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REKAPAN PENGELUARAN OBAT

BULAN JANUARI 2014

NO NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7


1 3 4
1 ABBOCATH NO 18 PCS 0
2 ABBOCATH NO 20 PCS
3 ABBOCATH NO 22 PCS
4 ABBOCATH NO 24 PCS
5 ACYCLOVIR 200 MG TABLET
6 ACYCLOVIR 400 MG TABLET
7 ACYCLOVIR KRIM TUBE
8 ACYCLOVIR SALEP MATA 3 % TUBE
9 ADIDRIL INJEKSI VIAL
10 ADIMIDON INJEKSI VIAL
11 ALBENDAZOLE 400 MG TABLET
12 ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
13 ALKOHOL 7 % 1 LITER BOTOL
14 ALLUPURINOL 100 MG TABLET 200 20
15 AMBROXOL 30 MG TABLET 10 20
16 AMBROXOL SYRUP 60 ML BOTOL 20
17 AMILORID 5 MG TABLET
18 AMINOPHILIN 200 MG TABLET 40
19 AMINOPHILIN 24 MG/ML 10 ML AMPUL
20 AMITRIPTYLINE 25 MG TABLET
21 AMPICILIN SERBUK INJEKSI 500 MG VIAL
22 AMLODIPINE 5 MG TABLET 20
23 AMLODIPINE 10 MG TABLET
24 AMOXIXILIN 250 MG CAPSUL
25 AMOXIXILIN 500 MG TABLET
26 AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
27 AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
28 AMPICILIN 500 MG TABLET
29 AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
30 ANTALGIN 500 MG TABLET
31 ANTALGIN 25 % 2 ML AMPUL
32 ANTASIDA TABLET 20 40 50 12 30
33 ANTASIDA SUSPENSI 60 ML BOTOL 5
34 ANTIBAKTERI DOEN TUBE
35 ANTIFUNGI DOEN KOMBINASI 30 GR POT
36 ANTIHAEMOROID 2 GR SUPPOSITORIA
37 ANTIMIGREN TABLET
38 ANTIPARKINSON DOEN TABLET
39 AQUA STERIL 20 ML VIAL
40 ARTERAKINE TABLET 12
41 ARTESUNATE INJEKSI 60 MG VIAL
42 ASAM ASETILSALISILAT 100 MG TABLET
43 ASAM ASETILSALISILAT 500 MG TABLET
44 ASAM ASETILSALISILAT 80 MG TABLET
45 ASAM FOLAT 0,4 MG TABLET
46 ASAM FOLAT 1 MG TABLET
47 ASAM FOLAT 5 MG TABLET
48 ASAM MEFENAMAT 500 MG TABLET
49 ASAM PIPEMIDAT 400 MG CAPSUL
50 ASAM TRANEKSAMAT 500 MG TABLET
51 ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
52 ATAPULGIT TABLET
53 ATENOLOL 50 MG TABLET
54 ATROPIN 0.5 MG TABLET
55 ATROPIN INJEKSI 0.25 MG / ML AMPUL
56 ATROPIN TETES MATA 0.5 % BOTOL
57 BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
58 BETAMETHASONE KRIM 0,1% 5 GR TUBE
59 CALCII GLUCONAS AMPUL
60 CALSIUM HIDROKSIDA POT
61 CALSIUM LAKTAT 500 MG TABLET
62 CAPTOPRIL 12,5 MG TABLET 200 30
63 CAPTOPRIL 25 MG TABLET 10 100 10 10
64 CARBAMAZEPINE 200 MG TABLET
65 CATGUT CHROMIC NO 2/0 PCS 10 1
66 CATGUT CHROMIC NO 3/0 PCS 9 1
67 CAVIPLEX TABLET
68 CAVIPLEX SYRUP BOTOL
69 CEFADROKSIL 500 MG CAPSUL 10 10 10 50 100
70 CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
71 CEFIKSIM 100 MG CAPSUL 200
72 CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
73 CEFOTAXIME INJEKSI VIAL
74 CEFTRIAXONE INJEKSI VIAL
75 CETIRIZINE 10 MG TABLET 200
76 CLOFAZIMIN 100 MG CAPSUL
77 CHLORAMFENICOL 250 MG CAPSUL
78 CHLORAMFENICOL SALEP MATA 1 % TUBE
79 CHLORAMFENICOL SUSPENSI BOTOL
80 CHLORAMFENICOL TETES MATA 0,5 % BOTOL
81 CHLORAMFENICOL TETES TELINGA 3 % BOTOL
82 CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET
83 CHLOROQUIN 250 MG TABLET
84 CHLORPROMAZINE 25 MG TABLET
85 CHLORPROMAZINE 100 MG TABLET
86 CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
87 CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
88 CIMETIDINE 200 MG TABLET
89 CIPROFLOXACIN 500 MG TABLET 300
90 CLINDAMYCIN 150 MG TABLET
91 CLINDAMYCIN 300 MG TABLET
92 CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
93 CLORHEKSIDIN 0,2 % BOTOL
94 COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
95 COTRIMOXASOLE 480 MG TABLET 200 20 10 10 10
96 COTRIMOXASOLE SUSPENSI 60 ML BOTOL 20
97 DAPSON 100 MG TABLET
98 DEKSTRAN 70 BOTOL
99 DEVITALISASI NON ARSEN POT
100 DEXAMETHASONE 0,5 MG TABLET
101 DEXAMETHASONE INJEKSI 5 MG / ML AMPUL
102 DEXTROMETORPHAN 15 MG TABLET
103 DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
104 DIAZEPAM 2 MG TABLET
105 DIAZEPAM 5 MG TABLET
106 DIAZEPAM INJEKSI 5 MG / ML AMPUL
107 DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
108 DIETILKARBAMAZIN 100 MG TABLET
109 DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
110 DIGOXIN 0,25 MG TABLET
111 DILTIAZEM 30 MG TABLET
112 DISPOSIBLE 1 CC PCS 4
113 DISPOSIBLE 3 CC PCS 50
114 DISPOSIBLE 5 CC PCS 2
115 DISPOSIBLE 10 CC PCS
116 DOMPERIDON 10 MG TABLET 300 10 6 6 10 20 3
117 DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
118 DOXYCYCLINE 100 MG CAPSUL
119 EFEDRIN 25 MG TABLET
120 EKSTRAK BELLADONA 10 MG TABLET
121 EPINEFRIN INJEKSI 0,1 % AMPUL
122 ERITROMISIN 250 MG CAPSUL
123 ERITROMISIN 500 MG CAPSUL
124 ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL 20
125 ETAMBUTOL 500 MG TABLET
126 ETIL CHLORIDA SPRAY BOTOL
127 EUGENOL CAIRAN 10 ML BOTOL
128 FAMOTIDINE 40 MG TABLET
129 FENOKSIMETIL PENISILIN 250 MG TABLET
130 FENOKSIMETIL PENISILIN 500 MG TABLET
131 FENOL GLISEROL TETES TELINGA 10 % BOTOL
132 FERRO SULFAT TABLET 700 20 40
133 FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
134 FLUOR 0,5 MG TABLET
135 FORMOKRESOL CAIRAN BOTOL
136 FUROSEMIDE 40 MG TABLET
137 FUROSEMIDE INJEKSI 10 MG / ML AMPUL
138 GAMEKSAN LOTION 1 % BOTOL
139 GENTAMISIN SALEP KULIT 0,1 % TUBE
140 GENTAMISIN TETES MATA 0,3 % BOTOL
141 GENTAMISIN INJEKSI 10 MG / ML AMPUL
142 GENTIAN VIOLET 1 % 10 ML BOTOL
143 GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
144 GLIBENCLAMIDE 5 MG TABLET
145 GLISERIL GUAIACOLAT 100 MG TABLET 12 10 38 23 20 12 8 6 10 20 50
146 GLIMEPIRID 1 MG TABLET
147 GLIMEPIRID 2 MG TABLET
148 GLIPIZID 5 MG TABLET
149 GLISERIN BOTOL
150 GLUKOSA 5 % 500 ML BOTOL 5
151 GLUKOSA 10 % 500 ML BOTOL
152 GLUKOSA 40 % AMPUL
153 GRISEOFULVIN 125 MG TABLET
154 GUTTA PERCHA DAN PAPER POINTS BOTOL 15
155 HALOPERIDOL 0,5 MG TABLET
156 HALOPERIDOL 1,5 MG TABLET
157 HALOPERIDOL 5 MG TABLET
158 HIDROCHLORTIAZIDE 25 MG TABLET 150
159 HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
160 IBUPROFEN 200 MG TABLET
161 IBUPROFEN 400 MG TABLET 15
162 IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
163 ICHTIYOL SALEP POT
164 INFUSION SET ANAK PCS 1 1
165 INFUSION SET DEWASA PCS 2
166 ISONIASIDE 100 MG TABLET
167 ISONIASIDE 300 MG TABLET
168 ISOSORBIDE DINITRATE 5 MG TABLET
169 JARUM SUNTIK / NALL TABLET
170 KAPAS 250 GR ROL
171 KAPAS 500 GR ROL
172 KASA KOMPRESS STERIL 16 X 16 KOTAK 3 6 2 10
173 KASA KOMPRESS 40 X 80 CM ROL
174 KETAMIN INJEKSI 10 MG / ML VIAL
175 KETOKONAZOLE 200 MG TABLET 20 10
176 KETOKONAZOLE KRIM 2 % TUBE
177 KOMPOSIT RESIN SET
178 KUININ ( KINA ) 222 MG TABLET
179 KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
180 LEUKOPLAST 5 INCH X 2 YARD ROL
181 LIDOKAIN INJEKSI 2 % AMPUL
182 LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
183 LOPERAMIDE 2 MG TABLET 100
184 LORATADINE 1 MG BOTOL
185 MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
186 MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
187 MEBENDAZOL 100 MG TABLET
188 MEBENDAZOL SIRUP 50 MG / ML TABLET
189 MELOKSIKAM 7,5 MG TABLET
190 MELOKSIKAM 15 MG TABLET
191 METFORMIN HCL 500 MG TABLET
192 METILERGOMETRIN MALEAT 0,125 MG TABLET
193 METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
194 METOCLOPRAMIDE 5 MG TABLET
195 METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
196 METRONIDAZOLE 250 MG TABLET
197 METRONIDAZOLE 500 MG TABLET
198 MIKONAZOL KRIM 2 % 5 GR TUBE
199 MINERAL MIX SACHET
200 NATRIUM BIKARBONAT 500 MG TABLET
201 NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
202 NATRIUM DICLOFENAK 25 MG TABLET 10 30 10
203 NATRIUM DICLOFENAK 50 MG TABLET 10
204 NATRIUM FENITOIN 50 MG CAPSUL
205 NATRIUM FENITOIN 100 MG CAPSUL
206 NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
207 NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
208 NATRIUM HIPOKLORIT 5 % BOTOL
209 NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
210 NIFEDIPINE 10 MG TABLET
211 NOREPINEFRIN INJEKSI 1 M / ML AMPUL
212 NYSTATIN 100.000 IU TABLET
213 NYSTATIN 500.000 IU TABLET
214 OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
215 OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
216 OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
217 OBAT ANTITUBERKULOSIS KATEGORI I PAKET
218 OBAT ANTITUBERKULOSIS KATEGORI II PAKET
219 OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
220 OBAT ANTITUBERKULOSIS SISIPAN PAKET
221 OBAT BATUK HITAM 100 ML BOTOL
222 OMEPRAZOLE 20 MG CAPSUL
223 ORALIT 200 ML SACHET 12
224 OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
225 OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
226 OXITETRASIKLIN SALEP KULIT 3 % TUBE
227 OXITETRASIKLIN SALEP MATA 1 % TUBE
228 OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
229 PAPAVERIN 40 MG TABLET
230 PARACETAMOL 100 MG TABLET
231 PARACETAMOL 500 MG TABLET 50 5 13 50 18 40 20 24 10 10 35 25 18
232 PARACETAMOL DROPS 15 ML BOTOL
233 PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
234 PASTA PENGISI SALURAN AKAR BOTOL
235 PHENOBARBITAL 30 MG TABLET
236 PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
237 PILOKARPIN TETES MATA 2 % BOTOL
238 PIRACETAM 400 MG TABLET 10 10
239 PIRANTEL 125 MG TABLET 200
240 PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
241 PIRAZINAMIDE 500 MG TABLET
242 PIROXICAM 10 MG CAPSUL
243 PIROXICAM 20 MG CAPSUL
244 POVIDON IODIDA 10 % 30 ML BOTOL 1
245 POVIDON IODIDA 10 % 60 ML BOTOL
246 POVIDON IODIDA 10 % 300 ML BOTOL
247 POVIDON IODIDA 10 % 1000 ML BOTOL
248 PRAZIKUANTEL 300 MG TABLET
249 PREDNISONE 5 MG TABLET
250 PRIMAQUIN 15 MG TABLET
251 PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
252 PROPANOLOL 40 MG TABLET
253 PROPILTIOURASIL 100 MG TABLET
254 RANITIDINE 150 MG TABLET 20 10 10 20
255 RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
256 RESERPHIN 0,25 MG TABLET
257 RIFAMPICIN 300 MG CAPSUL
258 RIFAMPICIN 450 MG CAPSUL
259 RIFAMPICIN 600 MG CAPSUL
260 RINGER LAKTAT 500 ML BOTOL
261 RIVANOL 0,1 % 300 ML BOTOL
262 SALBUTAMOL 2 MG TABLET
263 SALBUTAMOL 4 MG TABLET
264 SALEP 2 - 4 POT
265 SALICYL TALK 2 % 50 GR POT
266 SARUNG TANGAN NO 7 PCS
267 SARUNG TANGAN NO 7 1/2 PCS
268 SARUNG TANGAN NO 8 PCS
269 SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
270 SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
271 SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
272 SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
273 SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
274 SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
275 SILK BLACK BRAIDED NO 3/0 PCS 20
276 SIMVASTATIN 10 MG TABLET
277 SIMVASTATIN 20 MG TABLET
278 SPIROLACTONE 25 MG TABLET
279 SULFASETAMIDA TETES MATA 15 % BOTOL
280 TETRACAIN TETES MATA 0.5 % BOTOL
281 TETRASIKLIN 250 MG CAPSUL
282 TETRASIKLIN 500 MG CAPSUL
283 TRAMADOL 50 MG CAPSUL 10
284 TRIHEXYLPHENIDIL 2 MG TABLET
285 VALPROAT 250 MG TABLET
286 VAKSIN VERORAB VIAL
287 VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
288 VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
289 VITAMIN B 1 50 MG TABLET 400
290 VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL 10
291 VITAMIN B 6 10 MG TABLET
292 VITAMIN B 12 50 MCG TABLET
293 VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
294 VITAMIN B COMPLEKS TABLET 13 40 15 20 10 34 49 10 12 6 8
295 VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
296 VITAMIN C 50 MG TABLET 20 5 8 10 20 10 10 20 40 7
297 VITAMIN K 10 MG TABLET
298 VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
299 WING NEEDLE NO 21 TABLET
300 WING NEEDLE NO 23 TABLET
301 WING NEEDLE NO 25 TABLET
302 WING NEEDLE NO 27 TABLET
303 ZINK DISPERSIBEL TABLET 300

PASIEN 2 3 1 1 3 4 2 2 3 5 2 4

PASIEN UMUM GENERIK


RESEP
8
8
17
17
2
2
6
6
12
12
24
24
1
1
12
12
12
12
15
15
6
6
15
15
PASIEN 2 1 2 1

PASIEN BPJS PBI GENERIK


RESEP
6s
6 4
6
6
PASIEN 3 2 1 1 1

PASIEN BPJS NON PBI GENERIK


RESEP
12
12
1
1
2
2
PASIEN 2 3

PASIEN JAMKESDA GENERIK


RESEP
3
3
6
6
ARAN OBAT
RI 2014
TANGGAL
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
0 1
0 2
0 3
0 4
0 5
0 6
12 12 7
0 8
0 9
0 10
0 11
0 12
0 13
10 230 14
30 15
20 16
0 17
40 18
0 19
0 20
0 21
20 22
0 23
0 24
25
0 26
0 27
0 28
0 29
0 30
0 31
40 20 40 252 32
3 4 4 3 19 33
0 34
0 35
0 36
0 37
0 38
0 39
12 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
0 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
0 58
0 59
0 60
0 61
30 10 10 10 290 62
130 63
0 64
1 4 16 65
1 5 16 66
0 67
0 68
20 200 69
0 70
200 71
0 72
0 73
0 74
200 75
0 76
0 77
0 78
0 79
0 80
0 81
0 82
0 83
0 84
0 85
0 86
0 87
0 88
300 89
0 90
0 91
0 92
0 93
0 94
250 95
20 96
0 97
0 98
0 99
0 100
0 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
4 112
50 113
2 114
0 115
355 116
0 117
0 118
0 119
0 120
0 121
0 122
0 123
20 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
50 810 132
0 133
0 134
0 135
0 136
0 137
0 138
139
0 140
0 141
0 142
0 143
0 144
42 46 29 30 22 46 29 49 13 6 10 32 10 12 23 10 12 630 145
0 146
0 147
3 3 148
0 149
5 150
0 151
0 152
0 153
15 154
0 155
0 156
0 157
150 158
0 159
0 160
0 161
0 162
0 163
2 164
2 165
0 166
0 167
0 168
0 169
0 170
0 171
3 24 172
0 173
0 174
30 175
0 176
0 177
0 178
0 179
0 180
0 181
0 182
6 106 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
0 196
0 197
0 198
0 199
0 200
0 201
30 202
203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
12 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
10 10 12 19 23 14 15 24 10 10 10 20 50 12 6 30 50 10 653 231
0 232
0 233
0 234
0 235
0 236
0 237
238
200 239
0 240
0 241
0 242
0 243
1 244
0 245
2 2 246
0 247
0 248
0 249
0 250
0 251
0 252
0 253
254
0 255
0 256
0 257
0 258
0 259
0 260
0 261
0 262
0 263
0 264
0 265
0 266
0 267
0 268
0 269
0 270
0 271
0 272
0 273
0 274
20 275
0 276
0 277
0 278
0 279
0 280
0 281
0 282
10 283
0 284
0 285
0 286
0 287
0 288
400 289
10 290
0 291
0 292
0 293
21 38 10 10 10 12 9 10 5 2 50 20 10 23 39 10 10 10 294
0 295
5 7 4 10 30 39 10 10 265 296
0 297
0 298
0 299
0 300
0 301
0 302
300 303

3 1 4 2 2 1 3 2 1 1 4 3 5 4 2 3 3 4 80
12 2 18 6 12 2 12 6 2 3 24 5 14 14 12 6 12 18 310
12 2 18 6 12 2 12 6 2 3 24 5 14 14 12 6 12 18 310
1 7
6 18
6 22
4
15
15
2
1
1
REKAPAN PENGELUARAN OBAT
BULAN PEBRUARI 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 10
ABBOCATH NO 20 PCS 5
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET 300
ACYCLOVIR 400 MG TABLET 200
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL 1
ALLUPURINOL 100 MG TABLET 500
AMBROXOL 30 MG TABLET
AMBROXOL SYRUP 60 ML BOTOL 15
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET 500
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL 8
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 400
ANTASIDA SUSPENSI 60 ML BOTOL
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE 10
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET
CAPTOPRIL 12,5 MG TABLET
CAPTOPRIL 25 MG TABLET
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 5
CATGUT CHROMIC NO 3/0 PCS
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL 200
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE 10
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 500
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET 500
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET
COTRIMOXASOLE SUSPENSI 60 ML BOTOL
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 7
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 2.5 CC PCS 50
DISPOSIBLE 3 CC PCS
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET 1,000
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET 50
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET 1,350
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL 3
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE 20
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL 2
LIDOKAIN INJEKSI 2 % AMPUL
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET
METRONIDAZOLE 500 MG TABLET
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
NATRIUM DICLOFENAK 25 MG TABLET 200
NATRIUM DICLOFENAK 50 MG TABLET 300
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL 20
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL 5
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL 300
PIROXICAM 20 MG CAPSUL 200
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL 5
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET 500
PRIMAQUIN 15 MG TABLET
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL 10
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET 200
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT
SARUNG TANGAN NO 7 PCS 5
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS 5
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL 5
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET 60
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET 100
VITAMIN B 12 50 MCG TABLET 500
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 500
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 500
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
ZINK 10 MG/ML SYRUP TABLET 9
ZINK DISPERSIBEL TABLET 250

PASIEN 3 4 6 2 6 5 3 6 5 4 5 3

PASIEN UMUM GENERIK


RESEP
18
18
15
15
10
10
10
10
20
20
18
18
12
12
20
20
12
12
8
8
10
10
15
15
PASIEN 5 2 3

PASIEN BPJS PBI GENERIK


RESEP
16
16
6
6
12
12
PASIEN 3 5 1

PASIEN BPJS NON PBI GENERIK


RESEP
12
12
18
18
6
6
PASIEN

PASIEN JAMKESDA GENERIK


RESEP
N OBAT
014
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
10 1
5 2
0 3
0 4
300 5
200 6
0 7
0 8
0 9
0 10
0 11
0 12
1 13
500 14
0 15
15 16
0 17
0 18
0 19
0 20
0 21
0 22
0 23
0 24
500 25
8 26
0 27
0 28
0 29
0 30
0 31
400 32
0 33
0 34
0 35
0 36
0 37
0 38
0 39
0 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
0 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
10 58
0 59
0 60
0 61
0 62
0 63
0 64
5 65
0 66
0 67
0 68
0 69
0 70
200 71
0 72
0 73
0 74
0 75
0 76
0 77
10 78
0 79
0 80
0 81
500 82
0 83
0 84
0 85
0 86
0 87
0 88
500 89
0 90
0 91
0 92
0 93
0 94
0 95
0 96
0 97
0 98
0 99
0 100
7 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
50 112
0 113
0 114
0 115
0 116
0 117
0 118
0 119
0 120
0 121
0 122
0 123
0 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
1,000 132
0 133
0 134
0 135
50 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
1,350 145
0 146
0 147
0 148
0 149
3 150
0 151
0 152
0 153
0 154
0 155
0 156
0 157
0 158
0 159
0 160
0 161
0 162
0 163
0 164
0 165
0 166
0 167
0 168
0 169
0 170
0 171
0 172
0 173
0 174
0 175
20 176
0 177
0 178
0 179
2 180
0 181
0 182
0 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
0 196
0 197
0 198
0 199
0 200
0 201
200 202
300 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
0 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
0 231
20 232
0 233
0 234
0 235
0 236
0 237
0 238
0 239
5 240
0 241
300 242
200 243
0 244
5 245
0 246
0 247
0 248
500 249
0 250
0 251
0 252
0 253
0 254
0 255
0 256
0 257
0 258
0 259
10 260
0 261
0 262
200 263
0 264
0 265
5 266
0 267
5 268
5 269
0 270
0 271
0 272
0 273
0 274
0 275
60 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
0 289
0 290
100 291
500 292
0 293
500 294
0 295
500 296
0 297
0 298
0 299
0 300
0 301
9 302
250 303

52
168
168
2 12
10 44
10 44
1 10
6 42
6 42
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN M A R E T 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 5
ABBOCATH NO 20 PCS
ABBOCATH NO 22 PCS 5
ABBOCATH NO 24 PCS 5
ACYCLOVIR 200 MG TABLET 500
ACYCLOVIR 400 MG TABLET 500
ACYCLOVIR KRIM TUBE 15
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL 1
ALLUPURINOL 100 MG TABLET 550
AMBROXOL 30 MG TABLET 300
AMBROXOL SYRUP 60 ML BOTOL 90
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET 50
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET 600
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL 30
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET 1,000
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 3,500
ANTASIDA SUSPENSI 60 ML BOTOL 200
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA 85
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET 1,000
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE 35
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET 1,000
CAPTOPRIL 12,5 MG TABLET 1,000
CAPTOPRIL 25 MG TABLET 600
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 20
CATGUT CHROMIC NO 3/0 PCS 20
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL 700
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL 2
CEFIKSIM 100 MG CAPSUL 350
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET 350
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE 50
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 1,500
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET 1,000
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET 4,000
COTRIMOXASOLE SUSPENSI 60 ML BOTOL 200
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 20
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL 25
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL 30
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 2,5 CC PCS 50
DISPOSIBLE 3 CC PCS
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET 3,000
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL 600
ERITROMISIN 500 MG CAPSUL 200
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET 2,000
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET 500
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET 3,000
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL 5
GLUKOSA 10 % 500 ML BOTOL 5
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET 5,000
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET 1,000
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS 5
INFUSION SET DEWASA PCS 5
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET 40
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK 20
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE 100
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL 4
LIDOKAIN INJEKSI 2 % AMPUL 10
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET 300
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET 1,000
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET 2,000
METRONIDAZOLE 500 MG TABLET 1,000
MIKONAZOL KRIM 2 % 5 GR TUBE 100
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET 100
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL 20
NATRIUM DICLOFENAK 25 MG TABLET 500
NATRIUM DICLOFENAK 50 MG TABLET 350
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET 300
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET 500
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET 247
PARACETAMOL DROPS 15 ML BOTOL 50
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET 200
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL 20
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL 5
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET 1,000
PRIMAQUIN 15 MG TABLET 40
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET 1,000
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL 5
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET 500
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT 15
SARUNG TANGAN NO 7 PCS 20
SARUNG TANGAN NO 7 1/2 PCS 10
SARUNG TANGAN NO 8 PCS 5
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS 10
SIMVASTATIN 10 MG TABLET 500
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL 550
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL 1,000
VITAMIN B 1 50 MG TABLET 500
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET 1,000
VITAMIN B 12 50 MCG TABLET 2,000
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 2,000
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 500
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL 5
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET 30
ZINK DISPERSIBEL TABLET 500

