BUKU HARIAN R. FARMASI BULAN FEBRUARI 2019 TANGGAL ………………………………………….

No Nama Obat Satuan Pemakaian Obat Resep ke-

Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxadbotol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
- Clobazam 10 mg
- Larutan Rees Ecker 100 ml
- Larutan Natrium Citrat 3 - 13 %
- Larutan Turk 100 ml
- Larutan EDTA 10 % 100 ml
- Antifdifteri
- Pirimethamin
- Amoksisilin forte sirup Kering 250 mg/5 ml
- Amoksisilin Kaplet 250 mg
- Antalgin (Metampiron) Tablet 500 mg
- Benechek Plus Uric tes strip 25
- Benechek Plus glucosa test srip 50
- Benechek Plus total Cholesterol strip 10
- Etanol 70 %- 100 ml
- HB Stik Accon
- HCT Tablet 25 mg
- Lidokain Inj 2%
- Metronidazol sirup
- Metronidazol tablet 250 mg
- metylprednison 8 mg
- Omeprazol inj
- Piracetam Tablet 1200 mg
- Salbutamol 2mg
- Tiamfenikol Kapsul 500 mg
- Tramadol Inj 50 mg/ml
- Tramadol Kapsul 50 mg
- Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxadbotol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Botol -
- Rapid HIV 1/2 Device test -
- Rapid HIV 2 Fokus test -
- Rapid HIV Biomedika Sachet -
- Rapid HIV Biomeriux Sachet -
- Rapid HIV Intec Sachet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Pemakaian Obat Resep ke-
Jumlah 1
1 Albendazol Tablet 400 mg Tablet -
2 Alopurinol Tablet 100 mg Tablet -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul -
4 Aminofilin Tablet 200 mg Tablet -
5 Amitriptilina HCl Tablet salut 25 mg Tablet -
6 Amlodipin Tablet 5 mg Tablet -
7 Amoksisilin Kaplet 500 mg Kaplet -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol -
9 Antasida DOEN I Tablet Kunyah Tablet -
10 Antasida II Suspensi 60 ml Botol -
11 Anti Hemmoroid DOEN Supp -
12 Antibakteri DOEN Tube -
13 Antifungi DOEN kombinasi Pot -
14 Antimigren DOEN Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial -
16 ARV: Efavirenz 600 mg Tablet -
17 ARV: Lamivudine 150 mg Tablet -
18 ARV: Lovinapir 200 mg Ronavir Tablet -
19 ARV: Nevirapine 200 mg Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet -
21 ARV: Tenofovir 300 mg Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet -
26 Asam Folat Tablet 0,4 mg Tablet -
27 Asam Mefenamat kaplet 500 mg Tablet -
28 Asiklovir Krim 5%/5g Tube -
29 Asiklovir Tablet 400 mg Tablet -
30 Atapulgit Tablet 600 mg Tablet -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul -
32 Azithromisin Tablet 500 mg Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial -
34 Betahistin Tablet 6 mg Tablet -
35 Betametason Krim 0.1 % Tube -
36 Bisoprolol Tablet 5 mg Tablet -
37 Bromheksin Tablet 8 mg Tablet -
38 Clobazam Tablet 10 mg Tablet -
39 Clozapine Tablet 25 mg Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket -
41 Deksametason Inj 5 mg/ml-1 ml Ampul -
42 Deksametason Tablet 0,5 mg Tablet -
43 Dekstrometorfan Tablet kombinasi Tablet -
44 Dektrometorfan Sirup kombinasi Botol -
45 Devitalisasi Pasta Botol -
46 Dextrose Inj 40% Vial -
47 Diazepam Inj 5 mg/ml-2 ml Ampul -
48 Diazepam Rectal 5 mg/2,5 ml tube -
49 Diazepam Tablet 2 mg Tablet -
50 Difenhidramin Inj 10 mg/ml Ampul -
51 Digoksin Tablet 0,25 mg Tablet -
52 Dimenhidrinat Tablet 50 mg Tablet -
53 Doksisilin Tablet 100 mg Tablet -
54 Domperidon Suspensi 5mg/5ml Botol -
55 Domperidon Tablet 10 mg Tablet -
56 Endometason Botol -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul -
58 Eritromisin Kapsul 250 mg Kapsul -
59 Eritromisin Kapsul 500 mg Kapsul -
60 Eritromisin Sirup 200 mg/5 ml Botol -
61 Etakridin Larutan 0,1 % Botol -
62 Etanol 70 %- 1000 ml Botol -
63 Etil Klorida Spray Botol -
64 Eugenol Cairan Botol -
65 Fenitoin Natrium Kapsul 100 mg Kapsul -
66 Fenobarbital Tablet 30 mg Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul -
70 Fluconazol Tablet 150 mg Tablet -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul -
72 Formokresol Cair Botol -
73 Furosemid Tablet 40 mg Tablet -
74 Garam Oralit I Serbuk Sachet -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial -
76 Gentamisin Salep Kulit 0,1% Tube -
77 Glass Ionomer Cement Botol -
78 Glibenklamid Tablet 5 mg Tablet -
79 Gliseril Guaiakolat Tablet 100 mg Tablet -
80 Glukosa Larutan Infus 5% steril Fls -
81 Griseofulvin Tablet 125 mg Micronized Tablet -
82 Haloperidol 5 mg Tablet -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul -
84 Haloperidol Inj 5 mg/ml Ampul -
85 Haloperidol Tablet 1,5 mg Tablet -
86 Hidrokortison Krim 2,5 % Tube -
87 Hiosina butilbromida tab 10 mg Tablet -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set -
89 Ibuprofen Tablet 400 mg Tablet -
90 Isoniazid Tablet 100 mg Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet -
92 Kalsium glukonat inj 100 mg/ml Ampul -
93 Kalsium hidroksida pasta Botol -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet -
95 Kaptropil Tablet 25 mg Tablet -
96 Karbamazepin Tablet 200 mg Tablet -
97 Karbogliserin Tetes Telinga 10 % Botol -
98 Karbon aktif tab 0,5 mg Tablet -
99 Ketokonazol Tablet 200 mg Tablet -
100 Ketoprofen Supp 100 mg Supp -
101 Kina Inj 26 % 2 ml Ampul -
102 Kina Tablet 222 mg Tablet -
103 Klindanmisin Tablet 300 mg Tablet -
104 Kloramfenikol Kapsul 250 mg Kapsul -
105 Kloramfenikol Kapsul 500 mg Kapsul -
106 Kloramfenikol Salep Kulit 2% Tube -
107 Kloramfenikol Salep Mata 1 % Tube -
108 Kloramfenikol Sirup 125 mg/5 ml Botol -
109 Kloramfenikol Tetes Mata 0.5% Botol -
110 Kloramfenikol Tetes telinga 3 % Tube -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul -
116 Lidokain Jelly 2 % Tube -
117 Lidokain Spray 10 % Botol -
118 Lisol Botol -
119 Loratadin Tablet 10 mg Tablet -
120 Magnesium sulfat Inj (IV) 20 % Ampul -
121 Magnesium sulfat Inj (IV) 40 % Ampul -
122 MB Anak Blister -
123 MB Dewasa Blister -
124 Metformin HCl Tablet 500 mg Tablet -
125 Metildopa Tablet 250 mg Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet -
128 Metilprednisolon Tablet 4 mg Tablet -
129 Metronidazol Tablet 500 mg Tablet -
130 Mikonazol Krim/Salep 2% Tube -
131 Mineral Mix Sachet -
132 Monoklorkamfer mentol cairan Botol -
133 Multivitamin + DHA + Lysin Sirup Botol -
134 Multivitamin + Mineral Kaplet Kaplet -
135 N-asetil sistein kaps 200 mg Kapsul -
136 Natrium Bikarbonat Tablet 500 mg Tablet -
137 Natrium Diklofenak Tablet 50 mg Tablet -
138 Natrium Hipoklorit 3% Botol -
139 Natrium Klorida Larutan Infus 0,9% Fls -
140 Natrium Tiroksin Tablet 100 µg Tablet -
141 Nipedipin Tablet 10 mg Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet -
144 OAT FDC Katagori 1 Paket -
145 OAT FDC Katagori 2 Paket -
146 OAT FDC Kategori Anak paket -
147 OAT FDC Kategori Sisipan Paket -
148 OAT Kombipak Kat I paket -
149 Obat Batuk Hitam (OBH) Cairan Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul -
151 Omeprazol Kapsul 20 mg Kapsul -
152 Ondansetron Inj 4 mg/2 ml Ampul -
153 Parasetamol Sirup 120 mg / 5ml Botol -
154 Parasetamol Tablet 500 mg Tablet -
155 PB Anak Blister -
156 PB Dewasa Blister -
157 Permetrin 5% Krim (Scabimite) Tube -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet -
160 Pirimetamin Tablet 25 mg Tablet -
161 Polikresulen (Albotyl) Botol 5 ml botol -
162 Povidon Iodida 10 %-30 ml Botol -
163 Povidon Iodida 10 %-300 ml Botol -
164 Prednison Tablet 5 mg Tablet -
165 Primakuin Tablet 15 mg Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial -
167 Propanolol HCl Tablet 40 mg Tablet -
168 Propiltiourasil Tablet 100 mg Tablet -
169 Ranitidin Inj 25 mg/ml Ampul -
170 Ranitidin Tablet 150 mg Tablet -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul -
173 Ringer Laktat Larutan Infus Steril Fls -
174 Risperidon Tablet 2 mg Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul -
176 Salbutamol Tablet 4 mg Tablet -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot -
178 Salisil Bedak 2 % Kotak -
179 Sefadroksil Sirup 125 mg/5 ml Botol -
180 Sefadroxil Kapsul 500 mg Kapsul -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket -
182 Sefotaksim Inj 1 g Vial -
183 Seftriaxon Inj 1 g Vial -
184 Semen seng fosfat serbuk cairan Botol -
185 Serum Anti Difteri (ADS) Vial -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial -
188 Setirizin Sirup 5 mg/5 ml Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul -
190 Simvastatin Tablet 10 mg Tablet -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet -
- Tablet Tambah Darah (Camabion) Buah -
192 Tablet Tambah Darah Kombinasi Tablet -
193 Temporary Restorative Material Botol -
194 Tetrasiklin Kapsul 500 mg Kapsul -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet -
196 Triheksifenidil HCl Tablet 2 mg Tablet -
197 Vaksin BCG + Pelarut Set -
198 Vaksin DPT-Hb-Hib Vial -
199 Vaksin DT Vial -
200 Vaksin Hb-0 Set -
