Rectal 5 mg/2,5 ml
Stolax /Bisakodil Supp 10mg
Sulfasetamida tetes mata 15%
Surgical glove no. 6
Surgical Glove No. 7
Surgical Glove No. 7,5
Surgical Glove No. 8
Semilas Non Woven 10x 500cm
Tablet Tambah Darah (Besi II Sulfat) tab.300mg
Temporary Stopping Fletcher
Teosal tablet
Tetrasiklina HCl kapsul 500 mg
Thiampenicol Sirup
Three way Stop Cock
Tiamina (Vit B1) tablet 100 mg
Tiamina (Vit B1) tablet 50 mg 20 9 10
Tiamina HCL injeksi 100mg/ml
Topical Anastesi Gel/Prime Gel
Tramadol injiksi 50 mg/ml
Tramadol kapsul 50 mg
Transfusion set
Trifluoperazin 5 mg / Stesoli tab
Trigliserida ( 3X50 ST )
Trikresol Formalin (Forinokresol) cairan - 10 ml
Ulsikur/ Ulcumet injeksi 200mg
Umbilical Cord
Underpad
Urine bag
Uriscan Gen 11 / 10 Parameter
Uriscan Glucose 1
Uriscan GP2 for Reduksi + Albumin
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
USG Gel 250 ml
USG Gel 5 liter
Vaselin Alba
Ventolin / Salbutamol Inhaler 0,5 %
Ventolin Nebules /Salbutamol Cairan 2,5 mg
Voluven - Koloid HES BM 130.000 Lar inf 0,6 %
Vitamin B Kompleks tablet 9 9 9 9 9 9 9 9 9
Wida D5 1/2 NS
Wing Needle bayi no.25
Xylomidon inj
Yodium Povidon 1000 ml
Zentral sirup
ZINC tablet 20 mg
Zircum KID sirup
Zoralin
Ikaneuron
Novabion
Recovit Plus
PROGRAM IMUNISASI
Pelarut BCG
Vaksin MR
Vaksin BCG
Vaksin DPT Hb - Hib / PENTABIO
Vaksin Polio bOPV 10 Dosis
Vaksin POLIO 20 Dosis
Vaksin DT
Vaksin HB Unijeck
Vaksin Polio IPV 5 Dosis
Vaksin Td
Vaksin TT
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Vaksin Meningitis
Vaksin Campak
Pelarut Campak
Pen maker
PROGRAM IMS
Alcohol Swab
Cotton Applicators Sterile
Cover Glass
Hand Gloves
Immersion Oil
Kertas PH 3,8 - 4,2
KOH 10%
Methylated Spirit
Methylen Blue 0.3%
Nacl 0.9%
Object Glass
Reagen Sifilis RPR/kit (10ml untk 500 test)
Reagen Sifilis TPHA
Vaculab/Tabung darah plastic tutup merah
Xylol
Yellow dan Blue Tip
Reagen Rapid syphilis/Standar Diagnostic
Performa Test Strips/ Stik GDA ACCU
Safe-T Pro Uno
Focus TPHA (100 test)
Total Hardness: 12-537 mg/ L CaCO3
Stip Glukosa Merk Easytouch
Stip Urid Acid Merk Easytouch
Stip Colesterol Merk Easytouch
Asam Cuka 25 %
Autocheck total Kolesterol 10 Strip
Spekulum Disposble
Cotton swab
NO 1 2 3 4 5 6 7 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 41 42 43 44 45 46
NAMA PASIEN
SITI FATIMAH
SITI AISYAH
SITI AISYAH
FATHUROSI
MAISAROH
ROFIATUN
SITI LINDA
WIDAYANI
ROIFATUL
RANCUSA
NGATEMI
SAKWATI
MURYATI
SUTIKNO
HOLYADI
GHOFAR
SEFTIAN
IDAWATI
BUNAWI
NIKMAH
BUNIYA
MSYATI
HASAN
SISWO
MISNA
AMSIA
NADIA
JAMIN
ELVIN
ZAFIR
NISA
Larutan Chlorine
Sputum Pot
Paket Alat Deteksi Resiko Kehamilan
Catridge TCM
Gluco Protein
Tube EDTA plh 13x75 3,0 blblce lav
Ultra Once Test Hamil
Widal Salmonella Thypi O Antigen A
Widal Salmonella Thypi O Antigen B
Widal Salmonella Thypi O Antigen C
Widal Salmonella Thypi O
Widal Salmonella Thypi H Antigen A
Widal Salmonella Thypi H Antigen B
Widal Salmonella Thypi H Antigen C
Widal Salmonella Thypi H
Control Positive Polyvalent
Control Negatif Polyvalent
HBsAg Strip Tes
HBsAb Strip Tes
Determine HIV
Rapid Syphilis
ICT Malaria
Golongan Darah Anti A
Golongan Darah Anti B
Golongan Darah Anti AB
Novabion
Pelarut BCG
Vaksin MR
Vaksin BCG
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 9
Alpara 0
Amlodipin 10 mg 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
SCROB
0
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Dextral sirup 1
Dextrofen Sirup 0
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Metaneuron tablet 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
Omeprazol kapsul 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Paracetamol Drop 0
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 10
Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Teosal tablet 0
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
NO 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82
KETERANGAN
NAMA PASIEN
JUMLAH
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
0
Novabion 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
Colfin Syrup 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Corsafen 500 mg 0
Cover Glass 0