PASIEN 35

PASIEN UMUM GENERIK


RESEP
156
156
PASIEN 10

PASIEN BPJS PBI GENERIK


RESEP
27
27
PASIEN 15

PASIEN BPJS NON PBI GENERIK


RESEP
35
35
PASIEN

PASIEN JAMKESDA GENERIK


RESEP
N OBAT
014
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
5 1
0 2
5 3
5 4
500 5
500 6
15 7
0 8
0 9
0 10
0 11
0 12
1 13
550 14
300 15
90 16
0 17
0 18
0 19
0 20
0 21
0 22
50 23
0 24
600 25
30 26
0 27
0 28
0 29
1,000 30
0 31
3,500 32
200 33
0 34
0 35
85 36
0 37
0 38
0 39
1,000 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
0 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
35 58
0 59
0 60
1,000 61
1,000 62
600 63
0 64
20 65
20 66
0 67
0 68
700 69
2 70
350 71
0 72
0 73
0 74
350 75
0 76
0 77
50 78
0 79
0 80
0 81
1,500 82
0 83
0 84
0 85
0 86
0 87
0 88
1,000 89
0 90
0 91
0 92
0 93
0 94
4,000 95
200 96
0 97
0 98
0 99
0 100
20 101
0 102
0 103
0 104
0 105
25 106
0 107
0 108
30 109
0 110
0 111
50 112
0 113
0 114
0 115
3,000 116
0 117
0 118
0 119
0 120
0 121
600 122
200 123
0 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
2,000 132
0 133
0 134
0 135
500 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
3,000 145
0 146
0 147
0 148
0 149
5 150
5 151
0 152
5,000 153
0 154
0 155
0 156
0 157
1,000 158
0 159
0 160
0 161
0 162
0 163
5 164
5 165
0 166
0 167
40 168
0 169
0 170
0 171
20 172
0 173
0 174
0 175
100 176
0 177
0 178
0 179
4 180
10 181
0 182
300 183
0 184
0 185
0 186
0 187
0 188
1,000 189
0 190
0 191
0 192
0 193
0 194
0 195
2,000 196
1,000 197
100 198
0 199
100 200
20 201
500 202
350 203
0 204
0 205
0 206
0 207
0 208
0 209
300 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
500 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
247 231
50 232
0 233
0 234
0 235
0 236
0 237
0 238
200 239
20 240
0 241
0 242
0 243
0 244
5 245
0 246
0 247
0 248
1,000 249
40 250
0 251
0 252
0 253
1,000 254
0 255
0 256
0 257
0 258
0 259
5 260
0 261
0 262
500 263
0 264
15 265
20 266
10 267
5 268
0 269
0 270
0 271
0 272
0 273
0 274
10 275
500 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
550 287
1,000 288
500 289
0 290
1,000 291
2,000 292
0 293
2,000 294
0 295
500 296
0 297
5 298
0 299
0 300
0 301
30 302
500 303

35
156
156
10
27
27
15
35
35
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN A P R I L 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 3
ABBOCATH NO 20 PCS 5
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS 3
ACYCLOVIR 200 MG TABLET 100
ACYCLOVIR 400 MG TABLET 100
ACYCLOVIR KRIM TUBE 15
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL 3
ALLUPURINOL 100 MG TABLET 1,000
AMBROXOL 30 MG TABLET 200
AMBROXOL SYRUP 60 ML BOTOL 20
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET 60
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET 500
AMLODIPINE 10 MG TABLET 100
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET 1,000
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL 10
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET 1,500
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 2,000
ANTASIDA SUSPENSI 60 ML BOTOL 100
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET 100
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE 12
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET 400
CAPTOPRIL 12,5 MG TABLET 500
CAPTOPRIL 25 MG TABLET 500
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 10
CATGUT CHROMIC NO 3/0 PCS 10
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL 500
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL 3
CEFIKSIM 100 MG CAPSUL 300
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET 50
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE 20
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 500
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET 500
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET 1,000
COTRIMOXASOLE SUSPENSI 60 ML BOTOL 27
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 10
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 2,5CC PCS 50
DISPOSIBLE 3 CC PCS 80
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET 607
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL 300
ERITROMISIN 500 MG CAPSUL 40
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL 15
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET 1,500
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET 650
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL 5
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET 1,000
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK 12
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE 30
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL 6
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET 500
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET 500
METRONIDAZOLE 500 MG TABLET 200
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
NATRIUM DICLOFENAK 25 MG TABLET 300
NATRIUM DICLOFENAK 50 MG TABLET 600
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET 100
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE 5
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL 30
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET 350
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL 500
PIROXICAM 20 MG CAPSUL 500
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL 5
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET 500
PRIMAQUIN 15 MG TABLET 660
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET 500
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL 30
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET 500
SALBUTAMOL 4 MG TABLET 600
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT 20
SARUNG TANGAN NO 7 PCS
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS 30
SIMVASTATIN 10 MG TABLET 500
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET 1,000
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET 500
VITAMIN B 12 50 MCG TABLET 600
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 600
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 500
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
ZINK 10 MG/ML SYRUP TABLET 17
ZINK DISPERSIBEL TABLET 500

PASIEN 27

PASIEN UMUM GENERIK


RESEP
138
138
PASIEN 15

PASIEN BPJS PBI GENERIK


RESEP
40
40
PASIEN 11

PASIEN BPJS NON PBI GENERIK


RESEP
25
25
PASIEN

PASIEN JAMKESDA GENERIK


RESEP
N OBAT
14
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
3 1
5 2
0 3
3 4
100 5
100 6
15 7
0 8
0 9
0 10
0 11
0 12
3 13
1,000 14
200 15
20 16
0 17
60 18
0 19
0 20
0 21
500 22
100 23
0 24
1,000 25
10 26
0 27
0 28
0 29
1,500 30
0 31
2,000 32
100 33
0 34
0 35
0 36
0 37
0 38
0 39
100 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
0 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
12 58
0 59
0 60
400 61
500 62
500 63
0 64
10 65
10 66
0 67
0 68
500 69
3 70
300 71
0 72
0 73
0 74
50 75
0 76
0 77
20 78
0 79
0 80
0 81
500 82
0 83
0 84
0 85
0 86
0 87
0 88
500 89
0 90
0 91
0 92
0 93
0 94
1,000 95
27 96
0 97
0 98
0 99
0 100
10 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
50 112
80 113
0 114
0 115
607 116
0 117
0 118
0 119
0 120
0 121
300 122
40 123
15 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
1,500 132
0 133
0 134
0 135
0 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
650 145
0 146
0 147
0 148
0 149
5 150
0 151
0 152
0 153
0 154
0 155
0 156
0 157
1,000 158
0 159
0 160
0 161
0 162
0 163
0 164
0 165
0 166
0 167
0 168
0 169
0 170
0 171
12 172
0 173
0 174
0 175
30 176
0 177
0 178
0 179
0 180
6 181
0 182
500 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
500 196
200 197
0 198
0 199
0 200
0 201
300 202
600 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
100 223
0 224
0 225
5 226
0 227
0 228
0 229
0 230
0 231
30 232
0 233
0 234
0 235
0 236
0 237
0 238
350 239
0 240
0 241
500 242
500 243
0 244
5 245
0 246
0 247
0 248
500 249
660 250
0 251
0 252
0 253
500 254
30 255
0 256
0 257
0 258
0 259
0 260
0 261
500 262
600 263
0 264
20 265
0 266
0 267
0 268
0 269
0 270
0 271
0 272
0 273
0 274
30 275
500 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
1,000 289
0 290
500 291
600 292
0 293
600 294
0 295
500 296
0 297
0 298
0 299
0 300
0 301
17 302
500 303

27
138
138
15
40
40
11
25
25
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN M E I 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 5
ABBOCATH NO 20 PCS 2
ABBOCATH NO 22 PCS 4
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET 500
ACYCLOVIR 400 MG TABLET 300
ACYCLOVIR KRIM TUBE 8
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL
ALLUPURINOL 100 MG TABLET 600
AMBROXOL 30 MG TABLET 10
AMBROXOL SYRUP 60 ML BOTOL 15
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET 500
AMLODIPINE 10 MG TABLET 100
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET 600
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET 4,514
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 1,000 100 10 10 10
ANTASIDA SUSPENSI 60 ML BOTOL 5
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET 100
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET 40
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE 20
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET 300
CAPTOPRIL 12,5 MG TABLET 500
CAPTOPRIL 25 MG TABLET 400
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 10 4
CATGUT CHROMIC NO 3/0 PCS 15 5
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL 500
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL 250
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET 150
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE 20
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 600
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET 30
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET 800
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET 407
COTRIMOXASOLE SUSPENSI 60 ML BOTOL 16
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 20
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 1 CC PCS 100
DISPOSIBLE 3 CC PCS 80 50
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL 200
ERITROMISIN 500 MG CAPSUL 50
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL 30
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET 3,000
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET 150
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET 1,600
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL 3
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET 100
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS 3
INFUSION SET DEWASA PCS 5
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET 50
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK 10 5
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET 1,000
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL 20
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET 200
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET 300
METRONIDAZOLE 500 MG TABLET 500
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL 10 5
NATRIUM DICLOFENAK 25 MG TABLET 500
NATRIUM DICLOFENAK 50 MG TABLET 500
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET 100
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL 30
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET 20
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL 20
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL 500
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET 300
PRIMAQUIN 15 MG TABLET 100
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET 200
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL 2
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET 200
SALBUTAMOL 4 MG TABLET 500
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT 20
SARUNG TANGAN NO 7 PCS
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET 500
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET 700
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET 500
VITAMIN B 12 50 MCG TABLET 500
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 600 18
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 500
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET 20
ZINK DISPERSIBEL TABLET 500 100 200

PASIEN 38 5 3 5 5 6

PASIEN UMUM GENERIK


RESEP
10
10
10
10
6
6
12
12
12
12
20
20
PASIEN 11

PASIEN BPJS PBI GENERIK


RESEP
PASIEN 7

PASIEN BPJS NON PBI GENERIK


RESEP
16
16
PASIEN

PASIEN JAMKESDA GENERIK


RESEP
N OBAT
4
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
5 1
2 2
4 3
0 4
500 5
300 6
8 7
0 8
0 9
0 10
0 11
0 12
0 13
600 14
10 20 15
15 16
0 17
0 18
0 19
0 20
0 21
500 22
100 23
0 24
600 25
0 26
0 27
0 28
0 29
4,514 30
0 31
20 10 20 1,180 32
5 33
0 34
0 35
0 36
0 37
0 38
0 39
100 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
40 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
20 58
0 59
0 60
300 61
500 62
400 63
0 64
14 65
20 66
0 67
0 68
500 69
0 70
250 71
0 72
0 73
0 74
150 75
0 76
0 77
20 78
0 79
0 80
0 81
600 82
0 83
0 84
30 85
0 86
0 87
0 88
800 89
0 90
0 91
0 92
0 93
0 94
407 95
16 96
0 97
0 98
0 99
0 100
20 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
100 112
130 113
0 114
0 115
0 116
0 117
0 118
0 119
0 120
0 121
200 122
50 123
30 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
3,000 132
0 133
0 134
0 135
150 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
1,600 145
0 146
0 147
0 148
0 149
3 150
0 151
0 152
0 153
0 154
0 155
0 156
0 157
100 158
0 159
0 160
0 161
0 162
0 163
3 164
5 165
0 166
0 167
50 168
0 169
0 170
0 171
15 172
0 173
0 174
0 175
0 176
0 177
1,000 178
0 179
0 180
20 181
0 182
200 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
300 196
500 197
0 198
0 199
0 200
15 201
500 202
500 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
100 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
0 231
30 232
0 233
0 234
0 235
0 236
0 237
0 238
20 239
20 240
0 241
0 242
500 243
0 244
0 245
0 246
0 247
0 248
300 249
100 250
0 251
0 252
0 253
200 254
0 255
0 256
0 257
0 258
0 259
2 260
0 261
200 262
500 263
0 264
20 265
0 266
0 267
0 268
0 269
0 270
0 271
0 272
0 273
0 274
0 275
500 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
700 289
0 290
500 291
500 292
0 293
618 294
0 295
500 296
0 297
0 298
0 299
0 300
0 301
20 302
800 303

5 4 5 5 3 2 38
16 10 12 12 8 5 190
16 10 12 12 8 5 10 12 190
11
0
0
7
16
16
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN J U N I 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 5
ABBOCATH NO 20 PCS
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET
ACYCLOVIR 400 MG TABLET
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL
ALLUPURINOL 100 MG TABLET
AMBROXOL 30 MG TABLET
AMBROXOL SYRUP 60 ML BOTOL 15
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET 800
AMLODIPINE 10 MG TABLET 50
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET 600
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL 2
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 1,200
ANTASIDA SUSPENSI 60 ML BOTOL
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET 540
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE 15
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET 200
CAPTOPRIL 12,5 MG TABLET 500
CAPTOPRIL 25 MG TABLET 500
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 10
CATGUT CHROMIC NO 3/0 PCS 10
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL 50
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL 100
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET 20
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE 15
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 500
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET 20
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET 500
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET
COTRIMOXASOLE SUSPENSI 60 ML BOTOL 20
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 15
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 2,5 CC PCS 30
DISPOSIBLE 3 CC PCS 100
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET 2,000
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET 40
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET 600
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET 100
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS 5
INFUSION SET DEWASA PCS 5
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL 3
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK 30
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE 15
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL 6
LIDOKAIN INJEKSI 2 % AMPUL
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET 200
METRONIDAZOLE 500 MG TABLET 300
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL 10
NATRIUM DICLOFENAK 25 MG TABLET 500
NATRIUM DICLOFENAK 50 MG TABLET 500
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET 100
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET 200
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE 5
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL 10
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL 500
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET 600
PRIMAQUIN 15 MG TABLET 300
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET 500
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL 7
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET 150
SALBUTAMOL 4 MG TABLET 600
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT 10
SARUNG TANGAN NO 7 PCS 5
SARUNG TANGAN NO 7 1/2 PCS 5
SARUNG TANGAN NO 8 PCS 3
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET 300
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET 600
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET 500
VITAMIN B 12 50 MCG TABLET 600
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 700
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 500
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET 20
ZINK DISPERSIBEL TABLET 300

PASIEN 2 2 3

PASIEN UMUM GENERIK


RESEP
7
7
5
5
10
10
PASIEN 3 2 1 1 2 2

PASIEN BPJS PBI GENERIK


RESEP
10
10
5
5
2
2
2
2
6
6
6
6
PASIEN 2

PASIEN BPJS NON PBI GENERIK


RESEP
6
6
PASIEN

PASIEN JAMKESDA GENERIK


RESEP
N OBAT
14
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
5 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
0 10
0 11
0 12
0 13
0 14
0 15
15 16
0 17
0 18
0 19
0 20
0 21
800 22
50 23
0 24
600 25
2 26
0 27
0 28
0 29
0 30
0 31
1,200 32
0 33
0 34
0 35
0 36
0 37
0 38
0 39
0 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
540 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
15 58
0 59
0 60
200 61
500 62
500 63
0 64
10 65
10 66
0 67
0 68
50 69
0 70
100 71
0 72
0 73
0 74
20 75
0 76
0 77
15 78
0 79
0 80
0 81
500 82
0 83
0 84
20 85
0 86
0 87
0 88
500 89
0 90
0 91
0 92
0 93
0 94
0 95
20 96
0 97
0 98
0 99
0 100
15 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
30 112
100 113
0 114
0 115
0 116
0 117
0 118
0 119
0 120
0 121
0 122
0 123
0 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
2,000 132
0 133
0 134
0 135
40 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
600 145
0 146
0 147
0 148
0 149
0 150
0 151
0 152
0 153
0 154
0 155
0 156
0 157
100 158
0 159
0 160
0 161
0 162
0 163
5 164
5 165
0 166
0 167
0 168
0 169
3 170
0 171
30 172
0 173
0 174
0 175
15 176
0 177
0 178
0 179
6 180
0 181
0 182
0 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
200 196
300 197
0 198
0 199
0 200
10 201
500 202
500 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
100 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
200 223
0 224
0 225
5 226
0 227
0 228
0 229
0 230
0 231
10 232
0 233
0 234
0 235
0 236
0 237
0 238
0 239
0 240
0 241
0 242
500 243
0 244
0 245
0 246
0 247
0 248
600 249
300 250
0 251
0 252
0 253
500 254
0 255
0 256
0 257
0 258
0 259
7 260
0 261
150 262
600 263
0 264
10 265
5 266
5 267
3 268
0 269
0 270
0 271
0 272
0 273
0 274
0 275
300 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
600 289
0 290
500 291
600 292
0 293
700 294
0 295
500 296
0 297
0 298
0 299
0 300
0 301
20 302
300 303

2 2 1 3 2 3 2 3 2 2 3 2 4 38
6 6 6 1 10 6 10 6 10 6 6 10 6 12 123
6 6 6 1 10 6 10 6 10 6 6 10 6 12 123
1 12
3 34
3 34
2
6
6
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN J U L I 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 2
ABBOCATH NO 20 PCS
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET
ACYCLOVIR 400 MG TABLET
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL 1
ALLUPURINOL 100 MG TABLET
AMBROXOL 30 MG TABLET
AMBROXOL SYRUP 60 ML BOTOL 12
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET 500
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 600
ANTASIDA SUSPENSI 60 ML BOTOL 81
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA 25
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET 30
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET 3,840
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE 4
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET 300
CAPTOPRIL 12,5 MG TABLET 500
CAPTOPRIL 25 MG TABLET 200
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 6
CATGUT CHROMIC NO 3/0 PCS 10
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL 31
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL 20
CEFIKSIM 100 MG CAPSUL
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 700
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET 100
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET 300
CIPROFLOXACIN 500 MG TABLET 600
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET 24
COTRIMOXASOLE 480 MG TABLET 866
COTRIMOXASOLE SUSPENSI 60 ML BOTOL
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET 2,329
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 35
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL 3
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 1 CC PCS
DISPOSIBLE 3 CC PCS 55
DISPOSIBLE 5 CC PCS 2
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET 1,669
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL 220
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL 57
ERITROMISIN 250 MG CAPSUL 500
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET 1,000
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET 750
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK 40
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE 50
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET
METRONIDAZOLE 500 MG TABLET
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
NATRIUM DICLOFENAK 25 MG TABLET 500
NATRIUM DICLOFENAK 50 MG TABLET 300
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET 100
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL 30
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL 500
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET 1,000
PRIMAQUIN 15 MG TABLET
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET 600
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET 500
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT
SARUNG TANGAN NO 7 PCS
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET 500
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET 500
VITAMIN B 12 50 MCG TABLET 500
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 1,000
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 1,000
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET 20
ZINK DISPERSIBEL TABLET 1,000

PASIEN 28

PASIEN UMUM GENERIK


RESEP
115
115
PASIEN 9

PASIEN BPJS PBI GENERIK


RESEP
24
24
PASIEN 6

PASIEN BPJS NON PBI GENERIK


RESEP
12
12
PASIEN

PASIEN JAMKESDA GENERIK


RESEP
N OBAT
4
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
2 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
0 10
0 11
0 12
1 13
0 14
0 15
12 16
0 17
0 18
0 19
0 20
0 21
0 22
0 23
0 24
500 25
0 26
0 27
0 28
0 29
0 30
0 31
600 32
81 33
0 34
0 35
25 36
0 37
0 38
0 39
30 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
3,840 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
4 58
0 59
0 60
300 61
500 62
200 63
0 64
6 65
10 66
0 67
0 68
31 69
20 70
0 71
0 72
0 73
0 74
0 75
0 76
0 77
0 78
0 79
0 80
0 81
700 82
0 83
0 84
100 85
0 86
0 87
300 88
600 89
0 90
0 91
0 92
0 93
24 94
866 95
0 96
0 97
0 98
0 99
2,329 100
35 101
0 102
0 103
0 104
0 105
3 106
0 107
0 108
0 109
0 110
0 111
0 112
55 113
2 114
0 115
1,669 116
0 117
220 118
0 119
0 120
57 121
500 122
0 123
0 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
1,000 132
0 133
0 134
0 135
0 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
750 145
0 146
0 147
0 148
0 149
0 150
0 151
0 152
0 153
0 154
0 155
0 156
0 157
0 158
0 159
0 160
0 161
0 162
0 163
0 164
0 165
0 166
0 167
0 168
0 169
0 170
0 171
40 172
0 173
0 174
0 175
50 176
0 177
0 178
0 179
0 180
0 181
0 182
0 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
0 196
0 197
0 198
0 199
0 200
0 201
500 202
300 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
100 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
0 231
30 232
0 233
0 234
0 235
0 236
0 237
0 238
0 239
0 240
0 241
0 242
500 243
0 244
0 245
0 246
0 247
0 248
1,000 249
0 250
0 251
0 252
0 253
600 254
0 255
0 256
0 257
0 258
0 259
0 260
0 261
0 262
500 263
0 264
0 265
0 266
0 267
0 268
0 269
0 270
0 271
0 272
0 273
0 274
0 275
0 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
500 289
0 290
500 291
500 292
0 293
1,000 294
0 295
1,000 296
0 297
0 298
0 299
0 300
0 301
20 302
1,000 303

28
115
115
9
24
24
6
12
12
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN A G U S T U S 2016

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 5
ABBOCATH NO 20 PCS 10
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS 10
ACYCLOVIR 200 MG TABLET 500
ACYCLOVIR 400 MG TABLET 300
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL
ALLUPURINOL 100 MG TABLET
AMBROXOL 30 MG TABLET
AMBROXOL SYRUP 60 ML BOTOL 15
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET 500
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 1,000
ANTASIDA SUSPENSI 60 ML BOTOL
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET 100
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET 200
CAPTOPRIL 12,5 MG TABLET 350
CAPTOPRIL 25 MG TABLET 200
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 15
CATGUT CHROMIC NO 3/0 PCS 15
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL 100
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 500
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET 500
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET
COTRIMOXASOLE SUSPENSI 60 ML BOTOL 5
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 1 CC PCS
DISPOSIBLE 3 CC PCS
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET 100
FENOKSIMETIL PENISILIN 500 MG TABLET 300
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET 600
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET 1,000
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL 10
GLUKOSA 10 % 500 ML BOTOL 3
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS 5
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET
METRONIDAZOLE 500 MG TABLET 300
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL 15
NATRIUM DICLOFENAK 25 MG TABLET 300
NATRIUM DICLOFENAK 50 MG TABLET 200
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET 24
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL 20
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET 20
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL 10
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL 300
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET 500
PRIMAQUIN 15 MG TABLET
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET 500
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET 500
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT
SARUNG TANGAN NO 7 PCS 10
SARUNG TANGAN NO 7 1/2 PCS 10
SARUNG TANGAN NO 8 PCS 5
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS 20
SIMVASTATIN 10 MG TABLET
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET 500
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET 500
VITAMIN B 12 50 MCG TABLET
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 1,000
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 100
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET 5
ZINK DISPERSIBEL TABLET 7,950

PASIEN 5 2 3 6 2 1

PASIEN UMUM GENERIK


RESEP
6
6
10
10
8
8
24
24
6
6
2
2
PASIEN 3 2 4 1

PASIEN BPJS PBI GENERIK


RESEP
2
2
5
5
12
12
2
2
PASIEN 1 2

PASIEN BPJS NON PBI GENERIK


RESEP
5
5
10
10
PASIEN 2 1 3

PASIEN JAMKESDA GENERIK


RESEP
6
6
4
4
6
6
2
2
N OBAT
2016
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
5 1
10 2
0 3
10 4
500 5
300 6
0 7
0 8
0 9
0 10
0 11
0 12
0 13
0 14
0 15
15 16
0 17
0 18
0 19
0 20
0 21
0 22
0 23
0 24
500 25
0 26
0 27
0 28
0 29
0 30
0 31
1,000 32
0 33
0 34
0 35
0 36
0 37
0 38
0 39
100 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
0 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
0 58
0 59
0 60
200 61
350 62
200 63
0 64
15 65
15 66
0 67
0 68
0 69
0 70
100 71
0 72
0 73
0 74
0 75
0 76
0 77
0 78
0 79
0 80
0 81
500 82
0 83
0 84
0 85
0 86
0 87
0 88
500 89
0 90
0 91
0 92
0 93
0 94
0 95
5 96
0 97
0 98
0 99
0 100
0 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
0 112
0 113
0 114
0 115
0 116
0 117
0 118
0 119
0 120
0 121
0 122
0 123
0 124
0 125
0 126
0 127
0 128
100 129
300 130
0 131
600 132
0 133
0 134
0 135
0 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
1,000 145
0 146
0 147
0 148
0 149
10 150
3 151
0 152
0 153
0 154
0 155
0 156
0 157
0 158
0 159
0 160
0 161
0 162
0 163
0 164
5 165
0 166
0 167
0 168
0 169
0 170
0 171
0 172
0 173
0 174
0 175
0 176
0 177
0 178
0 179
0 180
0 181
0 182
0 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
0 196
300 197
0 198
0 199
0 200
15 201
300 202
200 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
24 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
0 231
20 232
0 233
0 234
0 235
0 236
0 237
0 238
20 239
10 240
0 241
0 242
300 243
0 244
0 245
0 246
0 247
0 248
500 249
0 250
0 251
0 252
0 253
500 254
0 255
0 256
0 257
0 258
0 259
0 260
0 261
0 262
500 263
0 264
0 265
10 266
10 267
5 268
0 269
0 270
0 271
0 272
0 273
0 274
20 275
0 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
500 289
0 290
500 291
0 292
0 293
1,000 294
0 295
100 296
0 297
0 298
0 299
0 300
0 301
5 302
7,950 303

