LAPORAN INVENTARIS RUANGAN POLI

BULAN JANUARI 2016

NO NAMA SATUAN STOK (a) PENERIMAAN JUMLAHPENGELUARANSTOK AKHIR

awal (b) STOK (c) (a+b)-c
1. 101 POLI UMUM
1 Disp Spuit 1 ml Terumo pcs 4 1 5 0 5
2 Agua pro injeksi pcs 1 1 2 1 1
3 Disp Spuit 3 ml Terumo pcs 5 2 7 3 4
4 Disp Spuit 5 ml Terumo pcs 9 0 9 5 4
5 Abbocath 22 Terumo pcs 2 0 2 0 2
6 Alkohol 70% ml 100 0 100 100 0
7 Infuset Makro T pcs 1 0 1 1 0
8 Infuset mikro t pcs 1 0 1 1 0
9 Ventolin neb ampul 1 0 1 1 0
10 Nald 23 T pcs 5 0 5 5 0
11 Disp 10 cc T pcs 1 0 1 1 0
12 Nald 25 T pcs 5 0 5 5 0
13 Rl wida kolf 2 0 2 2 0
14 Primperan inj ampul 1 0 1 1 0
15 Ranitidine inj ampul 1 0 1 1 0
16 Dexametason inj ampul 2 0 2 2 0
17 Sanifres 500 ml ml 500 0 500 500 0
18 Handscoon M pcs 100 0 100 50 50
19 Hypafix 15 x 5 roll 1 0 1 0 1
20 Masker Royal pcs 50 0 50 10 40
21 Betadine 4550 ml ml 100 0 100 50 50
22 NaCl 500 ml kolf 1 0 1 0 1
23 Wippy / Skin Wipe / E-care Pcs 70 0 70 56 14
24 Daryantulle/lomatul pcs 3 0 3 2 1
25 Verban gulung 4 x 10 cm tube 5 0 5 0 5

2. 102 POLI GIGI

1 Disp Spuit 1 ml Terumo pcs 6 31 37 22 15
2 Disp Spuit 3 ml Terumo pcs 0 27 27 22 5
3 Cresophene fles 0 1 1 1 0
4 Dentorit caviton w @ 28 gr kit 0 1 1 1 0
5 Mess 11 Pcs 1 10 11 9 2
6 Masker pcs 0 50 50 50 0
7 Caustines pack 0 1 1 1 0
8 Pehacain inj @ 20 ml AMPUL 5 43 48 36 12
9 Alkohol 70 % (ml) ml 100 400 500 400 100
10 Betadine 4550 ml ml 50 0 50 0 50
11 Filtex A3 @ 4 gr (poli gigi) Pcs 0 0 0 0 0
12 Alginat / Tropicalgin Fls 454 0 454 454 0
13 Gips stone / moldano pcs 0 1 1 1 0
14 Agua 1000 ml otsu kolf 0 2 2 2 0

3. 103 POLI IMUNISASI / KIA

1 Disp Spuit 1 ml Terumo pcs 28 50 78 59 19
2 Disp Spuit 3 ml Terumo pcs 0 10 10 10 0
3 Disp Spuit 5 ml Terumo pcs 0 10 10 10 0
4 BOOSTRIX 0.5 Pcs 1 1 2 0 2
5 Cyclofem inj vial 6 0 6 0 6
6 Triclofem inj vial 11 0 11 11 0
7 Vaksin Twinrix vial 1 0 1 1 0
8 Vaksin Hiberix vial 2 0 2 2 0
9 Infanrix hib vial 4 0 4 4 0
10 Tuberculin PPD VIAL 0 7 7 2 5
11 Synfrolix vial 0 10 10 4 6
12 Nald 25 Terumo Pcs 3 17 20 20 0
13 Nald 18 pcs 5 0 5 0 5
14 vaksin Engerix 0.5 ml Pcs 6 27 33 21 12
15 Wippy / Skin Wipe / E-care Pcs 85 0 85 65 20
16 Chusavan S ( 20 mm x 20 m pcs 118 0 118 100 18
17 vaksin Havrix 720 pcs 0 2 2 2 0
18 vaksin Havrix pfs pcs 2 0 2 1 1
19 vaksin Trimovax vial 3 0 3 3 0
20 Handscoon M pcs 10 0 10 10 0
21 vaksin Prevenar vial 1 0 1 1 0
22 alkohol 70 % (ml) ml 80 0 80 10 70

4. 104 POLI KEBIDANAN

1 Wippy / Skin Wipe / E-care pcs 48 100 148 30 118
2 Alkohol 70 % (ml) ml 100 100 200 100 100
3 jelly usg ml 2000 0 2000 2000 0
4 masker royal pcs 50 0 50 20 30
5 Biopacenton cr tube 1 0 1 1 0
6 Disp 5 cc T pcs 1 0 1 1 0
7 Gastrul tab tab 1 0 1 1 0
8 Nald 23 T pcs 10 0 10 1 9
9 Nova T pcs 1 0 1 1 0
10 Leucofix roll 0 2 2 1 1
11 Handscoon 7,5 Gammex pcs 15 15 30 15 15
12 Handscoon S pcs 100 100 200 100 100
13 Hypafix 15 x 5 roll 1 0 1 1 1
14 Alkohol 96 % ml 200 200 400 200 200
15 Betadine 4550 ml ml 80 100 180 100 80
16 Albothyl sol 10 ml Fls 1 1 2 1 1
17 Sagestam cr tube 2 1 3 2 1
18 Spuit 3 cc pcs 10 0 10 1 9

5. 105 POLI KULIT & KELAMIN

1 Disp Spuit 1 ml Terumo pcs 10 17 27 22 5
2 Disp 3 cc T pcs 10 0 10 1 9
3 Handscoon M pcs 52 200 252 20 232
4 Pehacain inj @ 20 ml ampul 8 2 10 2 8
5 Lidocain inj ampul 4 1 5 1 4
6 Sagestam cr tube 0 1 1 1 0
7 Wippy / Skin Wipe / E-care Pcs 24 0 24 14 10
8 Dexamethasone Inj ampul 0 2 2 2 0
9 Nacl 500ml pipih OGB kolf 0 0 0 0 0
10 Hypafix roll 1 1 2 2 0
11 Leucofix roll 1 0 1 1 0
12 Masker pcs 32 0 32 32 0
13 Mess 11 pcs 3 0 3 0 3
14 Verban gulung roll 5 0 5 0 5
15 Alkohol 96 % ml 100 0 100 100 0
16 Nald 23 T pcs 10 0 10 10 0
17 Nald 25 T pcs 1 0 1 1 0
18 Nald 26 T pcs 5 0 5 5 0
19 Daryantul pcs 2 0 2 1 1
20 Betadine ml 100 0 100 100 0
21 Albothy soll fls 1 0 1 1 0
22 Nacl 100 ml kolf 1 0 1 1 0
23 Sanifres 500 ml ml 0 2,000 2,000 2000 0
24 Trilac injeksi vial 0 1 1 1 0

6. 106 POLI BEDAH

1 Disp Spuit 1 ml Terumo pcs 10 10 20 2 18
2 Disp Spuit 10 ml Terumo pcs 0 7 7 0 7
3 Disp Spuit 3 ml Terumo pcs 0 5 5 2 3
4 Disp Spuit 5 ml Terumo pcs 0 5 5 0 5
5 Handscoon M pcs 100 300 400 100 300
6 Handscone 7,5 pcs 0 2 2 2 0
7 Hypafix 15 x 5 roll 0 3 3 1 2
8 Nacl 1 L kolf 0 1 1 0 1
9 Cendo Polgran tube 0 1 1 1 0
10 Nacl 500 ml kolf 0 2 2 2 0
11 Sanifress ml 0 2000 2000 2000 0
12 Verban gulung 4 x 10 cm Roll 5 10 15 2 13
13 Betadine 4550 ml ml 200 100 300 100 200
14 Xylocain jelly 30 gr tube 1 2 3 1 2
15 Wippy / Skin Wipe / E-care Pcs 90 0 90 20 70
16 H2O2 ml 100 0 100 0 100
17 Alkohol 70% ml 25 0 25 25 0
18 Daryantulle/lomatul pcs 6 25 31 20 11
19 Sagestam cr tube 0 1 1 0 1

7. POLI BEDAH MINOR

1 Disp Spuit 1 ml pcs 10 0 10 0 10
2 Daryantulle/lomatul pcs 6 0 6 0 6
3 Disp Spuit 3 ml pcs 8 0 8 0 8
4 Disp Spuit 5 ml pcs 3 0 3 0 3
5 Verban gulung 4 x 10 cm pcs 5 0 5 0 5
6 Handscoon 7 gammex pcs 4 0 4 0 4
7 Albothyl sol 10 ml pcs 1 0 1 0 1
8 Mess 11 pcs 2 0 2 0 2
9 Hypafix 15 x 5 roll 0 0 0 0 0
10 Masker Royal pcs 34 0 34 0 34
11 Micropore Besar 1535-1 Pcs 0 0 0 0 0
12 Nacl 1 liter KOLF 0 0 0 0 0
13 Alkohol 70 % (ml) ml 250 0 250 0 250
14 Betadine 4550 ml ml 200 0 200 0 200
15 wippi ml 100 0 100 10 90

8. POLI ANAK
1 Nacl 100 ml kolf 1 0 1 0 1
2 Disp spuit 3 cc pcs 1 0 1 0 1
3 Alkohol 70% ml 50 0 50 40 10
4 Betadine ml 80 0 80 40 40
5 Wippy pcs 19 100 119 119 0
6 Sanifress 500 ml 1000 0 1000 1000 0
7 Selang O2 anak pcs 3 0 3 3 0
8 Selang Rebreating pcs 1 0 1 1 0

9. POLI JANTUNG
1 Cloral Hydrat cair 85 100 185 20 165
2 jelly usg ml 5000 5000 10000 5000 5000
3 Fleet enema fls 0 1 1 1 0
4 Handscone S pcs 92 0 92 0 92
5 spuit 3 cc pcs 3 0 3 0 3
6 spuit 10 cc pcs 1 0 1 0 1
7 Dutascrub 2% @ 5 L ml 5,000 5000 10000 5 9995
8 Ventolin nebulezer pcs 2 0 2 0 2
8 masker Royal pcs 48 0 48 0 48
10. POLI MATA
1 Alkohol 70 % (ml) ml 90 0 90 10 80
2 Agua fls 5 0 5 3 2
 3 Disp 1cc T pcs 4 3 7 1 6
4 Nacl 100 ml kolf 0 1 1 1
5 Bethadine 4550 ml ml 100 0 100 70 30
6 cendo lyters fls 1 0 1 1 1
7 cendo mydriatil tts mata fls 1 1 2 1 1
8 cendo pantocain tts mata fls 1 0 1 1 0
9 cendo polygran EO 3,5 GR tube 1 0 1 0 2
10 Cendo Xitrol ED 5 ml fls 1 0 1 1 0
11 Disp spuit 1 ml pcs 5 0 5 0 5
12 disp spuit 10 ml pcs 1 0 1 0 3
13 handscoon 7,5 gammex pcs 4 2 6 1 5
14 leucofix roll 1 1 2 0 2
15 mes 11 pcs 3 1 4 0 4
16 nald 26 pcs 5 0 5 0 5
17 pehacain injeksi ampul 5 2 7 0 7
18 RL otsu kolf 1 1 2 0 5
19 sagestam tets mata fls 1 0 1 1 0
20 handscoon 7 gammex pcs 1 0 1 0 1

11. POLI PDL / ENDOS-COLON

1 Eosin cair/helyzim ml 5000 0 5000 3000 2000
2 Cathegel tube tube 5 0 5 1 4
3 xillocain spray botol 1 1 2 0 2
4 Handscoon S pcs 100 0 100 30 70
5 Masker royal pcs 0 50 50 20 30
6 kalmethason 4 mg ampul 1 0 1 0 1

12. POLI THT

1 Masker royal pcs 48 50 98 82 16
2 Disp 10 CC T pcs 0 1 1 1 0
3 Chloral hydrat ml 0 100 100 100 0
4 Sanifress ml 0 2000 2000 2000 0
5 Dutascrub 5L ml 0 5000 5000 3500 1500
6 Handscoon S pcs 92 100 192 140 52
7 Sagestam Cream Tube 1 0 1 0 1
8 Bethadine 4550 ml ml 50 0 50 20 30
9 Alkohol 70 % (ml) ml 50 0 50 30 20

TOTAL

Kasie Logistik ka.Instalasi RJ Karu Poliklinik

Supriani,SKM dr.Shanti .SpOG Yuliyana.BR.Ske

 LAPORAN PEMAKAIAN BHP RUANGAN INSTALASI RAWAT JALAN
BULAN FEBRUARI 2016

NO NAMA SATUAN STOK (a) PENERIMAAN JUMLAH PENGELUARAN STOK AKHIR

awal (b) STOK (c) (a+b)-c
1. 101 POLI UMUM
1 Disp Spuit 1 ml Terumo pcs 5 5 10 8 2
2 Agua pro injeksi pcs 1 1 2 1 1
3 Disp Spuit 3 ml Terumo pcs 5 4 9 8 1
4 Disp Spuit 5 ml Terumo pcs 4 6 10 5 5
5 Abbocath 22 Terumo pcs 2 0 2 0 2
6 Alkohol 70% ml 0 100 100 100 0
7 Infuset Makro T pcs 1 0 1 1 0
8 Infuset mikro t pcs 1 0 1 1 0
9 Ventolin neb ampul 1 0 1 1 0
10 Nald 23 T pcs 0 5 5 5 0
11 Disp 10 cc T pcs 0 1 1 0 1
12 Nald 25 T pcs 0 5 5 5 0
13 Rl wida kolf 0 2 2 1 1
14 Primperan inj ampul 1 0 1 1 0
15 Ranitidine inj ampul 1 0 1 1 0
16 Dexametason inj ampul 2 0 2 2 0
17 Sanifres 500 ml ml 0 6000 6000 500 5500
18 Handscoon M pcs 100 100 200 100 100
19 Hypafix 15 x 5 roll 1 1 2 1 1
20 Masker Royal pcs 50 50 100 25 75
21 Betadine 4550 ml ml 100 100 200 100 100
22 NaCl 500 ml KOLF 1 2 3 0 3
23 Wippy / Skin Wipe / E-care Pcs 14 100 114 94 20
24 Daryantulle/lomatul pcs 1 1 2 2 0
25 Verban gulung 4 x 10 cm tube 5 0 5 0 5
26 cendo polygran EO tube 0 2 2 1 1

2. 102 POLI GIGI

1 Disp Spuit 1 ml Terumo pcs 15 12 27 16 11
2 Disp Spuit 3 ml Terumo pcs 5 13 18 7 11
3 Lidocain injeksi ampul 0 5 5 0 5
4 Dentorit caviton w @ 28 gr kit 0 0 0 0 0
5 Mess 11 Pcs 2 5 7 7 0
6 Masker pcs 0 50 50 24 26
7 Handscoon S Pcs 0 100 100 32 68
8 Pehacain inj @ 20 ml ampul 12 28 40 33 7
9 Alkohol 70 % (ml) ml 100 100 200 50 150
10 Betadine 4550 ml ml 50 100 150 50 100
11 Filtex A3 @ 4 gr (poli gigi) Pcs 0 2 2 0 2
12 Alginat / Tropicalgin Fls 0 2 2 2 0
13 Gips stone / moldano pcs 0 1 1 1 0
14 Agua 1000 ml otsu kolf 0 0 0 0 0

3. 103 POLI IMUNISASI / KIA

1 Disp Spuit 1 ml Terumo pcs 9 60 69 62 7
2 Disp Spuit 3 ml Terumo pcs 0 10 10 10 0
3 Disp Spuit 5 ml Terumo pcs 0 10 10 10 0
4 BOOSTRIX 0.5 Pcs 1 0 1 1 0
5 Cyclofem inj vial 6 0 6 0 6
6 Triclofem inj vial 11 0 11 11 0
7 Vaksin Twinrix vial 1 0 1 1 0
8 Vaksin Hiberix vial 0 1 1 1 0
9 Infanrix hib vial 0 0 4 4 0
10 Tuberculin PPD VIAL 5 0 5 1 4
11 Synfrolix vial 6 0 6 5 1
12 Nald 25 Terumo Pcs 0 60 60 60 0
13 Nald 18 pcs 5 0 5 1 4
14 vaksin Engerix 0.5 ml Pcs 12 0 12 10 2
15 Wippy / Skin Wipe / E-care Pcs 20 100 120 120 0
16 Chusavan ( 20 mm x 20 mm ) pcs 18 130 148 80 68
17 vaksin Havrix 720 pcs 0 1 0 1 0
18 vaksin Havrix pfs pcs 1 0 1 1 0
19 vaksin Trimovax vial 3 0 3 3 0
20 Handscoon M pcs 0 1 1 1 0
21 vaksin Prevenar vial 0 1 1 1 0
22 alkohol 70 % (ml) ml 70 0 70 10 60
23 Pehacain inj ampul 0 1 1 1 0

4. 104 POLI KEBIDANAN

1 Wippy / Skin Wipe / E-care pcs 118 0 118 33 85
2 Alkohol 70 % (ml) ml 100 100 200 100 100
3 jelly usg ml 0 2000 2000 1500 500
4 masker royal pcs 30 0 30 20 10
5 Biopacenton cr tube 1 0 1 1 0
6 Disp 5 cc T pcs 1 0 1 1 0
7 Gastrul tab tab 1 0 1 1 0
8 Nald 23 T pcs 9 0 9 1 8
9 Nova T pcs 1 1 2 1 1
10 Leucofix roll 0 0 0 0 0
11 Handscoon 7,5 Gammex pcs 15 45 60 15 45
12 Handscoon S pcs 100 400 500 100 400
13 Hypafix 15 x 5 roll 1 1 2 1 1
14 Alkohol 96 % ml 200 200 400 200 200
15 Betadine 4550 ml ml 300 200 500 200 300
16 Albothyl sol 10 ml Fls 1 2 3 1 2
17 Sagestam cr tube 1 4 5 2 3
18 Spuit 3 cc pcs 9 0 9 5 4

5. 105 POLI KULIT & KELAMIN

1 Disp Spuit 1 ml Terumo pcs 5 15 20 18 2
2 Disp 3 cc T pcs 9 0 9 7 2
3 Handscoon M pcs 232 200 432 132 300
4 Pehacain inj @ 20 ml AMPUL 8 2 10 2 8
5 Lidocain inj ampul 4 3 7 3 4
6 Sagestam cr tube 0 1 1 1 0
7 Wippy / Skin Wipe / E-care Pcs 10 200 210 25 185
8 Dexamethasone Inj ampul 0 5 5 5 0
9 Nacl 500ml pipih OGB KOLF 0 3 3 3 0
10 Hypafix roll 1 0 1 0 1
11 Leucofix roll 0 0 0 0 0
12 Masker pcs 0 0 0 0 0
13 Mess 11 pcs 3 0 3 0 3
14 Verban gulung roll 5 0 5 0 5
15 Alkohol 96 % ml 0 0 0 0 0
16 Nald 23 T pcs 0 0 0 0 0
17 Nald 25 T pcs 0 0 0 0 0
18 Nald 26 T pcs 0 0 0 0 0
19 Daryantul pcs 1 0 1 1 0
20 Betadine ml 0 100 100 0 100
21 Albothy soll fls 0 1 1 1 0
22 Nacl 100 ml kolf 0 0 0 0 0
23 Sanifres 500 ml ml 0 2,000 2,000 2000 0
24 Trilac injeksi VIAL 0 1 1 1 0

6. 106 POLI BEDAH

1 Disp Spuit 1 ml Terumo pcs 18 10 28 3 25
2 Disp Spuit 10 ml Terumo pcs 7 5 7 5 2
3 Disp Spuit 3 ml Terumo pcs 3 5 8 3 5
4 Disp Spuit 5 ml Terumo pcs 5 5 10 0 10
5 Handscoon M pcs 300 300 600 200 400
6 Handscone 7,5 pcs 0 0 0 0 0
7 Hypafix 15 x 5 roll 0 1 1 1 0
8 Nacl 1 L kolf 1 0 1 0 1
9 Cendo Polgran tube 0 2 2 1 1
10 Nacl 500 ml kolf 0 2 0 0 0
11 Sanifress ml 0 2000 2000 2000 0
12 Verban gulung 4 x 10 cm Roll 3 10 13 2 11
13 Betadine 4550 ml ml 100 200 300 200 100
14 Xylocain jelly 30 gr tube 0 1 1 1 0
15 Wippy / Skin Wipe / E-care Pcs 30 100 130 10 120
16 H2O2 ml 100 0 100 0 100
17 Alkohol 70% ml 0 250 250 100 150
18 Daryantulle/lomatul pcs 11 15 26 6 20
19 Sagestam cr tube 0 1 1 0 1

