DAFTAR OBAT DAN BMHP

DI GUDANG OBAT
PUSKESMAS PASIMARANNU KAB. KEPULAUAN SELAYAR
TABLET :

No Nama Obat Satuan ED Ket

1 2 3 4 5
1 Acyclovir 200 mg Tablet Jan-2022
2 Acyclovir 400 mg Tablet Jun-2020
3 Acetosal 80 mg Tablet Aug-19/Mar-21
4 Acetylcystein 200 mg Tablet Apr-2021
5 Albendazole 400 mg Tablet Feb-2020
6 Allopurinol 100 mg Tablet Jun-2020
7 Amoxicillin 250 mg Kaplet Jul-2020
8 Amoxicillin 500 mg Kaplet Sep-2021
9 Amitriptylline 25 mg Tablet Jul-2020 Psikotropik
10 Asam Ascorbat (Vit.C) 50 mg Tablet Feb-2020
11 Betahistine Mesilat 6 mg Tablet Jun-2020
12 Bisoprolol Tablet Apr-2020
13 Calsium Laktat Tablet Sep-2019
14 Captopril 12,5 mg Tablet Aug-2022
15 Captopril 25 mg Tablet Sep-2019
16 Captopril 50 mg Tablet May-2020
17 Cefadroxil 500 mg Kapsul Aug 2020 Habis
18 Ceterizine Tablet Aug-2020
19 Chloramfenicol 250 mg Kapsul Mar-2022
20 Chlorpheniramine Maleat (CTM) 4 mg Tablet Oct-2020
21 Chlorpromazine 100 mg (CPZ) Tablet Nov-2019 Psikotropik
22 Ciprofloxacine 500 mg Tablet Sep-2020
23 Clonidine Tablet Feb-2020
24 Cotrimoxazole 480 mg Tablet Aug-2019
25 Dexamethasone 0,5 mg Tablet Jul-2020
26 Diazepam 2 mg Tablet Oct-2019 Psikotropik
27 Digoxine 0,25 mg Tablet Feb-2020
28 Dimenhidrinat 50 mg Tablet Jun-2022
29 Domperidone 10 mg Tablet Aug-2020
30 Doxicyclin 100 mg Kapsul Jul-2020
31 Ergotamin Cafein Tablet Aug-2021
32 Erytromicin 250 mg Tablet Aug-2019
33 Erytromicin 500 mg Tablet Mar-2022
34 Furosemid Tablet Apr-2021
35 Glibenclamide 5 mg Tablet Sep-2019
36 Glimepiride 2 mg Tablet Sep-2019
37 Gliseril Guaicolat (GG) Tablet Aug19/Oct 19
38 Grantusif Tablet Aug-2020
39 Griseovulvin 125 mg Tablet Sep-2020
1 2 3 4 6
40 Haloperidol 5 mg Tablet Jun-2020 Psikotropik
41 Hidroclortiazid (HCT) 25 mg Tablet Apr-2022
42 Ibuprofen 200 mg Tablet Jul-2020
43 Ibuprofen 400 mg Tablet Sep-2021
44 Isosorbid Dinitrate (ISDN) 5 mg Tablet Oct-2020
45 Ketoconazole 200 mg Tablet Aug-2021
46 Lansoprazole Tablet Jan-2020
47 Loperamide 2 mg Kapsul May-2020
48 Loratadine Tablet Mar-2021
49 Mefinamic Acid (asam mefenamat) Tablet Oct-2019
50 Metformin 500 mg Tablet Mar-2021
51 Methylergometryn maleat 0,125 Tablet Jan-2021
52 Methylprednisolone 16 mg Tablet Dec-2021
53 Methylprednisolone 4 mg Tablet Mar-2021
54 Metoclopramide Tablet Apr-2022
55 Metronidazole 250 mg Tablet Jul-2020
56 Metronidazole 500 mg Tablet Aug-2020
57 Natrium diklofenac 50 mg Tablet May-2020
58 Nifedipine Tablet Mar-2020
59 Nistatin 100.000 IU Tablet May-2020
60 Obat Anti Tuberculosis (OAT) dewasa Tablet Nov-2019
61 Omeprazole Tablet Jul-2021
62 Oralit Kapsul Oct-2023
63 Paracetamol 500 mg Sachet Feb-2020
64 Phenobarbital Tablet Aug-2022 Psikotropik
65 Phytomenadion (Vit. K) Tablet Sep-2019
67 Piroxicam 20 mg Tablet Mar-2020
68 Prednisone Tablet Apr-2020
69 Propanolol 10 mg Tablet Mar-2021
70 Propiltiouracil (PTU) Tablet Mar-2020
71 Ranitidine 150 mg Tablet Apr-2020
72 Salbutamol 4 mg Tablet Feb-2022
73 Simvastatine 10 mg Tablet Jul-2021
74 Tambah darah kombinasi Tablet Oct-2019
75 Tetraciclin 250 mg Kapsul Nov-2019
76 Tetraciclin 500 mg Kapsul May-2021
77 Thrihexypenidil 2 mg Tablet Sep-2019 Psikotropik
78 Vinerton Tablet Jun-2020
79 Vitamin A Biru Kapsul Feb-2021
80 Vitamin A merah Kapsul Aug-2019
81 Vitamin B Compleks Tablet Jun-2020
82 Vitamin B1 Tablet Sep-2020
83 Vitamin B12 Tablet Apr-2022
84 Vitamin B6 Tablet Sep-2019
85 Zink tablet Tablet Feb-2020
 DAFTAR OBAT DAN BMHP
DI GUDANG OBAT
PUSKESMAS PASIMARANNU KAB. KEPULAUAN SELAYAR