4 2 4 2 3 3 1 38
10 4 15 10 9 12 6 122
10 4 15 10 9 12 6 122
15
112

9
21
REKAPAN PENGELUARAN OBAT
BULAN S E P T E M B E R 2016

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS
ABBOCATH NO 20 PCS
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET
ACYCLOVIR 400 MG TABLET
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL
ALLUPURINOL 100 MG TABLET
AMBROXOL 30 MG TABLET
AMBROXOL SYRUP 60 ML BOTOL
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET
AMOXIXILIN 250 MG CAPSUL 10 6 5 20 10 7 12
AMOXIXILIN 500 MG TABLET
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET 20 10 10 20
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 50 20 30 20 15 10 10 10 10 20 10
ANTASIDA SUSPENSI 60 ML BOTOL
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET 120
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET 50 30 100
CAPTOPRIL 12,5 MG TABLET 200 10 40 20
CAPTOPRIL 25 MG TABLET 150 20
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 5
CATGUT CHROMIC NO 3/0 PCS 4
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 200 5 2 6 10 16 18 20 30 10 20
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET 10 7 10 20
COTRIMOXASOLE 480 MG TABLET 20
COTRIMOXASOLE SUSPENSI 60 ML BOTOL
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 1 CC PCS
DISPOSIBLE 3 CC PCS
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE 5 3 2
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET 15 15
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET 10 7 20 14 20 10 10 20 10
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL 5 2
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET 10 6
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET
METRONIDAZOLE 500 MG TABLET
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
NATRIUM DICLOFENAK 25 MG TABLET
NATRIUM DICLOFENAK 50 MG TABLET
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL 20 10 30
PIROXICAM 20 MG CAPSUL
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET
PRIMAQUIN 15 MG TABLET
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET 30 10 20 10 20
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT
SARUNG TANGAN NO 7 PCS
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL 10 20
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET 10 20
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET
VITAMIN B 12 50 MCG TABLET
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET 10 20 40 50 15 19 10 10 10 20 10
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET 10 10 10 20 10 25 20 10 10 12
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET
ZINK DISPERSIBEL TABLET

PASIEN 2 4 2 3 1 4 2 5

PASIEN UMUM GENERIK


RESEP
2
2
4
4
9
9
6
6
12
12
8
8
15
15
PASIEN 2 1 2 2 1 1

PASIEN BPJS PBI GENERIK


RESEP
3
3
5
5
4
4
5
5
2
2
3
3
5
5
PASIEN 2 1 1 2 3 3

PASIEN BPJS NON PBI GENERIK


RESEP
8
8
6
6
2
2
8
8
9
9
5
5
PASIEN

PASIEN JAMKESDA GENERIK


RESEP
N OBAT
R 2016
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
0 10
0 11
0 12
0 13
0 14
0 15
0 16
0 17
0 18
0 19
0 20
0 21
0 22
0 23
10 10 10 10 10 10 13 14 10 10 10 4 10 201 24
0 25
0 26
0 27
0 28
0 29
60 30
0 31
30 40 10 10 10 1050 1,355 32
0 33
0 34
0 35
0 36
0 37
0 38
0 39
120 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
0 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
0 58
0 59
0 60
180 61
10 10 10 300 62
170 63
0 64
5 65
4 66
0 67
0 68
0 69
0 70
0 71
0 72
0 73
0 74
0 75
0 76
0 77
0 78
0 79
0 80
0 81
14 10 10 10 381 82
0 83
0 84
0 85
0 86
0 87
0 88
0 89
0 90
0 91
0 92
0 93
47 94
20 95
0 96
0 97
0 98
0 99
0 100
0 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
0 112
0 113
0 114
0 115
0 116
0 117
0 118
0 119
0 120
0 121
0 122
0 123
0 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
0 132
0 133
0 134
0 135
0 136
0 137
0 138
2 12 139
0 140
0 141
0 142
0 143
0 144
0 145
0 146
0 147
0 148
0 149
0 150
0 151
0 152
0 153
0 154
30 155
0 156
0 157
0 158
0 159
10 131 160
0 161
0 162
0 163
0 164
0 165
0 166
0 167
0 168
0 169
0 170
0 171
0 172
0 173
0 174
0 175
0 176
0 177
0 178
0 179
0 180
7 181
0 182
10 26 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
0 196
0 197
0 198
0 199
0 200
0 201
0 202
0 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
0 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
0 231
0 232
0 233
0 234
0 235
0 236
0 237
0 238
0 239
0 240
0 241
60 242
0 243
0 244
0 245
0 246
0 247
0 248
0 249
0 250
0 251
0 252
0 253
10 100 254
0 255
0 256
0 257
0 258
0 259
0 260
0 261
0 262
0 263
0 264
0 265
0 266
0 267
0 268
0 269
0 270
0 271
0 272
0 273
0 274
0 275
0 276
0 277
0 278
0 279
0 280
0 281
0 282
10 40 283
0 284
0 285
0 286
0 287
0 288
10 40 289
0 290
0 291
0 292
0 293
20 12 15 10 271 294
0 295
17 12 166 296
0 297
0 298
0 299
0 300
0 301
0 302
0 303

23
56
56
9
27
27
3 15
15 53
15 53
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN O K T O B E R 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS
ABBOCATH NO 20 PCS
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET
ACYCLOVIR 400 MG TABLET
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL 1
ALLUPURINOL 100 MG TABLET
AMBROXOL 30 MG TABLET
AMBROXOL SYRUP 60 ML BOTOL
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET 3 10 10 5 4 6
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET 20 10
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 10 20 10 20 10 10 10 20 13
ANTASIDA SUSPENSI 60 ML BOTOL 5
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET
CAPTOPRIL 12,5 MG TABLET 20 10 10 10 20 20
CAPTOPRIL 25 MG TABLET 20
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS
CATGUT CHROMIC NO 3/0 PCS
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET 10 50 10 12
COTRIMOXASOLE SUSPENSI 60 ML BOTOL
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET 38 7 10 30 10 20 20 20 10
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 1 CC PCS
DISPOSIBLE 3 CC PCS
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET 10 20
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET 10 15 50 18 20 10 10 10 20 20 50
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET
METRONIDAZOLE 500 MG TABLET
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
NATRIUM DICLOFENAK 25 MG TABLET
NATRIUM DICLOFENAK 50 MG TABLET
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET 6 6
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET 50 10 20 30 15 43 7 12 10 10 17 12 10 40
PARACETAMOL DROPS 15 ML BOTOL
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET
PRIMAQUIN 15 MG TABLET
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT
SARUNG TANGAN NO 7 PCS
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET
VITAMIN B 12 50 MCG TABLET
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET
ZINK DISPERSIBEL TABLET

PASIEN 2 4 2 5 5 2 3

PASIEN UMUM GENERIK


RESEP
6
6
8
8
5
5
12
12
20
20
10
10
15
15
PASIEN 2 2 5

PASIEN BPJS PBI GENERIK


RESEP
10
10
12
12
10
10
PASIEN 2 2

PASIEN BPJS NON PBI GENERIK


RESEP
10
10
6
6
PASIEN 2 1

PASIEN JAMKESDA GENERIK


RESEP
10
10
6
6
N OBAT
2014
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
0 10
0 11
0 12
1 13
0 14
0 15
0 16
0 17
0 18
0 19
0 20
0 21
0 22
20 16 10 12 20 116 23
0 24
0 25
0 26
0 27
0 28
0 29
30 30
0 31
12 135 32
4 510 519 33
0 34
0 35
0 36
0 37
0 38
0 39
0 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
0 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
0 58
0 59
0 60
0 61
10 10 110 62
20 40 63
0 64
0 65
0 66
0 67
0 68
0 69
0 70
0 71
0 72
0 73
0 74
0 75
0 76
0 77
0 78
0 79
0 80
0 81
0 82
0 83
0 84
0 85
0 86
0 87
0 88
0 89
0 90
0 91
0 92
0 93
0 94
23 10 10 10 135 95
0 96
0 97
0 98
0 99
18 10 14 15 17 20 20 279 100
0 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
0 112
0 113
0 114
0 115
10 10 50 116
0 117
0 118
0 119
0 120
0 121
0 122
0 123
0 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
0 132
0 133
0 134
0 135
0 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
0 145
0 146
0 147
0 148
0 149
0 150
0 151
0 152
0 153
0 154
0 155
0 156
0 157
0 158
0 159
30 21 7 21 21 12 345 160
0 161
0 162
0 163
0 164
0 165
0 166
0 167
0 168
0 169
0 170
0 171
0 172
0 173
0 174
0 175
0 176
0 177
0 178
0 179
0 180
0 181
0 182
0 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
0 196
0 197
0 198
0 199
0 200
0 201
0 202
0 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
12 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
20 12 23 43 50 22 10 10 10 10 496 231
0 232
0 233
0 234
0 235
0 236
0 237
0 238
0 239
0 240
0 241
0 242
0 243
0 244
0 245
0 246
0 247
0 248
0 249
0 250
0 251
0 252
0 253
0 254
0 255
0 256
0 257
0 258
0 259
0 260
0 261
0 262
0 263
0 264
0 265
0 266
0 267
0 268
0 269
0 270
0 271
0 272
0 273
0 274
0 275
0 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
0 289
0 290
0 291
0 292
0 293
0 294
0 295
0 296
0 297
0 298
0 299
0 300
0 301
0 302
0 303

23
76
76
3 2 1 15
12 6 5 55
12 6 5 55
4
16
16
0
0
0
REKAPAN PENGELUARAN OBAT
BULAN N O V E M B E R 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS
ABBOCATH NO 20 PCS
ABBOCATH NO 22 PCS
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET
ACYCLOVIR 400 MG TABLET
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL
ALLUPURINOL 100 MG TABLET
AMBROXOL 30 MG TABLET
AMBROXOL SYRUP 60 ML BOTOL
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET 10 6 6 18 20
AMOXIXILIN 250 MG CAPSUL
AMOXIXILIN 500 MG TABLET
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 50 10 6 18 10 10 10 20 23 43 50
ANTASIDA SUSPENSI 60 ML BOTOL
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET 10 20 10
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET
CAPTOPRIL 12,5 MG TABLET 10 20 10 10 20
CAPTOPRIL 25 MG TABLET
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS 5 5
CATGUT CHROMIC NO 3/0 PCS
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 12 10 27 10 10 20 18 50 10 10 10 20 23 45
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
COTRIMOXASOLE 480 MG TABLET
COTRIMOXASOLE SUSPENSI 60 ML BOTOL
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET 12 10 27 6 10 50 50 20 10 24
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 1 CC PCS
DISPOSIBLE 3 CC PCS
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET 10 20 10 30 18 23 20 19 20 10 10
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET
METRONIDAZOLE 500 MG TABLET
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
NATRIUM DICLOFENAK 25 MG TABLET
NATRIUM DICLOFENAK 50 MG TABLET
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET
PRIMAQUIN 15 MG TABLET
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT
SARUNG TANGAN NO 7 PCS
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET
VITAMIN B 12 50 MCG TABLET
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET
ZINK DISPERSIBEL TABLET

PASIEN 2 3 4 2 3 3 2 3

PASIEN UMUM GENERIK


RESEP
3
3
5
5
1
1
6
6
PASIEN 1 2 3 2 4

PASIEN BPJS PBI GENERIK


RESEP
6
6
1
1
18
18
5
5
17
17
PASIEN 1 2 1

PASIEN BPJS NON PBI GENERIK


RESEP
5
5
1
1
5
5
PASIEN 3 2

PASIEN JAMKESDA GENERIK


RESEP
10
10
1
1
N OBAT
2014
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL NO
5 6 1
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
0 10
0 11
0 12
0 13
0 14
0 15
0 16
0 17
0 18
0 19
0 20
0 21
0 22
60 23
0 24
0 25
0 26
0 27
0 28
0 29
0 30
0 31
20 20 30 30 10 10 10 30 20 430 32
0 33
0 34
0 35
0 36
0 37
0 38
0 39
0 40
0 41
0 42
0 43
0 44
0 45
0 46
0 47
40 48
0 49
0 50
0 51
0 52
0 53
0 54
0 55
0 56
0 57
0 58
0 59
0 60
0 61
10 80 62
0 63
0 64
10 65
0 66
0 67
0 68
0 69
0 70
0 71
0 72
0 73
0 74
0 75
0 76
0 77
0 78
0 79
0 80
0 81
20 17 18 330 82
0 83
0 84
0 85
0 86
0 87
0 88
0 89
0 90
0 91
0 92
0 93
0 94
0 95
0 96
0 97
0 98
0 99
30 30 10 20 309 100
0 101
0 102
0 103
0 104
0 105
0 106
0 107
0 108
0 109
0 110
0 111
0 112
0 113
0 114
0 115
0 116
0 117
0 118
0 119
0 120
0 121
0 122
0 123
0 124
0 125
0 126
0 127
0 128
0 129
0 130
0 131
0 132
0 133
0 134
0 135
0 136
0 137
0 138
0 139
0 140
0 141
0 142
0 143
0 144
0 145
0 146
0 147
0 148
0 149
0 150
0 151
0 152
0 153
0 154
0 155
0 156
0 157
0 158
0 159
20 210 160
0 161
0 162
0 163
0 164
0 165
0 166
0 167
0 168
0 169
0 170
0 171
0 172
0 173
0 174
0 175
0 176
0 177
0 178
0 179
0 180
0 181
0 182
0 183
0 184
0 185
0 186
0 187
0 188
0 189
0 190
0 191
0 192
0 193
0 194
0 195
0 196
0 197
0 198
0 199
0 200
0 201
0 202
0 203
0 204
0 205
0 206
0 207
0 208
0 209
0 210
0 211
0 212
0 213
0 214
0 215
0 216
0 217
0 218
0 219
0 220
0 221
0 222
0 223
0 224
0 225
0 226
0 227
0 228
0 229
0 230
0 231
0 232
0 233
0 234
0 235
0 236
0 237
0 238
0 239
0 240
0 241
0 242
0 243
0 244
0 245
0 246
0 247
0 248
0 249
0 250
0 251
0 252
0 253
0 254
0 255
0 256
0 257
0 258
0 259
0 260
0 261
0 262
0 263
0 264
0 265
0 266
0 267
0 268
0 269
0 270
0 271
0 272
0 273
0 274
0 275
0 276
0 277
0 278
0 279
0 280
0 281
0 282
0 283
0 284
0 285
0 286
0 287
0 288
0 289
0 290
0 291
0 292
0 293
0 294
0 295
0 296
0 297
0 298
0 299
0 300
0 301
0 302
0 303

4 3 2 3 34
15
15
1 13
4 51
4 51
4
11
11
5
11
11
REKAPAN PENGELUARAN OBAT
BULAN D E S E M B E R 2014

NAMA OBAT SATUAN 26 27 28 29 30 31 1 2 3 4 5 6 7 8


3 4
ABBOCATH NO 18 PCS 1
ABBOCATH NO 20 PCS
ABBOCATH NO 22 PCS 2
ABBOCATH NO 24 PCS
ACYCLOVIR 200 MG TABLET
ACYCLOVIR 400 MG TABLET
ACYCLOVIR KRIM TUBE
ACYCLOVIR SALEP MATA 3 % TUBE
ADIDRIL INJEKSI VIAL
ADIMIDON INJEKSI VIAL
ALBENDAZOLE 400 MG TABLET
ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
ALKOHOL 7 % 1 LITER BOTOL
ALLUPURINOL 100 MG TABLET
AMBROXOL 30 MG TABLET 10 10 3
AMBROXOL SYRUP 60 ML BOTOL
AMILORID 5 MG TABLET
AMINOPHILIN 200 MG TABLET
AMINOPHILIN 24 MG/ML 10 ML AMPUL
AMITRIPTYLINE 25 MG TABLET
AMPICILIN SERBUK INJEKSI 500 MG VIAL
AMLODIPINE 5 MG TABLET
AMLODIPINE 10 MG TABLET
AMOXIXILIN 250 MG CAPSUL 2 10 10 10 10 4 2 4
AMOXIXILIN 500 MG TABLET 10 20
AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
AMPICILIN 500 MG TABLET
AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
ANTALGIN 500 MG TABLET
ANTALGIN 25 % 2 ML AMPUL
ANTASIDA TABLET 10 10 5 10 8 10 10
ANTASIDA SUSPENSI 60 ML BOTOL 5 2 1
ANTIBAKTERI DOEN TUBE
ANTIFUNGI DOEN KOMBINASI 30 GR POT
ANTIHAEMOROID 2 GR SUPPOSITORIA
ANTIMIGREN TABLET
ANTIPARKINSON DOEN TABLET
AQUA STERIL 20 ML VIAL
ARTERAKINE TABLET
ARTESUNATE INJEKSI 60 MG VIAL
ASAM ASETILSALISILAT 100 MG TABLET
ASAM ASETILSALISILAT 500 MG TABLET
ASAM ASETILSALISILAT 80 MG TABLET
ASAM FOLAT 0,4 MG TABLET
ASAM FOLAT 1 MG TABLET
ASAM FOLAT 5 MG TABLET
ASAM MEFENAMAT 500 MG TABLET 10 10 20
ASAM PIPEMIDAT 400 MG CAPSUL
ASAM TRANEKSAMAT 500 MG TABLET
ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
ATAPULGIT TABLET
ATENOLOL 50 MG TABLET
ATROPIN 0.5 MG TABLET
ATROPIN INJEKSI 0.25 MG / ML AMPUL
ATROPIN TETES MATA 0.5 % BOTOL
BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
BETAMETHASONE KRIM 0,1% 5 GR TUBE
CALCII GLUCONAS AMPUL
CALSIUM HIDROKSIDA POT
CALSIUM LAKTAT 500 MG TABLET
CAPTOPRIL 12,5 MG TABLET 10 10
CAPTOPRIL 25 MG TABLET
CARBAMAZEPINE 200 MG TABLET
CATGUT CHROMIC NO 2/0 PCS
CATGUT CHROMIC NO 3/0 PCS
CAVIPLEX TABLET
CAVIPLEX SYRUP BOTOL
CEFADROKSIL 500 MG CAPSUL
CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
CEFIKSIM 100 MG CAPSUL
CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
CEFOTAXIME INJEKSI VIAL
CEFTRIAXONE INJEKSI VIAL
CETIRIZINE 10 MG TABLET
CLOFAZIMIN 100 MG CAPSUL
CHLORAMFENICOL 250 MG CAPSUL
CHLORAMFENICOL SALEP MATA 1 % TUBE
CHLORAMFENICOL SUSPENSI BOTOL
CHLORAMFENICOL TETES MATA 0,5 % BOTOL
CHLORAMFENICOL TETES TELINGA 3 % BOTOL
CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET
CHLOROQUIN 250 MG TABLET
CHLORPROMAZINE 25 MG TABLET
CHLORPROMAZINE 100 MG TABLET
CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
CIMETIDINE 200 MG TABLET
CIPROFLOXACIN 500 MG TABLET
CLINDAMYCIN 150 MG TABLET
CLINDAMYCIN 300 MG TABLET
CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
CLORHEKSIDIN 0,2 % BOTOL
COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET 6 2 10 10 20 10
COTRIMOXASOLE 480 MG TABLET
COTRIMOXASOLE SUSPENSI 60 ML BOTOL
DAPSON 100 MG TABLET
DEKSTRAN 70 BOTOL
DEVITALISASI NON ARSEN POT
DEXAMETHASONE 0,5 MG TABLET 14 2 6 20 6 3 10 10
DEXAMETHASONE INJEKSI 5 MG / ML AMPUL
DEXTROMETORPHAN 15 MG TABLET
DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
DIAZEPAM 2 MG TABLET
DIAZEPAM 5 MG TABLET
DIAZEPAM INJEKSI 5 MG / ML AMPUL
DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
DIETILKARBAMAZIN 100 MG TABLET
DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL
DIGOXIN 0,25 MG TABLET
DILTIAZEM 30 MG TABLET
DISPOSIBLE 1 CC PCS
DISPOSIBLE 3 CC PCS
DISPOSIBLE 5 CC PCS
DISPOSIBLE 10 CC PCS
DOMPERIDON 10 MG TABLET
DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
DOXYCYCLINE 100 MG CAPSUL
EFEDRIN 25 MG TABLET
EKSTRAK BELLADONA 10 MG TABLET
EPINEFRIN INJEKSI 0,1 % AMPUL
ERITROMISIN 250 MG CAPSUL
ERITROMISIN 500 MG CAPSUL
ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
ETAMBUTOL 500 MG TABLET
ETIL CHLORIDA SPRAY BOTOL
EUGENOL CAIRAN 10 ML BOTOL
FAMOTIDINE 40 MG TABLET
FENOKSIMETIL PENISILIN 250 MG TABLET
FENOKSIMETIL PENISILIN 500 MG TABLET
FENOL GLISEROL TETES TELINGA 10 % BOTOL
FERRO SULFAT TABLET
FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
FLUOR 0,5 MG TABLET
FORMOKRESOL CAIRAN BOTOL
FUROSEMIDE 40 MG TABLET
FUROSEMIDE INJEKSI 10 MG / ML AMPUL
GAMEKSAN LOTION 1 % BOTOL
GENTAMISIN SALEP KULIT 0,1 % TUBE
GENTAMISIN TETES MATA 0,3 % BOTOL
GENTAMISIN INJEKSI 10 MG / ML AMPUL
GENTIAN VIOLET 1 % 10 ML BOTOL
GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
GLIBENCLAMIDE 5 MG TABLET
GLISERIL GUAIACOLAT 100 MG TABLET
GLIMEPIRID 1 MG TABLET
GLIMEPIRID 2 MG TABLET
GLIPIZID 5 MG TABLET
GLISERIN BOTOL
GLUKOSA 5 % 500 ML BOTOL
GLUKOSA 10 % 500 ML BOTOL
GLUKOSA 40 % AMPUL
GRISEOFULVIN 125 MG TABLET
GUTTA PERCHA DAN PAPER POINTS BOTOL
HALOPERIDOL 0,5 MG TABLET
HALOPERIDOL 1,5 MG TABLET
HALOPERIDOL 5 MG TABLET
HIDROCHLORTIAZIDE 25 MG TABLET
HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
IBUPROFEN 200 MG TABLET
IBUPROFEN 400 MG TABLET
IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
ICHTIYOL SALEP POT
INFUSION SET ANAK PCS
INFUSION SET DEWASA PCS
ISONIASIDE 100 MG TABLET
ISONIASIDE 300 MG TABLET
ISOSORBIDE DINITRATE 5 MG TABLET
JARUM SUNTIK / NALL TABLET
KAPAS 250 GR ROL
KAPAS 500 GR ROL
KASA KOMPRESS STERIL 16 X 16 KOTAK
KASA KOMPRESS 40 X 80 CM ROL
KETAMIN INJEKSI 10 MG / ML VIAL
KETOKONAZOLE 200 MG TABLET
KETOKONAZOLE KRIM 2 % TUBE
KOMPOSIT RESIN SET
KUININ ( KINA ) 222 MG TABLET
KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
LEUKOPLAST 5 INCH X 2 YARD ROL
LIDOKAIN INJEKSI 2 % AMPUL
LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
LOPERAMIDE 2 MG TABLET
LORATADINE 1 MG BOTOL
MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
MEBENDAZOL 100 MG TABLET
MEBENDAZOL SIRUP 50 MG / ML TABLET
MELOKSIKAM 7,5 MG TABLET
MELOKSIKAM 15 MG TABLET
METFORMIN HCL 500 MG TABLET
METILERGOMETRIN MALEAT 0,125 MG TABLET
METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
METOCLOPRAMIDE 5 MG TABLET
METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
METRONIDAZOLE 250 MG TABLET
METRONIDAZOLE 500 MG TABLET
MIKONAZOL KRIM 2 % 5 GR TUBE
MINERAL MIX SACHET
NATRIUM BIKARBONAT 500 MG TABLET
NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL
NATRIUM DICLOFENAK 25 MG TABLET
NATRIUM DICLOFENAK 50 MG TABLET
NATRIUM FENITOIN 50 MG CAPSUL
NATRIUM FENITOIN 100 MG CAPSUL
NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
NATRIUM HIPOKLORIT 5 % BOTOL
NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
NIFEDIPINE 10 MG TABLET
NOREPINEFRIN INJEKSI 1 M / ML AMPUL
NYSTATIN 100.000 IU TABLET
NYSTATIN 500.000 IU TABLET
OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS KATEGORI I PAKET
OBAT ANTITUBERKULOSIS KATEGORI II PAKET
OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
OBAT ANTITUBERKULOSIS SISIPAN PAKET
OBAT BATUK HITAM 100 ML BOTOL
OMEPRAZOLE 20 MG CAPSUL
ORALIT 200 ML SACHET
OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
OXITETRASIKLIN SALEP KULIT 3 % TUBE
OXITETRASIKLIN SALEP MATA 1 % TUBE
OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
PAPAVERIN 40 MG TABLET
PARACETAMOL 100 MG TABLET
PARACETAMOL 500 MG TABLET
PARACETAMOL DROPS 15 ML BOTOL
PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
PASTA PENGISI SALURAN AKAR BOTOL
PHENOBARBITAL 30 MG TABLET
PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
PILOKARPIN TETES MATA 2 % BOTOL
PIRACETAM 400 MG TABLET
PIRANTEL 125 MG TABLET
PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL
PIRAZINAMIDE 500 MG TABLET
PIROXICAM 10 MG CAPSUL
PIROXICAM 20 MG CAPSUL
POVIDON IODIDA 10 % 30 ML BOTOL
POVIDON IODIDA 10 % 60 ML BOTOL
POVIDON IODIDA 10 % 300 ML BOTOL
POVIDON IODIDA 10 % 1000 ML BOTOL
PRAZIKUANTEL 300 MG TABLET
PREDNISONE 5 MG TABLET
PRIMAQUIN 15 MG TABLET
PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
PROPANOLOL 40 MG TABLET
PROPILTIOURASIL 100 MG TABLET
RANITIDINE 150 MG TABLET
RANITIDINE INJEKSI 25 MG / 2 ML AMPUL
RESERPHIN 0,25 MG TABLET
RIFAMPICIN 300 MG CAPSUL
RIFAMPICIN 450 MG CAPSUL
RIFAMPICIN 600 MG CAPSUL
RINGER LAKTAT 500 ML BOTOL
RIVANOL 0,1 % 300 ML BOTOL
SALBUTAMOL 2 MG TABLET
SALBUTAMOL 4 MG TABLET
SALEP 2 - 4 POT
SALICYL TALK 2 % 50 GR POT
SARUNG TANGAN NO 7 PCS
SARUNG TANGAN NO 7 1/2 PCS
SARUNG TANGAN NO 8 PCS
SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
SILK BLACK BRAIDED NO 3/0 PCS
SIMVASTATIN 10 MG TABLET
SIMVASTATIN 20 MG TABLET
SPIROLACTONE 25 MG TABLET
SULFASETAMIDA TETES MATA 15 % BOTOL
TETRACAIN TETES MATA 0.5 % BOTOL
TETRASIKLIN 250 MG CAPSUL
TETRASIKLIN 500 MG CAPSUL
TRAMADOL 50 MG CAPSUL
TRIHEXYLPHENIDIL 2 MG TABLET
VALPROAT 250 MG TABLET
VAKSIN VERORAB VIAL
VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL
VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL
VITAMIN B 1 50 MG TABLET
VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
VITAMIN B 6 10 MG TABLET
VITAMIN B 12 50 MCG TABLET
VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
VITAMIN B COMPLEKS TABLET
VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
VITAMIN C 50 MG TABLET
VITAMIN K 10 MG TABLET
VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL
WING NEEDLE NO 21 TABLET
WING NEEDLE NO 23 TABLET
WING NEEDLE NO 25 TABLET
WING NEEDLE NO 27 TABLET
ZINK DISPERSIBEL TABLET

