LAPORAN STOK OPNAME

gudang
BULAN JANUARI 2018

No Nama Obat Satuan sisa awal pemasuk persediaan

an

1 2 3 4 5 6
SUMBER DANA : DAK
1 Albendazol tablet 400 mg tablet 500 - 500
2 Alopurinol tablet 100 mg tablet 500 - 500
3 Alopurinol tablet 300 mg tablet - - -
4 Ambroxol sirup 15 mg/ml - 60 ml Sirup - - -
5 Ambroxol tab tablet - - -
6 Aminofilin injeksi 24 mg/ml @ 10 ml ampul - - -
7 Aminofilin tablet 200 mg tablet - - -
8 Amitripilin tablet salut 25 mg (HCL) tablet - - -
9 Amlodipin 5 mg tab tablet - - -
10 Amoksisilin kaplet 500 mg tablet 2,700 - 2,700
11 Amoksisilin Kapsul 250 mg kapsul - - -
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml Botol 210 - 210
13 Amoksisillin + As Klavulanat 625 mg tablet - - -
14 Amoksisillin serbuk injeksi 1000 mg Vial - - -
Antasida DOEN I Tablet kunyah,kombinasi : Alumunium tablet
15 1,000 - 1,000
Hidroksida 200 mg + Magnesium Hidroksida 200 mg
Antasida DOEN II suspensi,komb:Alumunium Hidroksida botol
16 200 - 200
200 mg/ml + Magnesium Hidroksida 200 mg/ml - 60 ml
Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam
17 pot - - -
Salisilat 3%
Antihemoroid DOEN kombinasi : Bismut Subgalat 150
18 supp 15 - 15
mg + Heksaklorofen 250 mg
19 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg tablet - - -
20 Aqua Pro Injeksi Steril, bebas pirogen @ 20 ml vial - - -
21 Asam Asetilsalisilat tablet 100 mg (Asetosal) tablet - - -
22 Asam Asetilsalisilat tablet 500 mg (Asetosal) tablet - - -
23 Asam Askorbat (vitamin C) tablet 50 mg tablet 500 - 500
24 Asam Askorbat (vitamin C) tablet 250 mg tablet - - -
25 Asam Mefenamat 500 mg kapsul 1,900 - 1,900
26 Asiklovir 200 mg tablet tablet - - -
27 Asiklovir 400 mg tablet tablet - - -
28 Asiklovir krim 5 % - 5 gr tube - - -
Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat) @ ampul
29 - - -
1 ml
Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet
30 sachet - - -
(tablet tambah darah) @ 30 tablet
31 Betahistin Mesilat 6 mg tablet - - -
32 Betametason krim 0,1 % - 5 gr tube 48 - 48
33 Bisoprolol tablet 5 mg tablet - - -
34 Bromhexin tab 8 mg tablet - - -
35 Cetrizin syrup 5 mg/ml - 60 ml botol - - -
36 Cetrizin tab 10 mg tablet - - -
37 Deksametason injeksi IV 5 mg/ml ampul - - -
38 Deksametason tablet 0,5 mg tablet - - -
39 Dekstrometorfan sirup 10 mg/5 ml (HBr) - 60 ml Botol - - -
40 Dekstrometorfan tablet 15 mg (HBr) tablet - - -
41 Dextran 70 larutan infus 6 % steril - 500 ml botol - - -
42 Diazepam Injeksi 5 mg/ml @ 2 ml ampul - - -
43 Diazepam tablet 2 mg tablet - - -
44 Diazepam tablet 5 mg tablet - - -
45 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) @ 1ml ampul - - -
46 Digoksin tablet 0,25 mg tablet - - -
47 Doksisiklin kapsul 100 mg kapsul - - -
48 Domperidone Suspensi 5 mg/5 ml - 60 ml Botol 48 - 48
49 Efedrin tablet 25 mg (HCl) tablet - - -