7. POLI BEDAH MINOR

1 Disp Spuit 1 ml pcs 10 0 10 0 10
2 Daryantulle/lomatul pcs 6 0 6 0 6
3 Disp Spuit 3 ml pcs 8 0 8 0 8
4 Disp Spuit 5 ml pcs 3 0 3 0 3
5 Verban gulung 4 x 10 cm pcs 5 0 5 0 5
6 Handscoon 7 gammex pcs 4 0 4 0 4
7 Albothyl sol 10 ml pcs 1 0 1 0 1
8 Mess 11 pcs 2 0 2 0 2
9 Hypafix 15 x 5 roll 0 0 0 0 0
10 Masker Royal pcs 34 0 34 0 34
11 Micropore Besar 1535-1 Pcs 0 0 0 0 0
12 Nacl 1 liter KOLF 0 0 0 0 0
13 Alkohol 70 % (ml) ml 250 0 250 0 250
14 Betadine 4550 ml ml 200 0 200 0 200
15 wippi ml 90 0 90 0 90

8. POLI ANAK
1 Nacl 100 ml kolf 1 0 1 0 1
2 Disp spuit 3 cc pcs 1 0 1 0 1
3 Alkohol 70% ml 10 0 10 10 0
4 Betadine ml 40 0 40 20 20
5 Wippy pcs 0 0 0 0 0
6 Sanifress 500 ml 0 1000 1000 1000 0
7 Selang O2 anak pcs 0 1 1 1 0
8 Selang Rebreating pcs 0 1 1 1 0

9. POLI JANTUNG
1 Cloral Hydrat cair 85 100 185 20 165
2 jelly usg ml 5000 5000 10000 5000 5000
3 spuit 3 cc pcs 3 31 3 0 3
4 Handscone S pcs 200 0 200 100 100
5 Masker pcs 48 50 98 47 51
6 spuit 10 cc pcs 1 0 1 0 1
7 Dutascrub 2% @ L ml 9,995 0 9995 995 9000
8 Ventolin nebulezer pcs 2 0 2 0 2

10. POLI MATA

1 Alkohol 70 % (ml) ml 80 0 80 20 60
2 Agua fls 2 2 4 0 4
3 Disp 1cc T pcs 6 0 6 3 3
4 Nacl 100 ml kolf 1 0 1 0 1
5 Bethadine 4550 ml ml 0 100 100 30 70
6 cendo lyters fls 1 0 1 1 1
7 cendo mydriatil tts mata fls 1 1 2 1 1
8 cendo pantocain tts mata fls 1 0 1 1 0
9 cendo polygran EO 3,5 GR TUBE 1 0 1 0 2
10 Cendo Xitrol ED 5 ml fls 1 0 1 1 0
11 Disp spuit 1 ml pcs 5 0 5 0 5
12 disp spuit 10 ml pcs 1 0 1 0 3
13 handscoon 7,5 gammex pcs 5 0 5 3 2
14 leucofix roll 1 0 1 0 1
15 mes 11 pcs 4 0 4 1 3
16 nald 26 pcs 3 2 5 2 3
17 pehacain injeksi ampul 5 0 5 0 5
18 RL otsu kolf 1 1 2 1 1
19 sagestam tets mata fls 1 0 1 1 0
20 handscoon 7 gammex pcs 1 0 1 0 1

11. POLI PDL / ENDOS-COLON

1 Eosin cair/helyzim ml 5000 0 5000 3000 2000
2 Cathegel tube tube 4 0 4 0 4
3 xillocain spray botol 2 0 2 0 2
4 Handscoon S pcs 70 0 70 30 40
5 Masker royal pcs 30 0 30 28 2
6 kalmethason 4 mg ampul 1 0 1 0 1

12. POLI THT

1 Masker royal pcs 48 50 98 82 16
2 Disp 10 CC T pcs 0 1 1 1 0
3 Chloral hydrat ml 0 100 100 50 50
4 Sanifress ml 0 6000 6000 6000 0
5 Dutascrub 5L ml 0 5000 5000 4000 1000
6 Handscoon S pcs 52 100 152 100 52
7 Sagestam Cream Tube 1 0 1 0 1
8 Bethadine 4550 ml ml 30 50 80 20 60
9 Alkohol 70 % (ml) ml 20 100 120 50 70

TOTAL

Palembang. Februari 2016

Kasie Logistik Ka.instalasi RJ Karu poliklinik
Supriani,SKM dr.Shanti.SpOG Yuliyana.BR.Ske
 LAPORAN PEMAKAIAN BHP RUANGAN INSTALASI RAWAT JALAN
BULAN MARET 2016

stok(a) penerimaan jumlah pengeluaran stok akhir

NO Kode NAMA satuan
awal (b) STOK (c) (a+b)-c
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml Terumo pcs 2 4 6 1 5
2 NS20001 Agua pro injeksi pcs 1 0 1 0 1
3 NS20017 Disp Spuit 3 ml Terumo pcs 1 4 5 0 5
4 NS20019 Disp Spuit 5 ml Terumo pcs 5 5 10 2 8
5 NS20311 Abbocath 22 Terumo pcs 2 0 2 0 2
6 NS20130 Alkohol 70% ml 0 100 100 55 45
7 NS20348 Infuset Makro T pcs 1 1 2 0 2
8 NS20349 Infuset mikro t pcs 1 0 1 0 1
9 EU20608 Ventolin neb ampul 1 0 1 0 1
10 NS20366 Nald 23 T pcs 0 8 8 0 8
11 NS20013 Disp 10 cc T pcs 0 10 10 10 0
12 NS20368 Nald 25 T pcs 0 0 0 0 0
13 NS20379 Rl wida kolf 0 0 0 0 0
14 EU20519 Primperan inj ampul 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 0 1 0 1
16 NS20854 Dexametason inj ampul 2 0 2 0 2
17 NS20950 Sanifres 500 ml ml 0 6000 6000 5500 500
18 NS20036 Handscoon M pcs 100 0 100 0 100
19 NS20040 Hypafix 15 x 5 roll 1 2 3 2 1
20 NS20056 Masker Royal pcs 75 0 75 43 32
21 NS20132 Betadine 4550 ml ml 100 0 100 60 40
22 NS20289 NaCl 500 ml kolf 1 0 1 0 1
23 NS20582 Wippy / Skin Wipe / E-care Pcs 20 100 120 25 95
24 NS20629 Daryantulle/lomatul pcs 1 2 3 2 1
25 NS20124 Verban gulung 4 x 10 cm tube 5 8 13 8 5
26 NS20746 Cendo Polygran Eo tube 0 1 1 1 0

2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 0 30 30 29 1

2 NS20011 Disp Spuit 1 ml Terumo pcs 11 14 25 17 8
3 NS20017 Disp Spuit 3 ml Terumo pcs 11 26 37 22 15
4 NS20271 Cresophene fles 8 0 8 8 0
5 NS20156 Dentorit caviton w @ 28 gr kit 25 0 25 25 0
6 NS20058 Mess 11 Pcs 2 5 7 2 5
7 NS20056 Masker Royal pcs 0 50 50 41 9
8 NS20152 Alvoghyl gram 10 0 10 5 5
9 NS20086 Pehacain inj @ 20 ml ampul 7 34 41 32 9
10 NS20130 Alkohol 70 % (ml) ml 150 400 550 450 100
11 NS20132 Betadine 4550 ml ml 50 0 50 20 30
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 3 0 3 3 0
13 NS20257 Alginat / Tropicalgin Fls 300 0 300 150 150
14 NS20277 Gips stone / moldano pcs 200 0 200 200 0
15 NS20261 Agua 1000 ml otsu kolf 0 2000 2000 600 1400
16 NS20959 Atramat 4/0 G2694-75 PCS 0 4 4 0 4
20 NS20036 Handscoon M pcs 0 0 0 10 0
21 vaksin Prevenar vial 0 0 0 1 0
22 alkohol 70 % (ml) ml 60 100 160 60 100
23 Arsen @ 6,5 gr kit 0 .0,5 .0,5 .0,5 0
24 Bonding single kit 0 3 3 3 0
25 Chlorethyl @ 100 ML ml 0 30 30 30 0
26 Cresophene ml 0 8 8 8 0
27 Ethane gel fls 0 5 5 5 0
28 Handscoon M pcs 0 6 6 0 6
29 Handscoon S kit 0 10 10 0 10
30 eugenol ml 50 0 50 20 30
31 Filtex A3 pcs 0 .3,5 .3,5 .3,5 0
32 Filtex Flow pcs 0 2 2 0 2
33 Fuji 1X A3 BOX 0 4 4 4 0
34 Bethadine 4550 ml ml 50 0 50 20 30
35 Alkohol 70 % (ml) ml 50 0 50 30 20
36 Ledermix tube 0 1 1 1 0
37 NS20178 Lidocain inj ampul 3 0 3 0 3
38 NS20170 Oco @ 15 ml fls 0 5 5 5 0
39 NS20173 Relyx @ 4,5 gr kit 0 2 2 2 0
40 NS20176 Zinc phospat fls 0 50 50 50 0
41 NS20017 Spuit 3 cc pcs 8 2 10 0 10

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml Terumo pcs 2 33 35 27 8

2 NS20017 Disp 3 cc T pcs 2 15 17 7 10
3 NS20036 Handscoon M pcs 100 100 200 160 40
4 NS20086 Pehacain inj @ 20 ml ampul 8 10 18 11 7
5 NS20178 Lidocain inj ampul 4 12 16 10 6
6 NS20293 Sagestam cr tube 0 2 2 1 1
7 NS20582 Wippy / Skin Wipe / E-care Pcs 185 0 182 15 170
8 NS20854 Dexamethasone Inj ampul 0 2 2 2 0
9 NS20289 Nacl 500ml pipih OGB kolf 0 1 1 0 1
10 NS20040 Hypafix roll 1 2 3 2 1
11 NS20052 Leucofix roll 1 0 1 1 0
12 NS20056 Masker pcs 0 50 50 26 24
13 NS20058 Mess 11 pcs 2 2 4 1 3
14 NS20124 Verban gulung roll 5 0 5 0 5
15 NS20130 Alkohol 70 % ml 0 100 100 30 70
16 NS20366 Nald 23 T pcs 10 10 20 15 10
17 NS20368 Nald 25 T pcs 0 2 2 1 1
18 NS20639 Nald 26 T pcs 0 5 5 0 5
19 NS20629 Daryantul pcs 0 1 1 0 1
20 NS20132 Betadine ml 100 0 100 20 80
21 NS20256 Albothy soll fls 0 0 0 0 0
22 NS20288 Nacl 100 ml kolf 0 1 1 0 1
23 NS20950 Sanifres 500 ml ml 0 500 500 400 100
24 NS20916 Trilac injeksi VIAL 0 1 1 0 1

4. 104 POLI BEDAH MINOR

1 NS20011 Disp Spuit 1 ml Terumo pcs 10 0 10 3 7

2 NS20017 Disp Spuit 10 ml Terumo pcs 0 0 0 0 0
3 NS20017 Disp Spuit 3 ml Terumo pcs 8 0 8 5 3
4 NS20019 Disp Spuit 5 ml Terumo pcs 3 2 5 0 5
5 NS20036 Handscoon 6,5 pcs 6 0 6 0 6
6 NS20033 Handscone 7,5 pcs 4 0 4 3 1
7 NS20040 Hypafix 15 x 5 roll 0 0 0 0 0
8 NS20289 Nacl 500 ml kolf 3 0 3 0 3
9 NS20746 Cendo Polgran tube 1 0 1 0 1
10 NS20256 Albotyil kolf 1 0 1 0 1
11 NS20950 Sanifress ml 400 0 400 0 400
12 NS20124 Verban gulung 4 x 10 cm Roll 5 0 5 0 5
13 NS20132 Betadine 4550 ml ml 200 0 200 100 100
14 NS20180 Xylocain jelly 30 gr tube 1 0 1 1 0
15 NS20582 Wippy / Skin Wipe / E-care Pcs 90 0 90 34 56
16 NS20142 H2O2 ml 0 0 0 0 0
17 NS20130 Alkohol 70% ml 250 0 250 100 150
18 NS20629 Daryantulle/lomatul pcs 6 0 6 0 6
19 NS20056 Masker Royal pcs 34 0 34 10 24

5. POLI BEDAH

1 NS20178 Lidocain inj ampul 0 4 4 4 0

2 NS20011 Disp Spuit 1 ml pcs 10 0 10 0 10
3 NS20629 Daryantulle/lomatul pcs 6 10 16 13 3
4 NS20017 Disp Spuit 3 ml pcs 8 8 16 9 7
5 NS20019 Disp Spuit 5 ml pcs 3 0 3 0 3
6 NS20124 Verban gulung 4 x 10 cm pcs 5 10 15 11 4
7 NS20036 Handscoon M pcs 200 300 500 400 100
8 NS20746 Cendo poligran EO pcs 0 1 1 0 1
9 NS20058 Mess 11 pcs 1 0 1 0 1
10 NS20040 Hypafix 15 x 5 roll 1 2 3 2 1
11 NS20056 Masker Royal pcs 34 0 34 12 22
12 NS20366 NALD 23 Pcs 0 5 5 3 2
13 NS20289 Nacl 500 ml kolf 0 2 2 1 1
14 NS20130 Alkohol 70 % (ml) ml 150 100 250 150 100
15 NS20132 Betadine 4550 ml ml 100 100 200 100 100
16 NS20582 wippi ml 20 200 220 120 100
17 NS20180 Xilocain jelly 30 gr tube 0 2 2 1 1

7. POLI ANAK

1 NS20288 Nacl 100 ml kolf 1 0 1 1 0

2 NS20017 Disp spuit 3 cc pcs 1 0 1 0 1
3 NS20130 Alkohol 70% ml 0 100 100 100 0
4 NS20132 Betadine ml 20 50 70 30 40
5 NS20045 Kassa pcs 5 0 5 5 0
6 NS20950 Sanifress 500 ml 1000 0 1000 1000 0
7 NS21010 Selang O2 anak pcs 3 0 3 0 3
8 NS21032 Selang Rebreating ANAK pcs 1 0 1 0 1

8. POLI JANTUNG

1 NS20133 Cloral Hydrat cair 165 100 265 149 116

2 NS20601 jelly usg ml 5000 0 5000 3000 2000
3 NS20784 Fleet enema fls 1 0 1 0 1
4 NS20037 Handscone S pcs 100 0 100 10 90
5 NS20178 Lidocain inj ampul 6 0 6 0 6
6 NS20950 pehacain inj ampul 7 0 7 0 7
7 NS20958 Dutascrub 2% @ 5 L (isi ulan ml 9,000 0 9000 1500 7500
8 EU20608 Ventolin nebulezer pcs 2 0 2 0 2
8 NS20755 Combivent nebulezer pcs 1 0 1 0 1

9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 60 0 60 35 25

2 NS20001 Agua fls 4 1 5 0 5
3 NS20011 Disp 1cc T pcs 3 5 8 3 5
4 NS20288 Nacl 100 ml kolf 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 70 0 70 52 18
6 NS21017 cendo lyters fls 1 0 1 1 0
7 NS20264 cendo mydriatil tts mata fls 1 0 1 1 0
8 NS20265 cendo pantocain tts mata fls 0 1 1 1 0
9 NS20746 cendo polygran EO 3,5 GR tube 2 0 2 1 1
10 NS20748 Cendo Xitrol ED 5 ml fls 0 0 0 0 0
11 NS20032 Handscon no . 7 pcs 1 0 1 0 1
12 NS20017 disp spuit 10 ml pcs 3 0 3 2 1
13 NS20033 handscoon 7,5 gammex pcs 2 6 8 4 4
14 NS20052 leucofix roll 1 2 3 1 2
15 NS20058 mes 11 pcs 3 0 3 0 3
16 NS20639 nald 26 pcs 3 5 8 0 8
17 NS20086 pehacain injeksi ampul 5 6 11 6 5
18 NS20830 RL otsu kolf 1 0 1 0 1
19 EU20092 sagestam tets mata fls 1 0 1 1 0
20 NS20958 Dutascrub 2% @ 5 L (isi ulan ml 200 0 200 50 150

10.POLI PDL / ENDOS-COLON

1 EU20316 Catapres inj ampul 1 0 1 0 1

2 NS20603 Eosin cair/helyzim ml 2000 0 2,000 500 1,500
3 NS20725 Cathegel tube tube 5 0 5 1 4
4 NS20737 xillocain spray botol 2 0 2 0 2
5 NS20037 Handscoon S pcs 70 0 70 33 37
6 NS20056 Masker royal pcs 30 0 30 20 10
7 EU20519 primperan inj ampul 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 0 1 0 1
10 NS20950 Sanifress ml 0 500 500 0 500

11. POLI THT

1 EU22399 Bethamethasone cream tube 0 1 1 0 1

2 NS20950 Sanifress ml 0 500 500 100 400
3 NS20958 Dutascrub 5L ml 0 500 500 100 400
4 NS20037 Handscoon S pcs 52 100 152 66 86
5 NS20293 Sagestam Cream Tube 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 60 0 60 30 30
7 NS20130 Alkohol 70 % (ml) ml 70 0 70 20 50
8 NS20056 Masker royal pcs 16 50 66 38 28
9 EA22590 Ketoconazole cream tube 0 1 1 0 1
10 EU22190 Hidrocortisone cream tube 0 1 1 0 1

12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml Terumo pcs 7 125 132 71 61

2 NS20017 Disp Spuit 3 ml Terumo pcs 0 0 0 0 0
3 NS20019 Disp Spuit 5 ml Terumo pcs 0 2 2 0 2
4 EU22803 BOOSTRIX 0.5 Pcs 0 0 0 0 0
5 EU20348 Cyclofem inj vial 6 0 6 2 4
6 EU20593 Triclofem inj vial 0 0 0 0 0
7 EU22528 Vaksin Twinrix vial 1 0 1 0 1
8 EU21717 Vaksin Hiberix vial 0 0 0 0 0
9 EU21718 Infanrix hib vial 0 0 0 0 0
10 Tuberculin PPD vial 4 0 4 3 1
11 EU22348 Synfrolix vial 5 10 11 6 5
12 NS20368 Nald 25 Terumo Pcs 0 85 85 57 28
13 NS20364 Nald 18 pcs 4 0 4 0 4
14 EU21712 vaksin Engerix 0.5 ml Pcs 2 30 32 24 8
15 NS20582 Wippy / Skin Wipe / E-care Pcs 0 300 300 221 79
16 NS20600 Chusavan S ( 20 mm x 20 mmpcs 18 170 188 147 41
17 EU20390 vaksin Havrix 720 pcs 0 0 0 0 0
19 EU21724 vaksin Trimovax vial 0 0 0 0 0
20 NS20037 Handscoon s pcs 0 100 100 100 0
21 EU21721 vaksin Prevenar vial 0 0 0 0 0
22 NS20130 alkohol 70 % (ml) ml 60 0 60 50 10
19 EU21727 vaksin Trimovax vial 1 0 1 0 1
20 NS20036 Handscoon M pcs 0 0 0 0 0
21 NS20124 verban gulung pcs 1 0 1 0 1

13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe / E-care pcs 85 0 85 39 46

2 NS20130 Alkohol 70 % (ml) ml 100 100 200 0 200
3 jelly usg ml 500 3800 4300 2300 2000
4 NS20056 masker royal pcs 10 0 10 10 0
5 Biopacenton cr tube 0 10 gr 10 0 10 gr
6 NS20019 Disp 5 cc T pcs 0 2 2 1 1
7 Gastrul tab tab 0 0 0 0 1
8 Nald 23 T pcs 8 0 8 1 7
9 Nova T pcs 1 0 1 0 1
10 Leucofix roll 0 0 0 0 0
11 NS20033 Handscoon 7,5 Gammex pcs 15 30 45 33 12
12 NS20036 Handscoon M pcs 100 0 100 10 90
13 NS20040 Hypafix 15 x 5 roll 1 0 1 0 1
14 NS20130 Alkohol 96 % ml 200 100 300 0 300
15 NS20132 Betadine 4550 ml ml 300 0 300 150 150
16 NS20256 Albothyl sol 10 ml Fls 1 1 2 1 1
17 NS20293 Sagestam cr tube 1 0 1 0 1
18 NS20017 Spuit 3 cc pcs 4 0 19 9 10

Dir.Yan. Med & Keperawatan Ka.Bid Keperawatan Ka.Instalasi RJ

( dr.Rosmala Dewi ) (Hj.Noviana.Skep ) (dr.Shanti.SpOG )