PASIEN 2 3 1 1 2

PASIEN UMUM GENERIK


RESEP
8
8
18
18
2
2
6
6
18
18
PASIEN 1 1

PASIEN BPJS PBI GENERIK


RESEP
6
6
6
6
PASIEN 2 3

PASIEN BPJS NON PBI GENERIK


RESEP
4
4
24
24
PASIEN 3 2 1

PASIEN JAMKESDA GENERIK


RESEP
24
24
6
6
2
2
N OBAT
2014
TANGGAL
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL
5 6
1
0
2
0
0
0
0
0
0
0
0
0
0
0
3 10 36
0
0
0
0
0
0
0
0
12 5 5 12 86
30
0
0
0
0
0
0
10 10 5 2 6 10 10 116
1 9
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40
0
0
0
0
0
0
0
0
0
0
0
0
0
10 10 10 50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20 10 88
0
0
0
0
0
10 6 6 2 2 10 107
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

3 1 3 2 2 20
19 6 19 5 10 111
19 6 19 5 10 111
2
12
12
5
28
28
2 8
12 44
12 44
REKAPAN MASUK OBAT
BULAN
NO NAMA OBAT SATUAN JANUARI PEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS
1 3 4 5 6 7 8 9 10 11 12
1 ABBOCATH NO 18 PCS 50
2 ABBOCATH NO 20 PCS 50 50 50
3 ABBOCATH NO 22 PCS 50 50 50
4 ABBOCATH NO 24 PCS
5 ACYCLOVIR 200 MG TABLET 1,400
6 ACYCLOVIR 400 MG TABLET 1,000
7 ACYCLOVIR KRIM TUBE 25
8 ACYCLOVIR SALEP MATA 3 % TUBE 25
9 ADIDRIL INJEKSI VIAL
10 ADIMIDON INJEKSI VIAL
11 ALBENDAZOLE 400 MG TABLET
12 ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL
13 ALKOHOL 7 % 1 LITER BOTOL 10
14 ALLUPURINOL 100 MG TABLET 10,000
15 AMBROXOL 30 MG TABLET
16 AMBROXOL SYRUP 60 ML BOTOL 200 100
17 AMILORID 5 MG TABLET
18 AMINOPHILIN 200 MG TABLET
19 AMINOPHILIN 24 MG/ML 10 ML AMPUL
20 AMITRIPTYLINE 25 MG TABLET 1,000
21 AMPICILIN SERBUK INJEKSI 500 MG VIAL
22 AMLODIPINE 5 MG TABLET 1,500 300
23 AMLODIPINE 10 MG TABLET 0
24 AMOXIXILIN 250 MG CAPSUL
25 AMOXIXILIN 500 MG TABLET 10,000
26 AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL 50
27 AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL
28 AMPICILIN 500 MG TABLET
29 AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL
30 ANTALGIN 500 MG TABLET
31 ANTALGIN 25 % 2 ML AMPUL
32 ANTASIDA TABLET 7,200
33 ANTASIDA SUSPENSI 60 ML BOTOL
34 ANTIBAKTERI DOEN TUBE
35 ANTIFUNGI DOEN KOMBINASI 30 GR POT
36 ANTIHAEMOROID 2 GR SUPPOSITORIA
37 ANTIMIGREN TABLET
38 ANTIPARKINSON DOEN TABLET
39 AQUA STERIL 20 ML VIAL
40 ARTERAKINE TABLET 1,000 48
41 ARTESUNATE INJEKSI 60 MG VIAL
42 ASAM ASETILSALISILAT 100 MG TABLET
43 ASAM ASETILSALISILAT 500 MG TABLET
44 ASAM ASETILSALISILAT 80 MG TABLET
45 ASAM FOLAT 0,4 MG TABLET
46 ASAM FOLAT 1 MG TABLET
47 ASAM FOLAT 5 MG TABLET
48 ASAM MEFENAMAT 500 MG TABLET
49 ASAM PIPEMIDAT 400 MG CAPSUL
50 ASAM TRANEKSAMAT 500 MG TABLET
51 ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL
52 ATAPULGIT TABLET 1,000
53 ATENOLOL 50 MG TABLET
54 ATROPIN 0.5 MG TABLET
55 ATROPIN INJEKSI 0.25 MG / ML AMPUL
56 ATROPIN TETES MATA 0.5 % BOTOL
57 BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL
58 BETAMETHASONE KRIM 0,1% 5 GR TUBE 100
59 CALCII GLUCONAS AMPUL
60 CALSIUM HIDROKSIDA POT
61 CALSIUM LAKTAT 500 MG TABLET 2,000 1,800
62 CAPTOPRIL 12,5 MG TABLET 4,000 4,000
63 CAPTOPRIL 25 MG TABLET 5,000
64 CARBAMAZEPINE 200 MG TABLET
65 CATGUT CHROMIC NO 2/0 PCS 120 72
66 CATGUT CHROMIC NO 3/0 PCS 120 72
67 CAVIPLEX TABLET
68 CAVIPLEX SYRUP BOTOL
69 CEFADROKSIL 500 MG CAPSUL
70 CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL
71 CEFIKSIM 100 MG CAPSUL 1,000
72 CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL
73 CEFOTAXIME INJEKSI VIAL 10
74 CEFTRIAXONE INJEKSI VIAL 10
75 CETIRIZINE 10 MG TABLET
76 CLOFAZIMIN 100 MG CAPSUL
77 CHLORAMFENICOL 250 MG CAPSUL
78 CHLORAMFENICOL SALEP MATA 1 % TUBE 120
79 CHLORAMFENICOL SUSPENSI BOTOL
80 CHLORAMFENICOL TETES MATA 0,5 % BOTOL
81 CHLORAMFENICOL TETES TELINGA 3 % BOTOL
82 CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 10,000
83 CHLOROQUIN 250 MG TABLET
84 CHLORPROMAZINE 25 MG TABLET
85 CHLORPROMAZINE 100 MG TABLET 500
86 CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL
87 CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL
88 CIMETIDINE 200 MG TABLET
89 CIPROFLOXACIN 500 MG TABLET 9,600 1,600 3,200
90 CLINDAMYCIN 150 MG TABLET 3,200
91 CLINDAMYCIN 300 MG TABLET 2,800
92 CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL
93 CLORHEKSIDIN 0,2 % BOTOL
94 COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET
95 COTRIMOXASOLE 480 MG TABLET
96 COTRIMOXASOLE SUSPENSI 60 ML BOTOL 200
97 DAPSON 100 MG TABLET
98 DEKSTRAN 70 BOTOL
99 DEVITALISASI NON ARSEN POT
100 DEXAMETHASONE 0,5 MG TABLET
101 DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 200 100
102 DEXTROMETORPHAN 15 MG TABLET
103 DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL
104 DIAZEPAM 2 MG TABLET
105 DIAZEPAM 5 MG TABLET
106 DIAZEPAM INJEKSI 5 MG / ML AMPUL 30
107 DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE
108 DIETILKARBAMAZIN 100 MG TABLET
109 DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL 150
110 DIGOXIN 0,25 MG TABLET
111 DILTIAZEM 30 MG TABLET
112 DISPOSIBLE 2.5 CC PCS 300
113 DISPOSIBLE 3 CC PCS 300
114 DISPOSIBLE 5 CC PCS 200
115 DISPOSIBLE 10 CC PCS
116 DOMPERIDON 10 MG TABLET
117 DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL
118 DOXYCYCLINE 100 MG CAPSUL
119 EFEDRIN 25 MG TABLET
120 EKSTRAK BELLADONA 10 MG TABLET
121 EPINEFRIN INJEKSI 0,1 % AMPUL 90
122 ERITROMISIN 250 MG CAPSUL 2,700
123 ERITROMISIN 500 MG CAPSUL
124 ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL
125 ETAMBUTOL 500 MG TABLET
126 ETIL CHLORIDA SPRAY BOTOL
127 EUGENOL CAIRAN 10 ML BOTOL
128 FAMOTIDINE 40 MG TABLET
129 FENOKSIMETIL PENISILIN 250 MG TABLET
130 FENOKSIMETIL PENISILIN 500 MG TABLET
131 FENOL GLISEROL TETES TELINGA 10 % BOTOL
132 FERRO SULFAT TABLET 12,000
133 FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL
134 FLUOR 0,5 MG TABLET
135 FORMOKRESOL CAIRAN BOTOL
136 FUROSEMIDE 40 MG TABLET 1,000 200
137 FUROSEMIDE INJEKSI 10 MG / ML AMPUL
138 GAMEKSAN LOTION 1 % BOTOL
139 GENTAMISIN SALEP KULIT 0,1 % TUBE
140 GENTAMISIN TETES MATA 0,3 % BOTOL
141 GENTAMISIN INJEKSI 10 MG / ML AMPUL
142 GENTIAN VIOLET 1 % 10 ML BOTOL
143 GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT
144 GLIBENCLAMIDE 5 MG TABLET
145 GLISERIL GUAIACOLAT 100 MG TABLET 10,000 5,000
146 GLIMEPIRID 1 MG TABLET
147 GLIMEPIRID 2 MG TABLET
148 GLIPIZID 5 MG TABLET
149 GLISERIN BOTOL
150 GLUKOSA 5 % 500 ML BOTOL 100 100
151 GLUKOSA 10 % 500 ML BOTOL
152 GLUKOSA 40 % AMPUL
153 GRISEOFULVIN 125 MG TABLET
154 GUTTA PERCHA DAN PAPER POINTS BOTOL
155 HALOPERIDOL 0,5 MG TABLET 500 500
156 HALOPERIDOL 1,5 MG TABLET
157 HALOPERIDOL 5 MG TABLET
158 HIDROCHLORTIAZIDE 25 MG TABLET
159 HIDROCORTISONE KRIM 2,5 % 5 GR TUBE
160 IBUPROFEN 200 MG TABLET
161 IBUPROFEN 400 MG TABLET
162 IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL
163 ICHTIYOL SALEP POT
164 INFUSION SET ANAK PCS 50 50 50
165 INFUSION SET DEWASA PCS 50 50 50
166 ISONIASIDE 100 MG TABLET
167 ISONIASIDE 300 MG TABLET
168 ISOSORBIDE DINITRATE 5 MG TABLET
169 JARUM SUNTIK / NALL TABLET
170 KAPAS 250 GR ROL 5 3
171 KAPAS 500 GR ROL 100
172 KASA KOMPRESS STERIL 16 X 16 KOTAK 100
173 KASA KOMPRESS 40 X 80 CM ROL
174 KETAMIN INJEKSI 10 MG / ML VIAL
175 KETOKONAZOLE 200 MG TABLET
176 KETOKONAZOLE KRIM 2 % TUBE 200 50
177 KOMPOSIT RESIN SET
178 KUININ ( KINA ) 222 MG TABLET
179 KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL
180 LEUKOPLAST 5 INCH X 2 YARD ROL 12 18
181 LIDOKAIN INJEKSI 2 % AMPUL 100
182 LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL
183 LOPERAMIDE 2 MG TABLET 1,000
184 LORATADINE 1 MG BOTOL
185 MAGNESIUM SULFAT SERBUK 30 GRAM SACHET
186 MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL
187 MEBENDAZOL 100 MG TABLET
188 MEBENDAZOL SIRUP 50 MG / ML TABLET
189 MELOKSIKAM 7,5 MG TABLET 1,000
190 MELOKSIKAM 15 MG TABLET
191 METFORMIN HCL 500 MG TABLET
192 METILERGOMETRIN MALEAT 0,125 MG TABLET
193 METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL
194 METOCLOPRAMIDE 5 MG TABLET
195 METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL
196 MULTIVITAMIN IBU HAMIL TABLET 3,000
197 METRONIDAZOLE 500 MG TABLET 1,000 1,000
198 MIKONAZOL KRIM 2 % 5 GR TUBE 120
199 MINERAL MIX SACHET
200 MULTIVITAMIN ANAK TABLET 100
201 NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL 100 100
202 NATRIUM DICLOFENAK 25 MG TABLET 2,800
203 NATRIUM DICLOFENAK 50 MG TABLET 2,800
204 NATRIUM FENITOIN 50 MG CAPSUL
205 NATRIUM FENITOIN 100 MG CAPSUL
206 NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL
207 NATRIUM FLUORESEIN TETES MATA 2 % BOTOL
208 NATRIUM HIPOKLORIT 5 % BOTOL
209 NATRIUM THIOSULFAT INJEKSI 25 % AMPUL
210 NIFEDIPINE 10 MG TABLET 1,000 100
211 NOREPINEFRIN INJEKSI 1 M / ML AMPUL
212 NYSTATIN 100.000 IU TABLET
213 NYSTATIN 500.000 IU TABLET
214 OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET
215 OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET
216 OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET
217 OBAT ANTITUBERKULOSIS KATEGORI I PAKET
218 OBAT ANTITUBERKULOSIS KATEGORI II PAKET
219 OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET
220 OBAT ANTITUBERKULOSIS SISIPAN PAKET
221 OBAT BATUK HITAM 100 ML BOTOL
222 OMEPRAZOLE 20 MG CAPSUL 300
223 ORALIT 200 ML SACHET 500
224 OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL
225 OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL
226 OXITETRASIKLIN SALEP KULIT 3 % TUBE
227 OXITETRASIKLIN SALEP MATA 1 % TUBE 100
228 OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL
229 PAPAVERIN 40 MG TABLET 1,000
230 PARACETAMOL 100 MG TABLET
231 PARACETAMOL 500 MG TABLET
232 PARACETAMOL DROPS 15 ML BOTOL 280
233 PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL
234 PASTA PENGISI SALURAN AKAR BOTOL
235 PHENOBARBITAL 30 MG TABLET
236 PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL
237 PILOKARPIN TETES MATA 2 % BOTOL
238 PIRACETAM 400 MG TABLET
239 PIRANTEL 125 MG TABLET 1,000
240 PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL 100
241 PIRAZINAMIDE 500 MG TABLET
242 PIROXICAM 10 MG CAPSUL 2,500
243 PIROXICAM 20 MG CAPSUL 3,000
244 POVIDON IODIDA 10 % 30 ML BOTOL 3
245 POVIDON IODIDA 10 % 60 ML BOTOL 24
246 POVIDON IODIDA 10 % 300 ML BOTOL
247 POVIDON IODIDA 10 % 1000 ML BOTOL 2
248 PRAZIKUANTEL 300 MG TABLET
249 PREDNISONE 5 MG TABLET 10,000
250 PRIMAQUIN 15 MG TABLET 3,600 1,000 3,000
251 PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL
252 PROPANOLOL 40 MG TABLET
253 PROPILTIOURASIL 100 MG TABLET
254 RANITIDINE 150 MG TABLET 7,200 2,000
255 RANITIDINE INJEKSI 25 MG / 2 ML AMPUL 50 50
256 RESERPHIN 0,25 MG TABLET
257 RIFAMPICIN 300 MG CAPSUL
258 RIFAMPICIN 450 MG CAPSUL
259 RIFAMPICIN 600 MG CAPSUL
260 RINGER LAKTAT 500 ML BOTOL 100 100
261 RIVANOL 0,1 % 300 ML BOTOL
262 SALBUTAMOL 2 MG TABLET 1,000
263 SALBUTAMOL 4 MG TABLET 7,000 500
264 SALEP 2 - 4 POT
265 SALICYL TALK 2 % 50 GR POT 100
266 SARUNG TANGAN NO 7 PCS 100
267 SARUNG TANGAN NO 7 1/2 PCS 100
268 SARUNG TANGAN NO 8 PCS 100
269 SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL
270 SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL
271 SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL
272 SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL
273 SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL
274 SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL
275 SILK BLACK BRAIDED NO 3/0 PCS 180
276 SIMVASTATIN 10 MG TABLET 1,500
277 SIMVASTATIN 20 MG TABLET
278 SPIROLACTONE 25 MG TABLET
279 SULFASETAMIDA TETES MATA 15 % BOTOL
280 TETRACAIN TETES MATA 0.5 % BOTOL
281 TETRASIKLIN 250 MG CAPSUL
282 TETRASIKLIN 500 MG CAPSUL
283 TRAMADOL 50 MG CAPSUL
284 TRIHEXYLPHENIDIL 2 MG TABLET
285 VALPROAT 250 MG TABLET
286 VAKSIN VERORAB VIAL
287 VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL 1,000 500
288 VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL 2,000 1,000
289 VITAMIN B 1 50 MG TABLET
290 VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL
291 VITAMIN B 6 10 MG TABLET 7,000
292 VITAMIN B 12 50 MCG TABLET 5,000
293 VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL
294 VITAMIN B COMPLEKS TABLET 6,800 10,000
295 VITAMIN B COMPLEKS INJEKSI 20 ML VIAL
296 VITAMIN C 50 MG TABLET 7,000
297 VITAMIN K 10 MG TABLET 1,000 500
298 VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL 150 90
299 WING NEEDLE NO 21 TABLET
300 WING NEEDLE NO 23 TABLET
301 WING NEEDLE NO 25 TABLET
302 ZINK 10 MG/ML SYRUP TABLET 128
303 ZINK DISPERSIBEL TABLET 6,000 1,000
TOTAL
SEPTEMBER OKTOBER NOVEMBER DESEMBER 6 BULAN 12 BULAN
13 14 15 16 17 18
50 50
150 150
150 150
0 0
1,400 1,400
1,000 1,000
25 25
25 25
0 0
0 0
0 0
0 0
10 10
10,000 10,000
0 0
300 300
0 0
0 0
0 0
1,000 1,000
0 0
1,800 1,800
0 0
0 0
10,000 10,000
50 50
0 0
0 0
0 0
0 0
0 0
7,200 7,200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1,048 1,048
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1,000 1,000
0 0
0 0
0 0
0 0
0 0
100 100
0 0
0 0
3,800 3,800
8,000 8,000
5,000 5,000
0 0
192 192
192 192
0 0
0 0
0 0
0 0
1,000 1,000
0 0
10 10
10 10
0 0
0 0
0 0
120 120
0 0
0 0
0 0
10,000 10,000
0 0
0 0
500 500
0 0
0 0
0 0
14,400 14,400
3,200 3,200
2,800 2,800
0 0
0 0
0 0
0 0
200 200
0 0
0 0
0 0
0 0
300 300
0 0
0 0
0 0
0 0
30 30
0 0
0 0
150 150
0 0
0 0
300 300
300 300
200 200
0 0
0 0
0 0
0 0
0 0
0 0
90 90
2,700 2,700
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
12,000 12,000
0 0
0 0
0 0
1,000 1,200
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
15,000 15,000
0 0
0 0
0 0
0 0
200 200
0 0
0 0
0 0
0 0
1,000 1,000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
150 150
150 150
0 0
0 0
0 0
0 0
8 8
100 100
100 100
0 0
0 0
0 0
250 250
0 0
0 0
0 0
30 30
100 100
0 0
1,000 1,000
0 0
0 0
0 0
0 0
0 0
1,000 1,000
0 0
0 0
0 0
0 0
0 0
0 0
3,000 3,000
2,000 2,000
120 120
0 0
100 100
200 200
2,800 2,800
2,800 2,800
0 0
0 0
0 0
0 0
0 0
0 0
1,000 1,100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 300
0 500
0 0
0 0
0 0
0 100
0 0
0 1,000
0 0
0 0
280 280
0 0
0 0
0 0
0 0
0 0
0 0
1,000 1,000
100 100
0 0
2,500 2,500
3,000 3,000
0 3
24 24
0 0
2 2
0 0
10,000 10,000
4,600 7,600
0 0
0 0
0 0
9,200 9,200
100 100
0 0
0 0
0 0
0 0
200 200
0 0
1,000 1,000
7,500 7,500
0 0
100 100
100 100
100 100
100 100
0 0
0 0
0 0
0 0
0 0
0 0
180 180
1,500 1,500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1,000 1,500
2,000 3,000
0 0
0 0
7,000 7,000
5,000 5,000
0 0
16,800 16,800
0 0
7,000 7,000
1,500 1,500
240 240
0 0
0 0
0 0
128 128
7,000 7,000
REK