50 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) - @ 1 ml ampul 30 - 30

51 Erithromycin syr 200mg/5 ml - 60 ml botol - - -

52 Eritromisin kapsul 250 mg tablet - - -
53 Eritromisin kapsul 500 mg tablet - - -
54 Etakridin larutan 0,1 % - 300 ml botol - - -
55 Etil klorida spray botol 2 - 2
56 Fenitoin kapsul 100 mg kapsul - - -
57 Fenitoin Natrium injeksi 50 mg/ml ampul - - -
58 Fenobarbital tablet 30 mg tablet - - -
59 Fenobarbital injeksi i.m / i.v 50 mg/ml ampul - - -
60 Fenoksi metil Penisillin 250 mg tablet - - -
61 Fenoksi metil Penisillin 500 mg tablet - - -
62 Fenol Gliserol tetes telinga 10% botol - - -
63 Fitomenadion ( vit K 1 ) injeksi 10 mg / ml @ 1 ml ampul - - -
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mg tablet - - -
65 Furosemid injeksi iv/im 10 mg/ml @ 2 ml ampul - - -
66 Furosemid tablet 40 mg tablet 400 - 400
Garam Oralit 1 serbuk kombinasi :Natrium 0,52 g +
67 Kalium Klorida 0,30 g +Trinatrium sitrat dihidrat 0,58 g sachet - - -
+Glukosa Anhidrat 2,7 g
68 Gentamicin inj 40 mg/ml ampul - - -
69 Gentamicin inj 80 mg/ml vial - - -
70 Gentamicin SK 0,1 % - 5 gr tube - - -
71 Gentian violet Larutan 1 % - 10 ml Botol - - -
72 Glibenklamida tablet 5 mg tablet 300 - 300
73 Gliseril Gualakolat tablet 100 mg tablet - - -
74 Gliserin - 100 ml botol - - -
75 Glukosa larutan infus 10% - 500 ml botol - - -
76 Glukosa larutan infus 40 % - 25 ml ampul - - -
77 Glukosa larutan infus 5% - 500 ml botol 20 - 20
78 Griseofulvin tablet 125 mg, micronized tablet - - -
79 Haloperidol tablet 0,5 mg tablet 100 - 100
80 Haloperidol tablet 1,5 mg tablet 100 - 100
81 Haloperidol tablet 5 mg tablet 100 - 100
82 Hidroklorotiazida (HCT) tablet 25 mg tablet - - -
83 Hidrokortison krim 2,5% - 5 gr tube - - -
84 Hyoscine-N-Butilbromide tablet 10 mg tablet - - -
85 Ibuprofen tablet 200 mg tablet - - -
86 Ibuprofen tablet 400 mg tablet 400 - 400
87 Ibupropen 100 mg Syr - 60 ml botol - - -
88 Isosorbid Dinitrat Tablet Sublingual 5 mg tablet - - -
89 Kalium Diklopenak 50 mg tablet - - -
90 Kalsium Laktat (Kalk) tablet 500 mg tablet - - -
91 Kaptopril tablet 12,5 mg tablet 400 - 400
92 Kaptopril tablet 25 mg tablet 800 - 800
93 Karbamazepin 200 mg tablet 300 - 300
94 Ketokonazole 200 mg tablet tablet - - -
95 Ketokonazole krim - 15 gr tube 50 - 50
96 Ketoprofen tablet 100 mg tablet - - -
97 Ketorolac Injeksi 10 mg ampul - - -
98 Ketorolac injeksi 30 mg ampul - - -
99 Klindamisin Kap 150 Mg kapsul - - -
100 Klonidin 0,15 mg tablet - - -
101 Kloramfenikol kapsul 250 mg kapsul - - -
102 Kloramfenikol salep mata - 5 gr tube 24 - 24
103 Kloramfenikol suspensi 125 mg/5ml - 60 ml botol - - -
104 Kloramfenikol tetes telinga 3 % - 5 ml botol - - -
105 Klorfeniramina mealeat (CTM) tablet 4 mg tablet 1,000 - 1,000
106 Klorpromazin tablet salut 100 mg (HCl) tablet - - -
107 Kodein 10 mg ampul - - -