 LAPORAN PEMAKAIAN BHP RUANGAN INSTALASI RAWAT JALAN
BULAN APRIL 2016

stok(a) penerimaan jumlah pengeluaran stok akhir

NO Kode NAMA satuan
awal (b) STOK (c) (a+b)-c
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml Terumo pcs 5 14 19 16 3
2 NS20001 Agua pro injeksi pcs 1 0 1 1 0
3 NS20017 Disp Spuit 3 ml Terumo pcs 5 0 5 2 3
4 NS20019 Disp Spuit 5 ml Terumo pcs 8 0 8 0 8
5 NS20311 Abbocath 22 Terumo pcs 2 0 2 0 2
6 NS20130 Alkohol 70% ml 45 0 45 0 45
7 NS20348 Infuset Makro T pcs 2 0 2 1 1
8 NS20349 Infuset mikro t pcs 1 0 1 0 1
9 EU20608 Ventolin neb ampul 1 0 1 0 1
10 NS20366 Nald 23 T pcs 8 0 8 6 2
11 NS20013 Disp 10 cc T pcs 0 0 10 9 1
12 NS20368 Nald 25 T pcs 0 0 0 0 0
13 RL wida kolf 2 0 2 0 2
14 EU20519 Primperan inj ampul 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 0 1 0 1
16 NS20854 Dexametason inj ampul 2 0 2 0 2
17 NS20950 Sanifres 500 ml ml 500 9000 9500 9000 500
18 NS20036 Handscoon M pcs 100 100 200 148 52
19 NS20040 Hypafix 15 x 5 roll 1 0 1 .1/4 .3/4
20 NS20056 Masker Royal pcs 32 50 82 42 40
21 NS20132 Betadine 4550 ml ml 100 0 100 60 40
22 NS20289 NaCl 500 ml kolf 1 1 2 1 1
23 NS20582 Wippy / Skin Wipe / E-care Pcs 95 0 95 74 21
24 NS20629 Daryantulle/lomatul pcs 1 2 3 1 2
25 NS20124 Verban gulung 4 x 10 cm tube 5 0 5 2 3
26 NS20746 Polygran tube 0 0 1 0 1
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 1 0 1 0 1

2 NS20011 Disp Spuit 1 ml Terumo pcs 8 30 38 26 12
3 NS20017 Disp Spuit 3 ml Terumo pcs 15 22 37 22 15
4 NS20271 Cresophene fles 0 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 0 0 0 0 0
6 NS20058 Mess 11 Pcs 5 0 5 2 3
7 NS20056 Masker Royal pcs 9 0 9 1 8
8 NS20152 Alvoghyl gram 5 0 5 0 5
9 NS20086 Pehacain inj @ 20 ml ampul 9 54 63 44 19
10 NS20130 Alkohol 70 % (ml) ml 100 100 200 100 100
11 NS20132 Betadine 4550 ml ml 30 100 130 30 100
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 0 0 0 0 0
13 NS20257 Alginat / Tropicalgin Fls 150 0 150 150 0
14 NS20277 Gips stone / moldano pcs 0 0 0 0 0
15 NS20261 Agua 1000 ml otsu kolf 1400 0 1400 600 1400
16 NS20959 Atramat 4/0 G2694-75 PCS 4 0 4 0 4
20 NS20036 Handscoon S pcs 10 100 110 59 51
21
22 alkohol 70 % (ml) ml 100 100 200 100 100
23 Arsen @ 6,5 gr kit 0 3 3 0 3
24 Bonding single kit 0 0 3 3 0
25 Chlorethyl @ 100 ML ml 0 30 30 30 0
26 Cresophene ml 0 8 8 8 0
27 Ethane gel fls 0 5 5 5 0
28 Handscoon M pcs 6 0 6 0 6
29
30 eugenol ml 50 0 50 20 30
31 Filtex A3 pcs 0 0 .3,5 .3,5 0
32 Filtex Flow pcs 0 0 2 0 2
33 Fuji 1X A3 BOX 0 0 4 4 0
34
35
36 Ledermix tube 0 0 1 1 0
37 NS20178 Lidocain inj ampul 3 0 3 0 3
38 NS20170 Oco @ 15 ml fls 0 0 5 5 0
39 NS20173 Relyx @ 4,5 gr kit 0 0 2 2 0
40 NS20176 Zinc phospat fls 0 0 50 50 0
41
3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml Terumo pcs 8 10 18 14 4

2 NS20017 Disp 3 cc T pcs 10 0 10 1 9
3 NS20036 Handscoon M pcs 40 200 240 199 41
4 NS20086 Pehacain inj @ 20 ml ampul 7 3 10 5 5
5 NS20178 Lidocain inj ampul 6 2 8 3 5
6 NS20293 Sagestam cr tube 1 1 2 1 1
7 NS20582 Wippy / Skin Wipe / E-care Pcs 170 0 170 26 144
8 NS20854 Dexamethasone Inj ampul 2 0 2 0 2
9 NS20289 Nacl 500ml pipih OGB kolf 0 1,000 1,000 500 500
10 NS20040 Hypafix roll 1 0 1 0 1
11 NS20052 Leucofix roll 1 0 1 0 1
12 NS20056 Masker pcs 24 0 24 17 7
13 NS20058 Mess 11 pcs 3 0 3 0 3
14 NS20124 Verban gulung roll 5 0 5 0 5
15 NS20130 Alkohol 70 % ml 70 0 70 0 70
16 NS20366 Nald 23 T pcs 10 0 10 0 10
17 NS20368 Nald 25 T pcs 1 0 1 1 0
18 NS20639 Nald 26 T pcs 5 0 5 0 5
19 NS20629 Daryantul pcs 2 0 2 1 1
20 NS20132 Betadine ml 80 0 80 0 80
21 NS20256 Albothy soll fls 0 0 0 0 0
22 NS20288 Nacl 100 ml kolf 1 0 1 0 1
23 NS20950 Sanifres 500 ml ml 0 0 0 0 0
24 NS20916 Trilac injeksi VIAL 1 1 2 1 1
4. 104 POLI BEDAH MINOR

1 NS20011 Disp Spuit 1 ml Terumo pcs 7 0 7 0 7

2 NS20017 Disp Spuit 10 ml Terumo pcs 0 5 5 0 5
3 NS20017 Disp Spuit 3 ml Terumo pcs 3 0 3 0 3
4 NS20019 Disp Spuit 5 ml Terumo pcs 5 0 5 0 5
5 NS20036 Handscoon 6,5 pcs 6 0 6 0 6
6 NS20033 Handscone 7,5 pcs 1 0 1 0 1
7 NS20040 Hypafix 15 x 5 roll 0 0 0 0 0
8 NS20289 Nacl 500 ml kolf 3 0 3 0 3
9 NS20746 Cendo Polgran tube 1 0 1 0 1
10 NS20256 Albotyil kolf 1 0 1 0 1
11 NS20950 Sanifress ml 400 0 400 0 400
12 NS20124 Verban gulung 4 x 10 cm Roll 5 0 5 0 5
13 NS20132 Betadine 4550 ml ml 200 0 200 100 100
14 NS20180 Xylocain jelly 30 gr tube 1 0 1 1 0
15 NS20582 Wippy / Skin Wipe / E-care Pcs 90 0 90 34 56
16 NS20142 H2O2 ml 0 0 0 0 0
17 NS20130 Alkohol 70% ml 250 0 250 100 150
18 NS20629 Daryantulle/lomatul pcs 6 0 6 0 6
19 NS20056 Masker Royal pcs 34 0 34 10 24
5. POLI BEDAH

1 SPUIT 20 CC Inj 0 1 1 1 0
2 NS20011 Disp Spuit 1 ml pcs 10 10 20 13 7
3 NS20629 Daryantulle/lomatul pcs 3 20 23 15 8
4 NS20017 Disp Spuit 3 ml pcs 7 5 12 6 6
5 NS20019 Disp Spuit 5 ml pcs 3 5 8 4 4
6 NS20124 Verban gulung 4 x 10 cm pcs 4 0 4 3 1
7 NS20036 Handscoon M pcs 100 200 300 216 84
8 NS20746 Cendo poligran EO pcs 1 0 1 0 1
9 NS20058 Mess 11 pcs 1 1 2 0 2
10 NS20040 Hypafix 15 x 5 roll 1 1 2 1 1
11 NS20056 Masker Royal pcs 22 50 72 20 52
12 NS20366 NALD 23 Pcs 0 5 5 3 2
13 NS20289 Nacl 500 ml kolf 1 1 2 1 1
14 NS20130 Alkohol 70 % (ml) ml 100 0 100 50 50 CC
 15 NS20132 Betadine 4550 ml ml 100 200 300 200 100
16 NS20582 wippi ml 100 100 200 116 84
17 NS20180 Xilocain jelly 30 gr tube 1 1 2 1 1
7. POLI ANAK

1 NS20288 Nacl 100 ml kolf 0 1 1 1 0

2 NS20017 Disp spuit 3 cc pcs 1 0 1 0 1
3 NS20130 Alkohol 70% ml 40 0 40 0 40
4 NS20132 Betadine ml 40 0 40 0 40
5 NS20045 Kassa pcs 0 0 5 5 0
6 NS20950 Sanifress 500 ml 0 0 0 0 0
7 NS21010 Selang O2 anak pcs 3 0 3 0 3
8 NS21032 Selang Rebreating ANAK pcs 1 0 1 0 1
8. POLI JANTUNG

1 NS20133 Cloral Hydrat cair 116 0 116 81 cc 35

2 NS20601 jelly usg ml 2000 0 2000 2000 0
3 NS20784 Fleet enema fls 0 0 0 0 0
4 NS20037 Handscone S pcs 90 0 90 54 36
5 NS20178 Lidocain inj ampul 6 0 6 0 6
6 NS20950 pehacain inj ampul 7 0 7 0 7
7 NS20958 Dutascrub 2% @ 5 L (isi u ml 7,500 0 7500 7000 500
8 EU20608 Ventolin nebulezer pcs 2 0 2 0 2
8 NS20755 Combivent nebulezer pcs 1 0 1 0 1
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 25 100 125 25 100

2 NS20001 Agua fls 5 0 5 1 4
3 NS20011 Disp 1cc T pcs 5 1 6 2 4
4 NS20288 Nacl 100 ml kolf 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 18 0 18 3 cc 15 cc
6 NS21017 cendo lyters fls 0 0 1 1 0
7 NS20264 cendo mydriatil tts mata fls 1 1 2 1 1
8 NS20265 cendo pantocain tts mata fls 0 0 1 1 0
9 NS20746 cendo polygran EO 3,5 G tube 1 0 1 1 0
10 NS20748 Cendo Xitrol ED 5 ml fls 0 0 0 0 0
11 NS20032 Handscon no . 7 pcs 1 1 2 1 1
12 NS20017 disp spuit 10 ml pcs 1 0 1 0 1
13 NS20033 handscoon 7,5 gammex pcs 4 0 4 0 4
14 NS20052 leucofix roll 2 0 2 1 1
15 NS20058 mes 11 pcs 3 0 3 0 3
16 NS20639 nald 26 pcs 8 0 8 3 5
17 NS20086 pehacain injeksi ampul 5 0 5 0 5
18 NS20830 RL otsu kolf 1 0 1 0 1
19 EU20092 sagestam tets mata fls 0 0 0 0 0
 20 NS20958 Dutascrub 2% @ 5 L (isi u ml 0 0 0 0 0
10.POLI PDL / ENDOS-COLON

1 EU20316 Catapres inj ampul 1 0 1 Return 0

2 NS20603 Eosin cair/helyzim ml 1500 0 1,500 500 1,000
3 NS20725 Cathegel tube tube 4 0 4 1 3
4 NS20737 xillocain spray botol 2 0 2 Return 0
5 NS20037 Handscoon S pcs 37 0 37 37 0
6 NS20056 Masker royal pcs 10 0 10 10 0
7 EU20519 primperan inj ampul 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 0 1 0 1
10 NS20950 Sanifress ml 500 0 500 500 0
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 0 1 0 1

2 Abbocath 20 pcs 0 1 1 0 1
3 NS20958 Dutascrub 5L ml 400 0 400 300 100
4 NS20037 Handscoon M pcs 86 100 186 172 14
5 NS20293 Sagestam Cream Tube 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 30 0 30 0 30
7 NS20130 Alkohol 70 % (ml) ml 50 0 50 50 0
8 NS20056 Masker royal pcs 28 50 78 61 17
9 EA22590 Ketoconazole cream tube 1 0 1 0 1
10 EU22190 Hidrocortisone cream tube 1 0 1 0 1
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml Terumo pcs 61 20 81 77 4

2 NS20017 Disp Spuit 3 ml Terumo pcs 0 0 0 0 0
3 NS20019 Disp Spuit 5 ml Terumo pcs 2 0 2 0 2
4 EU22803 BOOSTRIX 0.5 Pcs 0 0 0 0 0
5 EU20348 Cyclofem inj vial 4 0 4 Retun 0
6 EU20593 Triclofem inj vial 0 0 0 0 0
7 EU22528 Vaksin Twinrix vial 1 0 1 0 1
8 EU21717 Vaksin Hiberix vial 0 0 0 0 0
9 EU21718 Infanrix hib vial 0 0 0 0 0
10 Tuberculin PPD vial 1 1 2 0 2
11 EU22348 Synfrolix vial 5 0 5 0 5
12 NS20368 Nald 25 Terumo Pcs 28 20 48 24 24
13 NS20364 Nald 18 pcs 4 0 4 1 3
14 EU21712 vaksin Engerix 0.5 ml Pcs 8 0 8 8 0
15 NS20582 Wippy / Skin Wipe / E-care Pcs 79 100 179 173 76
16 NS20600 Chusavan S ( 20 mm x 20 pcs 41 100 141 105 36
17 EU20390 vaksin Havrix 720 pcs 0 0 0 0 0
19 EU21724 vaksin Trimovax vial 0 0 0 0 0
20 NS20037 Handscoon s pcs 0 0 0 0 0
 21 EU21721 vaksin Prevenar vial 0 0 0 0 0
22 NS20130 alkohol 70 % (ml) ml 60 0 60 50 10
19 EU21727 vaksin Trimovax vial 1 0 1 0 1
20 Chlorethyl 100 ml Flees 0 1 1 0 1
21 NS20124 verban gulung pcs 1 0 1 0 1
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 46 100 146 70 76

2 NS20130 Alkohol 70 % (ml) ml 200 0 200 100 100
3 jelly usg ml 2000 3800 5800 2000 3800
4 NS20056 masker royal pcs 0 0 0 0 0
5 Biopacenton cr tube 1 0 1 .1/2 .1/2
6 NS20019 Disp 5 cc T pcs 1 0 1 0 1
7 Gastrul tab tab 1 0 1 0 1
8 Nald 23 T pcs 7 0 7 1 6
9 Nova T pcs 1 0 1 0 1
10 Leucofix roll 0 0 0 0 0
11 NS20033 Handscoon 7,5 Gammex pcs 12 15 27 23 4
12 NS20036 Handscoon S pcs 90 100 190 114 76
13 NS20040 Hypafix 15 x 5 roll 1 12 1 1 1
14 NS20130 Alkohol 96 % ml 300 0 300 0 300
15 NS20132 Betadine 4550 ml ml 150 100 250 150 100
16 NS20256 Albothyl sol 10 ml Fls 1 2 3 2 1
17 NS20293 Sagestam cr tube 1 2 3 1 2
18 NS20017 Spuit 3 cc pcs 10 0 10 5 5

Dir.Yan. Med & Keperawatan Ka.Bid Keperawatan Ka.Instalasi RJ

( dr.Rosmala Dewi ) (Hj.Noviana.Skep ) (dr.Shanti.SpOG )

ALAN
 LAPORAN PEMAKAIAN BHP RUANGAN INSTALASI RAWAT JALAN
BULAN MEI 2016

satuan stok(a) penerimaan jumlah pengeluaran stok akhir

NO Kode URAIAN
awal (b) STOK (c) (a+b)-c
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml Terumo pcs 3 5 8 3 5
2 NS20001 Agua pro injeksi pcs 1 0 1 1 0
3 NS20017 Disp Spuit 3 ml Terumo pcs 3 6 9 5 4
4 NS20019 Disp Spuit 5 ml Terumo pcs 8 3 11 1 10
5 NS20311 Abbocath 22 Terumo pcs 2 0 2 0 2
6 NS20130 Alkohol 70% ml 45 0 45 15 20
7 NS20348 Infuset Makro T pcs 2 0 2 0 2
8 NS20349 Infuset mikro t pcs 1 0 1 0 1
9 EU20608 Ventolin neb ampul 1 0 1 0 1
10 NS20366 Nald 23 T pcs 8 0 8 0 2
11 NS20013 Disp 10 cc T pcs 0 0 10 0 1
12 NS20368 Nald 25 T pcs 0 0 0 0 0
13 RL wida kolf 2 0 2 0 2
14 EU20519 Primperan inj ampul 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 0 1 0 1
16 NS20854 Dexametason inj ampul 2 0 2 0 2
17 NS20950 Sanifres 500 ml ml 500 5000 5500 5000 500
18 NS20036 Handscoon M pcs 52 100 152 148 52
19 NS20040 Hypafix 15 x 5 roll 1 0 1 .1/4 .3/4
20 NS20056 Masker Royal pcs 40 0 40 20 20
21 NS20132 Betadine 4550 ml ml 40 0 40 35 15
22 NS20289 NaCl 500 ml kolf 1 1 2 1 1
23 NS20582 Wippy / Skin Wipe / E-care Pcs 21 0 21 21 0
24 NS20629 Daryantulle/lomatul pcs 1 2 3 1 2
25 NS20124 Verban gulung 4 x 10 cm tube 5 0 5 2 3
26 NS20746 Polygran tube 0 0 1 0 1
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 1 0 1 1 0

2 NS20011 Disp Spuit 1 ml Terumo pcs 12 16 28 12 16
3 NS20017 Disp Spuit 3 ml Terumo pcs 15 0 37 30 7
4 NS20271 Cresophene fles 0 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 0 0 0 0 0
6 NS20058 Mess 11 Pcs 5 0 5 2 3
7 NS20056 Masker Royal pcs 8 50 58 44 14
8 NS20152 Alvoghyl gram 5 0 5 5 0
9 NS20086 Pehacain inj @ 20 ml ampul 19 11 30 21 9
10 NS20130 Alkohol 70 % (ml) ml 100 200 300 200 200
11 NS20132 Betadine 4550 ml ml 30 0 130 50 80
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 0 0 0 0 0
13 NS20257 Alginat / Tropicalgin Fls 150 0 150 150 0
14 NS20277 Gips stone / moldano pcs 1 0 1 0 1
15 NS20261 Agua 1000 ml otsu kolf 1400 1000 2400 1400 1000
16 NS20959 Atramat 4/0 G2694-75 PCS 4 0 4 1 3
20 NS20036 Handscoon S pcs 51 100 151 55 96
21
22
23 Arsen @ 6,5 gr kit 0 3 3 3 0
24 Bonding single kit 0 0 3 3 0
25 Chlorethyl @ 100 ML ml 0 0 0 0 0
26 Cresophene ml 0 0 0 0 0
27 Ethane gel fls 0 0 0 0 0
28 Handscoon M pcs 6 0 6 6 0
29 Ledermix tube 0 0 0 0 0
30 eugenol ml 30 0 30 30 0
31 Filtex A3 pcs 0 0 0 0 0
32 Filtex Flow pcs 2 0 2 2 0
33 Fuji 1X A3 BOX 1 0 1 0 1
34 NS20170 Oco @ 15 ml fls 0 0 0 0 0
35 NS20173 Relyx @ 4,5 gr kit 0 0 0 0 0
36 NS20176 Zinc phospat fls 0 0 0 0 0
37 NS20178 Lidocain inj ampul 3 0 3 0 3
38
39
40

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml Terumo pcs 4 17 21 15 6

2 NS20017 Disp 3 cc T pcs 9 6 15 8 7
3 NS20036 Handscoon M pcs 41 200 241 145 96
4 NS20086 Pehacain inj @ 20 ml ampul 7 3 10 9 1
5 NS20178 Lidocain inj ampul 6 2 8 3 5
6 NS20293 Sagestam cr tube 1 1 2 1 1
7 NS20582 Wippy / Skin Wipe Pcs 144 0 144 34 110
8 NS20854 Dexamethasone Inj ampul 2 2 4 2 2
9 NS20289 Nacl 500ml pipih OGB kolf 500 500 1,000 800 200
10 NS20040 Hypafix roll 1 0 1 .1/2 .1/2
11 NS20052 Leucofix roll 1 0 1 0 1
12 NS20056 Masker pcs 7 50 57 9 48
13 NS20058 Mess 11 pcs 3 0 3 0 3
14 NS20124 Verban gulung roll 5 0 5 1 4
15 NS20130 Alkohol 70 % ml 70 0 70 20 50
16 NS20366 Nald 23 T pcs 10 0 10 0 10
17 NS20368 Nald 25 T pcs 1 0 1 1 0
18 NS20639 Nald 26 T pcs 5 0 5 0 5
19 NS20629 Daryantul pcs 2 0 2 .1/2 1.1/2
20 NS20132 Betadine ml 80 0 80 30 50
21 NS20256 Albothy soll fls 0 0 0 0 0
22 NS20288 Nacl 100 ml kolf 1 0 1 0 1
23 Bioplacenton gel tube 0 1 1 0 1
24 NS20916 Trilac injeksi Vial 1 1 2 1 1
4. 104 POLI BEDAH