NO NAMA OBAT SATUAN JANUARI


1 3 4 5
1 ABBOCATH NO 18 PCS 0
2 ABBOCATH NO 20 PCS 0
3 ABBOCATH NO 22 PCS 0
4 ABBOCATH NO 24 PCS 0
5 ACYCLOVIR 200 MG TABLET
6 ACYCLOVIR 400 MG TABLET
7 ACYCLOVIR KRIM TUBE 12
8 ACYCLOVIR SALEP MATA 3 % TUBE 0
9 ADIDRIL INJEKSI VIAL 0
10 ADIMIDON INJEKSI VIAL 0
11 ALBENDAZOLE 400 MG TABLET 0
12 ALBENDAZOLE SUSPENSI 200 MG / 5 ML BOTOL 0
13 ALKOHOL 7 % 1 LITER BOTOL 0
14 ALLUPURINOL 100 MG TABLET 230
15 AMBROXOL 30 MG TABLET
16 AMBROXOL SYRUP 60 ML BOTOL 20
17 AMILORID 5 MG TABLET 0
18 AMINOPHILIN 200 MG TABLET 40
19 AMINOPHILIN 24 MG/ML 10 ML AMPUL 0
20 AMITRIPTYLINE 25 MG TABLET 0
21 AMPICILIN SERBUK INJEKSI 500 MG VIAL 0
22 AMLODIPINE 5 MG TABLET 20
23 AMLODIPINE 10 MG TABLET 0
24 AMOXIXILIN 250 MG CAPSUL 0
25 AMOXIXILIN 500 MG TABLET 0
26 AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL 0
27 AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML BOTOL 0
28 AMPICILIN 500 MG TABLET 0
29 AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML BOTOL 0
30 ANTALGIN 500 MG TABLET 0
31 ANTALGIN 25 % 2 ML AMPUL 0
32 ANTASIDA TABLET 252
33 ANTASIDA SUSPENSI 60 ML BOTOL 19
34 ANTIBAKTERI DOEN TUBE 0
35 ANTIFUNGI DOEN KOMBINASI 30 GR POT 0
36 ANTIHAEMOROID 2 GR SUPPOSITORIA 0
37 ANTIMIGREN TABLET 0
38 ANTIPARKINSON DOEN TABLET 0
39 AQUA STERIL 20 ML VIAL 0
40 ARTERAKINE TABLET 12
41 ARTESUNATE INJEKSI 60 MG VIAL 0
42 ASAM ASETILSALISILAT 100 MG TABLET 0
43 ASAM ASETILSALISILAT 500 MG TABLET 0
44 ASAM ASETILSALISILAT 80 MG TABLET 0
45 ASAM FOLAT 0,4 MG TABLET 0
46 ASAM FOLAT 1 MG TABLET 0
47 ASAM FOLAT 5 MG TABLET 0
48 ASAM MEFENAMAT 500 MG TABLET 0
49 ASAM PIPEMIDAT 400 MG CAPSUL 0
50 ASAM TRANEKSAMAT 500 MG TABLET 0
51 ASAM TRANEKSAMAT INJEKSI 100 MG / ML AMPUL 0
52 ATAPULGIT TABLET 0
53 ATENOLOL 50 MG TABLET 0
54 ATROPIN 0.5 MG TABLET 0
55 ATROPIN INJEKSI 0.25 MG / ML AMPUL 0
56 ATROPIN TETES MATA 0.5 % BOTOL 0
57 BENZATIN BENZIL PENICILIN 1,2 JUTA IU VIAL 0
58 BETAMETHASONE KRIM 0,1% 5 GR TUBE 0
59 CALCII GLUCONAS AMPUL 0
60 CALSIUM HIDROKSIDA POT 0
61 CALSIUM LAKTAT 500 MG TABLET 0
62 CAPTOPRIL 12,5 MG TABLET 290
63 CAPTOPRIL 25 MG TABLET 130
64 CARBAMAZEPINE 200 MG TABLET 0
65 CATGUT CHROMIC NO 2/0 PCS 16
66 CATGUT CHROMIC NO 3/0 PCS 16
67 CAVIPLEX TABLET 0
68 CAVIPLEX SYRUP BOTOL 0
69 CEFADROKSIL 500 MG CAPSUL 200
70 CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML BOTOL 0
71 CEFIKSIM 100 MG CAPSUL 200
72 CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML BOTOL 0
73 CEFOTAXIME INJEKSI VIAL 0
74 CEFTRIAXONE INJEKSI VIAL 0
75 CETIRIZINE 10 MG TABLET 200
76 CLOFAZIMIN 100 MG CAPSUL 0
77 CHLORAMFENICOL 250 MG CAPSUL 0
78 CHLORAMFENICOL SALEP MATA 1 % TUBE 0
79 CHLORAMFENICOL SUSPENSI BOTOL 0
80 CHLORAMFENICOL TETES MATA 0,5 % BOTOL 0
81 CHLORAMFENICOL TETES TELINGA 3 % BOTOL 0
82 CHLORFENIRAMINA MALEAT 4 MG ( CTM ) TABLET 2,045
83 CHLOROQUIN 250 MG TABLET 0
84 CHLORPROMAZINE 25 MG TABLET 0
85 CHLORPROMAZINE 100 MG TABLET 0
86 CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML AMPUL 0
87 CHLORPROMAZIN INJEKSI 25 MG / ML AMPUL 0
88 CIMETIDINE 200 MG TABLET 0
89 CIPROFLOXACIN 500 MG TABLET 300
90 CLINDAMYCIN 150 MG TABLET 0
91 CLINDAMYCIN 300 MG TABLET 0
92 CLORFENOL KAMFER MENTOL ( CHKM ) BOTOL 0
93 CLORHEKSIDIN 0,2 % BOTOL 0
94 COTRIMOXASOLE 120 MG ( PEDIATRIK ) TABLET 0
95 COTRIMOXASOLE 480 MG TABLET 250
96 COTRIMOXASOLE SUSPENSI 60 ML BOTOL 20
97 DAPSON 100 MG TABLET 0
98 DEKSTRAN 70 BOTOL 0
99 DEVITALISASI NON ARSEN POT 0
100 DEXAMETHASONE 0,5 MG TABLET 0
101 DEXAMETHASONE INJEKSI 5 MG / ML AMPUL 0
102 DEXTROMETORPHAN 15 MG TABLET 0
103 DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML BOTOL 0
104 DIAZEPAM 2 MG TABLET 0
105 DIAZEPAM 5 MG TABLET 0
106 DIAZEPAM INJEKSI 5 MG / ML AMPUL 0
107 DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE 0
108 DIETILKARBAMAZIN 100 MG TABLET 0
109 DIFENHIDRAMIN INJEKSI 10 MG / ML AMPUL 0
110 DIGOXIN 0,25 MG TABLET 0
111 DILTIAZEM 30 MG TABLET 0
112 DISPOSIBLE 1 CC PCS 0
113 DISPOSIBLE 3 CC PCS 50
114 DISPOSIBLE 5 CC PCS 2
115 DISPOSIBLE 10 CC PCS 0
116 DOMPERIDON 10 MG TABLET 355
117 DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML BOTOL 0
118 DOXYCYCLINE 100 MG CAPSUL 0
119 EFEDRIN 25 MG TABLET 0
120 EKSTRAK BELLADONA 10 MG TABLET 0
121 EPINEFRIN INJEKSI 0,1 % AMPUL 0
122 ERITROMISIN 250 MG CAPSUL 0
123 ERITROMISIN 500 MG CAPSUL 0
124 ERITROMISIN SIRUP 200 MG / 5 ML 60 ML BOTOL 20
125 ETAMBUTOL 500 MG TABLET 0
126 ETIL CHLORIDA SPRAY BOTOL 0
127 EUGENOL CAIRAN 10 ML BOTOL 0
128 FAMOTIDINE 40 MG TABLET 0
129 FENOKSIMETIL PENISILIN 250 MG TABLET 0
130 FENOKSIMETIL PENISILIN 500 MG TABLET 0
131 FENOL GLISEROL TETES TELINGA 10 % BOTOL 0
132 FERRO SULFAT TABLET 810
133 FERRO SULFAT SIRUP 15 MG / 5 ML BOTOL 0
134 FLUOR 0,5 MG TABLET 0
135 FORMOKRESOL CAIRAN BOTOL 0
136 FUROSEMIDE 40 MG TABLET 0
137 FUROSEMIDE INJEKSI 10 MG / ML AMPUL 0
138 GAMEKSAN LOTION 1 % BOTOL 0
139 GENTAMISIN SALEP KULIT 0,1 % TUBE 0
140 GENTAMISIN TETES MATA 0,3 % BOTOL 0
141 GENTAMISIN INJEKSI 10 MG / ML AMPUL 0
142 GENTIAN VIOLET 1 % 10 ML BOTOL 0
143 GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) POT 0
144 GLIBENCLAMIDE 5 MG TABLET 0
145 GLISERIL GUAIACOLAT 100 MG TABLET 630
146 GLIMEPIRID 1 MG TABLET 0
147 GLIMEPIRID 2 MG TABLET 0
148 GLIPIZID 5 MG TABLET 3
149 GLISERIN BOTOL 0
150 GLUKOSA 5 % 500 ML BOTOL 5
151 GLUKOSA 10 % 500 ML BOTOL 0
152 GLUKOSA 40 % AMPUL 0
153 GRISEOFULVIN 125 MG TABLET 0
154 GUTTA PERCHA DAN PAPER POINTS BOTOL 15
155 HALOPERIDOL 0,5 MG TABLET 0
156 HALOPERIDOL 1,5 MG TABLET 0
157 HALOPERIDOL 5 MG TABLET 0
158 HIDROCHLORTIAZIDE 25 MG TABLET 150
159 HIDROCORTISONE KRIM 2,5 % 5 GR TUBE 0
160 IBUPROFEN 200 MG TABLET 0
161 IBUPROFEN 400 MG TABLET 0
162 IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML BOTOL 0
163 ICHTIYOL SALEP POT 0
164 INFUSION SET ANAK PCS 2
165 INFUSION SET DEWASA PCS 2
166 ISONIASIDE 100 MG TABLET 0
167 ISONIASIDE 300 MG TABLET 0
168 ISOSORBIDE DINITRATE 5 MG TABLET 0
169 JARUM SUNTIK / NALL TABLET 0
170 KAPAS 250 GR ROL 0
171 KAPAS 500 GR ROL 0
172 KASA KOMPRESS STERIL 16 X 16 KOTAK 24
173 KASA KOMPRESS 40 X 80 CM ROL 0
174 KETAMIN INJEKSI 10 MG / ML VIAL 0
175 KETOKONAZOLE 200 MG TABLET
176 KETOKONAZOLE KRIM 2 % TUBE 0
177 KOMPOSIT RESIN SET 0
178 KUININ ( KINA ) 222 MG TABLET 0
179 KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML AMPUL 0
180 LEUKOPLAST 5 INCH X 2 YARD ROL 0
181 LIDOKAIN INJEKSI 2 % AMPUL 0
182 LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML AMPUL 0
183 LOPERAMIDE 2 MG TABLET 106
184 LORATADINE 1 MG BOTOL 0
185 MAGNESIUM SULFAT SERBUK 30 GRAM SACHET 0
186 MAGNESIUM SULFAT INJEKSI 40 % 25 ML BOTOL 0
187 MEBENDAZOL 100 MG TABLET 0
188 MEBENDAZOL SIRUP 50 MG / ML TABLET 0
189 MELOKSIKAM 7,5 MG TABLET 0
190 MELOKSIKAM 15 MG TABLET 0
191 METFORMIN HCL 500 MG TABLET 0
192 METILERGOMETRIN MALEAT 0,125 MG TABLET 0
193 METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN AMPUL 0
194 METOCLOPRAMIDE 5 MG TABLET 0
195 METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML BOTOL 0
196 MULTIVITAMIN ANAK TABLET 0
197 METRONIDAZOLE 500 MG TABLET 0
198 MIKONAZOL KRIM 2 % 5 GR TUBE 0
199 MINERAL MIX SACHET 0
200 NATRIUM BIKARBONAT 500 MG TABLET 0
201 NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML BOTOL 0
202 NATRIUM DICLOFENAK 25 MG TABLET 0
203 NATRIUM DICLOFENAK 50 MG TABLET 0
204 NATRIUM FENITOIN 50 MG CAPSUL 0
205 NATRIUM FENITOIN 100 MG CAPSUL 0
206 NATRIUM FENITOIN INJEKSI 100 MG / 2 ML AMPUL 0
207 NATRIUM FLUORESEIN TETES MATA 2 % BOTOL 0
208 NATRIUM HIPOKLORIT 5 % BOTOL 0
209 NATRIUM THIOSULFAT INJEKSI 25 % AMPUL 0
210 NIFEDIPINE 10 MG TABLET 0
211 NOREPINEFRIN INJEKSI 1 M / ML AMPUL 0
212 NYSTATIN 100.000 IU TABLET 0
213 NYSTATIN 500.000 IU TABLET 0
214 OBAT ANTITUBERKULOSIS FDC KATEGORI I PAKET 0
215 OBAT ANTITUBERKULOSIS FDC KATEGORI II PAKET 0
216 OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK PAKET 0
217 OBAT ANTITUBERKULOSIS KATEGORI I PAKET 0
218 OBAT ANTITUBERKULOSIS KATEGORI II PAKET 0
219 OBAT ANTITUBERKULOSIS KATEGORI ANAK PAKET 0
220 OBAT ANTITUBERKULOSIS SISIPAN PAKET 0
221 OBAT BATUK HITAM 100 ML BOTOL 0
222 OMEPRAZOLE 20 MG CAPSUL 0
223 ORALIT 200 ML SACHET 12
224 OXIMETAZOLIN TETES HIDUNG 0.025 % BOTOL 0
225 OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML VIAL 0
226 OXITETRASIKLIN SALEP KULIT 3 % TUBE 0
227 OXITETRASIKLIN SALEP MATA 1 % TUBE 0
228 OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) AMPUL 0
229 PAPAVERIN 40 MG TABLET 0
230 PARACETAMOL 100 MG TABLET 0
231 PARACETAMOL 500 MG TABLET 653
232 PARACETAMOL DROPS 15 ML BOTOL 0
233 PARACETAMOL SIRUP 120 MG / ML 60 ML BOTOL 0
234 PASTA PENGISI SALURAN AKAR BOTOL 0
235 PHENOBARBITAL 30 MG TABLET 0
236 PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL 0
237 PILOKARPIN TETES MATA 2 % BOTOL 0
238 PIRACETAM 400 MG TABLET 0
239 PIRANTEL 125 MG TABLET 200
240 PIRANTEL SUSPENSI 125 MG / 5 ML BOTOL 0
241 PIRAZINAMIDE 500 MG TABLET 0
242 PIROXICAM 10 MG CAPSUL 0
243 PIROXICAM 20 MG CAPSUL 0
244 POVIDON IODIDA 10 % 30 ML BOTOL 1
245 POVIDON IODIDA 10 % 60 ML BOTOL 0
246 POVIDON IODIDA 10 % 300 ML BOTOL 0
247 POVIDON IODIDA 10 % 1000 ML BOTOL 0
248 PRAZIKUANTEL 300 MG TABLET 0
249 PREDNISONE 5 MG TABLET 0
250 PRIMAQUIN 15 MG TABLET 0
251 PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG VIAL 0
252 PROPANOLOL 40 MG TABLET 0
253 PROPILTIOURASIL 100 MG TABLET 0
254 RANITIDINE 150 MG TABLET 0
255 RANITIDINE INJEKSI 25 MG / 2 ML AMPUL 0
256 RESERPHIN 0,25 MG TABLET 0
257 RIFAMPICIN 300 MG CAPSUL 0
258 RIFAMPICIN 450 MG CAPSUL 0
259 RIFAMPICIN 600 MG CAPSUL 0
260 RINGER LAKTAT 500 ML BOTOL 0
261 RIVANOL 0,1 % 300 ML BOTOL 0
262 SALBUTAMOL 2 MG TABLET 0
263 SALBUTAMOL 4 MG TABLET 0
264 SALEP 2 - 4 POT 0
265 SALICYL TALK 2 % 50 GR POT 0
266 SARUNG TANGAN NO 7 PCS 0
267 SARUNG TANGAN NO 7 1/2 PCS 0
268 SARUNG TANGAN NO 8 PCS 0
269 SERUM ANTI BISA ULAR ( ABU I ) 5 ML VIAL 0
270 SERUM ANTI BISA ULAR ( ABU II ) 50 ML VIAL 0
271 SERUM ANTI DIFTERI ( ADS ) 10.000 UI AMPUL 0
272 SERUM ANTI DIFTERI ( ADS ) 20.000 UI AMPUL 0
273 SERUM ANTI TETANUS INJEKSI 1.500 UI AMPUL 0
274 SERUM ANTI TETANUS INJEKSI 20.000 UI AMPUL 0
275 SILK BLACK BRAIDED NO 3/0 PCS 20
276 SIMVASTATIN 10 MG TABLET 0
277 SIMVASTATIN 20 MG TABLET 0
278 SPIROLACTONE 25 MG TABLET 0
279 SULFASETAMIDA TETES MATA 15 % BOTOL 0
280 TETRACAIN TETES MATA 0.5 % BOTOL 0
281 TETRASIKLIN 250 MG CAPSUL 0
282 TETRASIKLIN 500 MG CAPSUL 0
283 TRAMADOL 50 MG CAPSUL
284 TRIHEXYLPHENIDIL 2 MG TABLET 0
285 VALPROAT 250 MG TABLET 0
286 VAKSIN VERORAB VIAL 0
287 VITAMIN A 100.000 IU ( RETINOL BIRU ) CAPSUL 0
288 VITAMIN A 200.000 IU ( RETINOL MERAH ) CAPSUL 0
289 VITAMIN B 1 50 MG TABLET 400
290 VITAMIN B 1 INJEKSI 100 MG / ML 1 ML AMPUL 0
291 VITAMIN B 6 10 MG TABLET 0
292 VITAMIN B 12 50 MCG TABLET 0
293 VITAMIN B 12 INJEKSI 50 MCG 1 ML AMPUL 0
294 VITAMIN B COMPLEKS TABLET 0
295 VITAMIN B COMPLEKS INJEKSI 20 ML VIAL 0
296 VITAMIN C 50 MG TABLET 265
297 VITAMIN K 10 MG TABLET 0
298 VITAMIN K INJEKSI 10 MG / ML 1 ML AMPUL 0
299 WING NEEDLE NO 21 TABLET 0
300 WING NEEDLE NO 23 TABLET 0
301 WING NEEDLE NO 25 TABLET 0
302 WING NEEDLE NO 27 TABLET 0
303 ZINK DISPERSIBEL TABLET 300
REKAPAN PENGELUARAN OBAT
BULAN
PEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER
6 7 8 9 10 11 12 13
10 5 3 5 5 2 5 0
5 0 5 2 0 0 10 0
0 5 0 4 0 0 0 0
0 5 3 0 0 0 10 0
300 500 500 0 0 500 0
200 500 100 300 0 0 300 0
0 15 15 8 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 1 3 0 0 1 0 0
500 550 1,000 600 0 0 0 0
0 0 0 0
15 90 20 15 15 12 15 0
0 0 0 0 0 0 0 0
0 0 60 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 500 500 800 0 0 0
0 50 100 100 50 0 0 0
0 0 0 0 0 0
500 500 0
8 30 10 0 2 0 10 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1,000 1,500 4,514 0 0 0 60
0 0 0 0 0 0 0 0
400 3,500 2,000 1,180 1,200 600 1,000 1,355
0 200 100 5 0 81 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 85 0 0 0 25 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1,000 100 100 0 30 100 120
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 35 12 20 15 4 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1,000 400 300 200 300 200 180
0 1,000 500 500 500 500 350 300
0 600 500 400 500 200 200 170
0 0 0 0 0 0 0 0
5 20 10 14 10 6 15 5
0 20 10 20 10 10 15 4
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 700 500 500 50 100 0 0
0 2 3 0 0 20 0 0
200 350 300 250 100 0 100 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 350 50 150 20 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 50 20 20 15 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 2 0 0 0 1 0 5
500 1,500 500 600 500 700 500 381
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 30 20 100 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 300 0 0
500 1,000 500 800 500 600 500 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 24 0 47
0 4,000 1,000 407 0 866 0 20
0 200 27 16 20 0 5 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 2,329 0 0
7 20 10 20 15 35 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 25 0 0 0 3 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 30 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
50 50 50 100 30 0 0 0
0 0 80 130 100 55 0 0
0 0 0 0 0 2 0 0
0 0 0 0 0 0 0 0
0 3,000 607 0 0 1,669 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 220 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 57 0 0
0 600 300 200 0 500 0 0
0 200 40 50 0 0 0 0
0 0 15 30 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 100 0
0 0 0 0 0 0 300 0
0 0 0 0 0 0 0 0
1,000 2,000 1,500 3,000 2,000 1,000 600 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
50 500 0 0 40 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 12
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1,350 3,000 650 1,600 600 750 1,000 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
3 5 5 3 0 0 10 0
0 5 0 0 0 0 3 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1,000 1,000 100 100 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 131
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 5 0 3 5 0 0 0
0 5 0 5 5 0 5 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 40 0 50 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 3 0 0 0
0 0 0 0 0 0 0 0
0 20 12 15 30 40 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0
20 100 30 0 15 50 0 0
0 0 0 0 0 0 0 0
0 0 0 1,000 0 0 0 0
0 0 0 0 0 0 0 0
2 4 0 0 6 0 0 0
0 10 6 20 0 0 50 7
0 0 0 0 0 0 0 0
0 300 500 200 0 0 0 26
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1,000 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 2,000 500 300 200 0 0 0
0 1,000 200 500 300 0 300 0
0 100 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0
0 20 0 15 10 0 15 0
200 500 500 500 500 300 0
300 350 600 500 500 300 200 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 300 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 100 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 500 100 100 200 100 24 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 5 0 5 0 10 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 247 0 0 0 0 0 3,000
20 50 30 30 10 30 20 0
0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 200 350 20 0 0 20 0
5 20 0 20 0 0 10 0
0 0 0 0 0 0 0 0
0 0 500 0 0 0 0 60
200 0 500 500 500 500 300 0
0 0 0 0 0 0 0 2
5 5 5 0 0 0 0 0
0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
500 1,000 500 300 600 1,000 500 0
0 40 660 100 300 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 1,000 500 200 100 600 500 200
0 0 30 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 5 0 2 7 0 0 0
0 0 0 0 0 0 0 0
0 0 500 200 150 0 0 0
200 500 600 500 600 500 500 0
0 0 0 0 0 0 0 0
0 15 20 20 10 0 0 0
5 20 0 0 5 0 10 0
0 10 0 0 5 0 10 0
5 5 0 0 3 0 5 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 10 30 0 0 0 20 0
60 500 500 500 300 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 550 0 0 0 0 0 0
0 1,000 0 0 0 0 0 0
0 500 1,000 700 600 500 500 40
0 0 0 0 0 0 0 0
100 1,000 500 500 500 500 500 0
500 2,000 600 500 600 500 0 0
0 0 0 0 0 0 0 0
500 2,000 1,000 618 700 1,000 1,000 3,271
0 0 0 0 0 0 0 0
500 500 500 500 500 1,000 100 166
0 0 0 0 0 0 0 0
0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
9 30 17 20 20 20 5 0
250 500 500 800 300 1,000 7,950 0
TOTAL
OKTOBER NOVEMBER DESEMBER 6 BULAN 12 BULAN
14 15 16 17 18
0 0 1 28 36
0 0 0 12 22
0 0 2 9 11
0 0 0 8 18
0 0 0 1,300 1,800
0 0 0 1,100 1,400
0 0 0 50 50
0 0 0 0 0
0 0 0 0 0
0 0 0 0 5
0 0 0 0 0
0 0 0 0 0
1 0 0 5 7
0 0 0 2,880 2,880
0 0 36 0 36
0 0 0 175 202
0 0 0 0 0
0 0 0 100 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1,820 1,820
116 60 0 300 476
0 0 86 0 86
0 0 30 500 1,030
0 0 0 50 60
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
30 0 0 7,014 7,104
0 0 0 0 0
135 430 116 8,532 12,168
519 0 9 324 933
0 0 0 0 0
0 0 0 0 0
0 0 0 85 110
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1,212 1,462
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 92 96
0 0 0 0 0
0 0 0 0 0
0 0 0 1,900 2,580
110 80 50 2,790 4,180
40 0 0 2,130 2,740
0 0 0 0 0
0 10 0 75 111
0 0 0 76 105
0 0 0 0 0
0 0 0 0 0
0 0 0 1,950 2,050
0 0 0 5 25
0 0 0 1,400 1,500
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 770 770
0 0 0 0 0
0 0 0 0 0
0 0 0 115 115
0 0 0 0 0
0 0 0 0 0
0 0 0 2 8
4,000 330 0 5,645 11,556
0 0 0 0 0
0 0 0 0 0
0 0 0 50 150
0 0 0 0 0
0 0 0 0 0
0 0 0 0 300
0 0 0 3,600 4,700
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 88 0 159
135 0 0 5,657 6,678
0 0 0 283 288
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
279 309 107 0 3,024
0 0 0 72 107
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 25 28
0 0 0 0 0
0 0 0 0 0
0 0 0 30 30
0 0 0 0 0
0 0 0 0 0
0 0 0 280 280
0 0 0 360 415
0 0 0 2 4
0 0 0 0 0
50 0 0 3,962 5,681
0 0 0 0 0
0 0 0 0 220
0 0 0 0 0
0 0 0 0 0
0 0 0 0 57
0 0 0 1,100 1,600
0 0 0 290 290
0 0 0 65 65
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 100
0 0 0 0 300
0 0 0 0 0
0 0 0 10,310 11,910
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 590 590
0 0 0 0 0
0 0 0 0 0
0 0 0 0 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 7,830 9,580
0 0 0 0 0
0 0 0 0 0
0 0 0 3 3
0 0 0 0 0
0 0 0 21 31
0 0 0 5 8
0 0 0 0 0
0 0 0 0 0
0 0 0 15 15
0 0 0 0 30
0 0 0 0 0
0 0 0 0 0
0 0 0 2,350 2,350
0 0 0 0 0
345 210 0 0 686
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 15 15
0 0 0 17 22
0 0 0 0 0
0 0 0 0 0
0 0 0 90 90
0 0 0 0 0
0 0 0 3 3
0 0 0 0 0
0 0 0 101 141
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 165 215
0 0 0 0 0
0 0 0 1,000 1,000
0 0 0 0 0
0 0 0 12 12
0 0 0 36 93
0 0 0 0 0
0 0 0 1,106 1,132
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1,000 1,000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 3,000 3,000
0 0 0 2,000 2,300
0 0 0 100 100
0 0 0 0 0
0 0 0 100 100
0 0 0 45 60
0 0 0 1,700 2,500
0 0 0 2,250 2,750
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 300 300
0 0 0 0 0
0 0 0 100 100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
12 0 0 912 1,048
0 0 0 0 0
0 0 0 0 0
0 0 0 10 20
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
496 0 0 900 4,396
0 0 0 140 190
0 0 0 0 10
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 770 790
0 0 0 45 55
0 0 0 0 0
0 0 0 500 560
0 0 0 1,700 2,500
0 0 0 1 3
0 0 0 15 15
0 0 0 1 1
0 0 0 0 0
0 0 0 0 0
0 0 0 2,900 4,400
0 0 0 1,100 1,100
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 1,800 3,100
0 0 0 30 30
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 24 24
8 0 0 0 8
0 0 0 850 850
0 0 0 2,400 3,400
12 0 0 0 12
6 0 0 65 71
0 0 0 30 40
0 0 0 15 25
0 0 0 13 18
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 60 80
0 0 0 1,860 1,860
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 550 550
0 0 0 1,000 1,000
0 0 0 3,200 4,240
0 0 0 0 0
1,000 0 0 2,600 4,600
5,000 0 0 4,200 9,700
0 0 0 0 0
2,000 0 0 4,818 12,089
5 0 0 0 5
0 0 0 2,765 4,031
0 0 0 0 0
0 0 0 5 5
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 96 121
0 0 0 2,650 11,600
LAPORAN PERSEDIAAN BARANG
TAHUN 2016