SIRUP :

No Nama Obat Satuan ED Ket.

1 2 3 4 5
1 Ambroxol sirup Botol Apr-2021
2 Amoxicillin sirup Botol Nov-2020
3 Antasida doen suspensi Botol Oct-2020
4 Camvita sirup Botol Oct-2021
5 Cefadroxil sirup Botol Sep-2019
6 Chloramfenicol sirup Botol Aug-2020
7 Domperidone sirup Botol Mar-2020
8 Ibuprofen sirup Botol Sep-2019
9 Paracetamol sirup Botol Feb-2020
10 Parazetamol drop Botol Sep-2020
11 Zink sirup Botol Apr-2020
 DAFTAR OBAT DAN BMHP
DI GUDANG OBAT
PUSKESMAS PASIMARANNU KAB. KEPULAUAN SELAYAR

INJEKSI DAN CAIRAN :

No Nama Obat Satuan ED Ket.

1 2 3 4 5
1 Aqua Pro Injeksi (Aquadest) Botol Apr-2020
2 Calcii Gluconas inj Ampul Sep-2020
3 Cathejell Botol Jan-2021
4 Cianocobalamin (Vit.B12) inj Ampul Apr-2022
5 Dexamethazone inj 5 mg/ml Ampul May-2020
6 Diphenhidramin inj 10 mg/ml Ampul Feb-2020
7 Eugenol Botol -
8 Gentamicine inj 80 mg/ml Ampul Oct-2020
9 Glukosa infus 5 % (Dextrose 5%) Botol Aug-2020
10 Haloperidol inj 50 mg/ml Ampul Oct 2019 Psikotropik
11 Lidocain Comp inj Ampul Oct-2020
12 Methylergometrin Maleat 0,125 mg Ampul Feb-2020
inj
13 MgSO4 20 % Botol Aug-2019
14 MgSO4 40 % Botol Aug-2019
15 Natrium Chlorida/sodium Chlorida Botol Mar-2023
(NaCl) 0,9 % infus
16 Phenobarbital inj Ampul Aug-2019
17 Phytomenadion (Vit.K) inj 10 mg/ml Ampul Feb-2020
18 Pitogyn (Oxytosin) inj Ampul Dec-2019
19 Ranitidine inj 25 mg/2 ml Ampul Jul-2021
20 Ringer Lactat (RL) infus Botol Feb-2021
 DAFTAR OBAT DAN BMHP
DI GUDANG OBAT
PUSKESMAS PASIMARANNU KAB. KEPULAUAN SELAYAR

SALEP DAN TETES MATA :

No Nama Obat Satuan ED Ket.