Cyprofloxacin kapsul 500 mg 10 10
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fitomenadion tablet 10 mg 9 9
Fluoksetin 10 mg 0
Formaten 25 mg 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Kloramfenikol sirup - 125 mg/ml -60ml 1 1 2
Klorfeniramina Maleat tablet 4mg 5 5 10
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Masker disposable 0
Metaneuron tablet 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Omeprazol kapsul 0
Paracetamol Drop 0
Parasetamol tablet 500 mg 9 7 9 5 5 41
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 0
Semen Seng Fosfat 0
Serum Kontrol 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Teosal tablet 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
0
Zircum KID sirup
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Object Glass 0
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
NO 12 13 14 15 16 17 18 19 20 21
SITI RAHMAWATI
SITI NURAZIZAH
NAMA PASIEN
JUMARWI
JUMLAH
M. FADIL
ZAMELA
M. ALFA
SUPINA
ARSIDI
ALFIA
siswo
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
Zidofudine ( ZDV ) 60mg + Lamivudine 30mg+Nevirapine 50mg
( Triple FDC ) Anak 0
Right Sign 0
Verorab Serum 0
NO 11 12 13 14 15 16 17 18 19
KETERANGAN U U B B B B B B B
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 9 9
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Betametason krim 1
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
SCROB
0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
Formaten 25 mg 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Klindamycin kapsul 300 mg 9 9
Lisol - 1000 ml 0
Loratadin 5
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Masker disposable 0
Metaneuron tablet 0
Metformin H Cl tablet 500 mg 9 9
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Omeprazol kapsul 0
Paracetamol Drop 0
Parasetamol sirup 120 mg/5ml 1 1 5
Parasetamol tablet 500 mg 9 6 37
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 10
Semen Seng Fosfat 0
Serum Kontrol 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Teosal tablet 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Vitamin B Kompleks tablet 9 39
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
ZINC tablet 20 mg 10 10
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
PROGRAM HIV 0
Catridge TCM 0
0
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
NO 11 12 13 14 15 16 17 18 19
NAMA PASIEN
ULUMIYAH
SAPUTRA
ASNAWIR
JUMLAH
MISJADI
FARINA
ROMLA
AINUN
RISKA
SANI
Recovit Plus 0
0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 10 10
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
SCROB
0
Colfin Syrup 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Masker disposable 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Obat Antituberkulosis kat - I 1 1
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
Parasetamol sirup 120 mg/5ml 1 5
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 0
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 0
Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 6
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Teosal tablet 0
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Vitamin B Kompleks tablet 9 9 55
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
0
Zircum KID sirup
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
Catridge TCM 0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
NO 23 24 25 26 27 28 29
NAMA PASIEN
NAFISATUL
JUMLAH
SUHAERI
SISTAHIL
SUMIATI
AGUNG
SIATI
TONI
Tenofovir
Zidofudine300+Lamivudin
( ZDV ) 60mg +300+Efavien
Lamivudine 600 Dewasa
30mg+Nevirapine
0
Right Sign 0
Verorab Serum 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Amlodipin 10 mg 0
Betametason krim 0
Salbutamol 2 mg 0
NO 15 16 17 18 19 20 21 22 23 24 25
KETERANGAN B B B B B B B B B B B
ABDUL SAMAD
NAMA PASIEN
SITI AMINAH
MARYAMA
MARYAMA
SUMARNI
JUMLAH
JUMARI
ASMIN
NANIK
HAPIA
FADLI
NIDIN
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 0
Amoksilin kaplet - 500 mg 15 10 10 68
Asam Mefenamat kaplet 500 mg 10 10 10 52
Asetosal tablet 80 mg 4 8
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0

Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Cyprofloxacin kapsul 500 mg 10 10 30
Clobazam 10 mg 0
Clozapin 25 mg 0
Deksametason tablet 0,5 mg 10 10 29
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
Klorfeniramina Maleat tablet 4mg 9 28
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
Metaneuron tablet 0
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
Parasetamol tablet 500 mg 10 10 10 89
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 10 20
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
Salbutamol 4 mg 0
Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Teosal tablet 0
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Vitamin B Kompleks tablet 9 19
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
0

Right Sign 0
Verorab Serum 0
NO 33 34 35 36 37
KETERANGAN B B B B B
NAMA PASIEN
SRI WAHYUNI
JUMLAH
RISKA
TIMA
ETO
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 10
Alpara 0
Amlodipin 10 mg 10
Attapulgit 600 mg 0
Attapulgit 630 mg 0
Becefort tablet 0
Betametason krim 0
0
Bist Mess No.24 0
Blood Lancet 0
Bonding Liq 0
Bunofa 400 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
Formaten 25 mg 0
Gastrusid Blister 0
0
Glimepiride 1 mg 0
Glimepiride 2 mg 0
Gliserin 1 liter 0
Gliserin 100 ml 0
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 0
Isoniazid 300 mg 0
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Lexavit Kaplet 0
Masker disposable 0
Metaneuron tablet 10
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
Parasetamol tablet 500 mg 10 43
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Prednison tablet 5 mg 10 10
Ranitidin 150 mg 10 20
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 6
Salbutamol 4 mg 10
Semen Seng Fosfat 0
Serum Kontrol 0
Silk no 2/0, 24x13x60 cm 0
Silk no 3/0, 24x13x60 cm 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Teosal tablet 0
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
Nacl 0.9% 0
Object Glass 0
Xylol 0
Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
Stick Urine 10 PM 0
Strip Urine 11 PM 0
Strip Urine 3 PM 0
0
0
0
0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
Catridge TCM 0
Zidofudine ( ZDV ) 60mg + Lamivudine 30mg+Nevirapine 50mg (
Triple FDC ) Anak 0
Right Sign 0
Verorab Serum 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Acyclovir krim 0
Alat Suntik 10 ml 0
Albumin 0
Alkohol 95 % 0
Alkohol Swab 0
Alopurinol tablet 0
Alpara 0
Amlodipin 10 mg 10
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Bist Mess No.24 0
Carpiaton 100 mg 0
Cefixime 100mg 0
Cefotaxim injeksi 0
Cendo Lyteer 0
SCROB
0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Colfin Syrup 0
Corsafen 500 mg 0
Cover Glass 0
Clobazam 10 mg 0
Clozapin 25 mg 0
Demacolin tablet 0
Dextral sirup 0
Dextrofen Sirup 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Domperidon tablet 10 mg 10 20
Etanol 70% - 1000 ml 0
Ethambutol 250 mg 0
Ethambutol 500 mg 0
Farmoten 12,5 mg 0
Fluoksetin 10 mg 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Formaten 25 mg 0
Gastrusid Blister 0
Imipramine 25 mg 0
Infusion set anak 0
IV Catether No.18 0
IV Catether No.20 0
IV Catether No.22 0
IV Catether No.24 0
Iodina Test 0
Isoniazid 100 mg 21
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Isoniazid 300 mg 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Lisol - 1000 ml 0
Loratadin 0
Lysofit sirup 0
Lytacur 60 ml 0
Masker disposable 0
Metaneuron tablet 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Meylon injeksi 0
Mineral mix 0
Mummifying pasta 0
Na F Kristal 0
Nasaflam 100 mg 0
Nasaflam 50 mg 0
Neurobat injeksi 0
Neurofit E tablet 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Obyek Glass 0
Omeprazol kapsul 0
Paracetamol Drop 0
Parasetamol tablet 500 mg 10 10 10 99
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Piroxicam 20 mg 0
PM-ASI Biskuit 0
PMT Untuk BUMIL 0
PMT-AS biskuit 0
Ranitidin 150 mg 10 10 40
RDT Malaria 0
Renadinac 25 mg 0
Risperidone 2 mg 0
Safe Glove Exam L 0
Safe Glove Exam M 0
Safe Glove Exam S 0
Safety box 2,5 lt 0
Safety box 5 lt 0
Salbutamol 2 mg 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Salbutamol 4 mg 0
Semen Seng Fosfat 0
Spasmal tablet 0
Spashi - Injeksi 0
Spasminal tablet 0
Teosal tablet 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Transfusion set 0
Umbilical Cord 0
Underpad 0
Urine bag 0
Uriscan Glucose 1 0
USG Gel 250 ml 0
USG Gel 5 liter 0
Vaselin Alba 0
Vitamin B Kompleks tablet 10 9 86
Wida D5 1/2 NS 0
Xylomidon inj 0
Zentral sirup 0
ZINC tablet 20 mg 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
PROGRAM IMUNISASI 0
Pelarut BCG 0
Vaksin MR 0
Vaksin BCG 0
Vaksin DT 0
Vaksin HB Unijeck 0
Vaksin Td 0
Vaksin TT 0
Vaksin Meningitis 0
Vaksin Campak 0
Pelarut Campak 0
Pen maker 0
PROGRAM IMS 0
Alcohol Swab 0
Cover Glass 0
Hand Gloves 0
Immersion Oil 0
Kertas PH 3,8 - 4,2 0
KOH 10% 0
Methylated Spirit 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Nacl 0.9% 0
Object Glass 0
Xylol 0