108 Kotrimokszol DOEN I (dewasa) kombinasi : tablet 500 - 500

Sulfametoksazole 400 mg + Trimetoprim 80 mg

109 Kotrimosazol DOEN II (pediatrik) Kombinasi : tablet - - -

Sulfametoksazol 100 mg + Trimetoprim 20 mg

110 Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 botol 60 - 60

mg + Trimetoprim 40 mg/ 5 ml - 60 ml

111 Lanzoprazole kapsul/kaplet 30 mg kapsul - - -

112 Lidokain inj 2% @ 2 ml ampul - - -

113 Lidokain inj 2% (HCl) + Epinefrine 1 : 80000 - 2 ml @ 2 ampul 60 - 60

ml
114 Loratadin tablet 10 mg tablet 300 - 300
115 Magnesium Sulfat inj (IV) 20 % - 25 ml Vial - - -
116 Magnesium Sulfat inj (IV) 40 % - 25 ml Vial - - -
117 Meloksikam 15 mg tablet - - -
118 Metampiron injeksi 250 mg @ 2 ml ampul - - -
119 Metampiron tablet 500 mg tablet - - -
120 Metformin HCl 500 mg tablet - - -
121 Methil dopa 250 mg tablet 600 - 600
122 Metil prednisolon tablet 4 mg tablet - - -

123 Metilergometrin Maleat (Metilergometrin) injeksi 0,200 ampul 100 - 100

mg - 1 ml

124 Metilergometrin Maleat (Metilergometrin) tablet salut tablet - - -

0,125 mg
125 Metoklopramid inj 5 mg/ml ampul - - -
126 Metoklopramid tablet 10 mg tablet - - -
127 Metronidazole tablet 250 mg tablet - - -
128 Metronidazole tablet 500 mg tablet - - -
129 Mikonazole krim/salep 2 % (nitrat) - 10 gr tube - - -
130 Morfin inj 10 mg/ml ampul - - -
131 Natrium bikarbonat tablet 500 mg tablet - - -
132 Natrium Diklofenak 25 mg tablet 500 - 500
133 Natrium diklofenak 50 mg tablet - - -
134 Natrium Klorida larutan infus 0,9% - 500 ml botol 5 - 5
135 Nifedipin tablet 10 mg tablet 1,200 - 1,200
136 Nistatin tablet salut 500000 IU/g tablet - - -
137 Nistatin vaginal tablet 100000 IU/g tablet 100 - 100
138 Obat Batuk hitam ( O.B.H.) - 100 ml botol - - -
139 Oksitetrasiklin HCL salep kulit 3 % - 5 gr tube - - -
140 Oksitetrasiklin HCL salep mata 1 % - 3,5 gr tube - - -
141 Oksitosin injeksi 10 IU/ml-1 ml ampul 100 - 100
142 Omeprazole 20 mg kapsul 300 - 300
143 Papaverin inj 40 mg/ml @ 1 ml ampul - - -
144 Parasetamol drop 15 ml botol - - -
145 Paracetamol sirup 120 mg / 5 ml - 60 ml botol - 150 150
146 Paracetamol tablet 100 mg tablet - - -
147 Paracetamol tablet 500 mg tablet 500 500
148 Petidin 50 mg/ ml injeksi ampul - - -
149 Piracetam 400 mg tablet tablet - - -
150 Piracetam inj 1 g/ 5 ml ampul - - -
151 Pirantel tab. Score (base) 125 mg tablet - - -
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tablet - - -
153 Piroksikam tablet 10 mg tablet - - -
154 Povidon Iodida larutan 10 % - 300 ml botol - - -
155 Povidon Iodida larutan 10 % - 1 L botol - - -
156 Povidon Iodine - 30 ml botol 5 - 5
157 Prednison tablet 5 mg tablet 500 - 500
158 Ranitidin injeksi 25 mg / 2 ml ampul - - -
159 Ranitidin tab 150 mg tablet 500 - 500
160 Reserpin tablet 0,25 mg tablet - - -
161 Ringer Laktat larutan infus - 500 ml botol - - -
162 Salbutamol tablet 2 mg tablet 200 - 200
163 Salbutamol tablet 4 mg tablet - - -

164 Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang pot 48 - 48

endap 4% - 30 gr
165 Salisil bedak 2% - 50 gr kotak - - -
166 Sefadroksil kapsul 500 mg kapsul 400 - 400
167 Sefadrosil syr 125 mg/5 ml - 60 ml botol - - -
168 Sefiksim Syr kering botol - - -
169 Sefotaksim inj 1 g vial - - -
170 Seftazidim inj 1g vial - - -
171 Seftriakson injeksi 1 g vial - - -
172 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) vial - - -
173 Serum Anti Tetanus 1.500 IU/ampul (A.T.S.) ampul - - -