201 Vaksin IPV 10 ds Vial -
202 Vaksin IPV 5 ds Vial -
203 Vaksin Measles Rubella (MR) Vial -
204 Vaksin Meningitis Paket -
205 Vaksin Papillomavirus (HPV) Vial -
206 Vaksin Pneumococcus Vial -
207 Vaksin Polio 10 ds bopv + Penetes Set -
208 Vaksin Rabies Vero Set -
209 Vaksin Td Vial -
210 Vitamin B Kompleks Tablet Tablet -
211 Zinc Tablet 20 mg Tablet -
212 BAHAN HABIS PAKAI 0 -
213 ADS 0.05 ml Buah -
214 ADS 0.5 ml Buah -
215 ADS 5 ml Buah -
216 Alat Suntik Sekali Pakai 1ml Set -
217 Alat Suntik Sekali Pakai 3 ml Set -
218 Alat Suntik Sekali Pakai 5 ml Set -
219 Alkohol Swab Buah -
220 Bisturi Buah -
221 Blood set Buah -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set -
224 Folley Catheter No.18 Buah -
225 Infusion set anak Kantong -
226 Infusion set dewasa Kantong -
227 IV Catheter No.18 Set -
228 IV Catheter No.20 Set -
229 IV Catheter No.22 Set -
230 IV Catheter No.24 Set -
231 Jarum kulit Buah -
232 Jarum otot Buah -
233 Kaca Slide Buah -
234 Kantung mayat Buah -
235 Kapas Pembalut/absorben 250 mg Roll -
236 Kasa Hidrofil 2x80 Roll -
237 Kasa Hidrofil Steril 16 X 16 Lembar -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll -
240 Kassa Pembalut elastic 4 inchi Roll -
241 Masker Tie on Buah -
242 Masker N-95 Buah -
243 Plester 5 yard x 2 inch Roll -
244 Polybag Medis Lembar -
245 Polybag Nonmedis Lembar -
246 Polybag Ramah Lingkungan Lembar -
- Pot Dahak Buah -
247 Safety box Buah -
248 Sarung Tangan Non Steril Uk.S Buah -
249 Sarung Tangan Non Steril Uk.M Buah -
250 Sarung Tangan Non Steril Uk.L Buah -
- Sarung Tangan Steril No.6 Set -
251 Sarung Tangan Steril No.6,5 Set -
252 Sarung Tangan Steril No.7 Set -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah -
254 Bedah Set -
255 Urin Bag Buah -
256 REAGEN 0 -
257 Cybow 10 Reagent Strip Set -
258 Golongan darah anti A - 10 ml Botol -
259 Golongan darah anti A-B - 10 ml Botol -
260 Golongan darah anti B - 10 ml Botol -
261 Humasens Plus Set -
262 Humasens Plus Strip Uric Acid Kotak -
263 Humasens Strip Glucose Kotak -
264 Humasens Strip Kolesterol Kotak -
265 Iodin test Botol -
266 Larutan Asam Asetat 6% 100 ml Botol -
267 Larutan Benedict 100 ml Botol -
268 Larutan EDTA 10 % 100 ml Botol -
269 Larutan HCl 0,1 N 100 ml Botol -
- Larutan Natrium Citrat 3,13 % Botol -
270 Larutan Rees Ecker 100 ml Botol -
271 Larutan Turk 100 ml Botol -
- Larutan Ziehl Neelsen Tablet -
- Rapid HIV 1/2 Device Tablet -
- Rapid HIV 2 Fokus Tablet -
- Rapid HIV Biomedika botol -
- Rapid HIV Biomeriux Tablet -
- Rapid HIV Intec Tablet -
- Rapid HIV Oncoprobe Sachet -
- Rapid HIV SD Sachet -
- Rapid Malaria Sachet -
- Rapid Syphilis SD Sachet -
- Reagen CD4 kontrol test -
- Reagen CD4 tipe 1 (Alere Pima CD4) test -
- RPR Syphilis Sachet -
- Salmonella Thyphi H - 5 ml Botol -
- Salmonella Thyphi O - 5 ml Botol -
- Test Kehamilan Buah -
- LAIN-LAIN 0 -
- penobarbital injk ampul -
- piracetam 800 tablet -
- lidokain 2% ampul -
- Salmonella Thyphi H - 5 ml 0 -
- Salmonella Thyphi O - 5 ml 0 -
- Nipedipin 10 mg 0 -
- Lidocain Jelly 2 % 0 -
- Lidocain Spray 10 % 0 -
- Betahistin 6 mg 0 -
- DBS collection kit 0 -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 -
- Polikresulen ( Albotyl) 5 ml 0 -
- Haloperidol inj 5 mg/ml 0 -
- Haloperidol dekanoat inj 50 mg/ml 0 -
- Clozapine 25 mg 0 -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….
n Obat Resep ke-
2 3 4 5 6 7 8 9 10 11
12 13 14 15 16 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 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 83 84 85 86 87 88 89 90 91
92 93 94 95 96 97 98 99 100 101
102 103 104 105 106 107 108 109 110 111
112 113 114 115 116 117 118 119 120 121
122 123 124 125 126 127 128 129 130 131
132 133 134 135 136 137 138 139 140 141
142 143 144 145 146 147 148 149 150 151
152 153 154 155 156 157 158 159 160 161
162 163 164 165 166 167 168 169 170 171
172 173 174 175 176 177 178 179 180 181
182 183 184 185 186 187 188 189 190 191
192 193 194 195 196 197 198 199 200 201
202 203 204 205 206 207 208 209 210 211
212 213 214 215 216 217 218 219 220 221
222 223 224 225 226 227 228 229 230 231
232 233 234 235 236 237 238 239 240 241
242 243 244 245
 BUKU HARIAN R. FARMASI BULAN ………………………………………………….. TANGGAL ………………………………………….
No Nama Obat Satuan Distribusi Hari ke-
JUMLAH 1
1 Albendazol Tablet 400 mg Tablet - -
2 Alopurinol Tablet 100 mg Tablet - -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul - -
4 Aminofilin Tablet 200 mg Tablet - -
5 Amitriptilina HCl Tablet salut 25 mg Tablet - -
6 Amlodipin Tablet 5 mg Tablet - -
7 Amoksisilin Kaplet 500 mg Kaplet - -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol - -
9 Antasida DOEN I Tablet Kunyah Tablet - -
10 Antasida II Suspensi 60 ml Botol - -
11 Anti Hemmoroid DOEN Supp - -
12 Antibakteri DOEN Tube - -
13 Antifungi DOEN kombinasi Pot - -
14 Antimigren DOEN Tablet - -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial - -
16 ARV: Efavirenz 600 mg Tablet - -
17 ARV: Lamivudine 150 mg Tablet - -
18 ARV: Lovinapir 200 mg Ronavir Tablet - -
19 ARV: Nevirapine 200 mg Tablet - -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet - -
21 ARV: Tenofovir 300 mg Tablet - -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet - -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet - -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet - -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet - -
26 Asam Folat Tablet 0,4 mg Tablet - -
27 Asam Mefenamat kaplet 500 mg Tablet - -
28 Asiklovir Krim 5%/5g Tube - -
29 Asiklovir Tablet 400 mg Tablet - -
30 Atapulgit Tablet 600 mg Tablet - -
31 Atropin Sulfat Inj 0,25 mg/ml Ampul - -
32 Azithromisin Tablet 500 mg Tablet - -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial - -
34 Betahistin Tablet 6 mg Tablet - -
35 Betametason Krim 0.1 % Tube - -
36 Bisoprolol Tablet 5 mg Tablet - -
37 Bromheksin Tablet 8 mg Tablet - -
38 Clobazam Tablet 10 mg Tablet - -
39 Clozapine Tablet 25 mg Tablet - -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Paket - -
41 Deksametason Inj 5 mg/ml-1 ml Ampul - -
42 Deksametason Tablet 0,5 mg Tablet - -
43 Dekstrometorfan Tablet kombinasi Tablet - -
44 Dektrometorfan Sirup kombinasi Botol - -
45 Devitalisasi Pasta Botol - -
46 Dextrose Inj 40% Vial - -
47 Diazepam Inj 5 mg/ml-2 ml Ampul - -
48 Diazepam Rectal 5 mg/2,5 ml tube - -
49 Diazepam Tablet 2 mg Tablet - -
50 Difenhidramin Inj 10 mg/ml Ampul - -
51 Digoksin Tablet 0,25 mg Tablet - -
52 Dimenhidrinat Tablet 50 mg Tablet - -
53 Doksisilin Tablet 100 mg Tablet - -
54 Domperidon Suspensi 5mg/5ml Botol - -
55 Domperidon Tablet 10 mg Tablet - -
56 Endometason Botol - -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul - -
58 Eritromisin Kapsul 250 mg Kapsul - -
59 Eritromisin Kapsul 500 mg Kapsul - -
60 Eritromisin Sirup 200 mg/5 ml Botol - -
61 Etakridin Larutan 0,1 % Botol - -
62 Etanol 70 %- 1000 ml Botol - -
63 Etil Klorida Spray Botol - -
64 Eugenol Cairan Botol - -
65 Fenitoin Natrium Kapsul 100 mg Kapsul - -
66 Fenobarbital Tablet 30 mg Tablet - -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet - -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet - -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul - -
70 Fluconazol Tablet 150 mg Tablet - -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul - -
72 Formokresol Cair Botol - -
73 Furosemid Tablet 40 mg Tablet - -
74 Garam Oralit I Serbuk Sachet - -
75 Gentamisin Inj 40 mg/ml (Sulfat) Vial - -
76 Gentamisin Salep Kulit 0,1% Tube - -
77 Glass Ionomer Cement Botol - -
78 Glibenklamid Tablet 5 mg Tablet - -
79 Gliseril Guaiakolat Tablet 100 mg Tablet - -
80 Glukosa Larutan Infus 5% steril Fls - -
81 Griseofulvin Tablet 125 mg Micronized Tablet - -
82 Haloperidol 5 mg Tablet - -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul - -
84 Haloperidol Inj 5 mg/ml Ampul - -
85 Haloperidol Tablet 1,5 mg Tablet - -
86 Hidrokortison Krim 2,5 % Tube - -
87 Hiosina butilbromida tab 10 mg Tablet - -
 88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Set - -
89 Ibuprofen Tablet 400 mg Tablet - -
90 Isoniazid Tablet 100 mg Tablet - -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - -
92 Kalsium glukonat inj 100 mg/ml Ampul - -
93 Kalsium hidroksida pasta Botol - -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet - -
95 Kaptropil Tablet 25 mg Tablet - -
96 Karbamazepin Tablet 200 mg Tablet - -
97 Karbogliserin Tetes Telinga 10 % Botol - -
98 Karbon aktif tab 0,5 mg Tablet - -
99 Ketokonazol Tablet 200 mg Tablet - -
100 Ketoprofen Supp 100 mg Supp - -
101 Kina Inj 26 % 2 ml Ampul - -
102 Kina Tablet 222 mg Tablet - -