1 NS20011 Disp Spuit 1 ml Terumo pcs 5 5 10 2 8

2 NS20017 Disp Spuit 10 ml Terumo pcs 5 0 5 4 1
3 NS20017 Disp Spuit 3 ml Terumo pcs 6 0 6 1 5
4 NS20019 Disp Spuit 5 ml Terumo pcs 4 5 9 4 5
5 Disp spuit 20 ml pcs 0 1 1 1 0
6 Handscoon M Pcs 84 200 284 246 38
7 Nald 18 pcs 0 1 1 1 0
8 NS20289 Nacl 500 ml kolf 500 0 500 300 200
9 NS20746 Cendo Polgran tube .3/4 1 1.3/4 1.1/4 .1/2
10 NS20256 Albotyil kolf 1 0 1 0 1
11 sagestam cr tube 1 0 1 0 1
12 NS20124 Verban gulung 4 x 10 cm Roll 1 10 11 9 2
13 NS20132 Betadine 4550 ml ml 100 200 300 200 100
14 NS20180 Xylocain jelly 30 gr tube 1 0 1 1 0
15 NS20582 Wippy / Skin Wipe Pcs 84 0 84 84 0
16 NS20142 H2O2 ml 100 0 100 0 100
17 NS20130 Alkohol 70% ml 50 0 50 10 40
18 NS20629 Daryantulle/lomatul pcs 8 20 28 26 2
19 NS20056 Masker Royal pcs 52 0 52 35 14
5. POLI BEDAH MINOR

1 Betadine 4550 ml ML 100 0 100 0 100

2 Nald 23 pcs 5 5 10 2 8
3 NS20629 Daryantulle/lomatul pcs 10 0 10 0 10
4 NS20017 Disp Spuit 3 ml pcs 3 0 3 0 3
5 NS20019 Disp Spuit 5 ml pcs 5 0 5 0 5
6 Nacl 500 ml ml 3 0 3 0 3
7 Handscoon 7,5 pcs 1 0 1 0 1
8 Handscoon 6.5 pcs 6 0 6 0 6
9 NS20058 Mess 11 pcs 2 0 2 0 2
10 NS20040 Hypafix 15 x 5 roll 1 0 1 0 1
11 NS20056 Masker Royal pcs 52 0 52 35 14
12 NS20366 NALD 23 Pcs 3 0 3 0 3
13 NS20289 Nacl 500 ml kolf 3 0 3 0 3
14 NS20130 Alkohol 70 % (ml) ml 0 0 0 0 0
 15 NS20132 Betadine 4550 ml ml 100 0 100 0 100
16 NS20582 wippi ml 56 0 56 0 56
17 NS20180 Xilocain jelly 30 gr tube 1 0 1 1 0
7. POLI ANAK

1 Nacl 100 kolf 0 0 1 50 50

2 NS20017 Disp spuit 3 cc pcs 1 0 1 0 1
3 NS20130 Alkohol 70% ml 40 0 40 0 40
4 NS20132 Betadine ml 40 0 40 0 40
5 spuit 5 cc pcs 0 0 0 0 0
6 Oksigen Ld kecil tabung 1 0 1 0 1
7 NS21010 Selang O2 anak pcs 3 0 3 0 3
8 NS21032 Selang Rebreating Anak pcs 1 0 1 0 1
8. POLI JANTUNG

1 NS20133 Cloral Hydrat cair 35 100 135 40 cc 95 cc

2 NS20601 jelly usg ml 0 0 0 0 0
3 spuit 3 cc pcs 1 0 1 0 1
4 NS20037 Handscone S pcs 36 0 36 0 36
5 NS20178 Lidocain inj ampul 6 0 6 1 5
6 NS20950 pehacain inj ampul 7 0 7 6 1
7 NS20958 Dutascrub 2% @ 5 L (isi ul ml 500 5000 5500 5000 500
8 EU20608 Ventolin nebulezer pcs 2 0 2 0 2
8 NS20755 Combivent nebulezer pcs 1 0 1 0 1
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 100 0 100 1 cc 99 cc

2 NS20001 Agua fls 4 1 5 1 4
3 NS20011 Disp 1cc T pcs 4 3 7 2 5
4 NS20288 Nacl 100 ml kolf 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 15 100 115 80 35 cc
6 NS21017 cendo lyters fls 0 0 1 1 0
7 NS20264 cendo mydriatil tts mata fls 1 0 1 0 1
8 NS20265 cendo pantocain tts mata fls 0 1 1 1 0
9 NS20746 cendo polygran EO 3,5 GR tube 0 1 1 0 1
10 NS20748 Cendo Xitrol ED 5 ml fls 1 0 1 .1/2 .1/2
11 NS20032 Handscon no . 7 pcs 1 1 2 1 1
12 NS20017 disp spuit 10 ml pcs 1 0 1 0 1
13 NS20033 handscoon 7,5 gammex pcs 4 0 4 0 4
14 NS20052 leucofix roll 2 0 2 1 1
15 NS20058 mes 11 pcs 3 0 3 0 3
16 NS20639 nald 26 pcs 5 1 6 1 5
17 NS20086 pehacain injeksi ampul 5 0 5 0 5
18 NS20830 RL otsu kolf 1 0 1 0 1
19 EU20092 sagestam tets mata fls 1 0 1 1 0
 20 masker ml 0 50 50 8 42
10.POLI PDL / ENDOS-COLON

1
2 NS20603 Eosin cair/helyzim ml 1000 0 1,000 200 800
3 NS20725 Cathegel tube tube 3 0 3 2 1
4 NS20737 xillocain spray botol 0 0 0 0 0
5 NS20037 Handscoon S pcs 37 0 37 30 7
6 NS20056 Masker royal pcs 0 0 0 0 0
7 EU20519 primperan inj ampul 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 0 1 0 1
10 Combivent nebu pcs 2 0 2 0 2
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 0 1 0 1

2 Abbocath 20 pcs 1 0 1 0 1
3 NS20958 Dutascrub 5L ml 100 0 100 100 0
4 NS20037 Handscoon M pcs 14 100 114 47 67
5 NS20293 Sagestam Cream Tube 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 30 0 30 0 30
7 NS20130 Alkohol 70 % (ml) ml 0 0 0 0 0
8 NS20056 Masker royal pcs 17 50 67 67 0
9 EA22590 Ketoconazole cream tube 1 0 1 0 1
10 EU22190 Hidrocortisone cream tube 1 0 1 0 1
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml Terumo pcs 4 55 59 49 10

2 NS20017 Disp Spuit 3 ml Terumo pcs 0 5 5 4 1
3 NS20019 Disp Spuit 5 ml Terumo pcs 2 5 7 5 2
4 EU22803 BOOSTRIX 0.5 Pcs 0 0 0 0 0
5 Nald 26 pcs 0 25 25 5 20
6 vaksin Engerix 0.5 ml vial 0 0 0 0 4
7 EU22528 Vaksin Twinrix vial 1 0 1 0 1
8 EU21717 Vaksin Hiberix vial 0 0 0 0 0
9 EU21718 Infanrix hib vial 0 0 0 0 0
10 Tuberculin PPD vial 2 0 2 1 1
11 EU22348 Synfrolix vial 5 0 5 3 2
12 NS20368 Nald 25 Terumo Pcs 24 60 84 55 29
13 NS20364 Nald 18 pcs 3 0 3 0 3
14 Nald 20 Pcs 10 0 10 0 10
15 NS20582 Wippy / Skin Wipe Pcs 76 100 176 141 35
16 NS20600 Chusavan S ( 20 mm x 20 pcs 36 80 116 109 7
17 Bethadine pcs 10 cc 0 10 0 10
19 EU21724 vaksin Trimovax vial 1 0 1 0 1
20 NS20037 Handscoon s pcs 46 0 46 0 46
 21 EU21721 vaksin Prevenar vial 0 0 0 0 0
22 NS20130 alkohol 70 % (ml) ml 10 0 10 0 30
19 EU21727 vaksin Trimovax vial 1 0 1 0 1
20 Chlorethyl 100 ml Flees 1 0 1 0 1
21 NS20124 verban gulung pcs 1 0 1 0 1
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 76 0 76 26 50

2 NS20130 Alkohol 70 % (ml) ml 100 0 100 10 90 cc
3 jelly usg ml 3800 0 3800 2800 1000
4 NS20056 masker royal pcs 0 0 0 0 0
5 Biopacenton cr tube .1/2 0 .1/2 .1/2 0
6 NS20019 Disp 5 cc T pcs 1 0 1 0 1
7 Gastrul tab tab 1 0 1 0 1
8 Nald 23 T pcs 6 0 6 1 5
9 Nova T pcs 1 0 1 0 1
10 Leucofix roll 0 0 0 0 0
11 NS20033 Handscoon 7,5 Gammex pcs 4 15 19 11 8
12 NS20036 Handscoon S pcs 76 0 76 28 48
13 NS20040 Hypafix 15 x 5 roll 1 0 1 .1/2 .1/2
14 NS20130 Alkohol 96 % ml 300 0 300 200 100
15 NS20132 Betadine 4550 ml ml 100 0 100 0 100
16 NS20256 Albothyl sol 10 ml Fls 1 2 3 2 1
17 NS20293 Sagestam cr tube 2 2 4 3 1
18 NS20017 Spuit 3 cc pcs 5 0 5 3 2

Ka.Sie Logistik Ka.Inst.RJ K.aRu Poliklinik

( Supriani.SKM) ( dr.Shanti.SpOG) ( Yuliyana.Skep)

ALAN
 LAPORAN PEMAKAIAN BHP RUANGAN INSTALASI RAWAT JALAN
BULAN JUNI 2016

Stok stok barang jumlah stok

NO Kode URAIAN satuan pemakaian
tetap awal masuk stok akhir
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml pcs 5 5 0 5 1 4
2 NS20001 Agua pro injeksi pcs 1 1 0 1 0 1
3 NS20017 Disp Spuit 3 ml pcs 10 4 0 4 1 3
4 NS20019 Disp Spuit 5 ml pcs 10 10 0 10 0 10
5 NS20311 Abbocath 22 pcs 2 2 0 2 1 1
6 NS20130 Alkohol 70% ml 100 20 0 20 20 0
7 NS20348 Infuset Makro T pcs 2 2 0 2 1 1
8 NS20349 Infuset mikro t pcs 2 1 0 1 0 1
9 EU20608 Ventolin neb ampul 2 1 0 1 0 1
10 NS20366 Nald 23 T pcs 10 2 5 7 3 4
11 NS20013 Disp 10 cc T pcs 10 1 0 1 0 1
12 NS20368 Nald 25 T pcs 5 0 0 0 0 0
13 RL wida kolf 2 2 0 2 0 2
14 EU20519 Primperan inj ampul 1 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 1 0 1 0 1
16 NS20854 Dexametason inj ampul 2 0 0 2 0 2
17 NS20950 Sanifres 500 ml ml 6000 500 0 500 400 100
18 NS20036 Handscoon M pcs 100 52 100 152 120 35
19 NS20040 Hypafix 15 x 5 roll 2 .3/4 1 1.3/4 .3/4 1
20 NS20056 Masker Royal pcs 100 20 0 20 20 0
21 NS20132 Betadine 4550 ml ml 500 15 0 15 15 cc 0
22 NS20289 NaCl 500 ml kolf 1 1 0 1 0 1
23 NS20582 Wippy / Skin Wipe Pcs 100 0 100 100 40 60
24 NS20629 Daryantulle/lomatul pcs 10 2 2 4 4 0
25 NS20124 Verban gulung 4 x 10 cm tube 10 3 0 3 0 3
26 NS20746 Polygran tube 1 1 0 1 1 0
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 30 0 0 0 0 0

2 NS20011 Disp Spuit 1 ml pcs 25 16 14 30 10 20
3 NS20017 Disp Spuit 3 ml pcs 30 7 10 17 2 15
4 NS20271 Cresophene fles 10 0 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 20 2 0 2 0 2
6 NS20058 Mess 11 Pcs 10 3 0 3 0 3
7 NS20056 Masker Royal pcs 100 14 50 64 44 20
8 NS20152 Alvoghyl gram 10 0 0 0 0 0
9 NS20086 Pehacain inj @ 20 ml ampul 40 9 14 23 11 12
10 NS20130 Alkohol 70 % (ml) ml 600 200 200 400 300 100
11 NS20132 Betadine 4550 ml ml 200 80 0 80 5 cc 75 cc
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 300 1 0 1 0 1
13 NS20257 Alginat / Tropicalgin Fls 250 0 0 0 0 0
14 NS20277 Gips stone / moldano pcs 1 1 0 1 0 1
15 NS20261 Agua 1000 ml otsu kolf 1000 1000 0 1000 1000 0
16 NS20959 Atramat 4/0 G2694-75 PCS 4 3 0 3 0 3
20 NS20036 Handscoon S pcs 100 96 0 96 96 0
21 NS20176 Zinc phospat fls 1 0 0 0 0 0
22 NS20178 Lidocain inj ampul 20 3 0 3 0 3
23 Arsen @ 6,5 gr kit 1 1 0 1 0 1
24 Bonding single kit 1 0 0 0 0 0
25 Chlorethyl @ 100 ML ml 1 1 0 1 0 1
26 Cresophene ml 100 0 0 0 0 0
27 Ethane gel fls 1 0 0 0 0 0
28 Handscoon M pcs 100 0 0 0 0 0
29 Ledermix tube 1 0 0 0 0 0
30 eugenol ml 30 1 0 1 0 1
31 Filtex A3 pcs 300 1 0 1 0 1
32 Filtex Flow pcs 2 1 0 1 0 1
33 Fuji 1X A3 BOX 1 1 0 1 0 1
34 NS20170 Oco @ 15 ml fls 5 0 0 0 0 0
35 NS20173 Relyx @ 4,5 gr kit 3 0 0 0 0 0
36 sanifres ml 500 500 0 500 200 300
37 Dutascrab ml 500 500 0 500 100 400
38
39
40

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml pcs 50 6 21 27 17 10

2 NS20017 Disp 3 cc T pcs 30 7 0 7 1 6
3 NS20036 Handscoon M pcs 200 96 100 196 74 122
4 NS20086 Pehacain inj @ 20 ml ampul 20 0 0 0 0 0
5 NS20178 Lidocain inj ampul 20 0 0 0 0 0
6 NS20293 Sagestam cr tube 2 1 0 1 0 1
7 NS20582 Wippy / Skin Wipe Pcs 100 110 0 110 46 64
8 NS20854 Dexamethasone Inj ampul 2 2 0 2 1 1
9 NS20289 Nacl 500ml pipih OGB kolf 1 1 1 2 1 1
10 NS20040 Hypafix roll 2 .1/2 0 .1/2 .1/2 0
11 NS20052 Leucofix roll 1 1 0 1 0 1
12 NS20056 Masker pcs 50 48 0 48 37 15
13 NS20058 Mess 11 pcs 4 3 1 4 1 3
14 NS20124 Verban gulung roll 5 4 0 4 3 1
15 NS20130 Alkohol 70 % ml 100 50 0 50 50 0
16 NS20366 Nald 23 T pcs 30 10 0 10 3 7
17 NS20368 Nald 25 T pcs 10 0 0 0 0 0
18 NS20639 Nald 26 T pcs 10 5 0 5 0 5
19 NS20629 Daryantul pcs 2 2 0 2 0 2
20 NS20132 Betadine ml 100 50 50 100 0 100
21 NS20256 Albothy soll fls 2 0 0 0 0 0
22 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
23 Bioplacenton gel tube 1 1 0 1 0 1
24 NS20916 Trilac injeksi Vial 1 1 1 2 1 1
4. 104 POLI BEDAH

1 NS20011 Disp Spuit 1 ml pcs 10 0 13 13 7 6

2 NS20017 Disp Spuit 10 ml pcs 10 1 10 11 3 8
3 NS20017 Disp Spuit 3 ml pcs 15 5 5 10 5 5
4 NS20019 Disp Spuit 5 ml pcs 10 4 5 9 4 5
5 Disp spuit 20 ml pcs 1 0 2 2 2 0
6 Handscoon M Pcs 500 38 200 238 218 20
7 Nald 23 pcs 10 0 5 5 5 0
8 NS20289 Nacl 500 ml OGB kolf 2 0 3 3 2 1
9 NS20746 Cendo Polgran tube 2 0 0 0 0 0
10 Tabung oksigen kecil tbg 1 1 0 1 0 1
11 sagestam cr tube 2 .1/2 0 .1/2 .1/2 0
12 NS20124 Verban gulung 4 x 10 cm Roll 1 2 5 7 6 1
13 NS20132 Betadine 4550 ml ml 200 0 200 200 100 100
14 NS20180 Xylocain jelly 30 gr tube 1 0 0 0 0 0
15 NS20582 Wippy / Skin Wipe Pcs 100 0 100 100 15 85
16 Hypapix 15x5 Roll 2 1 2 3 2 1
17 NS20130 Alkohol 70% ml 100 0 100 100 0 100
18 NS20629 Daryantulle/lomatul pcs 15 6 30 36 30 6
19 NS20056 Masker Royal pcs 50 14 0 14 7 7
5. POLI BEDAH MINOR

1 Tabung oksigen dewasa tbg 1 1 0 1 0 1

2 Nald 23 pcs 5 8 0 8 8 0
3 NS20629 Daryantulle/lomatul pcs 10 10 0 10 10 0
4 NS20017 Disp Spuit 3 ml pcs 10 3 0 3 0 3
5 NS20019 Disp Spuit 5 ml pcs 10 5 0 5 0 5
6 Nacl 500 ml ml 3 3 0 3 0 3
7 Handscoon 7,5 pcs 5 1 0 1 0 1
8 Handscoon 6.5 pcs 5 6 0 6 0 6
9 NS20058 Mess 11 pcs 2 2 0 2 0 2
10 NS20040 Hypafix 15 x 5 roll 1 1 0 1 1 0
11 NS20056 Masker Royal pcs 50 50 0 50 29 21
12 spuit 1 cc Pcs 5 7 0 7 0 7
13 NS20289 Nacl 500 ml kolf 5 3 0 3 0 3
14 NS20130 Alkohol 70 % (ml) ml 100 0 0 0 0 0
 15 NS20132 Betadine 4550 ml ml 100 100 0 100 0 100
16 NS20582 wippi ml 100 56 0 56 6 51
17 NS20180 Xilocain jelly 30 gr tube 1 0 0 0 0 0
7. POLI ANAK

1 Nacl 100 kolf 1 0 0 0 0 0

2 NS20017 Disp spuit 3 cc pcs 5 0 0 0 0 0
3 NS20130 Alkohol 70% ml 40 40 0 40 0 40
4 NS20132 Betadine ml 40 40 0 40 0 40
5 spuit 5 cc pcs 5 0 0 0 0 0
6 oksigen tb kecil tbg 1 1 0 1 0 1
7 NS21010 Selang O2 anak pcs 3 3 0 3 0 3
8 NS21032 Selang Rebreating Anak pcs 5 1 0 1 0 1
8. POLI JANTUNG

1 NS20133 Cloral Hydrat cair 200 95 cc 0 95 cc 35 cc 60 cc

2 Sanifres 500 ml ml 5000 500 5000 5500 5000 500
3 spuit 3 cc pcs 10 1 0 1 1 0
4 NS20037 Handscone S (Endoscopi) pcs 100 36 200 236 236 0
5 NS20178 Lidocain inj ampul 5 5 7 12 6 6
6 NS20950 pehacain inj ampul 5 1 10 11 4 7
7 NS20958 Dutascrub 2% @ 5 L ml 3,000 500 5000 5500 5000 500
8 EU20608 Ventolin nebulezer pcs 2 2 0 2 0 2
8 NS20755 Combivent nebulezer pcs 1 1 0 1 0 1
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 100 99 cc 0 99 cc 45 cc 54 cc

2 NS20001 Agua fls 5 4 1 5 0 5
3 NS20011 Disp 1cc T pcs 10 5 1 6 1 5
4 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 100 35 cc 0 35 cc 3 cc 32 cc
6 NS21017 cendo lyters fls 1 0 0 0 0 0
7 NS20264 cendo mydriatil tts mata fls 1 1 0 1 0 1
8 NS20265 cendo pantocain tts mata fls 1 0 0 0 0 0
9 NS20746 cendo polygran EO 3,5 GR tube 2 1 0 1 0 1
10 NS20748 Cendo Xitrol ED 5 ml fls 1 .1/2 0 .1/2 .1/2 0
11 NS20032 Handscon no . 7 pcs 1 1 0 1 0 1
12 NS20017 disp spuit 10 ml pcs 10 1 0 1 0 1
13 NS20033 handscoon 7,5 gammex pcs 10 4 0 4 0 4
14 NS20052 leucofix roll 2 1 0 1 0 1
15 NS20058 mes 11 pcs 3 3 0 3 0 3
16 NS20639 nald 26 pcs 5 5 3 8 5 3
17 NS20086 pehacain injeksi ampul 10 5 0 5 4 1
18 NS20830 RL otsu kolf 1 1 0 1 0 1
19 EU20092 sagestam tets mata fls 1 0 0 0 0 0
 20 masker ml 100 42 0 42 11 31
10.POLI PDL / ENDOS-COLON

1 Combivent nebu pcs 2 2 0 2 0 2

2 NS20603 Eosin cair/helyzim ml 1000 800cc 0 800cc 100 700
3 NS20725 Cathegel tube tube 5 1 5 6 1 5
4 NS20737 xillocain spray botol 2 0 0 0 0 0
5 NS20037 Handscoon S pcs 100 7 0 7 7 0
6 NS20056 Masker royal pcs 50 0 0 0 0 0
7 EU20519 primperan inj ampul 1 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 1 0 1 0 1
10 Oksigen tabung kecil tbg 1 1 0 1 0 1
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 1 0 1 0 1