SKPD : DINAS KESEHATAN


PUSKESMAS DUM-DUM
KECAMATAN KAO TELUK
KABUPATEN : HALMAHERA UTARA
PROPINSI : MALUKU UTARA

JUMLAH OBAT
NO NAMA OBAT SALDO AWAL MASUK KELUAR
1 2 3 4 5
1 ABBOCATH NO 18 39 50 28
2 ABBOCATH NO 20 150 12
3 ABBOCATH NO 22 150 9
4 ABBOCATH NO 24 47 0 8
5 ACYCLOVIR 200 MG 1,400 1,300
6 ACYCLOVIR 400 MG 0 0 0
7 ACYCLOVIR KRIM 31 25 50
8 ACYCLOVIR SALEP MATA 3 % 0 0
9 ADIDRIL INJEKSI 0 0 0
10 ADIMIDON INJEKSI 0 0 0
11 ALBENDAZOLE 400 MG 0 0
12 ALBENDAZOLE SUSPENSI 200 MG / 5 ML 0 0
13 ALKOHOL 7 % 1 LITER 4 10 5
14 ALLUPURINOL 100 MG 6,640 10,000 2,880
15 AMBROXOL 30 MG 0
16 AMBROXOL SYRUP 60 ML 25 300 175
17 AMILORID 5 MG 100 200 300
18 AMINOPHILIN 200 MG 100 0 100
19 AMINOPHILIN 24 MG/ML 10 ML 0 0
20 AMITRIPTYLINE 25 MG 690 1,000 0
21 AMPICILIN SERBUK INJEKSI 500 MG 0 0
22 AMLODIPINE 5 MG 900 260
23 AMLODIPINE 10 MG 300 0 0
24 AMOXIXILIN 250 MG 0 0 0
25 AMOXIXILIN 500 MG 5,765 10,000 1,880
26 AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML 170 50 163
27 AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML 0 0
28 AMPICILIN 500 MG 0 0
29 AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML 0 0
30 ANTALGIN 500 MG 0 0 0
31 ANTALGIN 25 % 2 ML 0 0
32 ANTASIDA 12,921 7,200 1,051
33 ANTASIDA SUSPENSI 60 ML 324 0 81
34 ANTIBAKTERI DOEN 0 0
35 ANTIFUNGI DOEN KOMBINASI 30 GR 0 0
36 ANTIHAEMOROID 2 GR 0 0
37 ANTIMIGREN 0 0 0
38 ANTIPARKINSON DOEN 0 0 0
39 AQUA STERIL 20 ML 0 0
40 ARTERAKINE 1,294 1,048 284
41 ARTESUNATE INJEKSI 60 MG 0 0
42 ASAM ASETILSALISILAT 100 MG 0 0
43 ASAM ASETILSALISILAT 500 MG 0 0
44 ASAM ASETILSALISILAT 80 MG 0 0
45 ASAM FOLAT 0,4 MG 0 0
46 ASAM FOLAT 1 MG 0 0
47 ASAM FOLAT 5 MG 0 0
48 ASAM MEFENAMAT 500 MG 0 0 0
49 ASAM PIPEMIDAT 400 MG 0 0
50 ASAM TRANEKSAMAT 500 MG 0 0
51 ASAM TRANEKSAMAT INJEKSI 100 MG / ML 0 0
52 ATAPULGIT 0 0
53 ATENOLOL 50 MG 0 0
54 ATROPIN 0.5 MG 0 0
55 ATROPIN INJEKSI 0.25 MG / ML 0 0
56 ATROPIN TETES MATA 0.5 % 0 0
57 BENZATIN BENZIL PENICILIN 1,2 JUTA IU 0 0
58 BETAMETHASONE KRIM 0,1% 5 GR 30 100 5
59 CALCII GLUCONAS 0 0
60 CALSIUM HIDROKSIDA 0 0
61 CALSIUM LAKTAT 500 MG 3,680 3,800 410
62 CAPTOPRIL 12,5 MG 4,865 8,000 1,510
63 CAPTOPRIL 25 MG 4,668 5,000 1,550
64 CARBAMAZEPINE 200 MG 0 0
65 CATGUT CHROMIC NO 2/0 72 192 35
66 CATGUT CHROMIC NO 3/0 82 192 22
67 CAVIPLEX 0 0 0
68 CAVIPLEX SYRUP 0 0
69 CEFADROKSIL 500 MG 1,981 0 580
70 CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML 10 0 5
71 CEFIKSIM 100 MG 500 1,000 1,400
72 CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML 0 0
73 CEFOTAXIME INJEKSI 28 10 10
74 CEFTRIAXONE INJEKSI 30 10 10
75 CETIRIZINE 10 MG 770 0 770
76 CLOFAZIMIN 100 MG 0 0
77 CHLORAMFENICOL 250 MG 0 0
78 CHLORAMFENICOL SALEP MATA 1 % 120 115
79 CHLORAMFENICOL SUSPENSI 0 0
80 CHLORAMFENICOL TETES MATA 0,5 % 0 0
81 CHLORAMFENICOL TETES TELINGA 3 % 378 0 2
82 CHLORFENIRAMINA MALEAT 4 MG ( CTM ) 32,139 10,000 5,645
83 CHLOROQUIN 250 MG 0 0
84 CHLORPROMAZINE 25 MG 0 0
85 CHLORPROMAZINE 100 MG 350 500 90
86 CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML 0 0
87 CHLORPROMAZIN INJEKSI 25 MG / ML 0 0
88 CIMETIDINE 200 MG 0 0 0
89 CIPROFLOXACIN 500 MG 5,108 14,400 1,392
90 CLINDAMYCIN 150 MG 3,200 280
91 CLINDAMYCIN 300 MG 0 0 0
92 CLORFENOL KAMFER MENTOL ( CHKM ) 0 0
93 CLORHEKSIDIN 0,2 % 0 0
94 COTRIMOXASOLE 120 MG ( PEDIATRIK ) 0 0 0
95 COTRIMOXASOLE 480 MG 5,657 0 866
96 COTRIMOXASOLE SUSPENSI 60 ML 205 200 283
97 DAPSON 100 MG 0 0
98 DEKSTRAN 70 0 0
99 DEVITALISASI NON ARSEN 0 0
100 DEXAMETHASONE 0,5 MG 0 0 0
101 DEXAMETHASONE INJEKSI 5 MG / ML 0 300 35
102 DEXTROMETORPHAN 15 MG 0 0 0
103 DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML 0 0 0
104 DIAZEPAM 2 MG 0 0 0
105 DIAZEPAM 5 MG 0 0 0
106 DIAZEPAM INJEKSI 5 MG / ML 25 30 30
107 DIAZEPAM REKTAL 5 MG / 2.5 ML 0 0
108 DIETILKARBAMAZIN 100 MG 0 0
109 DIFENHIDRAMIN INJEKSI 10 MG / ML 150 30
110 DIGOXIN 0,25 MG 0 0
111 DILTIAZEM 30 MG 0 0
112 DISPOSIBLE 1 CC 300 280
113 DISPOSIBLE 3 CC 220 300 360
114 DISPOSIBLE 5 CC 298 200 2
115 DISPOSIBLE 10 CC 0 0
116 DOMPERIDON 10 MG 0 0 0
117 DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML 0 0
118 DOXYCYCLINE 100 MG 2,921 0 220
119 EFEDRIN 25 MG 0 0
120 EKSTRAK BELLADONA 10 MG 0 0
121 EPINEFRIN INJEKSI 0,1 % 90 57
122 ERITROMISIN 250 MG 814 2,700 1,100
123 ERITROMISIN 500 MG 300 0 200
124 ERITROMISIN SIRUP 200 MG / 5 ML 60 ML 102 0 7
125 ETAMBUTOL 500 MG 0 0
126 ETIL CHLORIDA SPRAY 0 0
127 EUGENOL CAIRAN 10 ML 0 0
128 FAMOTIDINE 40 MG 0 0
129 FENOKSIMETIL PENISILIN 250 MG 0 0
130 FENOKSIMETIL PENISILIN 500 MG 0 0
131 FENOL GLISEROL TETES TELINGA 10 % 0 0
132 FERRO SULFAT 14,640 12,000 3,140
133 FERRO SULFAT SIRUP 15 MG / 5 ML 0 0
134 FLUOR 0,5 MG 0 0
135 FORMOKRESOL CAIRAN 0 0
136 FUROSEMIDE 40 MG 1,000 120
137 FUROSEMIDE INJEKSI 10 MG / ML 0 0
138 GAMEKSAN LOTION 1 % 0 0
139 GENTAMISIN SALEP KULIT 0,1 % 0 0
140 GENTAMISIN TETES MATA 0,3 % 0 0
141 GENTAMISIN INJEKSI 10 MG / ML 0 0
142 GENTIAN VIOLET 1 % 10 ML 0 0
143 GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) 0 0
144 GLIBENCLAMIDE 5 MG 0 0
145 GLISERIL GUAIACOLAT 100 MG 7,867 15,000 5,707
146 GLIMEPIRID 1 MG 0 0
147 GLIMEPIRID 2 MG 0 0
148 GLIPIZID 5 MG 0 0
149 GLISERIN 0 0
150 GLUKOSA 5 % 500 ML 81 200 21
151 GLUKOSA 10 % 500 ML 85 0 5
152 GLUKOSA 40 % 0 0
153 GRISEOFULVIN 125 MG 0 640
154 GUTTA PERCHA DAN PAPER POINTS 0 0
155 HALOPERIDOL 0,5 MG 1,785 1,000 0
156 HALOPERIDOL 1,5 MG 0 0
157 HALOPERIDOL 5 MG 0 0
158 HIDROCHLORTIAZIDE 25 MG 6,683 0 2,350
159 HIDROCORTISONE KRIM 2,5 % 5 GR 0 0
160 IBUPROFEN 200 MG 0 0
161 IBUPROFEN 400 MG 0 0
162 IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML 0 0
163 ICHTIYOL SALEP 0 0
164 INFUSION SET ANAK 117 150 15
165 INFUSION SET DEWASA 87 150 17
166 ISONIASIDE 100 MG 0 0
167 ISONIASIDE 300 MG 0 0
168 ISOSORBIDE DINITRATE 5 MG 860 0 90
169 JARUM SUNTIK / NALL 0 0
170 KAPAS 250 GR 8 3
171 KAPAS 500 GR 100 0
172 KASA KOMPRESS STERIL 16 X 16 100 100 101
173 KASA KOMPRESS 40 X 80 CM 0 0
174 KETAMIN INJEKSI 10 MG / ML 0 0
175 KETOKONAZOLE 200 MG 0 0
176 KETOKONAZOLE KRIM 2 % 250 49
177 KOMPOSIT RESIN 0 0
178 KUININ ( KINA ) 222 MG 2,000 0 1,000
179 KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML 0 0
180 LEUKOPLAST 5 INCH X 2 YARD 30 12
181 LIDOKAIN INJEKSI 2 % 100 36
182 LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML 0 0
183 LOPERAMIDE 2 MG 955 1,000 336
184 LORATADINE 1 MG 0 0
185 MAGNESIUM SULFAT SERBUK 30 GRAM 0 0
186 MAGNESIUM SULFAT INJEKSI 40 % 25 ML 0 0
187 MEBENDAZOL 100 MG 0 0
188 MEBENDAZOL SIRUP 50 MG / ML 0 0
189 MELOKSIKAM 7,5 MG 1,000 1,000
190 MELOKSIKAM 15 MG 0 0
191 METFORMIN HCL 500 MG 0 0
192 METILERGOMETRIN MALEAT 0,125 MG 0 0
193 METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN 0 0
194 METOCLOPRAMIDE 5 MG 0 0
195 METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML 0 0
196 METRONIDAZOLE 250 MG 3,000 3,000
197 METRONIDAZOLE 500 MG 70 2,000 1,046
198 MIKONAZOL KRIM 2 % 5 GR 120 100
199 MINERAL MIX 0 0
200 NATRIUM BIKARBONAT 500 MG 100 100
201 NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML 9 200 45
202 NATRIUM DICLOFENAK 25 MG 2,800 380
203 NATRIUM DICLOFENAK 50 MG 2,800 2,250
204 NATRIUM FENITOIN 50 MG 0 0
205 NATRIUM FENITOIN 100 MG 0 0
206 NATRIUM FENITOIN INJEKSI 100 MG / 2 ML 0 0
207 NATRIUM FLUORESEIN TETES MATA 2 % 0 0
208 NATRIUM HIPOKLORIT 5 % 0 0
209 NATRIUM THIOSULFAT INJEKSI 25 % 0 0
210 NIFEDIPINE 10 MG 870 1,000 300
211 NOREPINEFRIN INJEKSI 1 M / ML 0 0
212 NYSTATIN 100.000 IU 100 0 100
213 NYSTATIN 500.000 IU 0 0
214 OBAT ANTITUBERKULOSIS FDC KATEGORI I 0 0
215 OBAT ANTITUBERKULOSIS FDC KATEGORI II 0 0
216 OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK 0 0
217 OBAT ANTITUBERKULOSIS KATEGORI I 0 0
218 OBAT ANTITUBERKULOSIS KATEGORI II 0 0
219 OBAT ANTITUBERKULOSIS KATEGORI ANAK 0 0
220 OBAT ANTITUBERKULOSIS SISIPAN 0 0
221 OBAT BATUK HITAM 100 ML 0 0
222 OMEPRAZOLE 20 MG 0 0
223 ORALIT 200 ML 1,742 0 354
224 OXIMETAZOLIN TETES HIDUNG 0.025 % 0 0
225 OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML 0 0
226 OXITETRASIKLIN SALEP KULIT 3 % 5 0 5
227 OXITETRASIKLIN SALEP MATA 1 % 0 0
228 OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) 0 0
229 PAPAVERIN 40 MG 0 0
230 PARACETAMOL 100 MG 0 0
231 PARACETAMOL 500 MG 900 0 3,044
232 PARACETAMOL DROPS 15 ML 280 140
233 PARACETAMOL SIRUP 120 MG / ML 60 ML 0 0
234 PASTA PENGISI SALURAN AKAR 0 0
235 PHENOBARBITAL 30 MG 0 0
236 PHENOBARBITAL INJEKSI 50 MG / ML 2 ML 0 0
237 PILOKARPIN TETES MATA 2 % 0 0
238 PIRACETAM 400 MG 0 0
239 PIRANTEL 125 MG 500 1,000 770
240 PIRANTEL SUSPENSI 125 MG / 5 ML 100 45
241 PIRAZINAMIDE 500 MG 0 0
242 PIROXICAM 10 MG 0 2,500 500
243 PIROXICAM 20 MG 3,000 550
244 POVIDON IODIDA 10 % 30 ML 2 0 1
245 POVIDON IODIDA 10 % 60 ML 24 15
246 POVIDON IODIDA 10 % 300 ML 2 0 2
247 POVIDON IODIDA 10 % 1000 ML 2 0
248 PRAZIKUANTEL 300 MG 0 0
249 PREDNISONE 5 MG 10,000 2,900
250 PRIMAQUIN 15 MG 4,600 1,100
251 PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG 0 0
252 PROPANOLOL 40 MG 1,700 0 1,200
253 PROPILTIOURASIL 100 MG 0 0
254 RANITIDINE 150 MG 49 9,200 480
255 RANITIDINE INJEKSI 25 MG / 2 ML 100 30
256 RESERPHIN 0,25 MG 0 0
257 RIFAMPICIN 300 MG 0 0
258 RIFAMPICIN 450 MG 0 0
259 RIFAMPICIN 600 MG 0 0
260 RINGER LAKTAT 500 ML 171 200 24
261 RIVANOL 0,1 % 300 ML 0 0
262 SALBUTAMOL 2 MG 1,000 850
263 SALBUTAMOL 4 MG 163 7,500 2,400
264 SALEP 2 - 4 0 0
265 SALICYL TALK 2 % 50 GR 94 100 65
266 SARUNG TANGAN NO 7 46 100 30
267 SARUNG TANGAN NO 7 1/2 50 100 15
268 SARUNG TANGAN NO 8 100 13
269 SERUM ANTI BISA ULAR ( ABU I ) 5 ML 0 0
270 SERUM ANTI BISA ULAR ( ABU II ) 50 ML 0 0
271 SERUM ANTI DIFTERI ( ADS ) 10.000 UI 0 0
272 SERUM ANTI DIFTERI ( ADS ) 20.000 UI 0 0
273 SERUM ANTI TETANUS INJEKSI 1.500 UI 0 0
274 SERUM ANTI TETANUS INJEKSI 20.000 UI 0 0
275 SILK BLACK BRAIDED NO 3/0 160 180 60
276 SIMVASTATIN 10 MG 570 1,500 1,860
277 SIMVASTATIN 20 MG 0 0
278 SPIROLACTONE 25 MG 0 0
279 SULFASETAMIDA TETES MATA 15 % 0 0
280 TETRACAIN TETES MATA 0.5 % 0 0
281 TETRASIKLIN 250 MG 0 0
282 TETRASIKLIN 500 MG 0 0
283 TRAMADOL 50 MG 0 0
284 TRIHEXYLPHENIDIL 2 MG 445 0 0
285 VALPROAT 250 MG 0 0
286 VAKSIN VERORAB 0 0
287 VITAMIN A 100.000 IU ( RETINOL BIRU ) 1,000 200
288 VITAMIN A 200.000 IU ( RETINOL MERAH ) 2,000 450
289 VITAMIN B 1 50 MG 5,790 0 3,200
290 VITAMIN B 1 INJEKSI 100 MG / ML 1 ML 0 0
291 VITAMIN B 6 10 MG 7,000 1,020
292 VITAMIN B 12 50 MCG 5,000 1,610
293 VITAMIN B 12 INJEKSI 50 MCG 1 ML 0 0
294 VITAMIN B COMPLEKS 16,800 5,560
295 VITAMIN B COMPLEKS INJEKSI 20 ML 0 0
296 VITAMIN C 50 MG 2,885 7,000 478
297 VITAMIN K 10 MG 1,500 0
298 VITAMIN K INJEKSI 10 MG / ML 1 ML 0 0
299 WING NEEDLE NO 21 0 0
300 WING NEEDLE NO 23 0 0
301 WING NEEDLE NO 25 0 0
302 ZINK 10MG/ML 128 96
303 ZINK DISPERSIBEL 4,600 7,000 2,650
T O TAL

Kepala Puskesmas Dum Dum

ISHAK SAMPULAWA, SKM


NIP.197212051993031009

Mengetahui,
Kepala Dinas Kesehatan

dr. Devie C.Bitjoli,M.Si


NIP. 19651206 199602 2 001
NG

NO.KODE LOKASI : 03.27.06.08.01.2016

AT HARGA NILAI PERSEDIAAN


SISA SATUAN 30 Juni 2015 KET
6 7 8 9
61 Rp 9,345 Rp 570,045
138 Rp 9,345 Rp 1,289,610
141 Rp 9,345 Rp 1,317,645
39 Rp 9,345 Rp 364,455
100 Rp 280 Rp 28,000
Rp -
6 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp - Rp -
0 Rp -
9 Rp -
13,760 Rp 100 Rp 1,376,000
0 Rp -
150 Rp -
0 Rp -
0 Rp 94 Rp -
0 Rp 4,587 Rp -
1,690 Rp 135 Rp 228,150
0 Rp -
640 Rp 218 Rp 139,520
300 Rp 391 Rp 117,300
0 Rp 243 Rp -
13,885 Rp 288 Rp 3,998,880
57 Rp 2,790 Rp 159,030
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
19,070 Rp 85 Rp 1,620,950
243 Rp 2,409 Rp 585,387
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
2,058 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 139 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 11,760 Rp -
125 Rp 1,824 Rp 228,000
0 Rp 7,800 Rp -
0 Rp -
7,070 Rp -
11,355 Rp 73 Rp 828,915
8,118 Rp 102 Rp 828,036
0 Rp -
229 Rp -
252 Rp -
0 Rp -
0 Rp -
1,401 Rp 618 Rp 865,818
5 Rp 5,984 Rp 29,920
100 Rp 1,100 Rp 110,000
0 Rp 10,500 Rp -
28 Rp 5,394 Rp 151,032
30 Rp 5,688 Rp 170,640
0 Rp 211 Rp -
0 Rp -
0 Rp 290 Rp -
5 Rp 1,920 Rp 9,600
0 Rp -
0 Rp -
376 Rp -
36,494 Rp -
0 Rp -
0 Rp -
760 Rp 179 Rp 136,040
0 Rp 1,260 Rp -
0 Rp 1,320 Rp -
0 Rp -
18,116 Rp -
280 Rp 451 Rp 126,280
0 Rp 678 Rp -
0 Rp -
0 Rp -
0 Rp -
4,791 Rp 166 Rp 795,306
122 Rp 2,590 Rp 315,980
0 Rp -
0 Rp -
0 Rp -
0 Rp 75 Rp -
265 Rp 1,897 Rp 502,705
0 Rp -
0 Rp -
0 Rp -
0 Rp -
25 Rp -
0 Rp -
0 Rp -
120 Rp 1,265 Rp 151,800
0 Rp 119 Rp -
0 Rp 160 Rp -
20 Rp -
160 Rp -
496 Rp -
0 Rp -
0 Rp 190 Rp -
0 Rp 3,833 Rp -
2,701 Rp -
0 Rp -
0 Rp -
33 Rp 9,720 Rp 320,760
2,414 Rp 596 Rp 1,438,744
100 Rp 1,116 Rp 111,600
95 Rp 8,495 Rp 807,025
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
23,500 Rp 49 Rp 1,151,500
0 Rp -
0 Rp -
0 Rp -
60 Rp 89 Rp 5,340
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 70 Rp -
17,160 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 6,400 Rp -
260 Rp 6,240 Rp 1,622,400
80 Rp 6,840 Rp 547,200
0 Rp -
240 Rp 251 Rp 60,240
0 Rp -
2,785 Rp 71 Rp 197,735
0 Rp -
0 Rp -
4,333 Rp -
0 Rp 3,358 Rp -
0 Rp -
0 Rp 171 Rp -
0 Rp -
0 Rp -
252 Rp -
220 Rp -
0 Rp -
0 Rp -
770 Rp 107 Rp 82,390
0 Rp -
5 Rp -
100 Rp -
99 Rp -
0 Rp -
0 Rp -
0 Rp 349 Rp -
201 Rp 3,083 Rp 619,683
0 Rp -
1,000 Rp 648 Rp 648,000
0 Rp 7,440 Rp -
18 Rp -
64 Rp -
0 Rp -
1,619 Rp 107 Rp 173,233
0 Rp 185 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 122 Rp -
1,024 Rp 176 Rp 180,224
20 Rp 3,600 Rp 72,000
0 Rp -
0 Rp -
164 Rp 5,640 Rp 924,960
2,420 Rp 160 Rp 387,200
550 Rp 211 Rp 116,050
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1,570 Rp 140 Rp 219,800
0 Rp -
0 Rp -
0 Rp 768 Rp -
0 Rp 431,990 Rp -
0 Rp 1,439,990 Rp -
0 Rp 257,990 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 192,000 Rp -
0 Rp -
0 Rp 240 Rp -
1,388 Rp 346 Rp 480,248
0 Rp 33,060 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
44 Rp 96 Rp 4,224
140 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
730 Rp -
55 Rp -
0 Rp -
2,000 Rp -
2,450 Rp -
1 Rp 2,590 Rp 2,590
9 Rp -
0 Rp 17,000 Rp -
2 Rp 44,434 Rp 88,868
0 Rp -
7,100 Rp -
3,500 Rp -
0 Rp -
500 Rp 130 Rp 65,000
0 Rp -
8,769 Rp 140 Rp 1,227,660
70 Rp 1,680 Rp 117,600
0 Rp -
0 Rp -
0 Rp -
0 Rp -
347 Rp 6,240 Rp 2,165,280
0 Rp -
150 Rp -
5,263 Rp 107 Rp 563,141
0 Rp -
129 Rp 1,450 Rp 187,050
116 Rp -
135 Rp -
87 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
280 Rp -
210 Rp 198 Rp 41,580
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
445 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
2,590 Rp 41 Rp 106,190
0 Rp -
5,980 Rp -
3,390 Rp -
0 Rp -
11,240 Rp 122 Rp 1,371,280
0 Rp -
28 Rp 114 Rp 3,192
1,500 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
32 Rp -
8,950 Rp -
Rp 33,155,031