103 Klindanmisin Tablet 300 mg Tablet - -
104 Kloramfenikol Kapsul 250 mg Kapsul - -
105 Kloramfenikol Kapsul 500 mg Kapsul - -
106 Kloramfenikol Salep Kulit 2% Tube - -
107 Kloramfenikol Salep Mata 1 % Tube - -
108 Kloramfenikol Sirup 125 mg/5 ml Botol - -
109 Kloramfenikol Tetes Mata 0.5% Botol - -
110 Kloramfenikol Tetes telinga 3 % Tube - -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet - -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet - -
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol - -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet - -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 Ampul - -
116 Lidokain Jelly 2 % Tube - -
117 Lidokain Spray 10 % Botol - -
118 Lisol Botol - -
119 Loratadin Tablet 10 mg Tablet - -
120 Magnesium sulfat Inj (IV) 20 % Ampul - -
121 Magnesium sulfat Inj (IV) 40 % Ampul - -
122 MB Anak Blister - -
123 MB Dewasa Blister - -
124 Metformin HCl Tablet 500 mg Tablet - -
125 Metildopa Tablet 250 mg Tablet - -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul - -
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut Tablet - -
128 Metilprednisolon Tablet 4 mg Tablet - -
129 Metronidazol Tablet 500 mg Tablet - -
130 Mikonazol Krim/Salep 2% Tube - -
131 Mineral Mix Sachet - -
132 Monoklorkamfer mentol cairan Botol - -
133 Multivitamin + DHA + Lysin Sirup Botol - -
134 Multivitamin + Mineral Kaplet Kaplet - -
135 N-asetil sistein kaps 200 mg Kapsul - -
136 Natrium Bikarbonat Tablet 500 mg Tablet - -
137 Natrium Diklofenak Tablet 50 mg Tablet - -
138 Natrium Hipoklorit 3% Botol - -
139 Natrium Klorida Larutan Infus 0,9% Fls - -
140 Natrium Tiroksin Tablet 100 µg Tablet - -
141 Nipedipin Tablet 10 mg Tablet - -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet - -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet - -
144 OAT FDC Katagori 1 Paket - -
145 OAT FDC Katagori 2 Paket - -
146 OAT FDC Kategori Anak paket - -
147 OAT FDC Kategori Sisipan Paket - -
148 OAT Kombipak Kat I paket - -
149 Obat Batuk Hitam (OBH) Cairan Botol - -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul - -
151 Omeprazol Kapsul 20 mg Kapsul - -
152 Ondansetron Inj 4 mg/2 ml Ampul - -
153 Parasetamol Sirup 120 mg / 5ml Botol - -
154 Parasetamol Tablet 500 mg Tablet - -
155 PB Anak Blister - -
156 PB Dewasa Blister - -
157 Permetrin 5% Krim (Scabimite) Tube - -
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxad botol - -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet - -
160 Pirimetamin Tablet 25 mg Tablet - -
161 Polikresulen (Albotyl) Botol 5 ml botol - -
162 Povidon Iodida 10 %-30 ml Botol - -
163 Povidon Iodida 10 %-300 ml Botol - -
164 Prednison Tablet 5 mg Tablet - -
165 Primakuin Tablet 15 mg Tablet - -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial - -
167 Propanolol HCl Tablet 40 mg Tablet - -
168 Propiltiourasil Tablet 100 mg Tablet - -
169 Ranitidin Inj 25 mg/ml Ampul - -
170 Ranitidin Tablet 150 mg Tablet - -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul - -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul - -
173 Ringer Laktat Larutan Infus Steril Fls - -
174 Risperidon Tablet 2 mg Tablet - -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul - -
176 Salbutamol Tablet 4 mg Tablet - -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot - -
178 Salisil Bedak 2 % Kotak - -
179 Sefadroksil Sirup 125 mg/5 ml Botol - -
180 Sefadroxil Kapsul 500 mg Kapsul - -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket - -
182 Sefotaksim Inj 1 g Vial - -
183 Seftriaxon Inj 1 g Vial - -
184 Semen seng fosfat serbuk cairan Botol - -
185 Serum Anti Difteri (ADS) Vial - -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul - -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial - -
188 Setirizin Sirup 5 mg/5 ml Botol - -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul - -
190 Simvastatin Tablet 10 mg Tablet - -
191 Siprofloksasin (HCl) Tablet 500 mg Kaplet - -
- Tablet Tambah Darah (Camabion) Buah - -
192 Tablet Tambah Darah Kombinasi Tablet - -
193 Temporary Restorative Material Botol - -
194 Tetrasiklin Kapsul 500 mg Kapsul - -
195 Tiamin HCL (Vit B1) Tablet 50 mg Tablet - -
196 Triheksifenidil HCl Tablet 2 mg Tablet - -
197 Vaksin BCG + Pelarut Set - -
198 Vaksin DPT-Hb-Hib Vial - -
199 Vaksin DT Vial - -
200 Vaksin Hb-0 Set - -
201 Vaksin IPV 10 ds Vial - -
202 Vaksin IPV 5 ds Vial - -
203 Vaksin Measles Rubella (MR) Vial - -
204 Vaksin Meningitis Paket - -
205 Vaksin Papillomavirus (HPV) Vial - -
206 Vaksin Pneumococcus Vial - -
207 Vaksin Polio 10 ds bopv + Penetes Set - -
208 Vaksin Rabies Vero Set - -
209 Vaksin Td Vial - -
210 Vitamin B Kompleks Tablet Tablet - -
211 Zinc Tablet 20 mg Tablet - -
212 BAHAN HABIS PAKAI 0 - -
213 ADS 0.05 ml Buah - -
214 ADS 0.5 ml Buah - -
215 ADS 5 ml Buah - -
216 Alat Suntik Sekali Pakai 1ml Set - -
217 Alat Suntik Sekali Pakai 3 ml Set - -
218 Alat Suntik Sekali Pakai 5 ml Set - -
219 Alkohol Swab Buah - -
220 Bisturi Buah - -
221 Blood set Buah - -
222 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set - -
223 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set - -
224 Folley Catheter No.18 Buah - -
225 Infusion set anak Kantong - -
226 Infusion set dewasa Kantong - -
227 IV Catheter No.18 Set - -
228 IV Catheter No.20 Set - -
229 IV Catheter No.22 Set - -
230 IV Catheter No.24 Set - -
231 Jarum kulit Buah - -
232 Jarum otot Buah - -
233 Kaca Slide Buah - -
234 Kantung mayat Buah - -
235 Kapas Pembalut/absorben 250 mg Roll - -
236 Kasa Hidrofil 2x80 Roll - -
237 Kasa Hidrofil Steril 16 X 16 Lembar - -
238 Kasa Pembalut Hidrofil 4 X 10 cm Roll - -
239 Kasa Pembalut hidrofil 4 x 5 cm Roll - -
240 Kassa Pembalut elastic 4 inchi Roll - -
241 Masker Tie on Buah - -
242 Masker N-95 Buah - -
243 Plester 5 yard x 2 inch Roll - -
244 Polybag Medis Lembar - -
245 Polybag Nonmedis Lembar - -
246 Polybag Ramah Lingkungan Lembar - -
- Pot Dahak Buah - -
247 Safety box Buah - -
248 Sarung Tangan Non Steril Uk.S Buah - -
249 Sarung Tangan Non Steril Uk.M Buah - -
250 Sarung Tangan Non Steril Uk.L Buah - -
- Sarung Tangan Steril No.6 Set - -
251 Sarung Tangan Steril No.6,5 Set - -
252 Sarung Tangan Steril No.7 Set - -
253 Sendok Obat Bedah Sutera) No.2/0 Dengan Jarum
Silk (Benang Buah - -
254 Bedah Set - -
255 Urin Bag Buah - -
256 REAGEN 0 - -
257 Cybow 10 Reagent Strip Set - -
258 Golongan darah anti A - 10 ml Botol - -
259 Golongan darah anti A-B - 10 ml Botol - -
260 Golongan darah anti B - 10 ml Botol - -
261 Humasens Plus Set - -
262 Humasens Plus Strip Uric Acid Kotak - -
263 Humasens Strip Glucose Kotak - -
264 Humasens Strip Kolesterol Kotak - -
265 Iodin test Botol - -
266 Larutan Asam Asetat 6% 100 ml Botol - -
267 Larutan Benedict 100 ml Botol - -
268 Larutan EDTA 10 % 100 ml Botol - -
269 Larutan HCl 0,1 N 100 ml Botol - -
- Larutan Natrium Citrat 3,13 % Botol - -
270 Larutan Rees Ecker 100 ml Botol - -
271 Larutan Turk 100 ml Botol - -
- Larutan Ziehl Neelsen Botol - -
- Rapid HIV 1/2 Device test - -
- Rapid HIV 2 Fokus test - -
- Rapid HIV Biomedika Sachet - -
- Rapid HIV Biomeriux Sachet - -
- Rapid HIV Intec Sachet - -
- Rapid HIV Oncoprobe Sachet - -
- Rapid HIV SD Sachet - -
- Rapid Malaria Sachet - -
- Rapid Syphilis SD Sachet - -
- Reagen CD4 kontrol test - -
- Reagen CD4 tipe 1 (Alere Pima CD4) test - -
- RPR Syphilis Sachet - -
- Salmonella Thyphi H - 5 ml Botol - -
- Salmonella Thyphi O - 5 ml Botol - -
- Test Kehamilan Buah - -
- LAIN-LAIN 0 - -
- penobarbital injk ampul - -
- piracetam 800 tablet - -
- lidokain 2% ampul - -
- Salmonella Thyphi H - 5 ml 0 - -
- Salmonella Thyphi O - 5 ml 0 - -
- Nipedipin 10 mg 0 - -
- Lidocain Jelly 2 % 0 - -
- Lidocain Spray 10 % 0 - -
- Betahistin 6 mg 0 - -
- DBS collection kit 0 - -
- Phenolphtalein, paraffin liquidum, gliserin syr (laxadin syr) 0 - -
- Polikresulen ( Albotyl) 5 ml 0 - -
- Haloperidol inj 5 mg/ml 0 - -
- Haloperidol dekanoat inj 50 mg/ml 0 - -
- Clozapine 25 mg 0 - -
Clobazam 10 mg
Larutan Rees Ecker 100 ml
Larutan Natrium Citrat 3 - 13 %
Larutan Turk 100 ml
Larutan EDTA 10 % 100 ml
Antifdifteri
Pirimethamin
Amoksisilin forte sirup Kering 250 mg/5 ml
Amoksisilin Kaplet 250 mg
Antalgin (Metampiron) Tablet 500 mg
Benechek Plus Uric tes strip 25
Benechek Plus glucosa test srip 50
Benechek Plus total Cholesterol strip 10
Etanol 70 %- 100 ml
HB Stik Accon
HCT Tablet 25 mg
Lidokain Inj 2%
Metronidazol sirup
Metronidazol tablet 250 mg
metylprednison 8 mg
Omeprazol inj
Piracetam Tablet 1200 mg
Salbutamol 2mg
Tiamfenikol Kapsul 500 mg
Tramadol Inj 50 mg/ml
Tramadol Kapsul 50 mg
Vaksin TT
………………………………………….