2 Abbocath 20 pcs 1 1 0 1 1 0
3 Oksigen tbg kecil tbg 1 1 0 1 0 1
4 NS20037 Handscoon S pcs 200 67 100 167 88 79
5 NS20293 Sagestam Cream Tube 1 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 100 100 0 100 100 0
7 NS20130 Alkohol 70 % (ml) ml 100 0 0 0 0 0
8 NS20056 Masker royal pcs 50 0 0 0 0 0
9 EA22590 Ketoconazole cream tube 1 1 0 1 0 1
10 EU22190 Hidrocortisone cream tube 1 0 0 1 0 1
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml pcs 100 10 80 90 62 28

2 NS20017 Disp Spuit 3 ml pcs 20 1 0 1 1 0
3 NS20019 Disp Spuit 5 ml pcs 10 2 5 7 6 1
4 EU22803 BOOSTRIX 0.5 Pcs 2 0 0 0 0 0
5 Nald 26 pcs 30 13 0 13 7 6
6 vaksin Engerix 1 ml vial 20 4 5 4 0 9
7 EU22528 Vaksin Twinrix vial 1 1 0 1 1 0
8 EU21717 Vaksin Hiberix vial 1 0 0 0 0 0
9 EU21718 Infanrix hib vial 50 0 0 0 0 0
10 Tuberculin PPD vial 5 1 0 1 1 0
11 EU22348 Synfrolix vial 10 2 0 2 2 0
12 NS20368 Nald 25 Terumo Pcs 80 29 60 89 51 38
13 NS20364 Nald 18 pcs 10 3 0 3 1 2
14 Nald 20 Pcs 10 10 20 30 12 18
15 NS20582 Wippy / Skin Wipe Pcs 300 35 200 235 132 103
16 NS20600 Chusavan S ( 20 mm x 20 m pcs 170 7 98 105 73 32
17 Bethadine pcs 100 10 cc 0 10 cc 10 0
19 EU21724 vaksin Trimovax vial 2 1 0 1 0 1
20 NS20037 Handscoon s pcs 100 46 0 46 38 8
21 EU21721 vaksin Prevenar vial 2 0 0 0 0 0
22 NS20130 alkohol 70 % (ml) ml 100 30 cc 0 30 cc 30 0
19 hypapix roll 1 .1/2 0 .1/2 0 .1/2
20 Chlorethyl 100 ml Flees 1 1 0 1 1 0
21 NS20124 verban gulung pcs 5 1 0 1 1 0
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 100 50 100 150 60 90

2 NS20130 Alkohol 70 % (ml) ml 200 100 cc 100 cc 200cc 100 cc 100cc
3 jelly usg ml 5000 1000 3800 4800 1000 3800
4 NS20056 masker royal pcs 50 0 0 0 0 0
5 Biopacenton cr tube 1 0 0 0 0 0
6 NS20019 Disp 5 cc T pcs 10 1 0 1 0 1
7 Gastrul tab tab 2 1 0 1 0 1
8 Nald 23 T pcs 10 5 0 5 3 2
9 Nova T pcs 1 1 0 1 0 1
10 Leucofix roll 1 0 2 2 1 1
11 NS20033 Handscoon 7,5 Gammex pcs 50 8 35 43 29 14
12 NS20036 Handscoon M pcs 100 48 100 148 138 10
13 NS20040 Hypafix 15 x 5 roll 1 1 0 1 0 1
14 NS20130 Alkohol 96 % ml 200 90 300cc 390 190 200
15 NS20132 Betadine 4550 ml ml 200 100 100cc 200cc 100 cc 100
16 NS20256 Albothyl sol 10 ml Fls 2 1 1 2 0 2
17 NS20293 Sagestam cr tube 2 1 4 5 3 2
18 NS20017 Spuit 3 cc pcs 20 2 0 2 0 2

Ka.Sie Logistik Ka.Inst.RJ K.aRu Poliklinik

( Supriani.SKM) ( dr.Shanti.SpOG) ( Yuliyana.SKep)

N
 LAPORAN PEMAKAIAN BHP RUANGAN INSTALASI RAWAT JALAN
BULAN JULI 2016

Stok stok barang jumlah stok

NO Kode URAIAN satuan pemakaian
tetap awal masuk stok akhir
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml pcs 5 4 0 4 3 1
2 NS20001 Agua pro injeksi pcs 1 1 0 1 1 0
3 NS20017 Disp Spuit 3 ml pcs 10 3 0 3 0 3
4 NS20019 Disp Spuit 5 ml pcs 10 10 0 10 1 9
5 NS20311 Abbocath 22 pcs 2 1 0 2 0 2
6 NS20130 Alkohol 70% ml 100 0 0 25 0 25 cc
7 NS20348 Infuset Makro T pcs 2 1 0 1 0 1
8 NS20349 Infuset mikro t pcs 2 1 0 1 0 1
9 EU20608 Ventolin neb ampul 2 1 0 1 0 1
10 NS20366 Nald 23 T pcs 10 4 0 4 3 1
11 NS20013 Disp 10 cc T pcs 10 1 0 1 0 1
12 NS20368 Nald 25 T pcs 5 0 0 0 0 0
13 RL wida kolf 2 2 0 2 0 2
14 EU20519 Primperan inj ampul 1 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 1 0 1 0 1
16 NS20854 Dexametason inj ampul 2 2 0 2 1 1
17 NS20950 Sanifres 500 ml ml 6000 100 0 0 0 0
18 NS20036 Handscoon M pcs 100 35 0 35 35 0
19 NS20040 Hypafix 15 x 5 roll 2 1 0 1 .1/2 .1/2
20 NS20056 Masker Royal pcs 100 0 50 50 0 50
21 NS20132 Betadine 4550 ml ml 500 0 100 100 0 100
22 NS20289 NaCl 500 ml kolf 1 1 2 3 1 2
23 NS20582 Wippy / Skin Wipe Pcs 100 60 0 60 44 26
24 NS20629 Daryantulle/lomatul pcs 10 0 3 3 3 0
25 NS20124 Verban gulung 4 x 10 cm tube 10 3 0 3 0 3
26 Leukoplast pcs 1 1 0 1 0 1
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 30 0 0 0 0 0

2 NS20011 Disp Spuit 1 ml pcs 25 20 0 20 17 3
3 NS20017 Disp Spuit 3 ml pcs 30 15 0 15 8 7
4 NS20271 Cresophene fles 10 0 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 20 2 0 2 2 0
6 NS20058 Mess 11 Pcs 10 3 0 3 0 3
7 NS20056 Masker Royal pcs 100 20 50 70 41 39
8 NS20152 Alvoghyl gram 10 0 0 0 0 0
9 NS20086 Pehacain inj @ 20 ml ampul 40 12 14 26 15 11
10 NS20130 Alkohol 70 % (ml) ml 600 100 100 200 150 50
11 NS20132 Betadine 4550 ml ml 200 75 0 75 25 50 cc
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 300 1 0 1 1 0
13 NS20257 Alginat / Tropicalgin Fls 250 0 500 500 500 0
14 NS20277 Gips stone / moldano pcs 1 1 0 1 1 0
15 NS20261 Agua 1000 ml otsu kolf 1000 0 0 0 0 0
16 NS20959 Atramat 4/0 G2694-75 PCS 4 3 0 3 0 3
20 NS20036 Handscoon S pcs 100 0 0 0 0 0
21 NS20176 Zinc phospat fls 1 0 0 0 0 0
22 NS20178 Lidocain inj ampul 20 3 0 3 0 3
23 Arsen @ 6,5 gr kit 1 1 0 1 1 0
24 Bonding single kit 1 0 0 0 0 0
25 Chlorethyl @ 100 ML ml 1 1 0 1 1 0
26 Cresophene ml 100 0 1 1 1 0
27 Ethane gel fls 1 0 0 0 0 0
28 Handscoon M pcs 100 0 0 0 0 0
29 Ledermix tube 1 0 0 0 0 0
30 eugenol ml 30 1 0 1 1 0
31 Filtex A3 pcs 300 1 1 1 1 0
32 Filtex Flow pcs 2 1 0 1 1 0
33 Fuji 1X A3 BOX 1 1 0 1 1 0
34 NS20170 Oco @ 15 ml fls 5 0 0 0 0 0
35 NS20173 Relyx @ 4,5 gr kit 3 0 0 0 0 0
36 sanifres ml 500 0 0 0 0 0
37 Dutascrab ml 500 0 0 0 0 0
38 Nacl 100 ml kolf 1 0 1 1 1 0
39 vitapex 1 0 1 1 1 0
40

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml pcs 50 10 10 20 12 8

2 NS20017 Disp 3 cc T pcs 30 6 8 14 4 10
3 NS20036 Handscoon M pcs 200 122 0 122 82 40
4 NS20086 Pehacain inj @ 20 ml ampul 20 0 0 0 0 0
5 Handscoon 6,5 pcs 5 0 1 1 0 1
6 NS20293 Sagestam cr tube 2 1 1 2 1 1
7 NS20582 Wippy / Skin Wipe Pcs 100 64 0 64 22 42
8 NS20854 Dexamethasone Inj ampul 2 1 0 1 1 0
9 NS20289 Nacl 500ml pipih OGB kolf 1 1 1 2 1 1
10 NS20040 Hypafix roll 2 0 1 1 0 1
11 NS20052 Leucofix roll 1 1 0 1 0 1
12 NS20056 Masker pcs 50 15 0 15 15 0
13 NS20058 Mess 11 pcs 4 3 0 3 1 2
14 NS20124 Verban gulung roll 5 1 0 1 0 1
15 NS20130 Alkohol 70 % ml 100 10 0 10 0 10
16 NS20366 Nald 23 T pcs 30 7 0 7 2 5
17 NS20368 Nald 25 T pcs 10 0 0 0 0 0
18 NS20639 Nald 26 T pcs 10 5 0 5 1 4
19 NS20629 Daryantul pcs 2 2 0 2 1 1
20 NS20132 Betadine ml 100 100 0 100 30 70
21 Chlorethyl fls 1 0 1 1 0 1
22 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
23 Bioplacenton gel tube 1 1 0 1 0 1
24 NS20916 Trilac injeksi Vial 1 1 1 2 1 1
4. 104 POLI BEDAH

1 NS20011 Disp Spuit 1 ml pcs 10 6 4 10 5 5

2 NS20017 Disp Spuit 10 ml pcs 10 8 0 8 3 5
3 NS20017 Disp Spuit 3 ml pcs 15 5 0 5 4 1
4 NS20019 Disp Spuit 5 ml pcs 10 5 0 5 1 4
5 Disp spuit 20 ml pcs 1 0 1 1 0 1
6 Handscoon M Pcs 500 20 300 320 185 135
7 Nald 23 pcs 10 0 0 0 0 0
8 NS20289 Nacl 500 ml OGB kolf 2 0 1 1 1 0
9 NS20746 Cendo Polgran tube 2 0 1 1 0 1
10 Albothyl sol tbg 1 1 0 1 0 1
11 sagestam cr tube 2 0 0 0 0 0
12 NS20124 Verban gulung 4 x 10 cm Roll 15 1 6 6 3 3
13 NS20132 Betadine 4550 ml ml 200 0 100 100 0 100
14 NS20180 Xylocain jelly 30 gr tube 1 0 1 1 1 0
15 NS20582 Wippy / Skin Wipe Pcs 100 85 0 85 65 20
16 Hypapix 15x5 Roll 2 1 1 2 1 1
17 NS20130 Alkohol 70% ml 100 100 0 100 0 100
18 NS20629 Daryantulle/lomatul pcs 25 6 20 20 12 8
19 NS20056 Masker Royal pcs 50 7 0 7 5 2
5. POLI BEDAH MINOR

1 Tabung oksigen dewasa tbg 1 1 0 1 0 1

2 Nald 23 pcs 5 0 0 0 0 0
3 NS20629 Daryantulle/lomatul pcs 10 0 0 0 0 0
4 NS20017 Disp Spuit 3 ml pcs 10 3 0 3 0 3
5 NS20019 Disp Spuit 5 ml pcs 10 5 0 5 0 5
6 Albothyl sol ml 1 1 0 1 0 1
7 Handscoon 7,5 pcs 5 1 0 1 0 1
8 Handscoon 6.5 pcs 6 6 0 6 0 6
9 NS20058 Mess 11 pcs 2 2 0 2 0 2
10 NS20040 Hypafix 15 x 5 roll 1 0 0 0 0 0
11 NS20056 Masker Royal pcs 50 21 0 21 0 21
12 spuit 1 cc Pcs 5 7 0 7 1 6
13 NS20289 Nacl 500 ml kolf 5 3 0 3 0 3
14 NS20130 Alkohol 70 % (ml) ml 100 0 0 0 0 0
 15 NS20132 Betadine 4550 ml ml 100 100 0 100 0 100
16 NS20582 wippi ml 100 51 0 51 0 51
17 NS20180 Xilocain jelly 30 gr tube 1 0 0 0 0 0
7. POLI ANAK

1 Nacl 100 kolf 1 0 1 1 0 1

2 NS20017 Disp spuit 3 cc pcs 5 0 0 0 0 0
3 NS20130 Alkohol 70% ml 40 40 0 40 30 10
4 NS20132 Betadine ml 40 40 0 40 20 20
5 spuit 5 cc pcs 5 0 5 5 2 3
6 oksigen tb kecil tbg 1 1 0 1 0 1
7 NS21010 Selang O2 anak pcs 3 3 0 3 0 3
8 NS21032 Selang Rebreating Anak pcs 5 1 0 1 0 1
8. POLI JANTUNG

1 NS20133 Cloral Hydrat ml 200 60 100 160 33 127 ml

2 Sanifres 500 ml ml 5000 500 5000 5500 5500 0
3 Masker royal pcs 10 0 50 50 10 40
4 NS20037 Handscone S (Endoscopi) pcs 100 0 100 100 74 26
5 NS20178 Lidocain inj ampul 20 6 10 16 6 10
6 NS20950 pehacain inj ampul 15 7 10 17 4 13
7 NS20958 Dutascrub 2% @ 5 L ml 5,000 500 5000 5500 5500 0
8 Jelly Usg liter 3.8 0 3,8 3.8 8 lt 3 liter
8 botol plastik bh 1 0 1 1 0 1
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 100 54 100 154 56 cc 98 cc

2 NS20001 Agua fls 5 5 0 5 0 5
3 NS20011 Disp 1cc T pcs 10 5 1 6 1 5
4 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 100 32 cc 0 32 5 cc 28
6 NS21017 cendo lyters fls 1 0 0 0 0 0
7 NS20264 cendo mydriatil tts mata fls 1 1 1 2 1 1
8 NS20265 cendo pantocain tts mata fls 1 0 1 1 0 1
9 NS20746 cendo polygran EO 3,5 GR tube 2 1 0 1 0 1
10 NS20748 Cendo Xitrol ED 5 ml fls 1 0 0 0 0 0
11 NS20032 Handscon no . 7 pcs 1 1 1 2 1 1
12 NS20017 disp spuit 10 ml pcs 10 1 0 1 0 1
13 NS20033 handscoon 7,5 gammex pcs 10 4 0 4 0 4
14 NS20052 leucofix roll 2 1 0 1 0 1
15 NS20058 mes 11 pcs 3 3 0 3 0 3
16 NS20639 nald 26 pcs 5 3 1 4 0 4
17 NS20086 pehacain injeksi ampul 10 1 0 0 0 0
18 NS20830 RL otsu kolf 1 1 0 1 0 1
19 EU20092 sagestam tets mata fls 1 0 0 0 0 0
 20 masker ml 100 31 0 31 8 23
10.POLI PDL / ENDOS-COLON

1 Combivent nebu pcs 2 2 0 2 0 2

2 NS20603 Eosin cair/helyzim ml 1000 700 cc 0 700 100 600
3 NS20725 Cathegel tube tube 5 5 0 5 1 4
4 NS20737 xillocain spray botol 2 0 0 0 0 0
5 NS20037 Handscoon S pcs 100 0 100 100 74 26
6 NS20056 Masker royal pcs 50 0 0 0 0 0
7 EU20519 primperan inj ampul 1 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 1 0 1 0 1
10 Oksigen tabung kecil tbg 1 1 0 1 0 1
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 1 0 1 0 1

2 Abbocath 20 pcs 2 1 2 3 3 0
3 spuit 20 T cc pcs 1 1 1 1 0 1
4 NS20037 Handscoon S pcs 200 79 0 79 5 63
5 NS20293 Sagestam Cream Tube 1 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 100 100 0 100 75 25
7 NS20130 Alkohol 70 % (ml) ml 100 0 100 100 20 80
8 NS20056 Masker royal pcs 50 0 50 50 9 41
9 EA22590 Ketoconazole cream tube 1 1 0 1 0 1
10 EU22190 Hidrocortisone cream tube 1 11 0 1 0 1
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml pcs 100 28 60 88 58 30

2 NS20017 Disp Spuit 3 ml pcs 20 0 0 0 0 0
3 NS20019 Disp Spuit 5 ml pcs 10 1 5 6 1 5
4 EU22803 BOOSTRIX 0.5 Pcs 2 0 0 0 0 0
5 Nald 26 pcs 30 6 0 6 0 6
6 vaksin Engerix 1 ml vial 20 9 0 9 4 5
7 EU22528 Vaksin Twinrix vial 1 0 0 0 0 0
8 EU21717 Vaksin Hiberix vial 1 0 0 0 0 0
9 EU21718 Infanrix hib vial 50 0 0 0 0 0
10 Tuberculin PPD vial 5 0 0 0 0 0
11 EU22348 Synfrolix vial 10 0 0 0 0 0
12 NS20368 Nald 25 Terumo Pcs 80 38 30 68 61 7
13 NS20364 Nald 18 pcs 10 2 0 2 2 0
14 Nald 20 Pcs 10 18 0 18 10 8
15 NS20582 Wippy / Skin Wipe Pcs 300 103 100 203 133 70
16 NS20600 Chusavan S ( 20 mm x 20 m pcs 170 32 80 112 73 39
17 Bethadine pcs 100 0 0 0 0 0
19 EU21724 vaksin Trimovax vial 2 1 0 1 1 0
20 NS20037 Handscoon s pcs 100 8 100 108 38 70
 21 EU21721 vaksin Prevenar vial 2 0 0 0 0 0
22 NS20130 alkohol 70 % (ml) ml 100 0 0 0 0 0
19 hypapix roll 1 .1/2 0 .1/2 0 .1/2
20 Chlorethyl 100 ml Flees 1 0 1 1 0 1
21 NS20124 verban gulung pcs 5 0 0 0 0 0
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 100 90 0 90 0 90

2 NS20130 Alkohol 70 % (ml) ml 200 100 cc 100 200 100 100
3
4 NS20056 masker royal pcs 50 0 0 0 0 0
5 Biopacenton cr tube 1 0 0 0 0 0
6 NS20019 Disp 5 cc T pcs 10 1 1 2 0 2
7 Gastrul tab tab 2 1 0 1 0 1
8 Nald 23 T pcs 10 2 5 7 1 6
9 Nova T pcs 1 1 0 1 0 1
10 Leucofix roll 1 1 0 1 0 1
11 NS20033 Handscoon 7,5 Gammex pcs 50 14 15 29 13 16
12 NS20036 Handscoon S pcs 100 10 200 210 80 130
13 NS20040 Hypafix 15 x 5 roll 1 1 1 2 1 1
14 NS20130 Alkohol 96 % ml 200 200 100 300 80 220
15 NS20132 Betadine 4550 ml ml 200 100 100 200 50 150
16 NS20256 Albothyl sol 10 ml Fls 2 2 0 2 1 1
17 NS20293 Sagestam cr tube 2 2 1 3 2 1
18 NS20017 Spuit 3 cc pcs 10 2 5 7 2 5

Ka.Sie Logistik Ka.Inst.RJ Ka.Ru Poliklinik

( Supriani.SKM) ( dr.Shanti.SpOG) ( Yuliyana.SKep)

 LAPORAN PEMAKAIAN BHP FARMASI RUANGAN INSTALASI RAWAT JALAN
BULAN AGUSTUS 2016

Stok stok barang jumlah

NO Kode URAIAN satuan pemakaian
tetap awal masuk stok
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml pcs 5 1 3 4 2
2 NS20001 Agua pro injeksi pcs 1 0 0 0 0
3 NS20017 Disp Spuit 3 ml pcs 10 3 3 6 6
4 NS20019 Disp Spuit 5 ml pcs 10 9 0 9 5
5 NS20311 Abbocath 22 pcs 2 2 0 2 0
6 NS20130 Alkohol 70% ml 100 25 0 0 0
7 NS20348 Infuset Makro T pcs 2 1 0 1 0
8 NS20349 Infuset mikro t pcs 2 1 0 1 0
9 EU20608 Ventolin neb ampul 2 1 0 1 0
10 NS20366 Nald 23 T pcs 10 1 0 1 1
11 NS20013 Disp 10 cc T pcs 10 1 0 1 0
12 NS20368 Nald 25 T pcs 5 0 0 0 0
13 RL wida kolf 2 2 0 2 0
14 EU20519 Primperan inj ampul 1 1 0 1 0
15 EU20531 Ranitidine inj ampul 1 1 0 1 0
16 NS20854 Dexametason inj ampul 1 1 0 1 0
17 NS20950 Sanifres 500 ml ml 0 0 0 0 0
18 NS20036 Handscoon M pcs 0 35 0 35 35
19 NS20040 Hypafix 15 x 5 roll .1/2 1 0 1 1
20 NS20056 Masker Royal pcs 50 50 0 50 50
21 NS20132 Betadine 4550 ml ml 100 100 0 100 20
22 NS20289 NaCl 500 ml kolf 2 2 2 4 2
23 NS20582 Wippy / Skin Wipe Pcs 26 26 100 26 76
24 NS20629 Daryantulle/lomatul pcs 0 0 2 2 1
25 NS20124 Verban gulung 4 x 10 cm tube 3 3 0 3 3
26 Leukoplast pcs 1 1 0 1 1
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 30 0 0 0 0