Safe-T Pro Uno 0
Asam Cuka 25 % 0
Cotton swab 0
Larutan Chlorine 0
Sputum Pot 0
Catridge TCM 0
Gluco Protein 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
HBsAg Strip Tes 0
HBsAb Strip Tes 0
Determine HIV 0
Rapid Syphilis 0
ICT Malaria 0
0
Pengecatan 0
Giemsa 0
Larutan Drabkin 0
Larutan Eosin 2 % 0
Larutan Turk 0
Oil Imersion 0
Pewarna Gram 0
Xylol 0
PROGRAM HIV 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Catridge TCM 0
0
Right Sign 0
Verorab Serum 0
Y-Rins Cuci Mata 0
Zentral sirup 0
ZINC tablet 20 mg 0
Zircum KID sirup 0
Zoralin 0
Ikaneuron 0
Novabion 0
Recovit Plus 0
0
PROGRAM IMUNISASI 0
Pelarut BCG 0
NO 23 24 25 26
KETERANGAN B B B B
NAMA PASIEN
SITI FATIMAH
HERMAWATI
JUMLAH
MAHFUZ
NIMA
Vaksin MR 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Amlodipin 10 mg 0
Risperidone 2 mg 0
Salbutamol 2 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
ZINC tablet 20 mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Amlodipin 10 mg 0
Cefixime 100mg 0
NO
KETERANGAN
NAMA PASIEN
JUMLAH
Amlodipin 10 mg 0
Isoniazid 100 mg 0
Loratadin 0
Salbutamol 2 mg 0
ZINC tablet 20 mg 0