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 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO) PUSKESMAS
Lembar Putih : Dinkes Kabupaten
Lembar Biru/Hijau : UPTD FAMM
Lembar Kuning : Puskesmas

PUSKESMAS : SILIWANGI DOKUMEN NOMOR TANGGAL

KECAMATAN : PELAPORAN BULAN/PERIODE : JUNI 2012 DINKES KAB/KOTA
KAB/KOTA : GARUT PERMINTAAN BULAN/PERIODE : JULI 2012 DBMB
PROPINSI : JAWA BARAT PUSKESMAS

NO. NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR KEKOSONGAN STOK OPTIMUM PERMINTAAN
ALAT KESEHATAN
1 Alat Suntik Sekali Pakai 1ml SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
2 ALAT SUNTIK SEKALI PAKAI 2.5 ML/3 ML SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
3 Alat Suntik Sekali Pakai 5 ml SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
4 Blood set SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
5 Bisturi SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
6 Catgut/Benang Bedah No.3/0 SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
7 Catgut/Benang Bedah No.2/0 ROL #REF! 0 #REF! 0 #REF! 0 0 #REF!
8 Folley catheter SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
9 Infusion set anak SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
10 Infusion set dewasa SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
11 Jarum cutting (Otot) SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
12 Jarum tapper (kulit) SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
13 IV Catheter No.18 SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
14 IV Catheter No.20 SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
15 IV Catheter No.22 SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
16 IV Catheter No.24 SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
17 Kapas pembalut/absorben 250 mg BUNGKUS #REF! 0 #REF! 0 #REF! 0 0 #REF!
18 Kasa Hidrofil Steril 16 X 16 ROL #REF! 0 #REF! 0 #REF! 0 0 #REF!
19 Kasa pembalut elastic 4 inchi ROL #REF! 0 #REF! 0 #REF! 0 0 #REF!
20 Kasa pembalut Hidrofil 4 X 10 cm ROL #REF! 0 #REF! 0 #REF! 0 0 #REF!
21 Kasa pembalut hidrofil 4 x 5 cm ROL #REF! 0 #REF! 0 #REF! 0 0 #REF!
22 Masker SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
23 Plester 5 yard x 2 inch ROL #REF! 0 #REF! 0 #REF! 0 0 #REF!
24 sarung Tangan non steril SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
25 Sarung Tangan Steril SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
26 SILK (BENANG BEDAH SUTRA) NO.3/0 DENGAN JARUM BEDAH SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
27 Urin Bag SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
28 Wing Needle SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANAFILAKSIS
NO. NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR KEKOSONGAN STOK OPTIMUM PERMINTAAN
29 Deksametason inj 5 mg/ml-1 ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
30 Deksametason Tablet 0.5 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
31 Difenhidramin inj 10 mg/ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
32 Epinefrina HCl/Bitartrat (Adrenalin) inj 0.1 %-1ml Ampul #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANALGETIKA ANTIPIRETIK & ANTIINFLAMASI NON STEROID
33 Antalgin (Metampiron) Tablet 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
34 Antalgin Injeksi 250 mg/ml-2ml TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
35 Asam Mefenamat 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
36 Asetosal Tablet 100 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
37 Ibuprofen tablet 400 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
38 Ketoprofen Inj Ampul #REF! 0 #REF! 0 #REF! 0 0 #REF!
39 Natrium Diklofenac 50 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
40 Parasetamol sirup 120 mg/5 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
41 Parasetamol tablet 100 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
42 Parasetamol tablet 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
43 Tramadol Injeksi 50 mg/ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
44 Tramadol Kapsul 50 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANESTESI LOKAL
45 ETIL KLORIDA SEMPROT - 100 ML BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
46 Lidokain inj Komp:Lidokain % + Epinefrin 1 : 80000-2ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTELMINTIK
47 Albendazol 400 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
48 Pirantel tablet 125 TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIALERGI
49 KLORFENIRAMIN MALEAT (CTM) TABLET 4 MG TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIAMUBA
50 Metronidazol tablet 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIASMA
51 Aminofilin Inj 24 mg/ml-10 ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
52 Aminofilin Tablet 200 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
53 Efedrin HCl tablet 25 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
54 Salbutamol tablet 2 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
55 Salbutamol tablet 4 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
56 Salbutamol 2.5 mg/2.5 ml NaCl AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIBAKTERI
57 Amoksilin Kapsul 500 mg KAPLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
58 Amoksilin sirup kering 125 mg/ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
59 Ampisilin inj Im/IV 1000 mg/ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
60 Antibakteri DOEN TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
61 Benzatin Benzil Penisilin Inj 2.4 juta IU/vial VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
62 Ciprofloksasin 500 mg KAPLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
63 Doksisilin 100 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
64 Erytromycin 250 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
NO. NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR KEKOSONGAN STOK OPTIMUM PERMINTAAN
65 Fenoksimetil Penisilin tablet 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
66 Gentamisin Injeksi 80 mg/2 ml (sebagai sulfat) BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
67 Gentamisin Sulfat Tetes Mata 0.3% 5ML AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
68 Gentamycin S.K TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
69 Kloramfenikol kapsul 250 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
70 Kloramfenikol Salep Kulit 2% TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
71 Kloramfenikol salep mata 1 % TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
72 Kloramfenikol Suspensi 125 mg/5 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
73 Kloramfenikol tetes telinga 3 % BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
74 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
75 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
76 Kotrimoksazol Tab Ped:Sulf 100 + Trim 20 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
77 Oksitetrasiklin HCl 1 % Salep mata TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
78 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
79 Oksitetrasiklin HCl Salep 3 % TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
80 Prokain Benzil Penisillin 3 juta IU / vial inj VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
81 Sefadroxil Kapsul 500 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
82 Sefotaksim Serbuk Injeksi 1 g/vial VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
83 Seftriaxon Serbuk Injeksi 1 g/vial VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
84 Sulfasetamid Natrium Tetes mata 15 % BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
85 Tetrasiklin Kapsul 250 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
86 Tetrasiklin Kapsul 500 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
87 Tiamfenikol Kapsul 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIDIABETES
88 Glibenklamid tablet 5 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
89 Metformin 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIDIARE
90 Attapulgite + pektin TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
91 Zinc Tablet TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIDOT
92 Atropin Sulfat injeksi 0.25 mg/ml-1 ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIEMETIKA
93 Dimenhidrinat Tablet 50 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
94 domperidon suspensi 5 mg/5ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
95 Domperidon Tablet 10 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
96 Metoklorpropamid Injeksi 5 mg/ml Ampul #REF! 0 #REF! 0 #REF! 0 0 #REF!
97 Metoklorpropamid Tablet 10 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIEPILEPTIK
98 Fenitoin Natrium kapsul 30 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
99 Fenitoin Kapsul 100 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
100 Karbamazepin tablet 200 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIFUNGI
NO. NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR KEKOSONGAN STOK OPTIMUM PERMINTAAN
101 Antifungi DOEN kombinasi POT #REF! 0 #REF! 0 #REF! 0 0 #REF!
102 Griseofulvin tablet 125 mg micronized TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
103 Ketokonazol Tablet 200 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
104 MICONAZOL SK 2% TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
105 Nistatin tablet salut gula 500.000 IU / G TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
106 Nistatin tablet vaginal 100.000 IU / g TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIHEMOROID
107 Anti Hemmoroid DOEN SUPP TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIHIPERASIDITAS
108 Antasida DOEN TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
109 Antasida II Suspensi 60 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
110 Omeprazol Capsul 20 mg KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
111 Ranitidin 150 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
112 Ranitidin Injeksi 25 mg/ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIHIPERLIPID
113 Simvastatin 10 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
114 Simvastatin 20 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIHIPERTENSI
115 Captropil 25 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
116 Nifedipin 10 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIINFLAMASI KORTIKOSTEROID
117 Betametason Krim 0.1 % TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
118 Hidrokortison krim 2.5 % TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
119 Prednison tablet 5 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIMALARIA
120 Arterakina TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
121 Klorokuin tablet 150 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
122 Kuinin dihidroklorida inj 25 %-2 ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
123 Primakuin tablet 15 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIMIGREN
124 Antimigren DOEN TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIPARKINSON
125 Triheksifenidil HCl tablet 2 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIPIRAI
126 Alopurinol tablet 100 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTISEPTIK & DESINFEKTAN
127 ETAKRIDIN (RIVANOL) LARUTAN 0.1 %-300 ML BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
128 ETANOL 70 % - 1000 ML BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
129 Fenol Gliserol Tetes telinga 10 % BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
130 Gentian violet larutan 1 %-10 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
131 Kaporit KG #REF! 0 #REF! 0 #REF! 0 0 #REF!
132 Lisol - Mengandung kresol tersabun 50%-1000 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
NO. NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR KEKOSONGAN STOK OPTIMUM PERMINTAAN
133 Paraformaldehid tablet 1 gram TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
134 Pine oil 7 % + benzyl chlorophenol 0.6 % BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
135 Povidon Iodida 10 % - 30 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
136 Povidon Iodida 10 % - 300 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
137 Salisil Bedak 2 % - 50 gram KOTAK #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTISKABIES
138 Lindane 1% + Usnic acid 1% TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
139 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % POT #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTISPASMODIK
140 Hyoscine-n-butilbromide Tablet 10 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTITIROID
141 PROPILPROTOURASIL TABLET 100 MG TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTITUSIF
142 DEKSTROMETORFAN SIRUP 10 MG/5 ML - 60 ML BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
143 Dekstrometorfan tablet 15 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
ANTIVIRAL
144 Asiklovir Krim 5%/5g TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
145 Asiklovir Tablet 400 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
CAIRAN EKLEKTROLIT & NUTRISI
146 Garam Oralit 200 ml air SACHET #REF! 0 #REF! 0 #REF! 0 0 #REF!
147 GLUKOSA LARUTAN INFUS 5 % STERIL-500 ML BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
148 Kalsium Laktat (Kalk) tablet 500 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
149 Natrium Klorida Lar.infus 0.9 % steril BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
150 Ringer Laktat Larutan Infus Steril BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
DIURETIK
151 Furosemid tablet 40 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
152 Hidroklotiazid (HCT) tablet 25 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
EKSPEKTORANS & TOKOLITIK
153 Bromheksin Tablet 8 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
154 Gliseril Guayakolat tablet 100 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
155 Obat batuk Hitam (OBH) Cairan - 100 ml BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
GIGI DAN MULUT
156 Devitalisasi Pasta (Non arsen) BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
157 Eugenol Cairan BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
158 Glass Ionomer Cement (GC IX) SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
159 Kalsium hidroksida pasta TUBE #REF! 0 #REF! 0 #REF! 0 0 #REF!
160 Monoklor Kamfer mentol cairan BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
161 Mummifying Pasta BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
162 Semen seng fosfat serbuk cairan BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
163 Temporary Stopping Fletcher (Fletcher) SET #REF! 0 #REF! 0 #REF! 0 0 #REF!
HEMOSTATIK
164 Fitomenadion(Vit K1) inj 2 mg/ml-1ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
165 FITOMENADION (VIT K1) INJ 10 MG/ML - 1 ML AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
NO. NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR KEKOSONGAN STOK OPTIMUM PERMINTAAN
166 FITOMENADION (VIT K1) TABLET SALUT GULA 10 MG TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
HIPNOTIK
167 Fenobarbital tablet 30 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
168 Fenobarbital Inj 50 mg/2ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
KARDIOVASKULER
169 Digoksin tablet 0.25 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
170 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
171 Propanolol HCl tablet 40 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
KEBIDANAN
172 Magnesium sulfat inj (IV) 20 %-25 ml VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
173 Magnesium sulfat inj(IV) 40 % VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
174 Metilergometrin maleat inj 0.200 mg - ml Ampul #REF! 0 #REF! 0 #REF! 0 0 #REF!
175 Metilergometrin maleat tab salut 0.125 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
176 Oksitoksin Inj 10 IU/ml - 1 ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
LAIN-LAIN
177 Aqua Pro Injeksi steril bebas pirogen - 20 ml VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
178 Iodin Test BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
NEUROLEPTIK (TRANKUILIZER MINOR)
179 Amitriptilina HCl tablet salut 25 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
180 DIAZEPAM INJ 5 MG / ML - 2ML AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
181 Diazepam Rectal 5 mg/2.5 ml SUPP #REF! 0 #REF! 0 #REF! 0 0 #REF!
182 Diazepam tablet 2 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
NOOTROPIK
183 Piracetam Injeksi 1g/5mg AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
184 Piracetam Tablet 400 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
PSIKOSIS
185 Haloperidol tablet 1.5 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
186 Klorpropmazin HCl inj 5 mg/ml - 2 ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
187 Klorpropmazin HCl tablet salut 100 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
188 Klorpropmazin HCl tablet salut 25 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
189 Resperidon 2 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
VAKSIN & SERUM
190 Serum anti bisa ular Polivalen inj 5 ml (SABU) 1 VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
191 Serum anti tetanus inj 1500 IU/vial (ATS) VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
192 Serum anti tetanus inj 20.000 IU / vial (ATS) VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
193 Serum antidifteri inj 20.000 IU / vial (ADS) VIAL #REF! 0 #REF! 0 #REF! 0 0 #REF!
194 Vaksin Rabies Vero KURR #REF! 0 #REF! 0 #REF! 0 0 #REF!
VITAMIN & MINERAL
195 Asam Askorbat (VIT C) Tablet 50 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
196 Iodiol kapsul KAPSUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
197 Mineral Mix SACHET #REF! 0 #REF! 0 #REF! 0 0 #REF!
198 Multivitamin + DHA + Lysin BOTOL #REF! 0 #REF! 0 #REF! 0 0 #REF!
NO. NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR KEKOSONGAN STOK OPTIMUM PERMINTAAN
199 Multivitamin + Mineral TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
200 Piridoksin HCl (Vit B6) tablet 10 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
201 Retinol (VIT A) 200.000 IU KAPSUL LUNAK #REF! 0 #REF! 0 #REF! 0 0 #REF!
202 Retinol tab 100.000 IU KAPSUL LUNAK #REF! 0 #REF! 0 #REF! 0 0 #REF!
203 Sianokobalamin (Vit B 12) inj 500 mcg/ml-1ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
204 Tablet Tambah darah kombinasi : Besi II Sulfat 200 mg + Asam folat TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
205 Tiamin HCL (Vit B1) inj 100 mg/ml - 1ml AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!
206 Tiamin HCL (Vit B1) tablet 50 mg TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
207 Vitamin B Kompleks tablet TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
208 Vit B1 100 mg, Vit B6 100 mg, Vit B12 100 mcg AMPUL #REF! 0 #REF! 0 #REF! 0 0 #REF!

Vitamin A 417 mcg, Vit B1 0.5 mg, Vit B2 0.5 mg, Vit B3 5 mg, Vit
209
B6 0.5 mg, Vit B12 1 mg, Vit D3 5 mg, Vit E 6 mg, Vit K 20 mcg, Vit
TABLET #REF! 0 #REF! 0 #REF! 0 0 #REF!
C 30 mg, As. Folat 150 mcg, as Pantotenat 3 mg, Yodium 50 mcg,
Zat besi (Fe) 10 mg, Seng (Zn) 5 mg, Selenium (Se) 20 mcg
(TABURIA)