2 NS20011 Disp Spuit 1 ml pcs 25 3 18 21 16
3 NS20017 Disp Spuit 3 ml pcs 30 7 12 19 4
4 NS20271 Cresophene fles 10 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 20 0 0 0 0
6 NS20058 Mess 11 Pcs 10 3 0 3 0
7 NS20056 Masker Royal pcs 100 39 50 89 40
8 NS20152 Alvoghyl gram 10 0 0 0 0
9 NS20086 Pehacain inj @ 20 ml ampul 40 11 19 30 11
10 NS20130 Alkohol 70 % (ml) ml 600 50 300 350 250
11 NS20132 Betadine 4550 ml ml 200 50 0 50 10
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 300 0 0 0 0
13 NS20257 Alginat / Tropicalgin Fls 250 0 0 0 0
14 NS20277 Gips stone / moldano pcs 1 0 0 0 0
15 NS20261 Agua 1000 ml otsu kolf 1000 0 1 Kolf 1 kolf 1 kolf
16 NS20959 Atramat 4/0 G2694-75 PCS 4 3 0 0 0
20 NS20036 Handscoon S pcs 100 7 100 117 57
21 NS20176 Zinc phospat fls 1 0 0 0 0
22 NS20178 Lidocain inj ampul 20 3 0 3 0
23 Arsen @ 6,5 gr kit 1 0 0 0 0
24 Bonding single kit 1 0 0 0 0
25 Chlorethyl @ 100 ML ml 1 0 0 0 0
26 Cresophene ml 100 0 0 0 0
27 Ethane gel fls 1 0 0 0 0
28 Handscoon M pcs 100 0 0 0 0
29 Ledermix tube 1 0 0 0 0
30 eugenol ml 30 0 0 0 0
31 Filtex A3 pcs 300 0 0 0 0
32 Filtex Flow pcs 2 0 0 0 0
33 Fuji 1X A3 BOX 1 0 0 0 0
34 NS20170 Oco @ 15 ml fls 5 0 0 0 0
35 NS20173 Relyx @ 4,5 gr kit 3 0 0 0 0
36
37
38 Nacl 100 ml kolf 1 0 0 0 0
39 vitapex 1 0 0 0 0
40

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml pcs 50 8 10 18 11

2 NS20017 Disp 3 cc T pcs 30 10 0 10 2
3 NS20036 Handscoon M pcs 200 40 0 40 40
4 NS20086 Pehacain inj @ 20 ml ampul 20 0 0 0 0
5 Handscoon 6,5 pcs 5 1 0 0 0
6 NS20293 Sagestam cr tube 2 1 1 2 1
7 NS20582 Wippy / Skin Wipe Pcs 100 42 0 42 42
8 NS20854 Dexamethasone Inj ampul 2 0 2 2 0
9 NS20289 Nacl 500ml pipih OGB kolf 1 1 0 1 1
10 NS20040 Hypafix roll 2 1 0 1 1
11 NS20052 Leucofix roll 1 1 0 1 0
12 NS20056 Masker pcs 50 0 50 50 6
13 NS20058 Mess 11 pcs 4 2 0 2 1
14 NS20124 Verban gulung roll 5 1 0 1 1
15 NS20130 Alkohol 70 % ml 100 10 0 10 0
16 NS20366 Nald 23 T pcs 30 5 0 5 3
17 NS20368 Nald 25 T pcs 10 0 0 0 0
18 NS20639 Nald 26 T pcs 10 4 2 6 5
19 NS20629 Daryantul pcs 2 1 0 1 0
20 NS20132 Betadine ml 100 70 0 70 5
21 Chlorethyl fls 1 1 0 1 0
22 NS20288 Nacl 100 ml kolf 1 1 0 1 0
23 Bioplacenton gel tube 1 1 0 1 0
24 NS20916 Trilac injeksi Vial 1 1 0 1 1
4. 104 POLI BEDAH

1 NS20011 Disp Spuit 1 ml pcs 10 5 11 16 11

2 NS20017 Disp Spuit 10 ml pcs 10 5 10 15 8
3 NS20017 Disp Spuit 3 ml pcs 15 1 12 13 9
4 NS20019 Disp Spuit 5 ml pcs 10 4 5 9 4
5 Disp spuit 20 ml pcs 1 1 0 1 0
6 Handscoon M Pcs 500 135 100 235 195
7 Nald 23 pcs 10 4 0 4 2
8 NS20289 Nacl 500 ml OGB kolf 2 0 1500 1500 1000
9 NS20746 Cendo Polgran tube 2 1 0 1 1
10 Albothyl sol tbg 1 1 0 1 0
11 sagestam cr tube 2 0 0 0 0
12 NS20124 Verban gulung 4 x 10 cm Roll 15 3 10 11 8
13 NS20132 Betadine 4550 ml ml 200 100 200 300 200
14 NS20180 Xylocain jelly 30 gr tube 1 0 1 1 1
15 NS20582 Wippy / Skin Wipe Pcs 100 20 100 120 120
16 Hypapix 15x5 Roll 2 1 0 1 0
17 NS20130 Alkohol 70% ml 100 100 0 100 0
18 NS20629 Daryantulle/lomatul pcs 25 8 30 38 35
19 NS20056 Masker Royal pcs 50 2 50 52 52
5. POLI BEDAH MINOR

1 Tabung oksigen dewasa tbg 1 1 0 1 0

2 Nald 23 pcs 5 0 0 0 0
3 NS20629 Daryantulle/lomatul pcs 10 0 0 0 0
4 NS20017 Disp Spuit 3 ml pcs 10 3 0 3 0
5 NS20019 Disp Spuit 5 ml pcs 10 5 0 5 0
6 Albothyl sol ml 1 1 0 1 0
7 Handscoon 7,5 pcs 5 1 0 1 0
8 Handscoon 6.5 pcs 6 6 0 6 0
9 NS20058 Mess 11 pcs 2 2 0 2 0
10 NS20040 Hypafix 15 x 5 roll 1 0 0 0 0
11 NS20056 Masker Royal pcs 50 21 0 21 0
12 spuit 1 cc Pcs 5 7 0 7 1
13 NS20289 Nacl 500 ml kolf 5 3 0 3 0
14 NS20130 Alkohol 70 % (ml) ml 100 0 0 0 0
 15 NS20132 Betadine 4550 ml ml 100 100 0 100 0
16 NS20582 wippi ml 100 51 0 51 10
17 NS20180 Xilocain jelly 30 gr tube 1 0 0 0 0
7. POLI ANAK

1 Nacl 100 kolf 1 0 1 1 0

2 NS20017 Disp spuit 3 cc pcs 5 0 0 0 0
3 NS20130 Alkohol 70% ml 40 10 0 10 10
4 NS20132 Betadine ml 40 20 0 20 20
5 spuit 5 cc pcs 5 3 0 3 3
6 oksigen tb kecil tbg 1 1 0 1 0
7 NS21010 Selang O2 anak pcs 3 3 0 3 0
8 NS21032 Selang Rebreating Anak pcs 5 3 0 3 0
8. POLI JANTUNG

1 NS20133 Cloral Hydrat ml 200 127 0 127 18

2 Sanifres 500 ml ml 5000 0 6000 6000 4500
3 Masker royal pcs 10 0 0 0 0
4 NS20037 Handscone S (Endoscopi) pcs 100 26 300 326 198
5 NS20178 Lidocain inj ampul 20 10 0 10 3
6 NS20950 pehacain inj ampul 15 13 0 13 4
7 NS20958 Dutascrub 2% @ 5 L ml 5,000 0 0 0 0
8 Jelly Usg liter 3.8 3 Lt 0 3 Lt 0
8 botol plastik bh 1 0 0 0 0
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 100 98 0 98 8

2 NS20001 Agua fls 5 5 1 6 1
3 NS20011 Disp 1cc T pcs 10 5 1 6 1
4 NS20288 Nacl 100 ml kolf 1 1 0 1 0
5 NS20132 Bethadine 4550 ml ml 100 28 0 28 3
6 NS21017 cendo lyters fls 1 0 0 0 0
7 NS20264 cendo mydriatil tts mata fls 1 1 0 1 0
8 NS20265 cendo pantocain tts mata fls 1 1 0 1 0
9 NS20746 cendo polygran EO 3,5 GR tube 2 1 1 2 1
10 NS20748 Cendo Xitrol ED 5 ml fls 1 0 0 0 0
11 NS20032 Handscon no . 7 pcs 1 1 0 1 1
12 NS20017 disp spuit 10 ml pcs 10 1 0 1 0
13 NS20033 handscoon 7,5 gammex pcs 10 4 2 6 1
14 NS20052 leucofix roll 2 1 1 2 1
15 NS20058 mes 11 pcs 3 3 0 3 0
16 NS20639 nald 26 pcs 5 5 1 6 1
17 NS20086 pehacain injeksi ampul 10 0 0 0 0
18 NS20830 RL otsu kolf 1 1 0 1 0
19 EU20092 sagestam tets mata fls 1 0 0 0 0
 20 masker ml 100 23 0 23 7
10.POLI PDL / ENDOS-COLON

1 Combivent nebu pcs 2 2 0 2 0

2 NS20603 Eosin cair/helyzim ml 1000 600 0 600 100
3 NS20725 Cathegel tube tube 5 4 0 5 1
4 NS20737 xillocain spray botol 2 0 0 0 0
5 NS20037 Handscoon S pcs 100 26 0 0 0
6 NS20056 Masker royal pcs 50 0 0 0 0
7 EU20519 primperan inj ampul 1 1 0 1 0
8 EU20312 Buscopan inj ampul 1 1 0 1 0
10 Oksigen tabung kecil tbg 1 1 0 1 0
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 1 0 1 0

2 Abbocath 20 pcs 2 0 0 0 0
3 spuit 20 T cc pcs 1 1 0 1 0
4 NS20037 Handscoon S pcs 200 63 0 63 35
5 NS20293 Sagestam Cream Tube 1 1 0 1 0
6 NS20132 Bethadine 4550 ml ml 100 25 0 100 75
7 NS20130 Alkohol 70 % (ml) ml 100 80 0 80 0
8 NS20056 Masker royal pcs 50 41 100 141 89
9 EA22590 Ketoconazole cream tube 1 1 0 1 0
10 EU22190 Hidrocortisone cream tube 1 1 0 1 0
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml pcs 100 0 10 10 10

2 NS20017 Disp Spuit 3 ml pcs 20 0 0 0 0
3 NS20019 Disp Spuit 5 ml pcs 10 5 5 10 9
4 EU22803 BOOSTRIX 0.5 Pcs 2 0 0 0 0
5 Nald 26 pcs 30 6 0 6 0
6 vaksin Engerix 1 ml vial 20 5 0 0 0
7 EU22528 Vaksin Twinrix vial 1 0 0 0 0
8 EU21717 Vaksin Hiberix vial 1 0 0 0 0
9 EU21718 Infanrix hib vial 50 0 0 0 0
10 Tuberculin PPD vial 5 0 0 0 0
11 EU22348 Synfrolix vial 10 0 0 0 0
12 NS20368 Nald 25 Terumo Pcs 80 7 50 57 44
13 NS20364 Nald 18 pcs 10 0 5 0 0
14 Nald 20 Pcs 10 8 10 18 13
15 NS20582 Wippy / Skin Wipe Pcs 300 70 200 270 185
16 NS20600 Chusavan S ( 20 mm x 20 m pcs 170 39 110 149 89
17 Bethadine pcs 100 0 0 0 0
19 EU21724 vaksin Trimovax vial 2 0 0 0 0
20 NS20037 Handscoon s pcs 100 70 0 70 62
 21 EU21721 vaksin Prevenar vial 2 0 0 0 0
22 NS20130 alkohol 70 % (ml) ml 100 0 100 100 20
19 sagestam salf tube 1 0 1 1 0
20 Chlorethyl 100 ml Flees 1 1 0 1 0
21 NS20124 verban gulung pcs 5 0 0 0 0
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 100 50 100 150 50

2 NS20130 Alkohol 70 % (ml) ml 200 90 cc 0 90 0
3
4 NS20056 masker royal pcs 50 0 0 0 0
5 Biopacenton cr tube 1 0 0 1 0
6 NS20019 Disp 5 cc T pcs 10 2 0 2 0
7 Gastrul tab tab 2 1 0 1 0
8 Nald 23 T pcs 10 6 0 6 2
9 Nova T pcs 1 1 0 1 0
10 Leucofix roll 1 1 2 3 1
11 NS20033 Handscoon 7,5 Gammex pcs 50 16 15 31 18
12 NS20036 Handscoon S pcs 100 130 300 430 190
13 NS20040 Hypafix 15 x 5 roll 1 1 0 1 0
14 NS20130 Alkohol 96 % ml 200 220 0 220 0
15 NS20132 Betadine 4550 ml ml 200 150 0 150 0
16 NS20256 Albothyl sol 10 ml Fls 2 1 1 2 1
17 NS20293 Sagestam cr tube 2 1 2 3 1
18 NS20017 Spuit 3 cc pcs 10 5 0 5 0

Ka.Sie Logistik Ka.Inst.RJ Ka.Ru Poliklinik

( Supriani.SKM) ( dr.Shanti.SpOG) ( Yuliyana.SKep)

AWAT JALAN

stok
akhir

2
0
0
4
2
0
1
1
1
0
1
0
2
1
1
1
0
0
0
0
80
2
50
1
0
0

0
5
15
0
0
3
49
0
19
100
40
0
0
0
0
0
60
0
3
0
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0
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0
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0
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7
8
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44
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0
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100
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6
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21
6
3
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100
41
0

1
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105
1500
0
100
7
9
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0

90
5
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16

2
500
4
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80
52
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0
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13
240
1
220
150
1
2
5
 LAPORAN PEMAKAIAN BHP FARMASI RUANGAN INSTALASI RAWAT JALAN
BULAN SEPTEMBER 2016

Stok stok barang jumlah stok

NO Kode URAIAN satuan pemakaian
tetap awal masuk stok akhir
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml pcs 5 2 0 2 2 0
2 NS20001 Agua pro injeksi pcs 1 0 0 0 0 0
3 NS20017 Disp Spuit 3 ml pcs 10 0 0 0 0 0
4 NS20019 Disp Spuit 5 ml pcs 10 4 4 4 0 4
5 NS20311 Abbocath 22 pcs 2 2 0 2 0 2
6 NS20130 Alkohol 70% ml 100 0 0 0 0 0
7 NS20348 Infuset Makro T pcs 1 1 0 1 0 1
8 NS20349 Infuset mikro t pcs 1 1 0 1 0 1
9 EU20608 Ventolin neb ampul 1 1 0 1 0 1
10 NS20366 Nald 23 T pcs 10 0 0 0 0 0
11 NS20013 Disp 10 cc T pcs 10 1 0 1 0 1
12 NS20368 Nald 25 T pcs 0 0 0 0 0 0
13 RL wida kolf 2 2 0 2 0 2
14 EU20519 Primperan inj ampul 1 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 1 0 1 0 1
16 NS20854 Dexametason inj ampul 1 1 0 1 0 1
17 Tabung oxigen kecil tb 1 1 0 1 0 1
18 NS20036 Handscoon M pcs 100 0 0 0 0 0
19 NS20040 Hypafix 15 x 5 roll 3 0 0 0 0 0
20 NS20056 Masker Royal pcs 50 0 0 0 0 0
21 NS20132 Betadine 4550 ml ml 500 80 0 80 30 50
22 NS20289 NaCl 500 ml kolf 2 2 0 0 0 0
23 NS20582 Wippy / Skin Wipe Pcs 100 50 0 50 44 6
24 NS20629 Daryantulle/lomatul pcs 3 1 0 1 1 0
25 NS20124 Verban gulung 4 x 10 cm tube 10 0 0 0 0 0
26 Leukoplast pcs 1 0 0 0 0 0
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 30 0 0 0 0 0

2 NS20011 Disp Spuit 1 ml pcs 25 5 20 25 18 7
3 NS20017 Disp Spuit 3 ml pcs 30 15 0 15 13 2
4 NS20271 Cresophene fles 10 0 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 20 0 0 0 0 0
6 NS20058 Mess 11 Pcs 10 3 0 3 0 3
7 NS20056 Masker Royal pcs 100 49 0 0 0 0
8 NS20152 Alvoghyl gram 10 0 0 0 0 0
9 NS20086 Pehacain inj @ 20 ml ampul 40 19 0 19 11 8
10 NS20130 Alkohol 70 % (ml) ml 600 100 250 350 220 130
11 NS20132 Betadine 4550 ml ml 200 40 0 40 20 20
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 300 0 0 0 0 0
13 NS20257 Alginat / Tropicalgin Fls 250 0 0 0 0 0
14 NS20277 Gips stone / moldano pcs 1 0 0 0 0 0
15 NS20261 Agua 1000 ml otsu kolf 1000 0 0 0 0 0
16 NS20959 Atramat 4/0 G2694-75 PCS 4 3 0 3 0 3
20 NS20036 Handscoon S pcs 100 60 0 60 51 9
21 NS20176 Zinc phospat fls 1 0 0 0 0 0
22 NS20178 Lidocain inj ampul 20 3 0 3 1 2
23 Arsen @ 6,5 gr kit 1 0 0 0 0 0
24 Bonding single kit 1 0 0 0 0 0
25 Chlorethyl @ 100 ML ml 1 0 0 0 0 0
26 Cresophene ml 100 0 0 0 0 0
27 Ethane gel fls 1 0 0 0 0 0
28 Handscoon M pcs 100 0 0 0 0 0
29 Ledermix tube 1 0 0 0 0 0
30 eugenol ml 30 0 0 0 0 0
31 Filtex A3 pcs 300 0 1 1 1 0
32 Filtex Flow pcs 2 0 0 0 0 0
33 Fuji 1X A3 BOX 1 0 0 0 0 0
34 NS20170 Oco @ 15 ml fls 5 0 0 0 0 0
35 NS20173 Relyx @ 4,5 gr kit 3 0 0 0 0 0
36 cotton Roll pack 1260 1155 0 1155 105 1050
37
38 Nacl 100 ml kolf 1 0 0 0 0 0
39 vitapex 1 0 0 0 0 0
40

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml pcs 50 7 10 17 11 6

2 NS20017 Disp 3 cc T pcs 30 8 0 0 0 0
3 NS20036 Handscoon M pcs 200 0 0 0 0 0
4 NS20086 Pehacain inj @ 20 ml ampul 20 0 0 0 0 0
5 Handscoon 6,5 pcs 5 0 0 0 0 0
6 NS20293 Sagestam cr tube 2 1 0 1 0 1
7 NS20582 Wippy / Skin Wipe Pcs 100 0 0 0 0 0
8 NS20854 Dexamethasone Inj ampul 2 2 0 2 1 1
9 NS20289 Nacl 500ml pipih OGB kolf 1 0 0 0 0 0
10 NS20040 Hypafix roll 2 0 0 0 0 0
11 NS20052 Leucofix roll 1 1 0 0 0 0
12 NS20056 Masker pcs 50 44 0 44 20 24
13 NS20058 Mess 11 pcs 4 1 1 2 0 2
14 NS20124 Verban gulung roll 5 0 0 0 0 0
15 NS20130 Alkohol 70 % ml 100 10 0 10 0 10
16 NS20366 Nald 23 T pcs 30 2 0 2 1 1
17 NS20368 Nald 25 T pcs 10 0 0 0 0 0
18 NS20639 Nald 26 T pcs 10 1 0 0 0 0
19 NS20629 Daryantul pcs 2 1 0 1 0 1
20 NS20132 Betadine ml 100 65 0 65 20 45
21 Chlorethyl fls 1 1 0 1 0 1
22 NS20288 Nacl 100 ml kolf 1 1 0 0 0 0
23 Bioplacenton gel tube 1 1 0 1 0 1
24 NS20916 Trilac injeksi Vial 1 0 1 1 0 1
4. 104 POLI BEDAH