174 Sianokobalamin (Viatamin B12) injeksi 500 mcg @ 1 ml ampul - - -

175 Sianokobalamin (Vitamin B 12) tablet 50 mcg tablet - - -

176 Simetidine Tablet 200 mg tablet - - -
177 Simvastatin tablet 10 mg tablet - - -
178 Siprofloksasin tablet 500 mg (sebagai HCL) tablet - - -
179 Spironolakton tab 25 mg tablet - - -
180 Sulfasetamida Natrium tetes mata 15% - 5 ml botol - - -
181 Tetrasiklin 500 mg kapsul kapsul 300 - 300
182 Tetrasiklin kapsul 250 mg kapsul - - -
183 Thiamphenikol 500 mg kapsul - - -
184 Tiamin (vitamin B1) injeksi 100 mg/ml @ 1 ml ampul - - -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) tablet 500 - 500
186 Tramadol injeksi 50 mg/ml ampul - - -
187 Tramadol kapsul 50 mg kapsul - - -
188 Triheksifenidil tablet 2 mg tablet - - -
189 Vitamin B Kompleks tablet tablet 1,800 - 1,800
190 Obat Gigi - -
191 Devitalisasi pasta non arsen btl/ktk - - -
192 Eugenol cairan - 5 ml botol - - -
193 Glass Ionomer Cement ART set - - -
194 Kalsium Hidroksida Pasta tube - - -
195 Klorfenol kamfer Menthol ( CHKM ) - 10 ml botol - - -
196 Mummifying Pasta botol - - -
197 Zink Fosfat serbuk dan cairan @ 30 gr botol - - -
198 Obat Program - -
199 Ferro Sulfat 300 mg tablet - - -
200 Mineral Mix Sachet - - -
201 OAT Kategori 1 (FDC) Paket - 20 20
202 OAT Kategori 2 (FDC) Paket - 1 1
203 OAT Tuberculosis sisipan (FDC) Paket - - -
204 Obat TBC Anak (FDC) Paket - 5 5
205 OAT Kategori 1 (KombipaK) paket - - -
206 OAT Anak (Kombipak) Paket - - -
207 Retinol (VIT A) 100.000 UI kapsul - - -
208 Retinol (VIT A) 200.000 UI kapsul - - -
209 Streptomicin serbuk injeksi i.v 1500 mg / ml - 15 ml vial - - -
210 Zinc Tab 20 mg tablet - - -
211 Alat Kesehatan - -
212 Alat suntik sekali pakai 1 ml (SNI) set - - -
213 Alat suntik sekali pakai 2,5 ml (SNI) set - - -
214 Alat suntik sekali pakai 5 ml (SNI) set - - -

215 Catgut / Benang Bedah No. 2/0 dengan jarum bedah Pcs - - -
(SNI)

216 Catgut / Benang Bedah No. 3/0 dengan jarum bedah Pcs - - -
(SNI)
217 Foley Cathether no 20 (SNI) Pcs - - -
218 Foley Cathether no 18 (SNI) Pcs - - -
219 Foley Cathether no 22 (SNI) Pcs - - -
220 Infusion set anak (SNI) set - - -
221 Infusion set dewasa (SNI) set 44 - 44
222 IV Catheter No 20 G (SNI) buah 84 - 84
223 IV Catheter No 22 G (SNI) buah 30 - 30
224 IV Catheter No 24 G (SNI) buah - - -
225 Kapas Pembalut / Absorben 250 gram Bungkus 3 10 13
226 Kasa Pembalut Elastic 3 Inchi Rol - - -
227 Kasa Pembalut Elastic 4 Inchi Rol - - -
228 Kasa Pembalut Hidrofil 4 m x 10 cm rol 24 - 24
229 Kasa Pembalut Hidrofil 4 m x 5 cm elastic rol - - -
230 Kassa Hidrofil steril uk 16 x 16 cm (isi 16 lembar) kotak 49 - 49
231 Kassa hidrofil uk 36 m x 80 cm Roll - - -
232 Nelaton Catheter no 12 buah - - -
233 Nelaton Catheter no 14 buah - - -
234 Pembalut Gips 3 inchi Rol - - -
235 Pembalut Gips 4 inchi Rol - - -
236 Pembalut Gips 6 inchi Rol - - -
237 Plester 5 yard x 2 inch (daya rekat tinggi) Rol - - -
238 Sarung tangan steril pasang 150 - 150