UMUM ASKES JAMKESMAS JAMKESDA JAMPERSAL JUMLAH

RAWAT JALAN
KUNJUNGAN RESEP
R/ (ITEM OBAT)
KUNJUNGAN PASIEN
RAWAT INAP
KUNJUNGAN RESEP
R/ (ITEM OBAT)
KUNJUNGAN PASIEN

Garut,
Mengetahui, Yang Melaporkan,
Kepala Puskesmas Pengelola Obat Puskesmas

….…………………………… ……………………………..
NIP. NIP.
NO NAMA OBAT KELOMPOK FARMAKOLOGI

1 Alopurinol Tablet 100 mg ANTIPIRAI

2 Albendazol Tablet 400 mg ANTELMINTIK
3 Aminofilin Inj 24 mg/ml-10 ml ANTIASMA
4 Aminofilin Tablet 200 mg ANTIASMA
5 Amitriptilina HCl Tablet salut 25 mg OBAT PSIKOSIS
6 Amlodipin Tablet 5 mg ANTIHIPERTENSI
7 Amoksisilin Kaplet 500 mg ANTIBAKTERI
8 Amoksisilin Sirup Kering 125 mg/5 ml ANTIBAKTERI
9 Antasida DOEN I Tablet Kunyah ANTIULKUS
10 Antasida II Suspensi 60 ml ANTIULKUS
11 Anti Hemmoroid DOEN ANTIHEMOROID
12 Antibakteri DOEN ANTIBAKTERI KULIT, Mata, TELINGA
13 Antifungi DOEN kombinasi ANTIFUNGI KULIT
14 Antimigren DOEN ANTIMIGREN
15 Aqua Pro Inj steril bebas pirogen- 20 ml LAIN-LAIN
16 Asam Asetilsalisilat Tablet 80 mg (Asetosal) ANTIAGREGASI PLATELET
17 Asam Askorbat (VIT C) Tablet 50 mg VITAMIN dan MINERAL
18 Asam Mefenamat kaplet 500 mg ANALGESIK NON NARKOTIK
19 Asiklovir Krim 5%/5g ANTIVIRUS
20 Asiklovir Tablet 400 mg ANTIVIRUS
21 Atapulgit Tablet 600 mg OBAT untuk DIARE
22 Atropin Sulfat Inj 0,25 mg/ml ANTIDOT dan OBAT LAIN untuk KERACU
23 Azithromisin Tablet 500 mg IMS
24 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial ANTIBAKTERI
25 Betametason Krim 0.1 % ANTIINFLAMASI dan ANTIPRURITUS
26 Bromheksin Tablet 8 mg EKSPEKTORAN dan MUKOLITIK
27 Dehidroartemisin 40 mg + Piperaquin 320 mg ANTIMALARIA
28 Deksametason Inj 5 mg/ml-1 ml ANTIALERGI dan OBAT ANAFILAKSIS
29 Deksametason Tablet 0,5 mg ANTIALERGI dan OBAT ANAFILAKSIS
30 Dekstrometorfan Tablet kombinasi ANTITUSIF DAN DEKONGESTAN
31 Dektrometorfan Sirup kombinasi ANTITUSIF DAN DEKONGESTAN
32 Devitalisasi Pasta OBAT GIGI
33 Dextrose Inj 40% ELEKTROLIT
34 Diazepam Inj 5 mg/ml-2 ml OBAT PSIKOSIS
35 Diazepam Rectal 10 mg/2,5 ml OBAT PSIKOSIS
36 Diazepam Rectal 5 mg/2,5 ml OBAT PSIKOSIS
37 Diazepam Tablet 2 mg OBAT PSIKOSIS
38 Difenhidramin Inj 10 mg/ml ANTIALERGI dan OBAT ANAFILAKSIS
39 Digoksin Tablet 0,25 mg ANTIARITMIA
40 Dimenhidrinat Tablet 50 mg ANTIEMETIK
41 Doksisilin Tablet 100 mg ANTIMALARIA
42 Domperidon Suspensi 5mg/5ml ANTIEMETIK
43 Domperidon Tablet 10 mg ANTIEMETIK
44 Endometason OBAT GIGI
45 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % OBAT untuk SYOK
46 Eritromisin Kapsul 250 mg ANTIBAKTERI
47 Eritromisin Sirup 250 mg/5 ml ANTIBAKTERI
48 Etakridin Larutan 0,1 % LAIN-LAIN
49 Etanol 70 %- 1000 ml DESINFEKTAN
50 Etil Klorida Spray ANASTETIK
51 Eugenol Cairan OBAT GIGI
52 Fenitoin Natrium Kapsul 100 mg OBAT PSIKOSIS
53 Fenobarbital Tablet 30 mg OBAT PSIKOSIS
54 Fenoksimetil Penisilin Tablet 500 mg ANTIBAKTERI
55 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg OBAT yang MEMPENGARUHI KOAGULAS
56 Fitomenadion(Vit K1) Inj 2 mg/ml OBAT yang MEMPENGARUHI KOAGULAS
57 Fluconazol Tablet 150 mg IMS
58 Flufenazin Inj im 25 mg/ml (Sikzonoate) OBAT PSIKOSIS
59 Formokresol Cair OBAT GIGI
60 Furosemid Tablet 40 mg DIURETIK
61 Garam Oralit I Serbuk OBAT untuk DIARE
62 Gentamisin Inj 40 mg/ml (Sulfat) ANTIBAKTERI
63 Gentamisin Salep Kulit 0,1% ANTIBAKTERI KULIT, Mata, TELINGA
64 Gentian Violet Larutan 1 %-10 ml ANTISEPTIK
65 Glass Ionomer Cement OBAT GIGI
66 Glibenklamid Tablet 5 mg ANTIDIABETES
67 Gliseril Guaiakolat Tablet 100 mg EKSPEKTORAN dan MUKOLITIK
68 Glukosa Larutan Infus 5% steril ELEKTROLIT
69 Griseofulvin Tablet 125 mg Micronized ANTIFUNGI
70 Haloperidol 5 mg OBAT PSIKOSIS
71 Haloperidol Tablet 1,5 mg OBAT PSIKOSIS
72 Hidrokortison Krim 2,5 % ANTIINFLAMASI dan ANTIPRURITUS
73 Hiosina butilbromida tab 10 mg
74 Human Tetanus Imunoglobulin Im 250UI (Teta VAKSIN dan SERUM
75 Ibuprofen Tablet 400 mg ANALGESIK NON NARKOTIK
76 Isoniazid Tablet 100 mg ANTITUBERKULOSIS
77 Isosorbid Dinitrat Tablet Sublingual 5 mg ANTIANGINA
78 Kalsium glukonat inj 100 mg/ml
79 Kalsium hidroksida pasta OBAT GIGI
80 Kalsium Laktat (Kalk) Tablet 500 mg VITAMIN dan MINERAL
81 Kaptropil Tablet 25 mg ANTIHIPERTENSI
82 Karbamazepin Tablet 200 mg OBAT PSIKOSIS
83 Karbogliserin Tetes Telinga 10 % OBAT untuk TELINGA
84 Karbon Aktif Tablet ANTIDOT dan OBAT LAIN untuk KERACU
85 Ketokonazol Tablet 200 mg ANTIFUNGI
86 Kina Inj 26 % 2 ml ANTIMALARIA
87 Kina Tablet 222 mg ANTIMALARIA
88 Klindanmisin Tablet 300 mg IMS
89 Kloramfenikol Kapsul 250 mg ANTIBAKTERI
90 Kloramfenikol Kapsul 500 mg ANTIBAKTERI
91 Kloramfenikol Salep Kulit 2% ANTIBAKTERI KULIT, Mata, TELINGA
92 Kloramfenikol Salep Mata 1 % ANTIBAKTERI KULIT, Mata, TELINGA
93 Kloramfenikol Sirup 125 mg/5 ml ANTIBAKTERI
94 Kloramfenikol Tetes Mata 0.5% ANTIBAKTERI KULIT, Mata, TELINGA
95 Kloramfenikol Tetes telinga 3 % ANTIBAKTERI KULIT, Mata, TELINGA
96 Klorfenarimin Maleat (CTM) Tablet 4 mg ANTIALERGI dan OBAT ANAFILAKSIS
97 Klorpropmazin HCl Tablet salut 100 mg OBAT PSIKOSIS
98 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 mlANTIBAKTERI
99 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg ANTIBAKTERI
Lidokain Inj Komp : Lidokain %+ Epinefrin
100 1 : 80000-2 ml ANASTETIK
101 Lisol DESINFEKTAN
102 Loratadin Tablet 10 mg ANTIALERGI dan OBAT ANAFILAKSIS
103 Magnesium sulfat Inj (IV) 20 % ANTIEPILEPSI-ANTIKONVULSAN
104 Magnesium sulfat Inj (IV) 40 % ANTIEPILEPSI-ANTIKONVULSAN
105 MB Anak ANTILEPRA
106 MB Dewasa ANTILEPRA
107 Metformin HCl Tablet 500 mg ANTIDIABETES
108 Metilergomatrin Maleat Inj 0,200 mg OKSITOSIK
Metilergometrin Maleat (Metilergometrin)
109 Tablet Salut 0,125 mg OKSITOSIK
110 Metilprednisolon Tablet 4 mg ANTIALERGI dan OBAT ANAFILAKSIS
111 Metronidazol Tablet 500 mg ANTIBAKTERI
112 Mikonazol Krim/Salep 2% ANTIFUNGI KULIT
113 Mineral Mix SUPLEMEN GIZI
114 Monoklorkamfer mentol cairan OBAT GIGI
115 Multivitamin + DHA + Lysin VITAMIN dan MINERAL
116 Multivitamin + Mineral VITAMIN dan MINERAL
117 N-asetil sistein kaps 200 mg
118 Natrium Bikarbonat Tablet 500 mg ANTIDOT dan OBAT LAIN untuk KERACU
119 Natrium Diklofenak Tablet 50 mg ANALGESIK NON NARKOTIK
120 Natrium Hipoklorit 3% OBAT GIGI
121 Natrium Klorida Larutan Infus 0,9% ELEKTROLIT
122 Natrium Tiroksin Tablet 100 µg ANTITIROID
123 Nistatin Tablet Salut Gula 500.000 IU/g ANTIFUNGI
124 Nistatin Tablet Vaginal 100.000 IU/g ANTIFUNGI