1 2 3 4 5
1 Antifungi Doen kombinasi Pot Apr-2021
2 Bedak Salisil 2 % Sachet Oct-2019
3 Betadine salp Tube Feb-2021
4 Betamethasone salp 0,1 % Tube Jun-2020
5 Bufacetin(Chloramfenicol salep kulit) Tube Jun-2020
6 Chloramfenicol salep mata Botol Sep-2021 Habis
7 Gentamicine sulfat tetes mata 0,3 % Tube Aug-2020
8 Hidrocortisone cream 2,5 % Tube May-2021
9 Mycorine (Miconazole) Powder Botol Aug-2021
10 Oxytetracyclin salp kulit Tube Jun-2020
11 Salep 2-4 kombinasi Pot May-2020
12 Sulfacetamide Natrium tetes mata Botol Feb-2020
 DAFTAR OBAT DAN BMHP
DI GUDANG OBAT
PUSKESMAS PASIMARANNU KAB. KEPULAUAN SELAYAR

BAHAN MEDIS HABIS PAKAI (BMHP) :

No Nama Obat Satuan ED Ket.

1 2 3 4 5
1 Abbocath (IV Catheter ) No 18 Pcs Jun-2020
2 Abbocath (IV Catheter ) No 20 Pcs Jul-2022
3 Abbocath (IV Catheter ) No 22 Pcs Jan-2023
4 Abbocath (IV Catheter ) No 24 Pcs Jan-2023
5 Alat suntik sekali pakai (Spuit) 0,05 cc Pcs Feb-2022
6 Alat suntik sekali pakai (Spuit) 0,5 cc Pcs Feb-2022
7 Alat suntik sekali pakai (Spuit) 1 cc Pcs Feb-2022
8 Alat suntik sekali pakai (Spuit) 3 cc Pcs Jan-2021
9 Alat suntik sekali pakai (Spuit) 5 cc Pcs Mar-2024
10 Alkohol Swab Pcs Mei-2021
11 Alkohol/Etanol 70% 1000 ml Botol Jul-2020
12 Bisturi No 19 Pcs Jun-2020
13 Bisturi No 21 Pcs Nov-2021
14 Catgut Benang Bedah 2/0 Pcs Oct-2020
15 Catgut Benang Bedah 3/0 Pcs Jul-2021
16 Catgut Benang Bedah 4/0 Pcs Dec-2019
17 Foley Chateter No 16 Pcs Jan-2020
18 Foley Chateter No 18 Pcs Jan-2021
19 Foley Chateter No 20 Pcs Nov-2021
20 Hanscoon Non steril Size L Pcs Sep 2023
21 Hanscoon Non steril Size M Pcs Sep 2023
22 Hanscoon steril No 7 Pcs Aug 2022
23 Hanscoon steril No 7,5 Pcs Sep 2022
24 Hanscoon steril No 8 Pcs Aug 2021
25 Infusion set anak Pcs Jan-2020
26 Infusion set dewasa Pcs Jan-2020
27 Kapas pembalut 250 gr Pcs Oct 2021
28 Kasa kompres 40/40 steril Pcs Apr 2021
29 Kasa Pembalut Hidrofil 2m x 80cm Pcs Mar 2022
30 Kasa Pembalut Hidrofil 36m x 80cm Pcs May 2022
31 Kasa Pembalut Hidrofil 4m x 3cm Pcs Nov 2020
32 Masker Pcs Apr 2022
33 Plaster roll Rol Nov 2021
34 Povidon Iodida 10 % 1000 ml Botol Jun 2022
35 Povidon Iodida 10 % 300 ml Botol Feb 2020
36 Reagen TB Box Aug 2020
37 Rivanol(Etakridin) 0,1 % 300 ml Botol Des 2019
38 Silk 2-0 Pcs Oct 2020
1 2 3 4 5
39 Silk 3-0 Pcs Aug 2021
40 Strip Asam Urat Nesco Pcs Jul 2020
41 Strip Gula Changsa Sinocare EA-12 Pcs Mar 2021
42 Strip Kolesterol Nesco Pcs Sep 2019
43 Urine bag Pcs Jun 2022
44 Wing Needle No 25 Pcs
45 Wing Needle No 27 Pcs