DUM-DUM, 30 JUNI 2016


Pengelola Obat

BANUATY
NIP.198311162009032001
LAPORAN PERSEDIAAN BARANG
TAHUN 2015

SKPD : DINAS KESEHATAN


PUSKESMAS DUM-DUM
KECAMATAN KAO TELUK
KABUPATEN : HALMAHERA UTARA
PROPINSI : MALUKU UTARA

JUMLAH OBAT
NO NAMA OBAT SALDO AWAL MASUK KELUAR
1 2 3 4 5
1 ABBOCATH NO 18 39 50 36
2 ABBOCATH NO 20 - 150 22
3 ABBOCATH NO 22 - 150 11
4 ABBOCATH NO 24 47 - 18
5 ACYCLOVIR 200 MG - 1,400 1,800
6 ACYCLOVIR 400 MG - 1,000 1,400
7 ACYCLOVIR KRIM 31 25 50
8 ACYCLOVIR SALEP MATA 3 % - 25 -
9 ADIDRIL INJEKSI - - -
10 ADIMIDON INJEKSI - -
11 ALBENDAZOLE 400 MG - - -
12 ALBENDAZOLE SUSPENSI 200 MG / 5 ML - - -
13 ALKOHOL 7 % 1 LITER 4 10 7
14 ALLUPURINOL 100 MG 6,640 10,000 2,880
15 AMBROXOL 30 MG - - 36
16 AMBROXOL SYRUP 60 ML 25 300 202
17 AMILORID 5 MG 100 - -
18 AMINOPHILIN 200 MG 100 - 100
19 AMINOPHILIN 24 MG/ML 10 ML - - -
20 AMITRIPTYLINE 25 MG 690 1,000 -
21 AMPICILIN SERBUK INJEKSI 500 MG - - -
22 AMLODIPINE 5 MG - 1,800 1,820
23 AMLODIPINE 10 MG 300 - 476
24 AMOXIXILIN 250 MG - - 86
25 AMOXIXILIN 500 MG 5,765 10,000 1,030
26 AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML 170 50 60
27 AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML - - -
28 AMPICILIN 500 MG - - -
29 AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML - - -
30 ANTALGIN 500 MG - - 7,104
31 ANTALGIN 25 % 2 ML - - -
32 ANTASIDA 12,921 7,200 12,168
33 ANTASIDA SUSPENSI 60 ML 324 - 933
34 ANTIBAKTERI DOEN - - -
35 ANTIFUNGI DOEN KOMBINASI 30 GR - - -
36 ANTIHAEMOROID 2 GR - - 110
37 ANTIMIGREN - - -
38 ANTIPARKINSON DOEN - - -
39 AQUA STERIL 20 ML - - -
40 ARTERAKINE 1,294 1,048 1,462
41 ARTESUNATE INJEKSI 60 MG - - -
42 ASAM ASETILSALISILAT 100 MG - - -
43 ASAM ASETILSALISILAT 500 MG - - -
44 ASAM ASETILSALISILAT 80 MG - - -
45 ASAM FOLAT 0,4 MG - - -
46 ASAM FOLAT 1 MG - - -
47 ASAM FOLAT 5 MG - - -
48 ASAM MEFENAMAT 500 MG - - -
49 ASAM PIPEMIDAT 400 MG - - -
50 ASAM TRANEKSAMAT 500 MG - - -
51 ASAM TRANEKSAMAT INJEKSI 100 MG / ML - - -
52 ATAPULGIT - 1,000 -
53 ATENOLOL 50 MG - - -
54 ATROPIN 0.5 MG - - -
55 ATROPIN INJEKSI 0.25 MG / ML - - -
56 ATROPIN TETES MATA 0.5 % - - -
57 BENZATIN BENZIL PENICILIN 1,2 JUTA IU - - -
58 BETAMETHASONE KRIM 0,1% 5 GR 30 100 96
59 CALCII GLUCONAS - - -
60 CALSIUM HIDROKSIDA - - -
61 CALSIUM LAKTAT 500 MG 3,680 3,800 2,580
62 CAPTOPRIL 12,5 MG 4,865 8,000 4,180
63 CAPTOPRIL 25 MG 4,668 5,000 2,740
64 CARBAMAZEPINE 200 MG - - -
65 CATGUT CHROMIC NO 2/0 72 192 111
66 CATGUT CHROMIC NO 3/0 82 192 105
67 CAVIPLEX - - -
68 CAVIPLEX SYRUP - - -
69 CEFADROKSIL 500 MG 1,981 - 2,050
70 CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML 10 - 25
71 CEFIKSIM 100 MG 500 1,000 1,500
72 CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML - - -
73 CEFOTAXIME INJEKSI 28 10 -
74 CEFTRIAXONE INJEKSI 30 10 -
75 CETIRIZINE 10 MG 770 - 770
76 CLOFAZIMIN 100 MG - - -
77 CHLORAMFENICOL 250 MG - - -
78 CHLORAMFENICOL SALEP MATA 1 % - 120 115
79 CHLORAMFENICOL SUSPENSI - - -
80 CHLORAMFENICOL TETES MATA 0,5 % - - -
81 CHLORAMFENICOL TETES TELINGA 3 % 378 - 8
82 CHLORFENIRAMINA MALEAT 4 MG ( CTM ) 32,139 10,000 11,556
83 CHLOROQUIN 250 MG - - -
84 CHLORPROMAZINE 25 MG - - -
85 CHLORPROMAZINE 100 MG 350 500 150
86 CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML - - -
87 CHLORPROMAZIN INJEKSI 25 MG / ML - - -
88 CIMETIDINE 200 MG - - 300
89 CIPROFLOXACIN 500 MG 5,108 14,400 4,700
90 CLINDAMYCIN 150 MG - 3,200 -
91 CLINDAMYCIN 300 MG - 2,800 -
92 CLORFENOL KAMFER MENTOL ( CHKM ) - - -
93 CLORHEKSIDIN 0,2 % - - -
94 COTRIMOXASOLE 120 MG ( PEDIATRIK ) - - 159
95 COTRIMOXASOLE 480 MG 5,657 - 6,678
96 COTRIMOXASOLE SUSPENSI 60 ML 205 200 288
97 DAPSON 100 MG - - -
98 DEKSTRAN 70 - - -
99 DEVITALISASI NON ARSEN - - -
100 DEXAMETHASONE 0,5 MG - - 3,024
101 DEXAMETHASONE INJEKSI 5 MG / ML - 300 107
102 DEXTROMETORPHAN 15 MG - - -
103 DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML - - -
104 DIAZEPAM 2 MG - - -
105 DIAZEPAM 5 MG - - -
106 DIAZEPAM INJEKSI 5 MG / ML 25 30 28
107 DIAZEPAM REKTAL 5 MG / 2.5 ML - - -
108 DIETILKARBAMAZIN 100 MG - - -
109 DIFENHIDRAMIN INJEKSI 10 MG / ML - 150 30
110 DIGOXIN 0,25 MG - - -
111 DILTIAZEM 30 MG - - -
112 DISPOSIBLE 1 CC - 300 280
113 DISPOSIBLE 3 CC 220 300 415
114 DISPOSIBLE 5 CC 298 200 4
115 DISPOSIBLE 10 CC - - -
116 DOMPERIDON 10 MG - - 5,681
117 DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML - - -
118 DOXYCYCLINE 100 MG 2,921 - 220
119 EFEDRIN 25 MG - - -
120 EKSTRAK BELLADONA 10 MG - - -
121 EPINEFRIN INJEKSI 0,1 % - 90 57
122 ERITROMISIN 250 MG 814 2,700 1,600
123 ERITROMISIN 500 MG 300 - 290
124 ERITROMISIN SIRUP 200 MG / 5 ML 60 ML 102 - 65
125 ETAMBUTOL 500 MG - - -
126 ETIL CHLORIDA SPRAY - - -
127 EUGENOL CAIRAN 10 ML - - -
128 FAMOTIDINE 40 MG - - -
129 FENOKSIMETIL PENISILIN 250 MG - - 100
130 FENOKSIMETIL PENISILIN 500 MG - - 300
131 FENOL GLISEROL TETES TELINGA 10 % - - -
132 FERRO SULFAT 14,640 12,000 11,910
133 FERRO SULFAT SIRUP 15 MG / 5 ML - - -
134 FLUOR 0,5 MG - - -
135 FORMOKRESOL CAIRAN - - -
136 FUROSEMIDE 40 MG - 1,200 590
137 FUROSEMIDE INJEKSI 10 MG / ML - - -
138 GAMEKSAN LOTION 1 % - - -
139 GENTAMISIN SALEP KULIT 0,1 % - - 12
140 GENTAMISIN TETES MATA 0,3 % - - -
141 GENTAMISIN INJEKSI 10 MG / ML - - -
142 GENTIAN VIOLET 1 % 10 ML - - -
143 GLASS IONOMER ART (ATRAUMATIC RESTORATIVE TREATMENT) - - -
144 GLIBENCLAMIDE 5 MG - - -
145 GLISERIL GUAIACOLAT 100 MG 7,867 15,000 9,580
146 GLIMEPIRID 1 MG - - -
147 GLIMEPIRID 2 MG - - -
148 GLIPIZID 5 MG - - 3
149 GLISERIN - - -
150 GLUKOSA 5 % 500 ML 81 200 31
151 GLUKOSA 10 % 500 ML 85 - 8
152 GLUKOSA 40 % - - -
153 GRISEOFULVIN 125 MG - - -
154 GUTTA PERCHA DAN PAPER POINTS - - 15
155 HALOPERIDOL 0,5 MG 1,785 1,000 30
156 HALOPERIDOL 1,5 MG - - -
157 HALOPERIDOL 5 MG - - -
158 HIDROCHLORTIAZIDE 25 MG 6,683 - 2,350
159 HIDROCORTISONE KRIM 2,5 % 5 GR - - -
160 IBUPROFEN 200 MG - - 686
161 IBUPROFEN 400 MG - - -
162 IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML - - -
163 ICHTIYOL SALEP - - -
164 INFUSION SET ANAK 117 150 15
165 INFUSION SET DEWASA 87 150 22
166 ISONIASIDE 100 MG - - -
167 ISONIASIDE 300 MG - - -
168 ISOSORBIDE DINITRATE 5 MG 860 - 90
169 JARUM SUNTIK / NALL - - -
170 KAPAS 250 GR - 8 3
171 KAPAS 500 GR - 100 -
172 KASA KOMPRESS STERIL 16 X 16 100 100 141
173 KASA KOMPRESS 40 X 80 CM - - -
174 KETAMIN INJEKSI 10 MG / ML - - -
175 KETOKONAZOLE 200 MG - - -
176 KETOKONAZOLE KRIM 2 % - 250 215
177 KOMPOSIT RESIN - - -
178 KUININ ( KINA ) 222 MG 2,000 - 1,000
179 KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML - - -
180 LEUKOPLAST 5 INCH X 2 YARD - 30 12
181 LIDOKAIN INJEKSI 2 % - 100 93
182 LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML - - -
183 LOPERAMIDE 2 MG 955 1,000 1,132
184 LORATADINE 1 MG - - -
185 MAGNESIUM SULFAT SERBUK 30 GRAM - - -
186 MAGNESIUM SULFAT INJEKSI 40 % 25 ML - - -
187 MEBENDAZOL 100 MG - - -
188 MEBENDAZOL SIRUP 50 MG / ML - - -
189 MELOKSIKAM 7,5 MG - 1,000 1,000
190 MELOKSIKAM 15 MG - - -
191 METFORMIN HCL 500 MG - - -
192 METILERGOMETRIN MALEAT 0,125 MG - - -
193 METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN - - -
194 METOCLOPRAMIDE 5 MG - - -
195 METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML - - -
196 METRONIDAZOLE 250 MG - 3,000 3,000
197 METRONIDAZOLE 500 MG 70 2,000 2,300
198 MIKONAZOL KRIM 2 % 5 GR - 120 100
199 MINERAL MIX - - -
200 NATRIUM BIKARBONAT 500 MG - 100 100
201 NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML 9 200 60
202 NATRIUM DICLOFENAK 25 MG - 2,800 2,500
203 NATRIUM DICLOFENAK 50 MG - 2,800 2,750
204 NATRIUM FENITOIN 50 MG - - -
205 NATRIUM FENITOIN 100 MG - - -
206 NATRIUM FENITOIN INJEKSI 100 MG / 2 ML - - -
207 NATRIUM FLUORESEIN TETES MATA 2 % - - -
208 NATRIUM HIPOKLORIT 5 % - - -
209 NATRIUM THIOSULFAT INJEKSI 25 % - - -
210 NIFEDIPINE 10 MG 870 1,100 300
211 NOREPINEFRIN INJEKSI 1 M / ML - - -
212 NYSTATIN 100.000 IU 100 - 100
213 NYSTATIN 500.000 IU - - -
214 OBAT ANTITUBERKULOSIS FDC KATEGORI I - - -
215 OBAT ANTITUBERKULOSIS FDC KATEGORI II - - -
216 OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK - - -
217 OBAT ANTITUBERKULOSIS KATEGORI I - - -
218 OBAT ANTITUBERKULOSIS KATEGORI II - - -
219 OBAT ANTITUBERKULOSIS KATEGORI ANAK - - -
220 OBAT ANTITUBERKULOSIS SISIPAN - - -
221 OBAT BATUK HITAM 100 ML - - -
222 OMEPRAZOLE 20 MG - 300 -
223 ORALIT 200 ML 1,742 500 1,048
224 OXIMETAZOLIN TETES HIDUNG 0.025 % - - -
225 OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML - - -
226 OXITETRASIKLIN SALEP KULIT 3 % 5 - 20
227 OXITETRASIKLIN SALEP MATA 1 % - 100 -
228 OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) - - -
229 PAPAVERIN 40 MG - 1,000 -
230 PARACETAMOL 100 MG - - -
231 PARACETAMOL 500 MG 900 - 4,396
232 PARACETAMOL DROPS 15 ML - 280 190
233 PARACETAMOL SIRUP 120 MG / ML 60 ML - - 10
234 PASTA PENGISI SALURAN AKAR - - -
235 PHENOBARBITAL 30 MG - - -
236 PHENOBARBITAL INJEKSI 50 MG / ML 2 ML - - -
237 PILOKARPIN TETES MATA 2 % - - -
238 PIRACETAM 400 MG - - -
239 PIRANTEL 125 MG 500 1,000 790
240 PIRANTEL SUSPENSI 125 MG / 5 ML - 100 55
241 PIRAZINAMIDE 500 MG - - -
242 PIROXICAM 10 MG - 2,500 560
243 PIROXICAM 20 MG - 3,000 2,500
244 POVIDON IODIDA 10 % 30 ML 2 3 3
245 POVIDON IODIDA 10 % 60 ML - 24 15
246 POVIDON IODIDA 10 % 300 ML 2 - 1
247 POVIDON IODIDA 10 % 1000 ML - 2 -
248 PRAZIKUANTEL 300 MG - - -
249 PREDNISONE 5 MG - 10,000 4,400
250 PRIMAQUIN 15 MG - 7,600 1,100
251 PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG - - -
252 PROPANOLOL 40 MG 1,700 - -
253 PROPILTIOURASIL 100 MG - - -
254 RANITIDINE 150 MG 49 9,200 3,100
255 RANITIDINE INJEKSI 25 MG / 2 ML - 100 30
256 RESERPHIN 0,25 MG - - -
257 RIFAMPICIN 300 MG - - -
258 RIFAMPICIN 450 MG - - -
259 RIFAMPICIN 600 MG - - -
260 RINGER LAKTAT 500 ML 171 200 24
261 RIVANOL 0,1 % 300 ML - - 8
262 SALBUTAMOL 2 MG - 1,000 850
263 SALBUTAMOL 4 MG 163 7,500 3,400
264 SALEP 2 - 4 - - 12
265 SALICYL TALK 2 % 50 GR 94 100 71
266 SARUNG TANGAN NO 7 46 100 40
267 SARUNG TANGAN NO 7 1/2 50 100 25
268 SARUNG TANGAN NO 8 - 100 18
269 SERUM ANTI BISA ULAR ( ABU I ) 5 ML - - -
270 SERUM ANTI BISA ULAR ( ABU II ) 50 ML - - -
271 SERUM ANTI DIFTERI ( ADS ) 10.000 UI - - -
272 SERUM ANTI DIFTERI ( ADS ) 20.000 UI - - -
273 SERUM ANTI TETANUS INJEKSI 1.500 UI - - -
274 SERUM ANTI TETANUS INJEKSI 20.000 UI - - -
275 SILK BLACK BRAIDED NO 3/0 160 180 80
276 SIMVASTATIN 10 MG 570 1,500 1,860
277 SIMVASTATIN 20 MG - - -
278 SPIROLACTONE 25 MG - - -
279 SULFASETAMIDA TETES MATA 15 % - - -
280 TETRACAIN TETES MATA 0.5 % - - -
281 TETRASIKLIN 250 MG - - -
282 TETRASIKLIN 500 MG - - -
283 TRAMADOL 50 MG - - -
284 TRIHEXYLPHENIDIL 2 MG 445 - -
285 VALPROAT 250 MG - - -
286 VAKSIN VERORAB - - -
287 VITAMIN A 100.000 IU ( RETINOL BIRU ) - 1,500 550
288 VITAMIN A 200.000 IU ( RETINOL MERAH ) - 3,000 1,000
289 VITAMIN B 1 50 MG 5,790 - 4,240
290 VITAMIN B 1 INJEKSI 100 MG / ML 1 ML - - -
291 VITAMIN B 6 10 MG - 7,000 4,600
292 VITAMIN B 12 50 MCG - 5,000 9,700
293 VITAMIN B 12 INJEKSI 50 MCG 1 ML - - -
294 VITAMIN B COMPLEKS - 16,800 12,089
295 VITAMIN B COMPLEKS INJEKSI 20 ML - - 5
296 VITAMIN C 50 MG 2,885 7,000 4,031
297 VITAMIN K 10 MG - 1,500 -
298 VITAMIN K INJEKSI 10 MG / ML 1 ML - 240 5
299 WING NEEDLE NO 21 - - -
300 WING NEEDLE NO 23 - - -
301 WING NEEDLE NO 25 - - -
302 WING NEEDLE NO 27 - 128 121
303 ZINK DISPERSIBEL 4,600 7,000 11,600
T O TAL

Kepala Puskesmas Dum Dum

ISHAK SAMPULAWA, SKM


NIP.197212051993031009

Mengetahui,
Kepala Dinas Kesehatan

dr. Devie C.Bitjoli,M.Si


NIP. 19651206 199602 2 001
G

NO.KODE LOKASI : 03.27.06.08.01.2016

T HARGA NILAI PERSEDIAAN


SISA SATUAN 30 Juni 2014 KET
6 7 8 9
53 Rp 9,345 Rp 495,285
128 Rp 9,345 Rp 1,196,160
139 Rp 9,345 Rp 1,298,955
29 Rp 9,345 Rp 271,005
(400) Rp - Rp -
(400) Rp - Rp -
6 Rp - Rp -
25 Rp - Rp -
Rp - Rp -
Rp - Rp -
- Rp - Rp -
- Rp - Rp -
7 Rp - Rp -
13,760 Rp 100 Rp 1,376,000
(36) Rp - Rp -
123 Rp - Rp -
100 Rp - Rp -
- Rp 94 Rp -
- Rp 4,587 Rp -
1,690 Rp 135 Rp 228,150
- Rp - Rp -
(20) Rp 218 Rp (4,360)
(176) Rp 391 Rp (68,816)
(86) Rp 243 Rp (20,898)
14,735 Rp 288 Rp 4,243,680
160 Rp 2,790 Rp 446,400
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
(7,104) Rp - Rp -
- Rp - Rp -
7,953 Rp 85 Rp 676,005
(609) Rp 2,409 Rp (1,467,081)
- Rp - Rp -
- Rp - Rp -
(110) Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
880 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp 139 Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
1,000 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp 11,760 Rp -
34 Rp 1,824 Rp 62,016
- Rp 7,800 Rp -
- Rp - Rp -
4,900 Rp - Rp -
8,685 Rp 73 Rp 634,005
6,928 Rp 102 Rp 706,656
- Rp - Rp -
153 Rp - Rp -
169 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
(69) Rp 618 Rp (42,642)
(15) Rp 5,984 Rp (89,760)
- Rp 1,100 Rp -
- Rp 10,500 Rp -
38 Rp 5,394 Rp 204,972
40 Rp 5,688 Rp 227,520
- Rp 211 Rp -
- Rp - Rp -
- Rp 290 Rp -
5 Rp 1,920 Rp 9,600
- Rp - Rp -
- Rp - Rp -
370 Rp - Rp -
30,583 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
700 Rp 179 Rp 125,300
- Rp 1,260 Rp -
- Rp 1,320 Rp -
(300) Rp - Rp -
14,808 Rp - Rp -
3,200 Rp 451 Rp 1,443,200
2,800 Rp 678 Rp 1,898,400
- Rp - Rp -
- Rp - Rp -
(159) Rp - Rp -
(1,021) Rp 166 Rp (169,486)
117 Rp 2,590 Rp 303,030
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
(3,024) Rp 75 Rp (226,800)
193 Rp 1,897 Rp 366,121
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
27 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
120 Rp 1,265 Rp 151,800
- Rp 119 Rp -
- Rp 160 Rp -
20 Rp - Rp -
105 Rp - Rp -
494 Rp - Rp -
- Rp - Rp -
(5,681) Rp 190 Rp (1,079,390)
- Rp 3,833 Rp -
2,701 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
33 Rp 9,720 Rp 320,760
1,914 Rp 596 Rp 1,140,744
10 Rp 1,116 Rp 11,160
37 Rp 8,495 Rp 314,315
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
(100) Rp - Rp -
(300) Rp - Rp -
- Rp - Rp -
14,730 Rp 49 Rp 721,770
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
610 Rp 89 Rp 54,290
- Rp - Rp -
- Rp - Rp -
(12) Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp 70 Rp -
13,287 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
(3) Rp - Rp -
- Rp 6,400 Rp -
250 Rp 6,240 Rp 1,560,000
77 Rp 6,840 Rp 526,680
- Rp - Rp -
- Rp 251 Rp -
(15) Rp - Rp -
2,755 Rp 71 Rp 195,605
- Rp - Rp -
- Rp - Rp -
4,333 Rp - Rp -
- Rp 3,358 Rp -
(686) Rp - Rp -
- Rp 171 Rp -
- Rp - Rp -
- Rp - Rp -
252 Rp - Rp -
215 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
770 Rp 107 Rp 82,390
- Rp - Rp -
5 Rp - Rp -
100 Rp - Rp -
59 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp 349 Rp -
35 Rp 3,083 Rp 107,905
- Rp - Rp -
1,000 Rp 648 Rp 648,000
- Rp 7,440 Rp -
18 Rp - Rp -
7 Rp - Rp -
- Rp - Rp -
823 Rp 107 Rp 88,061
- Rp 185 Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp 122 Rp -
(230) Rp 176 Rp (40,480)
20 Rp 3,600 Rp 72,000
- Rp - Rp -
- Rp - Rp -
149 Rp 5,640 Rp 840,360
300 Rp 160 Rp 48,000
50 Rp 211 Rp 10,550
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
1,670 Rp 140 Rp 233,800
- Rp - Rp -
- Rp - Rp -
- Rp 768 Rp -
- Rp 431,990 Rp -
- Rp 1,439,990 Rp -
- Rp 257,990 Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp 192,000 Rp -
- Rp - Rp -
300 Rp 240 Rp 72,000
1,194 Rp 346 Rp 413,124
- Rp 33,060 Rp -
- Rp - Rp -
(15) Rp - Rp -
100 Rp - Rp -
- Rp - Rp -
1,000 Rp - Rp -
- Rp - Rp -
(3,496) Rp 96 Rp (335,616)
90 Rp - Rp -
(10) Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
710 Rp - Rp -
45 Rp - Rp -
- Rp - Rp -
1,940 Rp - Rp -
500 Rp - Rp -
2 Rp 2,590 Rp 5,180
9 Rp - Rp -
1 Rp 17,000 Rp 17,000
2 Rp 44,434 Rp 88,868
- Rp - Rp -
5,600 Rp - Rp -
6,500 Rp - Rp -
- Rp - Rp -
1,700 Rp 130 Rp 221,000
- Rp - Rp -
6,149 Rp 140 Rp 860,860
70 Rp 1,680 Rp 117,600
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
347 Rp 6,240 Rp 2,165,280
(8) Rp - Rp -
150 Rp - Rp -
4,263 Rp 107 Rp 456,141
(12) Rp - Rp -
123 Rp 1,450 Rp 178,350
106 Rp - Rp -
125 Rp - Rp -
82 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
260 Rp - Rp -
210 Rp 198 Rp 41,580
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
445 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
950 Rp - Rp -
2,000 Rp - Rp -
1,550 Rp 41 Rp 63,550
- Rp - Rp -
2,400 Rp - Rp -
(4,700) Rp - Rp -
- Rp - Rp -
4,711 Rp 122 Rp 574,742
(5) Rp - Rp -
5,854 Rp 114 Rp 667,356
1,500 Rp - Rp -
235 Rp - Rp -
- Rp - Rp -
- Rp - Rp -
- Rp - Rp -
7 Rp - Rp -
- Rp - Rp -
Rp 25,737,952

DUM-DUM, 30 JUNI 2016


Pengelola Obat

BANUATY
NIP.198311162009032001
LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT
(LPLPO)