125 OAT FDC Katagori 1 ANTITUBERKULOSIS
126 OAT FDC Katagori 2 ANTITUBERKULOSIS
127 OAT FDC Kategori Anak ANTITUBERKULOSIS
128 OAT FDC Kategori Sisipan ANTITUBERKULOSIS
129 OAT Kombipak Kat I ANTITUBERKULOSIS
130 Obat Batuk Hitam (OBH) Cairan EKSPEKTORAN dan MUKOLITIK
131 Oksitetrasiklin HCl 1 % Salep Mata ANTIBAKTERI KULIT, Mata, TELINGA
132 Oksitetrasiklin HCl Salep Kulit 3 % ANTIBAKTERI KULIT, Mata, TELINGA
133 Oksitoksin in 10 IU/ml- 1 ml OKSITOSIK
134 Omeprazol Kapsul 20 mg ANTIULKUS
135 Ondansetron Inj 4 mg/2 ml ANTIEMETIK
136 Parasetamol Sirup 120 mg / 5ml ANALGESIK NON NARKOTIK
137 Parasetamol Tablet 500 mg ANALGESIK NON NARKOTIK
138 PB Anak ANTILEPRA
139 PB Dewasa ANTILEPRA
140 Permetrin 5% Krim (Scabimite) ANTISKABIES
141 Piridoksin HCl (Vit B6) Tablet 10 mg VITAMIN dan MINERAL
142 Povidon Iodida 10 %-30 ml ANTISEPTIK
143 Povidon Iodida 10 %-300 ml ANTISEPTIK
144 Prednison Tablet 5 mg ANTIALERGI dan OBAT ANAFILAKSIS
145 Primakuin Tablet 15 mg ANTIMALARIA
146 Propanolol HCl Tablet 40 mg ANTIARITMIA
147 Propiltiourasil Tablet 100 mg ANTITIROID
148 Ranitidin Inj 25 mg/ml ANTIULKUS
149 Ranitidin Tablet 150 mg ANTIULKUS
150 Resperidon 2 mg OBAT PSIKOSIS
151 Retinol (Vit A) Kapsul 100.000 IU VITAMIN dan MINERAL
152 Retinol (VIT A) Kapsul 200.000 IU VITAMIN dan MINERAL
153 Ringer Laktat Larutan Infus Steril ELEKTROLIT
154 Salbutamol 2,5 mg/2,5 ml NaCl ANTIASMA
155 Salbutamol Tablet 4 mg ANTIASMA
156 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % ANTISKABIES
157 Salisil Bedak 2 % LAIN-LAIN
158 Sefadroksil Sirup 125 mg/5 ml ANTIBAKTERI
159 Sefadroxil Kapsul 500 mg ANTIBAKTERI
160 Sefiksime 200 mg + Azitromisin 500 mg IMS
161 Sefotaksim Inj 1 g ANTIBAKTERI
162 Seftriaxon Inj 1 g ANTIBAKTERI
163 Semen seng fosfat serbuk cairan OBAT GIGI
164 Serum anti tetanus Inj 1500 IU/vial (ATS) VAKSIN dan SERUM
165 Serum antibisa ular Polivalen Inj 5 ml (SABU) VAKSIN dan SERUM
166 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml VITAMIN dan MINERAL
167 Simvastatin Tablet 10 mg ANTIHIPERLIPIDEMIA
168 Siprofloksasin (HCl) Tablet 500 mg ANTIBAKTERI
169 Tablet Tambah Darah Kombinasi ANTIANEMI
170 Temporary Restorative Material OBAT GIGI
171 Tetrasiklin Kapsul 500 mg ANTIBAKTERI
172 Tiamin HCL (Vit B1) Inj 100 mg/ml-1ml VITAMIN dan MINERAL
173 Tiamin HCL (Vit B1) Tablet 50 mg VITAMIN dan MINERAL
174 Triheksifenidil HCl Tablet 2 mg OBAT PSIKOSIS
175 Vaksin BCG + Pelarut VAKSIN dan SERUM
176 Vaksin Campak + Pelarut VAKSIN dan SERUM
177 Vaksin DPT-Hb-Hib VAKSIN dan SERUM
178 Vaksin DT VAKSIN dan SERUM
179 Vaksin Hb-0 VAKSIN dan SERUM
180 Vaksin IPV 10 ds VAKSIN dan SERUM
181 Vaksin IPV 5 ds VAKSIN dan SERUM
182 Vaksin Measles Rubella (MR) VAKSIN dan SERUM
183 Vaksin Meningitis VAKSIN dan SERUM
184 Vaksin Papillomavirus (HPV) VAKSIN dan SERUM
185 Vaksin Pneumococcus VAKSIN dan SERUM
186 Vaksin Polio 10 ds + Penetes VAKSIN dan SERUM
187 Vaksin Polio 5 ds + Penetes VAKSIN dan SERUM
188 Vaksin Rabies Vero VAKSIN dan SERUM
189 Vaksin Td VAKSIN dan SERUM
190 Vitamin B Kompleks Tablet VITAMIN dan MINERAL
191 Zinc Tablet 20 mg OBAT untuk DIARE
ALKES HABIS PAKAI
192 ADS 0.05 ml BAHAN HABIS PAKAI
193 ADS 0.5 ml BAHAN HABIS PAKAI
194 ADS 5 ml BAHAN HABIS PAKAI
195 Alat Suntik Sekali Pakai 1ml BAHAN HABIS PAKAI
196 Alat Suntik Sekali Pakai 2,5 ml / 3 ml BAHAN HABIS PAKAI
197 Alat Suntik Sekali Pakai 5 ml BAHAN HABIS PAKAI
198 Alkohol Swab BAHAN HABIS PAKAI
199 Bisturi BAHAN HABIS PAKAI
200 Blood Lancet BAHAN HABIS PAKAI
201 Blood set BAHAN HABIS PAKAI
Catgut/Benang Bedah No.2/0 dengan jarum
202 bedah BAHAN HABIS PAKAI
Catgut/Benang Bedah No.3/0 dengan jarum
203 bedah BAHAN HABIS PAKAI
204 Cover Glass BAHAN HABIS PAKAI
205 Cry tube BAHAN HABIS PAKAI
206 Folley Catheter BAHAN HABIS PAKAI
207 Holder BAHAN HABIS PAKAI
208 Infusion set anak BAHAN HABIS PAKAI
209 Infusion set dewasa BAHAN HABIS PAKAI
210 IV Catheter No.18 BAHAN HABIS PAKAI
211 IV Catheter No.20 BAHAN HABIS PAKAI
212 IV Catheter No.22 BAHAN HABIS PAKAI
213 IV Catheter No.24 BAHAN HABIS PAKAI
214 Jarum kulit BAHAN HABIS PAKAI
215 Jarum otot BAHAN HABIS PAKAI
216 Kaca Slide BAHAN HABIS PAKAI
217 Kantung mayat BAHAN HABIS PAKAI
218 Kapas Pembalut/absorben 250 mg BAHAN HABIS PAKAI
219 Kasa Hidrofil 2x80 BAHAN HABIS PAKAI
220 Kasa Hidrofil Steril 16 X 16 BAHAN HABIS PAKAI
221 Kasa Pembalut Hidrofil 4 X 10 cm BAHAN HABIS PAKAI
222 Kasa Pembalut hidrofil 4 x 5 cm BAHAN HABIS PAKAI
223 Kassa Pembalut elastic 4 inchi BAHAN HABIS PAKAI
224 Masker Tie on BAHAN HABIS PAKAI
225 Masker N-95 BAHAN HABIS PAKAI
226 Mikropipet 15-200 µl BAHAN HABIS PAKAI
227 PH Paper BAHAN HABIS PAKAI
228 Plester 5 yard x 2 inch BAHAN HABIS PAKAI
229 Polybag Medis BAHAN HABIS PAKAI
230 Polybag Nonmedis BAHAN HABIS PAKAI
231 Polybag Ramah Lingkungan BAHAN HABIS PAKAI
232 Pot Dahak BAHAN HABIS PAKAI
233 Safety box BAHAN HABIS PAKAI
234 Sarung Tangan Non Steril Uk.S BAHAN HABIS PAKAI
235 Sarung Tangan Non Steril Uk.M BAHAN HABIS PAKAI
236 Sarung Tangan Non Steril Uk.L BAHAN HABIS PAKAI
237 Sarung Tangan Steril No.6 BAHAN HABIS PAKAI
238 Sarung Tangan Steril No.6,5 BAHAN HABIS PAKAI
239 Sarung Tangan Steril No.7 BAHAN HABIS PAKAI
240 Sendok Obat BAHAN HABIS PAKAI
Silk (Benang Bedah Sutera) No.2/0 Dengan
241 Jarum Bedah BAHAN HABIS PAKAI
242 Tabung Vacutainer BAHAN HABIS PAKAI
243 Test Pack BAHAN HABIS PAKAI
244 Urin Bag BAHAN HABIS PAKAI
245 Vintip 60 BAHAN HABIS PAKAI
246 Vintip 61 BAHAN HABIS PAKAI
KESLING
247 Desinfektan tablet KESLING
248 Kaporit KESLING
249 PAC KESLING
250 Penjernih air cepat KESLING
REAGEN
251 Cybow 10 Reagent Strip REAGEN
252 Golongan Darah Anti A - B REAGEN
253 Humasens Plus REAGEN
254 Humasens Plus Strip Uric Acid REAGEN
255 Humasens Strip Glucose REAGEN
256 Iodin test REAGEN
257 Larutan Asam Asetat 6% 100 ml REAGEN
258 Larutan Benedict 100 ml REAGEN
259 Larutan HCl 0,1 N 100 ml REAGEN
260 Larutan Ziehl Neelsen REAGEN
261 Rapid Test Biomedika HIV REAGEN
262 Rapid Test Biomeriux HIV REAGEN
263 Rapid Test Intec HIV REAGEN
264 Rapid Test Malaria REAGEN
265 Rapid Test Oncoprobe HIV REAGEN
266 Rapid Test SD HIV REAGEN
267 Rapid Test SD Syphilis REAGEN
268 Rapid Test Syphilis REAGEN
269 RPR Syphilis REAGEN
LAIN-LAIN
270 Dekstrometorfan Tablet 15 mg
271 Dektrometorfan Sirup 10 mg/5 ml
Bagendit BGT