239 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum Pcs 22 - 22
bedah
240 Urine Bag Pcs - - -
241 Wing Needle No. 21 G kotak - - -
242 Wing Needle No. 23 G kotak - - -
243 Wing Needle No. 25 G kotak - - -
244 Wing Needle No. 27 G kotak - - -
- -
SUMBER DANA DAU - -
1 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml botol - - -
2 Aquadest - 500 ml botol 3 - 3
3 Asam Traneksamat 500 mg Tablet tablet - - -
4 Atracurium 50 mg inj (Halmeln) ampul - - -
5 Clorine 5,25% - 1000 ml botol - - -
6 Diazepam rectal 5 mg/2,5 ml dalam tube tube 30 - 30
7 Dobutamin inj (Halmeln) ampul - - -
8 Eperison 50 mg tablet 100 - 100
9 Epidosin Injeksi ampul - - -
10 Etanol 70 % - 1000 ml botol - - -
11 Etanol 70 % - 100 ml botol - - -
12 Hidrogen Peroksida 3% - 1000 ml botol - - -
13 Hyoscine-N-Butilbromide 20 mg/ml Injeksi ampul - - -
14 Iodina test - 10 ml botol - - -
15 Kalium L Aspartat tab tablet - - -
16 Karbazokrom Natrium Sulfonat 10 mg tablet tablet - - -
17 Karbazokrom Natrium Sulfonat 5mg/ml injeksi ampul - - -
18 Ketamin inj 50 mg/ml ampul - - -
19 Ketoprofen inj 100 mg @ 2 ml ampul - - -
20 Lidokain HCl 20 mg + Adrenaline 0,0125 mg ampul - - -
21 Lisol 1000 ml Botol 5 - 5
22 Meropenem inj ampul - - -
23 Methyl prednisolon inj ampul - - -
24 Midazolam inj 15 mg/3 ml ampul - - -
25 Multivitamin dan Mineral Tablet untuk remaja tablet - - -
26 Multivitamin drop untuk bayi - 15 ml botol - - -
Multivitamin Sirup Pertumbuhan (Mengandung Lysine
27 botol - - -
dan Biotin) - 60 ml
28 Neostigmin 0,5 mg/ml ampul - - -
29 Nystatin drop/oral suspensi - 15 ml botol - - -
30 Obat anti diare (Attapulgite dan Pektin) tablet 400 - 400
Obat anti diare (Attapulgite dan Pektin) syr botol - - -
Obat Flu sirup Kombinasi (Parasetamol 150 mg,
31 botol - - -
Fenilpropanolamin HCl, CTM,DMP) - 60 ml

32 Obat tradisional pemulihan hati untuk penderita TBC tablet - - -

33 Oksigen 1 m3 tabung - - -
34 Oksigen 6 m3 tabung - - -

35 Obat scabies mengandung Permethrin 5 % sk - 10 gr tube 60 - 60

36 Polikresulen konsentrat - 10 ml botol - - -
37 Propofol inj ampul - - -
38 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl Botol 10 - 10
39 Salep kombinasi kortikosteroid - 5 gr tube - - -
40 Salep Luka bakar - 10 gr tube - - -
41 Sukralfat 500 mg tablet tablet - - -
Vitamin Neurotropik tablet - - -
Obat Gigi - -
42 Atching Agent (SGI) - 5 ml syringe - - -
43 Bonding Agent (SGI) - 10 ml botol - - -