1 NS20011 Disp Spuit 1 ml pcs 10 5 10 15 9 6

2 NS20017 Disp Spuit 10 ml pcs 10 7 10 17 7 10
3 NS20017 Disp Spuit 3 ml pcs 15 4 5 9 5 4
4 NS20019 Disp Spuit 5 ml pcs 10 5 5 10 5 5
5 plesterin Roll pcs 1 0 1 1 0 1
6 Handscoon M Pcs 500 40 200 240 240 0
7 Nald 23 pcs 10 2 5 7 6 1
8 NS20289 Nacl 500 ml OGB kolf 2 1 1 2 1 1
9 NS20746 Cendo Polgran tube 2 0 1 1 0 1
10 Handscoon S Pcs 500 0 100 100 0 100
11 Bactigras 10x10 pcs 25 3 30 33 23 10
12 NS20124 Verban gulung 4 x 10 cm Roll 15 4 5 9 6 3
13 NS20132 Betadine 4550 ml ml 200 100 300 400 300 100
14 NS20180 Xylocain jelly 30 gr tube 1 0 1 1 0 1
15 NS20582 Wippy / Skin Wipe Pcs 100 0 100 100 26 74
16 Hypapix 15x5 Roll 2 1 0 1 0 1
17 NS20130 Alkohol 70% ml 100 100 0 100 0 100
18 Nald 25 pcs 10 0 5 5 0 5
19 NS20056 Masker Royal pcs 50 0 50 50 3 47
5. POLI BEDAH MINOR

1 Tabung oksigen dewasa tbg 1 1 0 1 0 1

2 Nald 23 pcs 5 0 0 0 0 0
3 NS20629 Daryantulle/lomatul pcs 10 0 0 0 0 0
4 NS20017 Disp Spuit 3 ml pcs 10 3 0 3 0 3
5 NS20019 Disp Spuit 5 ml pcs 10 5 0 5 0 5
6 Albothyl sol ml 1 1 0 1 0 1
7 Handscoon 7,5 pcs 5 1 0 1 0 1
8 Handscoon 6.5 pcs 6 6 0 6 0 6
9 NS20058 Mess 11 pcs 2 2 0 2 0 2
10 NS20040 Hypafix 15 x 5 roll 1 0 0 0 0 0
11 NS20056 Masker Royal pcs 50 21 0 21 0 21
12 spuit 1 cc Pcs 5 7 0 7 1 6
13 NS20289 Nacl 500 ml kolf 5 3 0 3 0 3
14 NS20130 Alkohol 70 % (ml) ml 100 0 0 0 0 0
 15 NS20132 Betadine 4550 ml ml 100 100 0 100 0 100
16 NS20582 wippi ml 100 41 0 41 8 33
17 NS20180 Xilocain jelly 30 gr tube 1 0 0 0 0 0
7. POLI ANAK

1 Nacl 100 kolf 1 1 2 3 2 1

2 NS20017 Disp spuit 3 cc pcs 5 0 0 0 0 0
3 NS20130 Alkohol 70% ml 40 0 0 0 0 0
4 NS20132 Betadine ml 40 0 0 0 0 0
5 spuit 5 cc pcs 5 0 5 5 2 3
6 oksigen tb kecil tbg 1 1 0 1 0 1
7 NS21010 Selang O2 anak pcs 3 3 0 3 0 3
8 NS21032 Selang Rebreating Anak pcs 5 3 0 3 0 3
8. POLI JANTUNG

1 NS20133 Cloral Hydrat ml 200 100 0 100 50 50

2 Sanifres 500 ml ml 5000 1500 5000 6500 5700 800
3 Masker royal pcs 10 0 0 0 0 0
4 NS20037 Handscone S (Endoscopi) pcs 100 100 0 100 100 0
5 NS20178 Lidocain inj ampul 20 7 9 16 8 8
6 NS20950 pehacain inj ampul 15 9 4 13 2 11
7 NS20958 Dutascrub 2% @ 5 L ml 5,000 0 5000 5000 3500 1500
8 Jelly Usg liter 3.8 3 Lt 0 3 Lt 3 lt 0
8 Handscone M Pcs 100 0 100 100 0 100
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 100 90 0 90 75 15

2 NS20001 Agua fls 5 5 1 6 1 5
3 NS20011 Disp 1cc T pcs 10 5 1 6 1 5
4 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 100 25 0 25 15 10
6 NS21017 cendo lyters fls 1 0 0 0 0 0
7 NS20264 cendo mydriatil tts mata fls 1 1 0 1 0 1
8 NS20265 cendo pantocain tts mata fls 1 1 0 1 1 0
9 NS20746 cendo polygran EO 3,5 GR tube 2 1 0 1 0 1
10 NS20748 Cendo Xitrol ED 5 ml fls 1 0 0 0 0 0
11 NS20032 Handscon no . 7 pcs 1 1 1 2 1 1
12 NS20017 disp spuit 10 ml pcs 10 1 1 2 1 1
13 NS20033 handscoon 7,5 gammex pcs 10 5 2 7 3 4
14 NS20052 leucofix roll 2 1 0 1 0 1
15 NS20058 mes 11 pcs 3 3 1 4 1 3
16 NS20639 nald 26 pcs 5 5 2 7 2 5
17 NS20086 pehacain injeksi ampul 10 0 0 0 0 0
18 NS20830 RL otsu kolf 1 1 0 1 0 1
19 EU20092 sagestam tets mata fls 1 0 0 0 0 0
 20 masker ml 100 16 0 16 6 10
10.POLI PDL / ENDOS-COLON

1 Combivent nebu pcs 2 2 0 2 0 2

2 NS20603 Eosin cair/helyzim ml 1000 500 0 500 100 400
3 NS20725 Cathegel tube tube 5 4 0 4 2 2
4 NS20737 xillocain spray botol 2 0 0 0 0 0
5 NS20037 Handscoon S pcs 100 26 0 26 26 0
6 NS20056 Masker royal pcs 50 0 0 0 0 0
7 EU20519 primperan inj ampul 1 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 1 0 1 0 1
10 Oksigen tabung kecil tbg 1 1 0 1 0 1
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 1 0 1 0 1

2 Handscon M pcs 100 0 100 100 0 100
3 spuit 20 T cc pcs 1 1 0 0 0 0
4 NS20037 Handscoon S pcs 200 28 0 28 28 0
5 NS20293 Sagestam Cream Tube 1 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 100 25 0 25 0 25
7 NS20130 Alkohol 70 % (ml) ml 100 80 0 80 10 70
8 NS20056 Masker royal pcs 50 52 0 52 16 36
9 EA22590 Ketoconazole cream tube 1 1 0 1 0 1
10 EU22190 Hidrocortisone cream tube 1 1 0 1 0 1
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml pcs 100 10 50 60 56 4

2 NS20017 Disp Spuit 3 ml pcs 20 0 0 0 0 0
3 NS20019 Disp Spuit 5 ml pcs 10 1 0 1 0 1
4 EU22803 BOOSTRIX 0.5 Pcs 2 0 0 0 0 0
5 Nald 26 pcs 30 6 20 26 13 7
6 vaksin Engerix 1 ml vial 20 0 0 0 0 0
7 EU22528 Vaksin Twinrix vial 1 0 0 0 0 0
8 EU21717 Vaksin Hiberix vial 1 0 0 0 0 0
9 EU21718 Infanrix hib vial 50 0 0 0 0 0
10 Tuberculin PPD vial 5 0 0 0 0 0
11 EU22348 Synfrolix vial 10 0 0 0 0 0
12 NS20368 Nald 25 Terumo Pcs 80 13 37 50 40 10
13 NS20364 Nald 18 pcs 10 5 0 0 0 0
14 Nald 20 Pcs 10 5 10 15 10 5
15 NS20582 Wippy / Skin Wipe Pcs 300 85 200 200 140 60
16 NS20600 Chusavan S ( 20 mm x 20 m pcs 170 60 30 90 83 7
17 Bethadine pcs 100 0 0 0 0 0
19 EU21724 vaksin Trimovax vial 2 0 0 0 0 0
20 NS20037 Handscoon s pcs 100 8 100 108 14 94
 21 EU21721 vaksin Prevenar vial 2 0 0 0 0 0
22 NS20130 alkohol 70 % (ml) ml 100 80 0 80 10 70
19 sagestam salf tube 1 1 0 1 0 1
20 Chlorethyl 100 ml Flees 1 1 0 1 0 1
21 NS20124 verban gulung pcs 5 0 0 0 0 0
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 100 100 0 100 38 62

2 NS20130 Alkohol 70 % (ml) ml 200 90 cc 200 290 190 100
3 Jelly USG 3,8 lt Liter 3,8 lt 1 lt 3,8 lt 4,8 lt 1 lt 3,8 lt
4 NS20056 masker royal pcs 50 0 0 0 0 0
5 Biopacenton cr tube 1 1 0 1 0 1
6 NS20019 Disp 5 cc T pcs 10 2 0 2 0 2
7 Gastrul tab tab 2 1 0 1 0 1
8 Nald 23 T pcs 10 4 0 4 1 3
9 Nova T pcs 1 1 0 1 0 1
10 Leucofix roll 1 2 0 2 0 2
11 NS20033 Handscoon 7,5 Gammex pcs 50 13 35 48 25 23
12 NS20036 Handscoon S pcs 100 240 200 440 240 200
13 NS20040 Hypafix 15 x 5 roll 1 1 0 1 0 1
14 NS20130 Alkohol 96 % ml 200 220 300 520 220 300
15 NS20132 Betadine 4550 ml ml 200 150 200 350 160 190
16 NS20256 Albothyl sol 10 ml Fls 2 2 1 3 1 2
17 NS20293 Sagestam cr tube 2 2 1 3 1 2
18 NS20017 Spuit 3 cc pcs 10 5 0 5 1 4

Ka.Sie Logistik Ka.Inst.RJ Ka.Ru Poliklinik

( Supriani.SKM) ( dr.Shanti.SpOG) ( Yuliyana.SKep)

ALAN
 LAPORAN PEMAKAIAN BHP FARMASI RUANGAN INSTALASI RAWAT JALAN
BULAN OKTOBER 2016

Stok stok barang jumlah stok

NO Kode URAIAN satuan pemakaian
tetap awal masuk stok akhir
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml pcs 5 0 5 5 0 5
2 NS20001 Agua pro injeksi pcs 1 0 0 0 0 0
3 NS20017 Disp Spuit 3 ml pcs 10 0 5 5 3 2
4 NS20019 Disp Spuit 5 ml pcs 10 4 0 4 3 1
5 NS20311 Abbocath 22 pcs 2 2 0 2 0 2
6 NS20130 Alkohol 70% ml 100 0 100 100 20 80
7 NS20348 Infuset Makro T pcs 1 1 0 1 0 1
8 NS20349 Infuset mikro t pcs 1 1 0 1 0 1
9 EU20608 Ventolin neb ampul 1 1 0 1 0 1
10 NS20366 Nald 23 T pcs 10 0 5 5 0 5
11 NS20013 Disp 10 cc T pcs 10 1 0 1 1 0
12 Cendo polygran tube 1 0 1 1 0 1
13 RL wida kolf 2 2 0 2 0 2
14 EU20519 Primperan inj ampul 1 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 1 0 1 0 1
16 NS20854 Dexametason inj ampul 1 1 0 1 0 1
17 Tabung oxigen kecil tb 1 1 0 1 0 1
18 NS20036 Handscoon S pcs 100 0 100 100 31 69
19 Pharmafix roll 3 0 1 1 0 1
20 NS20056 Masker Royal pcs 50 0 50 50 7 43
21 NS20132 Betadine 4550 ml ml 500 50 0 50 0 50
22 NS20289 NaCl 500 ml kolf 2 0 2 2 1 1
23 NS20582 Wippy / Skin Wipe Pcs 100 6 100 106 63 43
24 Bagtigras pcs 3 0 3 3 0 3
25 NS20124 Verban gulung 4 x 10 cm tube 10 0 0 0 0 0
26 Leukoplast pcs 1 0 0 0 0 0
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 30 0 0 0 0 0

2 NS20011 Disp Spuit 1 ml pcs 2 7 20 27 24 3
3 NS20017 Disp Spuit 3 ml pcs 30 13 0 13 5 8
4 NS20271 Cresophene fles 10 0 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 20 0 0 0 0 0
6 NS20058 Mess 11 Pcs 10 3 0 3 0 3
7 NS20056 Masker Royal pcs 100 7 50 57 41 16
8 NS20152 Alvoghyl gram 10 0 0 0 0 0
9 NS20086 Pehacain inj @ 20 ml ampul 40 8 20 28 16 12
10 NS20130 Alkohol 70 % (ml) ml 600 130 100 230 210 20
11 NS20132 Betadine 4550 ml ml 200 20 100 120 70 50
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 300 0 0 0 0 0
13 NS20257 Alginat / Tropicalgin Fls 250 0 0 0 0 0
14 NS20277 Gips stone / moldano pcs 1 0 0 0 0 0
15 NS20261 Agua 1000 ml otsu kolf 1000 0 0 0 0
16 NS20959 Atramat 4/0 G2694-75 PCS 4 3 0 3 0 3
20 NS20036 Handscoon S pcs 100 9 100 109 65 44
21 NS20176 Zinc phospat fls 1 0 0 0 0 0
22 NS20178 Lidocain inj ampul 20 2 4 6 2 4
23 Arsen @ 6,5 gr kit 1 0 0 0 0 0
24 Bonding single kit 1 0 0 0 0 0
25 Chlorethyl @ 100 ML ml 1 0 0 0 0 0
26 Cresophene ml 100 0 0 0 0 0
27 Ethane gel fls 1 0 0 0 0 0
28 Handscoon M pcs 100 0 0 0 0 0
29 Ledermix tube 1 0 0 0 0 0
30 eugenol ml 30 0 0 0 0 0
31 Filtex A3 pcs 300 0 0 0 0 0
32 Filtex Flow pcs 2 0 0 0 0 0
33 Fuji 1X A3 BOX 1 0 0 0 0 0
34 NS20170 Oco @ 15 ml fls 5 0 0 0 0 0
35 NS20173 Relyx @ 4,5 gr kit 3 0 0 0 0 0
36 cotton Roll pack 1260 1050 0 1050 35 1015
37
38 Nacl 100 ml kolf 1 0 0 0 0 0
39 vitapex 1 0 0 0 0 0
40

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml pcs 50 6 15 21 10 11

2 NS20017 Disp 3 cc T pcs 30 6 0 6 6 0
3 NS20036 Handscoon M pcs 200 0 0 0 0 0
4 NS20086 Pehacain inj @ 20 ml ampul 20 0 0 0 0 0
5 Handscoon 6,5 pcs 5 0 0 0 0 0
6 NS20293 Sagestam cr tube 2 1 0 1 0 1
7 NS20582 Wippy / Skin Wipe Pcs 100 0 0 0 0 0
8 NS20854 Dexamethasone Inj ampul 2 2 0 2 0 2
9 NS20289 Nacl 500ml pipih OGB kolf 1 0 1 1 0 1
10 NS20040 Hypafix roll 2 0 0 0 0 0
11 NS20052 Leucofix roll 1 0 0 0 0 0
12 NS20056 Masker pcs 50 24 0 24 23 1
13 NS20058 Mess 11 pcs 4 2 0 2 0 2
14 NS20124 Verban gulung roll 5 0 0 0 0 0
15 NS20130 Alkohol 70 % ml 100 10 0 10 0 10
16 NS20366 Nald 23 T pcs 30 1 0 1 0 1
17 NS20368 Nald 25 T pcs 10 0 0 0 0 0
18 NS20639 Nald 26 T pcs 10 0 0 0 0 0
19 NS20629 Daryantul pcs 2 1 0 1 1 0
20 NS20132 Betadine ml 100 45 0 45 0 45
21 Chlorethyl fls 1 1 0 1 0 1
22 NS20288 Nacl 100 ml kolf 1 1 1 2 1 1
23 Bioplacenton gel tube 1 1 0 1 0 1
24 NS20916 Trilac injeksi Vial 1 1 0 1 0 1
4. 104 POLI BEDAH

1 NS20011 Disp Spuit 1 ml pcs 10 6 5 11 10 1

2 NS20017 Disp Spuit 10 ml pcs 10 10 0 10 2 8
3 NS20017 Disp Spuit 3 ml pcs 15 4 10 14 11 3
4 NS20019 Disp Spuit 5 ml pcs 10 5 5 10 6 4
5 plesterin Roll pcs 1 1 1 2 1 1
6 Handscoon L Pcs 500 0 100 100 100 0
7 Nald 23 pcs 10 1 5 6 2 4
8 NS20289 Nacl 500 ml OGB kolf 2 1 0 1 1 0
9 NS20746 Cendo Polgran tube 2 1 0 1 0 1
10 Handscoon S Pcs 500 0 100 100 100 0
11 Bactigras 10x10 pcs 25 10 10 20 17 3
12 NS20124 Verban gulung 4 x 10 cm Roll 15 3 5 8 6 2
13 NS20132 Betadine 4550 ml ml 200 100 100 200 100 100
14 NS20180 Xylocain jelly 30 gr tube 1 0 2 2 1 1
15 NS20582 Wippy / Skin Wipe Pcs 100 74 0 74 41 33
16 Pharmavix Roll 2 1 1 2 1 1
17 NS20130 Alkohol 70% ml 100 100 100 200 110 90
18 Nald 25 pcs 10 5 0 5 3 2
19 NS20056 Masker Royal pcs 50 47 0 47 26 21
5. POLI BEDAH MINOR

1 Tabung oksigen dewasa tbg 1 1 0 1 0 1

2 Nald 23 pcs 5 0 0 0 0 0
3 NS20629 Daryantulle/lomatul pcs 10 0 0 0 0 0
4 NS20017 Disp Spuit 3 ml pcs 10 3 0 3 0 3
5 NS20019 Disp Spuit 5 ml pcs 10 5 0 5 0 5
6 Albothyl sol ml 1 1 0 1 0 1
7 Handscoon 7,5 pcs 5 1 0 1 0 1
8 Handscoon 6.5 pcs 6 6 0 6 0 6
9 NS20058 Mess 11 pcs 2 2 0 2 0 2
10 NS20040 Hypafix 15 x 5 roll 1 0 0 0 0 0
11 NS20056 Masker Royal pcs 50 21 0 21 0 21
12 spuit 1 cc Pcs 5 6 0 7 1 6
13 NS20289 Nacl 500 ml kolf 5 3 0 3 0 3
14 NS20130 Alkohol 70 % (ml) ml 100 0 0 0 0 0
 15 NS20132 Betadine 4550 ml ml 100 100 0 100 0 100
16 NS20582 wippi ml 100 41 0 41 8 33
17 NS20180 Xilocain jelly 30 gr tube 1 0 0 0 0 0
7. POLI ANAK

1 Nacl 100 kolf 1 1 0 1 1 0

2 NS20017 Disp spuit 3 cc pcs 5 0 0 0 0 0
3 NS20130 Alkohol 70% ml 40 0 0 0 0 0
4 NS20132 Betadine ml 40 0 0 0 0 0
5 spuit 5 cc pcs 5 0 0 0 0 0
6 oksigen tb kecil tbg 1 1 0 1 0 1
7 NS21010 Selang O2 anak pcs 3 3 0 3 0 3
8 NS21032 Selang Rebreating Anak pcs 5 3 0 3 0 3
8. POLI JANTUNG

1 NS20133 Cloral Hydrat ml 200 50 100 150 60 90

2 Sanifres 500 ml ml 5000 800 4000 4800 3300 1500
3 Masker royal pcs 10 0 50 50 50 0
4 NS20037 Handscone S (Endoscopi) pcs 100 0 100 100 100 0
5 NS20178 Lidocain inj ampul 20 8 0 8 3 5
6 NS20950 pehacain inj ampul 15 12 10 22 2 20
7 NS20958 Dutascrub 2% @ 5 L ml 5,000 1500 4000 5500 3500 2000
8 Chathegel with lidocain tube 10 1 5 6 1 5
8 Handscone L Pcs 100 0 100 100 0 100
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 100 15 100 115 17 98

2 NS20001 Agua fls 5 5 0 5 1 4
3 NS20011 Disp 1cc T pcs 10 5 0 5 1 4
4 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 100 10 0 10 2 8
6 NS21017 cendo lyters fls 1 0 0 0 0 0
7 NS20264 cendo mydriatil tts mata fls 1 1 0 1 0 1
8 NS20265 cendo pantocain tts mata fls 1 0 0 0 0 0
9 NS20746 cendo polygran EO 3,5 GR tube 2 1 1 2 1 1
10 NS20748 Cendo Xitrol ED 5 ml fls 1 0 0 0 0 0
11 NS20032 Handscon no . 7 pcs 1 1 0 1 1 0
12 NS20017 disp spuit 10 ml pcs 10 1 1 2 1 1
13 NS20033 handscoon 7,5 gammex pcs 10 4 0 4 0 4
14 NS20052 leucofix roll 2 1 0 1 0 1
15 NS20058 mes 11 pcs 3 3 0 3 0 3
16 NS20639 nald 26 pcs 5 5 0 5 2 3
17 NS20086 pehacain injeksi ampul 10 0 0 0 0 0
18 NS20830 RL otsu kolf 1 1 0 1 1 0
19 EU20092 sagestam tets mata fls 1 0 0 0 0 0
 20 masker ml 100 10 0 10 7 3
10.POLI PDL / ENDOS-COLON / JANTUNG