Pembangunan PBG
Kersamenak KSM
Siliwangi SLW
Pasundan PSD
Cilawu CLW
Bojongloa BJL
Karangmulya KRY
Karangpawitan KRP
Cempaka CPK
Cilimus CLM
Bayongbong BYB
Sukamulya SKY
Garawangsa GRW
Wanaraja WNR
Cimaragas CMG
Cipanas CPN
Sukaraja SKJ
Leles LLS
Lembang LMB
Guntur GTR
Mekarwangi MKW
Sukakarya SKK
Cisurupan CSR
Pakuwon PKW
Kadungora KDR
Rancasalak RCS
Karangsari KRS
Cikajang CKJ
Sukahurip SKP
Samarang SMR
Padaawas PDA
Gadog GDG
Maripari MRP
Cibatu CBT
Sukamerang SKM
Tarogong TRG
Sukasenang SKS
Bagendit BGT
Leuwigoong LWG
Citeras CTR
Malangbong MLB
Sukawening SKW
Sukamukti SKT
Karangtengah KRT
Cibiuk CBK
Limbangan LBG
Selaawi SLI
Haurpanggung HRP
BANJARWANGI BJW
BUNGBULANG BBL
CIBALONG CBL
CIHURIP CHP
CIMARI CMR
CISEWU CSW
MAROKO MRK
MEKARMUKTI MKM
PAMEUNGPEUK PMP
SINDANGRATU SDR
CIKELET CKT
CISANDAAN CSD
CISOMPET CSP
PAMULIHAN PML
PEUNDEUY PDY
SINGAJAYA SGJ
SUKARAME SKR
TALEGONG TLG
TEGALGEDE TGD