Mengetahui

Kepala Puskesmas Penanggung Jawab Gudang Obat

Muh. Rais, S.Kep. NS Selpiani Astuti, S.Farm., Apt

Nip. 19740714 200312 1 008 Nip .19880816 201903 2 008
 DAFTAR OBAT DAN BMHP DANA KAPITASI JKN
DI GUDANG OBAT
PUSKESMAS PASIMARANNU KAB. KEPULAUAN SELAYAR

TABLET :
NO NAMA OBAT SATUAN ED KET.
1 Asam mefenamat 500 mg Tablet Mar 2023
2 Cefadroxil 500 mg Kapsul Feb 2023
3 Cotrimoxazole 480 Tablet Oct 2020
4 Curcuma Tablet Aug 2020
5 Grafalin (salbutamol 2 mg) Tablet Oct 2021
6 Histigo (Betahistine Mesilate) Tablet Jan 2020
7 Nifedipine Tablet May 2020
8 Piroxicam 10 mg Tablet Nov 2020
9 Piroxicam 20 mg Kapsul Sep 2019

SIRUP
NO NAMA OBAT SATUAN ED KET.
1 Antasida doen Botol Jan 2023
2 Curvit Botol Sep 2020
3 Paracetamol drop Botol Mar 2021
4 Sanmol (paracetamol) drop Botol Nov 2020

INJEKSI
NO NAMA OBAT SATUAN ED KET.
1 Antrain (Metamizole sodium) Ampul Nov 2020
2 Furosemide Ampul Apr 2020
3 Pehacain (Lidocain+Efinephrine) Ampul Aug 2022
4 Valisanbe (Diazepam) Ampul Oct 2019
5 Xylocain (Lidocain) Pump Spray Botol Jan 2020

SALEP DAN TETES MATA

NO NAMA OBAT SATUAN ED KET.
1 Gentamicin salep kulit Tube Apr 2022

BMHP
NO NAMA ALAT SATUAN ED KET.
1 Abbocath (IV Catheter ) No 20 Apr 2023
2 Abbocath (IV Catheter ) No 24 May 2022
3 Blood Lancet GEA 28G Sep 2023
4 Cosa Mar 2021
5 Easy Touch Asam Urat Jan 20/Feb 20
6 Famili Dr Apr 2020
7 GlucoDr Okt 2019
8 Hanscoon Non steril Size M Mar 2022
9 Hanscoon Non steril Size S Sep 2023
10 Hansdcoon Steril No 7 Sep 2022
11 Hansdcoon Steril No 7,5 Jun 2022
12 Lancing Devices (Pen lancet) -
13 Masker Sensi -
14 Renoma (Blood Lancet) Aug 2022
15 Thermometer -

Mengetahui

Kepala Puskesmas Penanggung Jawab Gudang Obat

Muh. Rais, S.Kep. NS Selpiani Astuti, S.Farm., Apt

Nip. 19740714 200312 1 008 Nip .19880816 201903 2 008