1 Combivent nebu pcs 2 2 0 2 0 2

2 NS20603 Eosin cair/helyzim ml 1000 400 0 400 100 300
3 NS20725 Cathegel tube tube 5 2 0 2 0 2
4 NS20737 xillocain spray botol 2 0 1 1 0 1
5 NS20037 Handscoon M pcs 100 0 100 100 0 100
6 NS20056 Masker royal pcs 50 0 0 0 0 0
7 EU20519 primperan inj ampul 1 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 1 0 1 0 1
10 Xilocain jelly 30 gr tube 1 0 1 1 0 1
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 1 0 1 0 1

2 Handscon M pcs 100 100 0 100 79 21
3 spuit 20 T cc pcs 1 0 0 0 0 0
4 NS20037 Handscoon S pcs 200 0 0 0 0 0
5 NS20293 Sagestam Cream Tube 1 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 100 25 0 25 0 25
7 NS20130 Alkohol 70 % (ml) ml 100 70 0 70 20 50
8 NS20056 Masker royal pcs 50 36 0 36 0 36
9 EA22590 Ketoconazole cream tube 1 1 0 1 0 1
10 EU22190 Hidrocortisone cream tube 1 1 0 1 0 1
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml pcs 100 4 60 64 60 4

2 NS20017 Disp Spuit 3 ml pcs 20 0 0 0 0 0
3 NS20019 Disp Spuit 5 ml pcs 10 1 0 1 1 0
4 EU22803 BOOSTRIX 0.5 Pcs 2 0 0 0 0 0
5 Nald 26 pcs 30 7 30 37 19 18
6 vaksin Engerix 1 ml vial 20 13 0 13 0 13
7 EU22528 Vaksin Twinrix vial 1 0 0 0 0 0
8 EU21717 Vaksin Hiberix vial 1 0 0 0 0 0
9 EU21718 Infanrix hib vial 50 0 0 0 0 0
10 Tuberculin PPD vial 5 0 5 5 0 5
11 EU22348 Synfrolix vial 10 6 0 6 0 6
12 NS20368 Nald 25 Terumo Pcs 80 10 50 60 33 27
13 NS20364 Nald 18 pcs 10 0 0 0 0 0
14 Nald 20 Pcs 10 5 10 15 13 2
15 NS20582 Wippy / Skin Wipe Pcs 300 60 100 160 160 0
16 NS20600 Chusavan S ( 20 mm x 20 m pcs 170 7 80 87 63 24
17 Bethadine pcs 100 0 100 100 20 80
19 EU21724 vaksin Trimovax vial 2 0 0 0 0 0
20 NS20037 Handscoon s pcs 100 94 0 94 50 44
 21 EU21721 vaksin Prevenar vial 2 1 0 1 0 1
22 NS20130 alkohol 70 % (ml) ml 100 70 0 70 40 30
19 sagestam salf tube 1 1 0 1 0 1
20 Chlorethyl 100 ml Flees 1 0 1 1 0 1
21 NS20124 verban gulung pcs 5 0 0 0 0 0
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 100 62 0 62 44 18

2 NS20130 Alkohol 70 % (ml) ml 200 100 0 100 0 100
3 Jelly USG 3,8 lt Liter 3,8 lt 3,8 0 4 3 500
4 NS20056 masker royal pcs 50 0 0 0 0 0
5 Biopacenton cr tube 1 1 0 1 0 1
6 NS20019 Disp 5 cc T pcs 10 2 0 2 0 2
7 Gastrul tab tab 2 1 0 1 0 1
8 Nald 23 T pcs 10 3 5 8 1 7
9 Nova T pcs 1 1 0 1 0 1
10 Leucofix roll 1 2 0 2 0 2
11 NS20033 Handscoon 7,5 Gammex pcs 50 23 15 38 24 14
12 NS20036 Handscoon S pcs 100 200 200 400 213 187
13 NS20040 Hypafix 15 x 5 roll 1 1 0 1 0 1
14 NS20130 Alkohol 96 % ml 200 300 300 600 300 300
15 NS20132 Betadine 4550 ml ml 200 190 0 190 120 70
16 NS20256 Albothyl sol 10 ml Fls 2 2 0 2 0 2
17 NS20293 Sagestam cr tube 2 2 1 3 1 2
18 NS20017 Spuit 3 cc pcs 10 4 5 9 4 5

Ka.Sie Logistik Ka.Inst.RJ Ka.Ru Poliklinik

( Supriani.SKM) ( dr.Shanti.SpOG) ( Yuliyana.SKep)

JALAN
 LAPORAN PEMAKAIAN BHP FARMASI RUANGAN INSTALASI RAWAT JALAN
BULAN NOVEMBER 2016

Stok stok barang jumlah stok

NO Kode URAIAN satuan pemakaian
tetap awal masuk stok akhir
1. 101 POLI UMUM
1 NS20011 Disp Spuit 1 ml pcs 5 5 0 5 0 5
2 NS20001 Agua pro injeksi pcs 1 0 0 0 0 0
3 NS20017 Disp Spuit 3 ml pcs 10 0 0 0 0 0
4 NS20019 Disp Spuit 5 ml pcs 10 2 0 2 0 2
5 NS20311 Abbocath 22 pcs 2 2 0 2 0 2
6 NS20130 Alkohol 70% ml 100 80 0 80 20 60
7 NS20348 Infuset Makro T pcs 1 1 0 1 0 1
8 NS20349 Infuset mikro t pcs 1 1 0 1 0 1
9 EU20608 Ventolin neb ampul 1 1 0 1 0 1
10 NS20366 Nald 23 T pcs 10 5 0 5 0 5
11 NS20013 Disp 10 cc T pcs 10 0 0 0 0 0
12 Cendo polygran tube 1 1 0 1 0 1
13 RL wida kolf 2 2 0 2 1 1
14 EU20519 Primperan inj ampul 1 1 0 1 0 1
15 EU20531 Ranitidine inj ampul 1 1 0 1 0 1
16 NS20854 Dexametason inj ampul 1 1 0 1 0 1
17 Tabung oxigen kecil tb 1 1 0 1 0 1
18 NS20036 Handscoon S pcs 100 69 0 69 69 0
19 Pharmafix roll 3 1 0 1 1 0
20 NS20056 Masker Royal pcs 50 43 0 43 24 19
21 NS20132 Betadine 4550 ml ml 500 50 0 50 30 20
22 NS20289 NaCl 500 ml kolf 2 1 0 1 0 1
23 NS20582 Wippy / Skin Wipe Pcs 100 43 0 43 39 4
24 Bagtigras pcs 3 3 0 3 1 2
25 NS20124 Verban gulung 4 x 10 cm tube 10 0 0 0 0 0
26 Leukoplast pcs 1 0 0 0 0 0
2. 102. POLI GIGI

1 NS20153 Amalgam perak tube 30 0 0 0 0 0

2 NS20011 Disp Spuit 1 ml pcs 2 3 37 40 20 20
3 NS20017 Disp Spuit 3 ml pcs 30 8 11 19 5 14
4 NS20271 Cresophene fles 10 0 0 0 0 0
5 NS20156 Dentorit caviton w @ 28 gr kit 20 0 0 0 0 0
6 NS20058 Mess 11 Pcs 10 3 0 3 0 3
7 NS20056 Masker Royal pcs 100 16 50 66 46 20
8 NS20152 Alvoghyl gram 10 0 0 0 0 0
9 NS20086 Pehacain inj @ 20 ml ampul 40 12 12 24 15 9
10 NS20130 Alkohol 70 % (ml) ml 600 20 300 320 150 170
11 NS20132 Betadine 4550 ml ml 200 50 0 50 30 20
12 NS20160 Filtex A2 @ 4 gr (poli gigi) Pcs 300 0 0 0 0 0
13 NS20257 Alginat / Tropicalgin Fls 250 0 0 0 0 0
14 NS20277 Gips stone / moldano pcs 1 0 0 0 0 0
15 NS20261 Agua 1000 ml otsu kolf 1000 0 0 0 0 0
16 NS20959 Atramat 4/0 G2694-75 PCS 4 3 0 3 3 Return 0
20 NS20036 Handscoon S pcs 100 44 100 144 61 83
21 NS20176 Zinc phospat fls 1 0 0 0 0 0
22 NS20178 Lidocain inj ampul 20 4 0 4 2 2
23 Arsen @ 6,5 gr kit 1 0 0 0 0 0
24 Bonding single kit 1 0 0 0 0 0
25 Chlorethyl @ 100 ML ml 1 0 0 0 0 0
26 Cresophene ml 100 0 0 0 0 0
27 Ethane gel fls 1 0 0 0 0 0
28 Handscoon M pcs 100 0 0 0 0 0
29 Ledermix tube 1 0 0 0 0 0
30 eugenol ml 30 0 0 0 0 0
31 Filtex A3 pcs 300 0 0 0 0 0
32 Filtex Flow pcs 2 0 0 0 0 0
33 Fuji 1X A3 BOX 1 0 0 0 0 0
34 NS20170 Oco @ 15 ml fls 5 0 0 0 0 0
35 NS20173 Relyx @ 4,5 gr kit 3 0 0 0 0 0
36 cotton Roll pack 1260 1015 0 1015 0 1015
37
38 Nacl 100 ml kolf 1 0 0 0 0 0
39 vitapex 1 0 0 0 0 0
40

3. 103 POLI KULIT & KELAMIN

1 NS20011 Disp Spuit 1 ml pcs 50 11 10 21 12 9

2 NS20017 Disp 3 cc T pcs 30 2 0 2 0 2
3 NS20036 Handscoon S pcs 200 0 100 100 0 100
4 NS20086 Pehacain inj @ 20 ml ampul 20 0 0 0 0 0
5 Handscoon 6,5 pcs 5 0 0 0 0 0
6 NS20293 Sagestam cr tube 2 1 0 1 0 1
7 NS20582 Wippy / Skin Wipe Pcs 100 0 0 0 0 0
8 NS20854 Dexamethasone Inj ampul 2 2 0 2 2 0
9 NS20289 Nacl 500ml pipih OGB kolf 1 1 0 1 250 250
10 NS20040 Hypafix roll 2 0 0 0 0 0
11 NS20052 Leucofix roll 1 0 0 0 0 0
12 NS20056 Masker pcs 50 1 50 51 1 50
13 NS20058 Mess 11 pcs 4 2 0 2 0 2
14 NS20124 Verban gulung roll 5 0 0 0 0 0
15 NS20130 Alkohol 70 % ml 100 10 0 10 10 0
16 NS20366 Nald 23 T pcs 30 1 0 1 1 0
17 NS20368 Nald 25 T pcs 10 0 0 0 0 0
18 NS20639 Nald 26 T pcs 10 0 0 0 0 0
19 NS20629 Daryantul pcs 2 0 0 0 0 0
20 NS20132 Betadine ml 100 45 0 45 0 45
21 Chlorethyl fls 1 1 0 1 0 1
22 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
23 Bioplacenton gel tube 1 1 0 1 0 1
24 NS20916 Trilac injeksi Vial 1 1 0 1 0 1
4. 104 POLI BEDAH

1 NS20011 Disp Spuit 1 ml pcs 10 1 20 21 11 10

2 NS20017 Disp Spuit 10 ml pcs 10 8 5 13 5 8
3 NS20017 Disp Spuit 3 ml pcs 15 3 10 13 8 5
4 NS20019 Disp Spuit 5 ml pcs 10 4 10 14 4 10
5 plesterin Roll pcs 1 1 0 1 0 1
6 Handscoon L Pcs 500 0 0 0 0 0
7 Nald 23 pcs 10 4 5 9 4 5
8 NS20289 Nacl 500 ml OGB kolf 2 0 1000 1000 600 400
9 NS20746 Cendo Polgran tube 2 1 0 1 .1/2 .1/2
10 Handscoon M Pcs 500 0 200 200 101 99
11 Bactigras 10x10 pcs 25 3 20 23 13 10
12 NS20124 Verban gulung 4 x 10 cm Roll 15 2 10 12 8 4
13 NS20132 Betadine 4550 ml ml 200 100 200 300 200 100
14 NS20180 Xylocain jelly 30 gr tube 1 1 1 2 1 1
15 NS20582 Wippy / Skin Wipe Pcs 100 33 0 33 14 19
16 wound Dressing tape Roll 2 1 1 2 1 1
17 NS20130 Alkohol 70% ml 100 90 0 90 10 80
18 Agua pro inj pcs 2 0 2 2 2 0
19 NS20056 Masker Royal pcs 50 21 0 21 21 0
5. POLI BEDAH MINOR

1 Tabung oksigen dewasa tbg 1 1 0 1 0 1

2 Nald 23 pcs 5 0 0 0 0 0
3 NS20629 Daryantulle/lomatul pcs 10 0 0 0 0 0
4 NS20017 Disp Spuit 3 ml pcs 10 3 0 3 2 1
5 NS20019 Disp Spuit 5 ml pcs 10 5 0 5 0 5
6 Albothyl sol ml 1 1 0 1 0 1
7 Handscoon 7,5 pcs 5 1 0 1 0 1
8 Handscoon 6.5 pcs 6 6 0 6 0 6
9 NS20058 Mess 11 pcs 2 2 0 2 1 1
10 NS20040 Hypafix 15 x 5 roll 1 0 0 0 0 0
11 NS20056 Masker Royal pcs 50 21 0 21 4 17
12 spuit 1 cc Pcs 5 6 0 6 1 6
13 NS20289 Nacl 500 ml kolf 5 3 0 3 2 1
14 NS20130 Alkohol 70 % (ml) ml 100 0 0 0 0 0
 15 NS20132 Betadine 4550 ml ml 100 100 0 100 40 60
16 NS20582 wippi ml 100 33 0 33 0 33
17 NS20180 Xilocain jelly 30 gr tube 1 0 0 0 0 0
7. POLI ANAK

1 Nacl 100 kolf 1 0 2 2 1 1

2 NS20017 Disp spuit 3 cc pcs 5 0 0 0 0 0
3 NS20130 Alkohol 70% ml 40 0 0 0 0 0
4 NS20132 Betadine ml 40 0 0 0 0 0
5 spuit 5 cc pcs 5 0 5 5 2 3
6 oksigen tb kecil tbg 1 1 0 1 0 1
7 NS21010 Selang O2 anak pcs 3 3 0 3 3 0
8 NS21032 Selang Rebreating Anak pcs 5 3 0 3 3 0
8. POLI JANTUNG

1 NS20133 Cloral Hydrat ml 200 90 100 190 65 125

2 Sanifres 500 ml ml 5000 1500 2000 3500 3500 0
3 Masker royal pcs 10 0 50 50 0 50
4 NS20037 Handscone S (Endoscopi) pcs 100 0 0 0 0 0
5 NS20178 Lidocain inj ampul 20 5 6 11 1 10
6 NS20950 pehacain inj ampul 15 20 3 23 3 20
7 NS20958 Dutascrub 2% @ 5 L ml 5,000 2000 2000 4000 4000 0
8 Chathegel with lidocain tube 10 5 0 5 2 3
8 Handscone L Pcs 100 100 100 200 100 100
9. POLI MATA

1 NS20130 Alkohol 70 % (ml) ml 100 98 0 98 98 0

2 NS20001 Agua fls 5 4 1 5 0 5
3 NS20011 Disp 1cc T pcs 10 4 1 5 0 5
4 NS20288 Nacl 100 ml kolf 1 1 0 1 0 1
5 NS20132 Bethadine 4550 ml ml 100 8 0 8 8 0
6 NS21017 cendo lyters fls 1 0 1 1 0 1
7 NS20264 cendo mydriatil tts mata fls 1 1 1 2 1 1
8 NS20265 cendo pantocain tts mata fls 1 0 1 1 0 1
9 NS20746 cendo polygran EO 3,5 GR tube 2 1 1 2 1 1
10 NS20748 Cendo Xitrol ED 5 ml fls 1 0 0 0 0 0
11 NS20032 Handscon no . 7 pcs 1 0 1 1 0 1
12 NS20017 disp spuit 10 ml pcs 10 1 1 1 0 1
13 NS20033 handscoon 7,5 gammex pcs 10 4 0 4 0 4
14 NS20052 leucofix roll 2 1 0 1 0 1
15 NS20058 mes 11 pcs 3 3 0 3 0 3
16 NS20639 nald 26 pcs 5 3 2 5 0 5
17 NS20086 pehacain injeksi ampul 10 0 0 0 0 0
18 NS20830 RL otsu kolf 1 0 1 1 0 1
19 EU20092 sagestam tets mata fls 1 0 1 1 0 1
 20 masker ml 100 3 50 53 3 50
10.POLI PDL / ENDOS-COLON / JANTUNG

1 Combivent nebu pcs 2 2 0 2 0 2

2 NS20603 Eosin cair/helyzim ml 1000 300 1,000 1300 300 1,000
3 NS20725 Cathegel tube tube 5 5 0 5 2 3
4 NS20737 xillocain spray botol 2 1 0 1 0 1
5 NS20037 Handscoon S pcs 100 100 100 200 100 100
6 NS20056 Masker royal pcs 50 0 50 50 0 50
7 EU20519 primperan inj ampul 1 1 0 1 0 1
8 EU20312 Buscopan inj ampul 1 1 0 1 0 1
10 Xilocain jelly 30 gr tube 1 1 0 1 1 0
11. POLI THT

1 EU22399 Bethamethasone cream tube 1 1 0 1 0 1

2 Handscon M pcs 100 21 100 121 21 100
3 spuit 20 T cc pcs 1 0 0 0 0 0
4 NS20037 Handscoon M pcs 200 0 0 0 0 0
5 NS20293 Sagestam Cream Tube 1 1 0 1 0 1
6 NS20132 Bethadine 4550 ml ml 100 25 0 25 0 25
7 NS20130 Alkohol 70 % (ml) ml 100 50 0 50 10 40
8 NS20056 Masker royal pcs 50 41 50 91 74 17
9 EA22590 Ketoconazole cream tube 1 1 0 1 0 1
10 EU22190 Hidrocortisone cream tube 1 1 0 1 0 1
12. POLI IMUNISASI / KIA

1 NS20011 Disp Spuit 1 ml pcs 100 4 100 104 51 53

2 NS20017 Disp Spuit 3 ml pcs 20 0 0 0 0 0
3 NS20019 Disp Spuit 5 ml pcs 10 0 5 5 4 1
4 EU22803 BOOSTRIX 0.5 Pcs 2 0 0 0 0 0
5 Nald 26 pcs 30 18 30 48 25 23
6 vaksin Engerix 1 ml vial 20 13 0 13 13 0
7 EU22528 Vaksin Twinrix vial 1 0 0 0 0 0
8 EU21717 Vaksin Hiberix vial 1 0 0 0 0 0
9 EU21718 Infanrix hib vial 50 0 0 0 0 0
10 Tuberculin PPD vial 5 4 0 4 1 3
11 EU22348 Synfrolix vial 10 6 0 6 6 0
12 NS20368 Nald 25 Terumo Pcs 80 27 50 77 56 21
13 NS20364 Nald 18 pcs 10 0 0 0 0 0
14 Nald 20 Pcs 10 2 10 12 6 6
15 NS20582 Wippy / Skin Wipe Pcs 300 0 300 300 158 142
16 NS20600 Chusavan S ( 20 mm x 20 m pcs 170 24 0 24 24 0
17 Bethadine pcs 100 80 0 80 10 70
19 EU21724 vaksin Trimovax vial 2 0 0 0 0 0
20 NS20037 Handscoon s pcs 100 44 0 44 24 20
 21 EU21721 vaksin Prevenar vial 2 1 0 1 1 0
22 NS20130 alkohol 70 % (ml) ml 100 30 0 30 30 0
19 sagestam salf tube 1 1 0 1 0 1
20 Chlorethyl 100 ml Flees 1 1 0 1 0 1
21 NS20124 verban gulung pcs 5 0 0 0 0 0
13. POLI KEBIDANAN

1 NS20582 Wippy / Skin Wipe pcs 100 18 100 118 34 84

2 NS20130 Alkohol 70 % (ml) ml 200 100 100 200 70 130
3 Jelly USG 3,8 lt Liter 3,8 lt 500 3800 4200 1200 3000
4 NS20056 masker royal pcs 50 0 0 0 0 0
5 Biopacenton cr tube 1 1 0 1 1 0
6 NS20019 Disp 5 cc T pcs 10 2 0 2 0 2
7 Gastrul tab tab 2 1 0 1 1 0
8 Nald 23 T pcs 10 7 0 7 2 5
9 Nova T pcs 1 1 0 1 0 1
10 Leucofix roll 1 2 0 2 0 2
11 NS20033 Handscoon 7,5 Gammex pcs 50 14 25 39 20 19
12 NS20036 Handscoon S pcs 100 187 200 387 297 90
13 NS20040 Hypafix 15 x 5 roll 1 1 0 1 0 1
14 NS20130 Alkohol 96 % ml 200 300 0 300 300 0
15 NS20132 Betadine 4550 ml ml 200 70 100 170 70 100
16 NS20256 Albothyl sol 10 ml Fls 2 2 0 2 1 1
17 NS20293 Sagestam cr tube 2 2 2 4 2 2
18 NS20017 Spuit 3 cc pcs 10 5 0 5 1 4
18 Botol plastik ml 2 0 2 2 2 0

Ka.Sie Logistik Ka.Inst.RJ Ka.Ru Poliklinik

( Supriani.SKM) ( dr.Shanti.SpOG) ( Yuliyana.SKep)

ALAN
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