April FK TP 2018

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BULAN : MARET 2018

1634 Procurma Plus Syrup - - - - - -

1635 Prokaina Pen. G injeksi 3 juta IU - - - - - -

1634 Procurma Plus Syrup - - - - - - - - - - -

1635 Prokaina Pen. G injeksi 3 juta IU - - - - - - - - - - -

1634 Procurma Plus Syrup - - - - - - - - - - -

1635 Prokaina Pen. G injeksi 3 juta IU - - - - - - - - - - -

1634 Procurma Plus Syrup - 0 - - - - - - -

1635 Prokaina Pen. G injeksi 3 juta IU - 0 - - - - - - -

1634 Procurma Plus Syrup -

1635 Prokaina Pen. G injeksi 3 juta IU -

Voluven - Koloid HES BM 130.000 Lar inf 0,6

2701 Pelarut BCG - - - - - -

2810 Nacl 0.9% - - - - - -

2811 Object Glass - - - - - -

Voluven - Koloid HES BM 130.000 Lar inf 0,6

2701 Pelarut BCG - - - - - - - - - - -

2810 Nacl 0.9% - - - - - - - - - - -

2811 Object Glass - - - - - - - - - - -

Voluven - Koloid HES BM 130.000 Lar inf 0,6

2701 Pelarut BCG - - - - - - - - - - -

2810 Nacl 0.9% - - - - - - - - - - -

2811 Object Glass - - - - - - - - - - -

Voluven - Koloid HES BM 130.000 Lar inf 0,6

2701 Pelarut BCG - 0 - - - - - - -

2810 Nacl 0.9% - 0 - - - - - - -

2811 Object Glass - 0 - - - - - - -

Ventolin Nebules /Salbutamol Cairan 2,5

Voluven - Koloid HES BM 130.000 Lar inf 0,6

2701 Pelarut BCG -

2810 Nacl 0.9% -

2811 Object Glass -

3018 Golongan Darah Anti A - - - - - -

3019 Golongan Darah Anti B - - - - - -

1905 Tes HIV I (Oncoprobe ) - - - - - -

3018 Golongan Darah Anti A - - - - - - - - - - -

3019 Golongan Darah Anti B - - - - - - - - - - -

1905 Tes HIV I (Oncoprobe ) - - - - - - - - - - -

3018 Golongan Darah Anti A - - - - - - - - - - -

3019 Golongan Darah Anti B - - - - - - - - - - -

1905 Tes HIV I (Oncoprobe ) - - - - - - - - - - -

3018 Golongan Darah Anti A - 0 - - - - - - -

3019 Golongan Darah Anti B - 0 - - - - - - -

1905 Tes HIV I (Oncoprobe ) - 0 - - - - - - -

3018 Golongan Darah Anti A -

3019 Golongan Darah Anti B -

1905 Tes HIV I (Oncoprobe ) -

Zidofudine ( ZDV ) 60mg + Lamivudine

Zidofudine (ZDV ) 100 mg tablet - - - - - -

Tenofovir 300 mg tablet - - - - - -

Tenofovir 300 mg + Emcitritabine 200 (FCT) - - - - - -

Abacavir (ABC) 300 mg - - - - - -

Zidofudine ( ZDV ) 60mg + Lamivudine

Zidofudine (ZDV ) 100 mg tablet - - - - - - - - - - -

Tenofovir 300 mg tablet - - - - - - - - - - -

Tenofovir 300 mg + Emcitritabine 200 (FCT) - - - - - - - - - - -

Abacavir (ABC) 300 mg - - - - - - - - - - -

Zidofudine ( ZDV ) 60mg + Lamivudine

Zidofudine (ZDV ) 100 mg tablet - - - - - - - - - - -

Tenofovir 300 mg tablet - - - - - - - - - - -

Tenofovir 300 mg + Emcitritabine 200 (FCT) - - - - - - - - - - -

Abacavir (ABC) 300 mg - - - - - - - - - - -