KODE PUSKESMAS : BULAN : 1 0


PUSKESMAS : TAHUN : 2016
KECAMATAN :
PROPINSI : MALUKU UTARA

STOCK SISA STOK PEMBERIAN


NO NAMA OBAT AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK OPT PERMINTAAN UMUM Non PBI JKD BPJS JMH
1 3 5 6 7 8 9 10 11 12 13 14 15 16
1 ABBOCATH NO 18 30 0 30 3 27 6 21 1 1 1 3
2 ABBOCATH NO 20 128 0 128 5 123 10 113 3 2 5
3 ABBOCATH NO 22 181 0 181 0 181 0 181 0
4 ABBOCATH NO 24 21 0 21 0 21 0 21 0
5 ACYCLOVIR 200 MG 200 0 200 100 100 191 91 50 50 100
6 ACYCLOVIR 400 MG 326 0 326 100 226 191 35 50 50 100
7 ACYCLOVIR KRIM 28 0 28 10 18 19 1 5 5 10
8 ACYCLOVIR SALEP MATA 3 % 25 0 25 10 15 0 15 5 5 10
9 ADIDRIL INJEKSI 0 0 0 0 0 0 0 0
10 ADIMIDON INJEKSI 0 0 0 0 0 0 0 0
11 ALBENDAZOLE 400 MG 0 0 0 0 0 0 0 0
12 ALBENDAZOLE SUSPENSI 200 MG / 5 ML 0 0 0 0 0 0 0 0
13 ALKOHOL 7 % 1 LITER 4 0 4 2 2 4 2 1 1 2
14 ALLUPURINOL 100 MG 0 0 0 0 0 0 0 0
15 AMBROXOL 30 MG 0 0 0 0 0 0 0 0
16 AMBROXOL SYRUP 60 ML 153 0 153 10 143 19 124 5 5 10
17 AMILORID 5 MG 0 0 0 0 0 0 0 0
18 AMINOPHILIN 200 MG 0 0 0 0 0 0 0 0
19 AMINOPHILIN 24 MG/ML 10 ML 0 0 0 0 0 0 0 0
20 AMITRIPTYLINE 25 MG 1690 0 1690 0 1690 0 1,690 0
21 AMPICILIN SERBUK INJEKSI 500 MG 0 0 0 0 0 0 0 0
22 AMLODIPINE 5 MG 0 0 0 0 0 0 0 0
23 AMLODIPINE 10 MG 0 0 0 0 0 0 0
24 AMOXIXILIN 250 MG 0 0 0 0 0 0 0 0
25 AMOXIXILIN 500 MG 8500 0 8500 6000 2500 11,446 8,946 500 100 600
26 AMOXIXILIN SIRUP KERING 125 MG/5 ML 60 ML 0 0 0 0 0 0 0 0
27 AMOXIXILIN SIRUP KERING FORTE 250 MG / 5 ML 60 ML 0 0 0 0 0 0 0 0
28 AMPICILIN 500 MG 0 0 0 0 0 0 0 0
29 AMPICILIN SIRUP KERING 125 MG/5 ML 60 ML 0 0 0 0 0 0 0 0
30 ANTALGIN 500 MG 0 0 0 0 0 0 0 0
31 ANTALGIN 25 % 2 ML 0 0 0 0 0 0 0 0
32 ANTASIDA 8634 0 8634 300 8334 572 7,762 100 100 100 300
33 ANTASIDA SUSPENSI 60 ML 0 0 0 0 0 0 0 0
34 ANTIBAKTERI DOEN 0 0 0 0 0 0 0 0
35 ANTIFUNGI DOEN KOMBINASI 30 GR 0 0 0 0 0 0 0 0
36 ANTIHAEMOROID 2 GR 0 0 0 0 0 0 0 0
37 ANTIMIGREN 0 0 0 0 0 0 0 0
38 ANTIPARKINSON DOEN 0 0 0 0 0 0 0 0
39 AQUA STERIL 20 ML 0 0 0 0 0 0 0 0
40 ARTERAKINE 880 0 880 100 780 191 589 50 50 100
41 ARTESUNATE INJEKSI 60 MG 0 0 0 0 0 0 0 0
42 ASAM ASETILSALISILAT 100 MG 0 0 0 0 0 0 0 0
43 ASAM ASETILSALISILAT 500 MG 0 0 0 0 0 0 0 0
44 ASAM ASETILSALISILAT 80 MG 0 0 0 0 0 0 0 0
45 ASAM FOLAT 0,4 MG 0 0 0 0 0 0 0 0
46 ASAM FOLAT 1 MG 0 0 0 0 0 0 0 0
47 ASAM FOLAT 5 MG 0 0 0 0 0 0 0 0
48 ASAM MEFENAMAT 500 MG 0 0 0 0 0 0 0 0
49 ASAM PIPEMIDAT 400 MG 0 0 0 0 0 0 0 0
50 ASAM TRANEKSAMAT 500 MG 0 0 0 0 0 0 0 0
51 ASAM TRANEKSAMAT INJEKSI 100 MG / ML 0 0 0 0 0 0 0 0
52 ATAPULGIT 1000 0 1000 0 1000 0 1,000 0
53 ATENOLOL 50 MG 0 0 0 0 0 0 0 0
54 ATROPIN 0.5 MG 0 0 0 0 0 0 0 0
55 ATROPIN INJEKSI 0.25 MG / ML 0 0 0 0 0 0 0 0
56 ATROPIN TETES MATA 0.5 % 0 0 0 0 0 0 0 0
57 BENZATIN BENZIL PENICILIN 1,2 JUTA IU 0 0 0 0 0 0 0 0
58 BETAMETHASONE KRIM 0,1% 5 GR 4 0 4 0 4 0 4 0
59 CALCII GLUCONAS 0 0 0 0 0 0 0 0
60 CALSIUM HIDROKSIDA 0 0 0 0 0 0 0 0
61 CALSIUM LAKTAT 500 MG 1220 0 1220 350 870 668 202 100 100 150 350
62 CAPTOPRIL 12,5 MG 8925 0 8925 200 8725 382 8,343 100 100 200
63 CAPTOPRIL 25 MG 6968 0 6968 100 6868 191 6,677 50 50 100
64 CARBAMAZEPINE 200 MG 0 0 0 0 0 0 0 0
65 CATGUT CHROMIC NO 2/0 163 0 163 0 163 0 163 0
66 CATGUT CHROMIC NO 3/0 169 0 169 0 169 0 169 0
67 CAVIPLEX 0 0 0 0 0 0 0 0
68 CAVIPLEX SYRUP 0 0 0 0 0 0 0 0
69 CEFADROKSIL 500 MG 31 0 31 0 31 0 31 0
70 CEFADROKSIL SIRUP KERING 125 MG / 5 ML 60 ML 0 0 0 0 0 0 0 0
71 CEFIKSIM 100 MG 0 0 0 0 0 0 0 0
72 CEFIKSIM SIRUP KERING 100 MG / 5 ML30 ML 0 0 0 0 0 0 0 0
73 CEFOTAXIME INJEKSI 38 0 38 0 38 0 38 0
74 CEFTRIAXONE INJEKSI 40 0 40 0 40 0 40 0
75 CETIRIZINE 10 MG 0 0 0 0 0 0 0 0
76 CLOFAZIMIN 100 MG 0 0 0 0 0 0 0 0
77 CHLORAMFENICOL 250 MG 0 0 0 0 0 0 0 0
78 CHLORAMFENICOL SALEP MATA 1 % 5 0 5 0 5 0 5 0
79 CHLORAMFENICOL SUSPENSI 0 0 0 0 0 0 0 0
80 CHLORAMFENICOL TETES MATA 0,5 % 0 0 0 0 0 0 0 0
81 CHLORAMFENICOL TETES TELINGA 3 % 0 0 0 0 0 0 0 0
82 CHLORFENIRAMINA MALEAT 4 MG ( CTM ) 4819 0 4819 300 4519 572 3,947 100 100 100 300
83 CHLOROQUIN 250 MG 0 0 0 0 0 0 0 0
84 CHLORPROMAZINE 25 MG 0 0 0 0 0 0 0 0
85 CHLORPROMAZINE 100 MG 700 0 700 0 700 0 700 0
86 CHLORPROMAZIN INJEKSI 5 MG / ML - 2 ML 0 0 0 0 0 0 0 0
87 CHLORPROMAZIN INJEKSI 25 MG / ML 0 0 0 0 0 0 0 0
88 CIMETIDINE 200 MG 0 0 0 0 0 0 0 0
89 CIPROFLOXACIN 500 MG 14808 0 14808 0 14808 0 14,808 0
90 CLINDAMYCIN 150 MG 0 0 0 0 0 0 0 0
91 CLINDAMYCIN 300 MG 2800 0 2800 0 2800 0 2,800 0
92 CLORFENOL KAMFER MENTOL ( CHKM ) 0 0 0 0 0 0 0 0
93 CLORHEKSIDIN 0,2 % 0 0 0 0 0 0 0 0
94 COTRIMOXASOLE 120 MG ( PEDIATRIK ) 0 0 0 0 0 0 0 0
95 COTRIMOXASOLE 480 MG 0 0 0 0 0 0 0 0
96 COTRIMOXASOLE SUSPENSI 60 ML 178 0 178 15 163 29 134 10 5 15
97 DAPSON 100 MG 0 0 0 0 0 0 0 0
98 DEKSTRAN 70 0 0 0 0 0 0 0 0
99 DEVITALISASI NON ARSEN 0 0 0 0 0 0 0 0
100 DEXAMETHASONE 0,5 MG 0 0 0 0 0 0 0 0
101 DEXAMETHASONE INJEKSI 5 MG / ML 193 0 193 20 173 38 135 10 5 10 25
102 DEXTROMETORPHAN 15 MG 0 0 0 0 0 0 0 0
103 DEXTROMETORPHAN SIRUP 10 MG / 5 ML 60 ML 0 0 0 0 0 0 0 0
104 DIAZEPAM 2 MG 0 0 0 0 0 0 0 0
105 DIAZEPAM 5 MG 0 0 0 0 0 0 0 0
106 DIAZEPAM INJEKSI 5 MG / ML 0 0 0 0 0 0 0 0
107 DIAZEPAM REKTAL 5 MG / 2.5 ML 0 0 0 0 0 0 0 0
108 DIETILKARBAMAZIN 100 MG 0 0 0 0 0 0 0 0
109 DIFENHIDRAMIN INJEKSI 10 MG / ML 120 0 120 0 120 0 120 0
110 DIGOXIN 0,25 MG 0 0 0 0 0 0 0 0
111 DILTIAZEM 30 MG 0 0 0 0 0 0 0 0
112 DISPOSIBLE 1 CC 20 0 20 0 20 0 20 0
113 DISPOSIBLE 3 CC 105 0 105 0 105 0 105 0
114 DISPOSIBLE 5 CC 494 0 494 0 494 0 494 0
115 DISPOSIBLE 10 CC 0 0 0 0 0 0 0 0
116 DOMPERIDON 10 MG 0 0 0 0 0 0 0 0
117 DOMPERIDON SUSPENSI 5 MG / 5 ML 60 ML 0 0 0 0 0 0 0 0
118 DOXYCYCLINE 100 MG 2701 0 2701 0 2701 0 2,701 0
119 EFEDRIN 25 MG 0 0 0 0 0 0 0 0
120 EKSTRAK BELLADONA 10 MG 0 0 0 0 0 0 0 0
121 EPINEFRIN INJEKSI 0,1 % 0 0 0 0 0 0 0 0
122 ERITROMISIN 250 MG 1614 0 1614 500 1114 954 160 300 200 500
123 ERITROMISIN 500 MG 0 0 0 0 0 0 0 0
124 ERITROMISIN SIRUP 200 MG / 5 ML 60 ML 37 0 37 0 37 0 37 0
125 ETAMBUTOL 500 MG 0 0 0 0 0 0 0 0
126 ETIL CHLORIDA SPRAY 0 0 0 0 0 0 0 0
127 EUGENOL CAIRAN 10 ML 0 0 0 0 0 0 0 0
128 FAMOTIDINE 40 MG 0 0 0 0 0 0 0 0
129 FENOKSIMETIL PENISILIN 250 MG 0 0 0 0 0 0 0 0
130 FENOKSIMETIL PENISILIN 500 MG 0 0 0 0 0 0 0 0
131 FENOL GLISEROL TETES TELINGA 10 % 0 0 0 0 0 0 0 0
132 FERRO SULFAT 1000 0 1000 500 500 954 454 300 200 500
133 FERRO SULFAT SIRUP 15 MG / 5 ML 0 0 0 0 0 0 0 0
134 FLUOR 0,5 MG 0 0 0 0 0 0 0 0
135 FORMOKRESOL CAIRAN 0 0 0 0 0 0 0 0
136 FUROSEMIDE 40 MG 200 0 200 0 200 0 200 0
137 FUROSEMIDE INJEKSI 10 MG / ML 0 0 0 0 0 0 0 0
138 GAMEKSAN LOTION 1 % 0 0 0 0 0 0 0 0
139 GENTAMISIN SALEP KULIT 0,1 % 0 0 0 0 0 0 0 0
140 GENTAMISIN TETES MATA 0,3 % 0 0 0 0 0 0 0 0
141 GENTAMISIN INJEKSI 10 MG / ML 0 0 0 0 0 0 0 0
142 GENTIAN VIOLET 1 % 10 ML 0 0 0 0 0 0 0 0
143 GLASS IONOMER ART 0 0 0 0 0 0 0 0
144 GLIBENCLAMIDE 5 MG 0 0 0 0 0 0 0 0
145 GLISERIL GUAIACOLAT 100 MG 12687 0 12687 700 11987 1,335 10,652 500 100 100 700
146 GLIMEPIRID 1 MG 0 0 0 0 0 0 0 0
147 GLIMEPIRID 2 MG 0 0 0 0 0 0 0 0
148 GLIPIZID 5 MG 0 0 0 0 0 0 0 0
149 GLISERIN 0 0 0 0 0 0 0 0
150 GLUKOSA 5 % 500 ML 250 0 250 0 250 0 250 0
151 GLUKOSA 10 % 500 ML 77 0 77 0 77 0 77 0
152 GLUKOSA 40 % 0 0 0 0 0 0 0 0
153 GRISEOFULVIN 125 MG 0 0 0 0 0 0 0 0
154 GUTTA PERCHA DAN PAPER POINTS 0 0 0 0 0 0 0 0
155 HALOPERIDOL 0,5 MG 2785 0 2785 0 2785 0 2,785 0
156 HALOPERIDOL 1,5 MG 0 0 0 0 0 0 0 0
157 HALOPERIDOL 5 MG 0 0 0 0 0 0 0 0
158 HIDROCHLORTIAZIDE 25 MG 4333 0 4333 0 4333 0 4,333 0
159 HIDROCORTISONE KRIM 2,5 % 5 GR 0 0 0 0 0 0 0 0
160 IBUPROFEN 200 MG 0 0 0 0 0 0 0 0
161 IBUPROFEN 400 MG 0 0 0 0 0 0 0 0
162 IBUPROFEN SUSPENSI 100 MG / 5 ML 60 ML 0 0 0 0 0 0 0 0
163 ICHTIYOL SALEP 0 0 0 0 0 0 0 0
164 INFUSION SET ANAK 252 0 252 0 252 0 252 0
165 INFUSION SET DEWASA 215 0 215 10 205 19 186 5 5 10
166 ISONIASIDE 100 MG 0 0 0 0 0 0 0 0
167 ISONIASIDE 300 MG 0 0 0 0 0 0 0 0
168 ISOSORBIDE DINITRATE 5 MG 770 0 770 0 770 0 770 0
169 JARUM SUNTIK / NALL 0 0 0 0 0 0 0 0
170 KAPAS 250 GR 5 0 5 0 5 0 5 0
171 KAPAS 500 GR 100 0 100 0 100 0 100 0
172 KASA KOMPRESS STERIL 16 X 16 59 0 59 0 59 0 59 0
173 KASA KOMPRESS 40 X 80 CM 0 0 0 0 0 0 0 0
174 KETAMIN INJEKSI 10 MG / ML 0 0 0 0 0 0 0 0
175 KETOKONAZOLE 200 MG 0 0 0 0 0 0 0 0
176 KETOKONAZOLE KRIM 2 % 35 0 35 0 35 0 35 0
177 KOMPOSIT RESIN 0 0 0 0 0 0 0 0
178 KUININ ( KINA ) 222 MG 1000 0 1000 0 1000 0 1,000 0
179 KUININ DIHIDROKLORIDA INJEKSI 25 % 2 ML 0 0 0 0 0 0 0 0
180 LEUKOPLAST 5 INCH X 2 YARD 18 0 18 0 18 0 18 0
181 LIDOKAIN INJEKSI 2 % 14 0 14 5 9 10 1 3 2 5
182 LIDOKAIN 2 % + EPINEFRIN, COMP 2 ML 0 0 0 0 0 0 0 0
183 LOPERAMIDE 2 MG 849 0 849 0 849 0 849 0
184 LORATADINE 1 MG 0 0 0 0 0 0 0 0
185 MAGNESIUM SULFAT SERBUK 30 GRAM 0 0 0 0 0 0 0 0
186 MAGNESIUM SULFAT INJEKSI 40 % 25 ML 0 0 0 0 0 0 0 0
187 MEBENDAZOL 100 MG 0 0 0 0 0 0 0 0
188 MEBENDAZOL SIRUP 50 MG / ML 0 0 0 0 0 0 0 0
189 MELOKSIKAM 7,5 MG 0 0 0 0 0 0 0 0
190 MELOKSIKAM 15 MG 0 0 0 0 0 0 0 0
191 METFORMIN HCL 500 MG 0 0 0 0 0 0 0 0
192 METILERGOMETRIN MALEAT 0,125 MG 0 0 0 0 0 0 0 0
193 METILERGOMETRIN MALEAT INJEKSI 1 ML / MYOMERGIN 0 0 0 0 0 0 0 0
194 METOCLOPRAMIDE 5 MG 0 0 0 0 0 0 0 0
195 METOCLOPRAMIDE SIRUP 5 MG / 5 ML 60 ML 0 0 0 0 0 0 0 0
196 METRONIDAZOLE 250 MG 0 0 0 0 0 0 0 10 10
197 METRONIDAZOLE 500 MG 422 0 422 300 122 572 450 100 100 100 300
198 MIKONAZOL KRIM 2 % 5 GR 20 0 20 0 20 0 20 0
199 MINERAL MIX 0 0 0 0 0 0 0 0
200 NATRIUM BIKARBONAT 500 MG 0 0 0 0 0 0 0 0
201 NATRIUM CHLORIDA 0,9 % ( NACL ) 500 ML 149 0 149 10 139 19 120 5 5 10
202 NATRIUM DICLOFENAK 25 MG 550 0 550 200 350 382 32 100 100 200
203 NATRIUM DICLOFENAK 50 MG 400 0 400 100 300 191 109 50 50 100
204 NATRIUM FENITOIN 50 MG 0 0 0 0 0 0 0 0
205 NATRIUM FENITOIN 100 MG 0 0 0 0 0 0 0 0
206 NATRIUM FENITOIN INJEKSI 100 MG / 2 ML 0 0 0 0 0 0 0 0
207 NATRIUM FLUORESEIN TETES MATA 2 % 0 0 0 0 0 0 0 0
208 NATRIUM HIPOKLORIT 5 % 0 0 0 0 0 0 0 0
209 NATRIUM THIOSULFAT INJEKSI 25 % 0 0 0 0 0 0 0 0
210 NIFEDIPINE 10 MG 1670 0 1670 0 1670 0 1,670 0
211 NOREPINEFRIN INJEKSI 1 M / ML 0 0 0 0 0 0 0 0
212 NYSTATIN 100.000 IU 0 0 0 0 0 0 0 0
213 NYSTATIN 500.000 IU 0 0 0 0 0 0 0 0
214 OBAT ANTITUBERKULOSIS FDC KATEGORI I 0 0 0 0 0 0 0 0
215 OBAT ANTITUBERKULOSIS FDC KATEGORI II 0 0 0 0 0 0 0 0
216 OBAT ANTITUBERKULOSIS FDC KATEGORI ANAK 0 0 0 0 0 0 0 0
217 OBAT ANTITUBERKULOSIS KATEGORI I 0 0 0 0 0 0 0 0
218 OBAT ANTITUBERKULOSIS KATEGORI II 0 0 0 0 0 0 0 0
219 OBAT ANTITUBERKULOSIS KATEGORI ANAK 0 0 0 0 0 0 0 0
220 OBAT ANTITUBERKULOSIS SISIPAN 0 0 0 0 0 0 0 0
221 OBAT BATUK HITAM 100 ML 0 0 0 0 0 0 0 0
222 OMEPRAZOLE 20 MG 0 0 0 0 0 0 0 0
223 ORALIT 200 ML 1206 0 1206 12 1194 23 1,171 0
224 OXIMETAZOLIN TETES HIDUNG 0.025 % 0 0 0 0 0 0 0 0
225 OXITETRASIKLIN INJEKSI 50 MG / ML - 10 ML 0 0 0 0 0 0 0 0
226 OXITETRASIKLIN SALEP KULIT 3 % 0 0 0 0 0 0 0 0
227 OXITETRASIKLIN SALEP MATA 1 % 100 0 100 0 100 0 100 0
228 OXITOCIN 10 IU / ML 1 ML ( PITOGIN ) 0 0 0 0 0 0 0 0
229 PAPAVERIN 40 MG 1000 0 1000 0 1000 0 1,000 0
230 PARACETAMOL 100 MG 0 0 0 0 0 0 0 0
231 PARACETAMOL 500 MG 0 0 0 0 0 0 0 0
232 PARACETAMOL DROPS 15 ML 176 0 176 10 166 19 147 5 5 10
233 PARACETAMOL SIRUP 120 MG / ML 60 ML 0 0 0 0 0 0 0 0
234 PASTA PENGISI SALURAN AKAR 0 0 0 0 0 0 0 0
235 PHENOBARBITAL 30 MG 0 0 0 0 0 0 0 0
236 PHENOBARBITAL INJEKSI 50 MG / ML 2 ML 0 0 0 0 0 0 0 0
237 PILOKARPIN TETES MATA 2 % 0 0 0 0 0 0 0 0
238 PIRACETAM 400 MG 0 0 0 0 0 0 0 0
239 PIRANTEL 125 MG 710 0 710 0 710 0 710 0
240 PIRANTEL SUSPENSI 125 MG / 5 ML 45 0 45 0 45 0 45 0
241 PIRAZINAMIDE 500 MG 0 0 0 0 0 0 0 0
242 PIROXICAM 10 MG 0 0 0 0 0 0 0 0
243 PIROXICAM 20 MG 500 0 500 200 300 382 82 100 100 200
244 POVIDON IODIDA 10 % 30 ML 2 0 2 1 1 2 1 1 1
245 POVIDON IODIDA 10 % 60 ML 9 0 9 0 9 0 9 0
246 POVIDON IODIDA 10 % 300 ML 2 0 2 0 2 0 2 0
247 POVIDON IODIDA 10 % 1000 ML 2 0 2 0 2 0 2 0
248 PRAZIKUANTEL 300 MG 0 0 0 0 0 0 0 0
249 PREDNISONE 5 MG 5600 0 5600 500 5100 954 4,146 300 200 500
250 PRIMAQUIN 15 MG 6500 0 6500 200 6300 382 5,918 100 100 200
251 PROKAIN BENZIL PENISILIN G 3 JT IU 15 MG 0 0 0 0 0 0 0 0
252 PROPANOLOL 40 MG 1700 0 1700 0 1700 0 1,700 0
253 PROPILTIOURASIL 100 MG 0 0 0 0 0 0 0 0
254 RANITIDINE 150 MG 5749 0 5749 0 5749 0 5,749 0
255 RANITIDINE INJEKSI 25 MG / 2 ML 70 0 70 0 70 0 70 0
256 RESERPHIN 0,25 MG 0 0 0 0 0 0 0 0
257 RIFAMPICIN 300 MG 0 0 0 0 0 0 0 0
258 RIFAMPICIN 450 MG 0 0 0 0 0 0 0 0
259 RIFAMPICIN 600 MG 0 0 0 0 0 0 0 0
260 RINGER LAKTAT 500 ML 347 0 347 0 347 0 347 0
261 RIVANOL 0,1 % 300 ML 0 0 0 8 -8 15 23 0
262 SALBUTAMOL 2 MG 0 0 0 0 0 0 0 0
263 SALBUTAMOL 4 MG 4263 0 4263 200 4063 382 3,681 0
264 SALEP 2 - 4 0 0 0 0 0 0 0 0
265 SALICYL TALK 2 % 50 GR 129 0 129 0 129 0 129 0
266 SARUNG TANGAN NO 7 106 0 106 0 106 0 106 0
267 SARUNG TANGAN NO 7 1/2 125 0 125 0 125 0 125 0
268 SARUNG TANGAN NO 8 82 0 82 0 82 0 82 0
269 SERUM ANTI BISA ULAR ( ABU I ) 5 ML 0 0 0 0 0 0 0 0
270 SERUM ANTI BISA ULAR ( ABU II ) 50 ML 0 0 0 0 0 0 0 0
271 SERUM ANTI DIFTERI ( ADS ) 10.000 UI 0 0 0 0 0 0 0 0
272 SERUM ANTI DIFTERI ( ADS ) 20.000 UI 0 0 0 0 0 0 0 0
273 SERUM ANTI TETANUS INJEKSI 1.500 UI 0 0 0 0 0 0 0 0
274 SERUM ANTI TETANUS INJEKSI 20.000 UI 0 0 0 0 0 0 0 0
275 SILK BLACK BRAIDED NO 3/0 245 0 245 0 245 0 245 0
276 SIMVASTATIN 10 MG 210 0 210 0 210 0 210 0
277 SIMVASTATIN 20 MG 0 0 0 0 0 0 0 0
278 SPIROLACTONE 25 MG 0 0 0 0 0 0 0 0
279 SULFASETAMIDA TETES MATA 15 % 0 0 0 0 0 0 0 0
280 TETRACAIN TETES MATA 0.5 % 0 0 0 0 0 0 0 0
281 TETRASIKLIN 250 MG 0 0 0 0 0 0 0 0
282 TETRASIKLIN 500 MG 0 0 0 0 0 0 0 0
283 TRAMADOL 50 MG 0 0 0 0 0 0 0 0
284 TRIHEXYLPHENIDIL 2 MG 0 0 0 0 0 0 0 0
285 VALPROAT 250 MG 0 0 0 0 0 0 0 0
286 VAKSIN VERORAB 0 0 0 0 0 0 0 0
287 VITAMIN A 100.000 IU ( RETINOL BIRU ) 200 0 200 0 200 0 200 0
288 VITAMIN A 200.000 IU ( RETINOL MERAH ) 450 0 450 0 450 0 450 0
289 VITAMIN B 1 50 MG 1290 0 1290 500 790 954 164 300 200 500
290 VITAMIN B 1 INJEKSI 100 MG / ML 1 ML 0 0 0 0 0 0 0 0
291 VITAMIN B 6 10 MG 3400 0 3400 500 2900 954 1,946 300 200 500
292 VITAMIN B 12 50 MCG 300 0 300 200 100 382 282 100 100 200
293 VITAMIN B 12 INJEKSI 50 MCG 1 ML 0 0 0 0 0 0 0 0
294 VITAMIN B COMPLEKS 6982 0 6982 400 6582 763 5,819 100 100 200 400
295 VITAMIN B COMPLEKS INJEKSI 20 ML 0 0 0 0 0 0 0 0
296 VITAMIN C 50 MG 212 0 212 100 112 191 79 50 50 100
297 VITAMIN K 10 MG 1500 0 1500 0 1500 0 1,500 0
298 VITAMIN K INJEKSI 10 MG / ML 1 ML 235 0 235 0 235 0 235 0
299 WING NEEDLE NO 21 0 0 0 0 0 0 0 0
300 WING NEEDLE NO 23 0 0 0 0 0 0 0 0
301 WING NEEDLE NO 25 0 0 0 0 0 0 0 0
302 ZING 10MG/ML 80 0 80 20 60 38 22 10 10 10 30
303 ZINK DISPERSIBEL 0 0 0 0 0 0 0 0

BPJS BPJS
JUMLAH KUNJUNGAN PASIEN UMUM PBI NON PBI JAMKESDA JUMLAH
23 15 4 0 42
JUMLAH R/ 76 55 16 0 147
JUMLAH GENERIK 76 55 16 0 147

Mengetahui, Tobelo,.......................................
Kepala Puskesmas ......................................... Pengelola Obat

............................................................................ S ............................................................................
NIP. NIP.
KET
17
LAPORAN PENGGUNAAN OBAT PSIKOTROPIKA

KODE PUSKESMAS : BULAN : MARET


PUSKESMAS : TAHUN : 2016
KECAMATAN :
PROPINSI : MALUKU U

SALDO PENERIMAAN JUMLAH PENGELUARAN SALDO


NO NAMA OBAT SATUAN AWAL DARI JUMLAH KESELURUHAN UNTUK JUMLAH AKHIR KETERANGAN
1 2 3 4 5 6 7 8 9 10 11
1 DIAZEPAM 2 MG TABLET 0 0 0 0 0
2 DIAZEPAM 5 MG TABLET 0 0 0 0 0
3 DIAZEPAM INJEKSI 5 MG / ML AMPUL 25 0 25 25 0
4 DIAZEPAM REKTAL 5 MG / 2.5 ML TUBE 0 0 0 0 0
5 PHENOBARBITAL 30 MG TABLET 0 0 0 0 0
6 PHENOBARBITAL INJEKSI 50 MG / ML 2 ML AMPUL 0 0 0 0 0

Mengetahui, Tobelo,.......................................
Kepala Puskesmas ......................................... Pengelola Obat

............................................................................ ..............................................................
NIP. NIP.