BULAN TAHUN INI

 1 JANUARI 2017
2 FEBRUARI 2017
3 MARET 2017
4 APRIL 2017
5 MEI 2017
6 JUNI 2017
7 JULI 2017
8 AGUSTUS 2017
9 SEPTEMBER 2017
10 OKTOBER 2017
11 NOPEMBER 2017
12 DESEMBER 2017
JANUARI 2018
FEBRUARI 2018
 HARGA
KEMASAN
SATUAN
Tablet 86.00
Tablet 1,356.00
Ampul 3,822.00
Tablet 90.00
Tablet 143.00
Tablet 187.00
Kaplet 272.00
Botol 2,445.00
Tablet 75.00
Botol 2,100.00
Supp 3,045.00
Tube
Pot 4,158.00
Tablet 135.00
Vial 2,030.00
Tablet 114.00
Tablet 104.00
Tablet 106.00
Tablet 3,300.00
Tablet 345.00
Tablet 145.00
Tablet 1,672.00
Tablet 4,500.00
Tablet 13,400.00
Tablet 1,520.00
Tablet 132.00
Tablet 32,101.00
Tube 1,500.00
Tablet 44.00
Tablet 825.00
Ampul 11,550.00
Tablet 506,000.00
Vial
Tablet 4,180.00
Tube 16,748.00
Tablet 11,525.00
Tablet 45.00
Tablet 1,054.00
Tablet 97.00
Paket 104.00
Ampul 270.00
Tablet 3,333.00
Tablet 118.00
Botol 660,000.00
Botol 8,100.00
Vial 566.00
Ampul
tube 2,550.00
Tablet 21,500.00
Ampul 99,000.00
Tablet 18,100.00
Tablet 154.00
Tablet 135.00
Botol 510.00
Tablet 634.00
Botol 3,417.00
Ampul 2,000.00
Kapsul 55,000.00
Kapsul 71,500.00
Botol 85.00
Botol 264.00
Botol 3,399.00
Botol 2,420.00
Botol
Kapsul 605,000.00
Tablet 104.50
Tablet 38.50
Tablet 6,900.00
Ampul 219.00
Tablet 75.00
Ampul 66.00
Botol 2,798.00
Tablet 1,500.00
Sachet 170,000.00
Vial 127.00
Tube 137.00
Botol 88.00
Tablet 9,955.00
Tablet 137,500.00
Fls 70.00
Tablet 80.00
Tablet 270.00
Ampul 2,042.00
Ampul
Tablet 300.00
Tube 6,200.00
Tablet 670.00
Set 553.00
Tablet 273.74
Tablet 1,007.00
Tablet 3,091.00
Ampul 1,600.00
Botol 3,955.00
Tablet 7,150.00
Tablet 6,160.00
Tablet 51.00
Botol 162.00
Tablet 2,145.00
Tablet 151.00

Supp 1,845.00
Ampul 41,000.00
Tablet 154.00
Tablet 6,050.00
Kapsul 3,650.00
Kapsul 19,800.00
Tube 27,852.00
Tube 112.50
Botol 2,750.00

Botol 154.00
Tube 205.00
Tablet 160.00
Tablet 3,000.00
Botol -
Tablet 88,000.00
Ampul 10,230.00
Tube 935.00
Botol 426.00
Botol 38.50
Tablet 200.00
Ampul 71,500.00
Ampul 6,410.00
Blister -
Blister 640.00
Tablet 523.00
Tablet 359,900.00
Ampul 1,199,985.00
Tablet 214,985.00
Tablet 160,000.00
Tablet 288,200.00
Tube 4,235.00
Sachet 2,772.00
Botol 1,870.00
Botol 1,900.00
Kaplet 211.00
Kapsul 1,650.00
Tablet 1,438.00
Tablet 89.00
Botol 8,712.00
Fls 8,712.00
Tablet 12,155.00
Tablet 118.00
Tablet 2,163.00
Tablet 14,203.00
Paket 96.00
Paket 224.00
paket 60.00
Paket 319.00
paket 1,140.00
Botol 120.00
Ampul 495.00
Kapsul 284.00
Ampul 459.00
Botol 7,150.00
Tablet 6,600.00
Blister 83.00
Blister 2,000.00
Tube 1,250.00
botol 4,746.00
Tablet 510.00
Tablet 33,000.00
botol 4,000.00
Botol 8,360.00
Botol 170,500.00
Tablet 126,500.00
Tablet 473,000.00
Vial 1,078.00
Tablet 131.00
Tablet 281.00
Ampul 50.00
Tablet 165,000.00
Kapsul 300.00
Kapsul 767.00
Fls 86.00
Tablet 88.00
Ampul 59,950.00
Tablet 28,204.00
Pot 76,285.00
Kotak 17,798.00
Botol 20,900.00
Kapsul
Paket 14,498.00
Vial
Vial 198,000.00
Botol
Vial
Ampul
Vial 19,954.00
Botol 78,500.00
Ampul 16,500.00
Tablet 115.00
Kaplet 473.00
Buah
Tablet 1,995.00
Botol 1,195.00
Kapsul 1,640.00
Tablet 650.00
Tablet 650.00
Set 750.00
Vial 2,350.00
Vial 770.00
Set
Vial 3,600.00

Vial 5,583.33

Vial 5,583.33
Paket
Vial 750.00
Vial 8,000.00
Set 925.00
Set 5,100.00
Vial 6,435.00
Tablet 6,000.00
Tablet 6,000.00
0 6,000.00
Buah 6,000.00
Buah 2,291.67
Buah 2,291.67
Set 19,700
Set 170,000
Set 12,500.00
Buah 7,700.00
Buah 362.50
Buah 1,500.00
Set 750.00
Set 14,630.00
Buah 330.00
Kantong 7,810.00
Kantong 1,020.83
Set 235,000.00
Set 35,532.00
Set 300.00
Set 220.00
Buah 250.00
Buah 5,890.00
Buah 18,625.00
Buah 356.20
Roll 356.20
Roll 356.20
Lembar 4,180.00
Roll 4,180.00
Roll 4,180.00
Roll 170.50

Buah 3,055.56
Buah 6,908.00
Roll
Lembar 3,000.00
Lembar 773.00
Lembar 980.00
Buah
Buah 500.00
Buah 20,000
Buah 5,000.00
Buah 5,000.00
Set -
Set 133,750.00
Set
Buah 805,950.00
Set 548,300.00
Buah 249,800.00
0 5,806.00
Set
Botol
Botol
Botol 276,500
Set 35,000.00
Kotak 22,475.00
Kotak 22,358.00
Kotak 27,710.00
Botol 24,495.00
Botol 22,330.00
Botol 27,710.00
Botol 22,385.00
Botol 22,385.00
Botol -
Botol 110.00
Botol 2,865.00
Botol
test
test
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
Sachet
test
test
Sachet
Botol
Botol
Buah

ampul
tablet
ampul

0
0
0
0
0
0
0
0
0
0

Puskesmas Kadungora
Puskesmas Rancasalak
Puskesmas Karangsari
Puskesmas Cikajang
Puskesmas Sukahurip
Puskesmas Samarang
Puskesmas Padaawas
Puskesmas Gadog
Puskesmas Maripari
Puskesmas Cibatu
Puskesmas Sukamerang
Puskesmas Tarogong
Puskesmas Sukasenang
Puskesmas Bagendit
Puskesmas Leuwigoong
Puskesmas Citeras
Puskesmas Malangbong
Puskesmas Sukawening
Puskesmas Sukamukti
Puskesmas Karangtengah
Puskesmas Cibiuk
Puskesmas Limbangan
Puskesmas Selaawi
Puskesmas Haurpanggung
Puskesmas BANJARWANGI
Puskesmas BUNGBULANG
Puskesmas CIBALONG
Puskesmas CIHURIP
Puskesmas CIMARI
Puskesmas CISEWU
Puskesmas MAROKO
Puskesmas MEKARMUKTI
Puskesmas PAMEUNGPEUK
Puskesmas SINDANGRATU
Puskesmas CIKELET
Puskesmas CISANDAAN
Puskesmas CISOMPET
Puskesmas PAMULIHAN
Puskesmas PEUNDEUY
Puskesmas SINGAJAYA
Puskesmas SUKARAME
Puskesmas TALEGONG
Puskesmas TEGALGEDE

TAHUN DEPAN
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2018
2019
2019