44 Diamond Bor (Round b,k ; Fissur b,k ; Inverted b,k) set - - -

45 Disclosing Solution - 10 ml botol - - -

46 Gelatin cube 1 x 1 x 1 cm pcs - - -
47 Gutta perca 45-80 pcs - - -
48 Light Curring Composit (A2) (Solare) - 4,7 gr syringe - - -
49 Paper Point 45-80 pcs - - -
50 Rocle's 10 mg Set - - -
51 Temporary Filling Pasta Pot - - -
52 Triamsinolon Asetonit 1mg salep - 5 gr tube - - -
53 Trikesol Formalin - 10 ml botol - - -
Obat program - -
55 Misoprostol - HPMC 200 µg tablet - - -
Multivitamin Sirup Pemulihan : Zat aktif Curcuminoid -
56 botol - - -
120 ml
57 Multivitamin dan mineral tablet untuk jampersal tablet - - -
58 Vitamin K Injeksi 2mg/ml Neonatal ampul - - -
Alat Kesehatan - -
59 Alat suntik sekali pakai 10 ml set - - -
60 Alat suntik sekali pakai 3 ml set 300 - 300
61 Bisturi ujung bundar No. 20 buah - - -
62 Bisturi ujung Lancip No. 11 buah - - -
63 Bisturi ujung Lancip No. 20 buah - - -
64 Bisturi ujung Lancip No. 21 buah - - -
65 Bisturi ujung Lancip No. 22 buah - - -
66 Biuret bayi / microdip buah - - -
67 Catgut Cromic Caset 3 - 50 M Roll - - -
68 Catgut Plain 3 - 50 M Roll - - -
72 Dressing dengan parafin 10 cm x 10 cm pcs 8 - 8

73 Dressing Penutup luka lebar berperekat 5 m x 5 cm Roll - - -

89 IV Cathetter No. 18 buah - - -

91 Jarum Hacting Kulit No. 10 setengah lingkaran Pcs - - -
92 Jarum Hacting Kulit No. 11 setengah lingkaran Pcs - - -
93 Jarum Hacting Kulit No. 12 setengah lingkaran Pcs - - -
94 Jarum Hacting Kulit No. 9 setengah lingkaran Pcs - - -
95 Jarum Hacting Otot No. 10 setengah lingkaran Pcs - - -
96 Jarum Hacting Otot No. 12 setengah lingkaran Pcs - - -
97 Kasa gulung Besar (100 Y x 80 cm) Roll 1 - 1
98 Kasa Kompres 40/40 steril Bungkus 4 - 4
99 Kasa Pembalut 2 m x 80 cm Roll 11 - 11
100 Kasa Pembalut Hidrofil 4 m x 15 m elastic Roll 14 - 14
101 Kasa Pembalut Hidrofil 4 m x 3 cm elastic Roll - - -
102 Klem Umbilical buah - - -
103 Ky Jelly tube - - -
104 Masker Pcs 300 100 400
111 Sarung tangan non steril Pasang - - -
112 Sarung tangan panjang (Gynaecolog) Pasang - - -
113 Sarung tangan rumah tangga Pasang 3 - 3
114 Silk Caset 3/0 100m Roll 2 - 2
115 N ASETYL SISTEIN kapsul - - -
116 Asam Asetilsalisilat tablet 80 mg (Asetosal) tablet 100 - 100
117 Povidon Iodida larutan 10 % - 60 ml botol 3 - 3
118 AMLodipin 10 mg tab TAB 600 - 600
119 KACA SLIDE KOTAK 2 - 2
120 POT DAHAK POT - - -
121 EPERison HCL 50 mg TAB - - -
122 kasa steril 40x80 cm - - -
123 sukralfat 500 mg botol - - -
124 tetagram ampul - - -
125 zink sulfat 20 mg botol 50 - 50
126 cotrimoxazole 960 mg tablet 100 - 100
127 metronidazole 125 mg botol - - -
128 REAGEN TB - 7 7
129 domperidone 10 mg tab 400 - 400
130 fixomul 15 cm rol - - -
131 fixomul strech 5x10 rol - - -
132 fixomul 5x5 cm rol - - -
133 Masker N 95 - 40 40
 ket.
pengeluaran sisa akhir EKSPIRE satuan
harga
7 8

100 400
500 - 105
- -
- -
- -
- -
- -
- -
- -
2,700 - 370
- -
210 - 3,700
- -
- -

1,000 -
2,100
200 -
58
- -

15 -
1,552
- -
- -
- -
- -
500 - 32
- -
1,500 400 100
- -
- -
- -

- -

- -

- -
48 - 1,520
- -
- -
- - 2,850
- -
- -
- - 53
- -
- -
- -
- -
- -
- -
- -
- -
- -
48 - 4580.4
- -

12 18

- -
- -
- -
- -
2 - 104,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
400 - 53

- -

- -
- -
- -
- -
300 - 100.76
- -
 - -
- -
- -
- 20 5,200
- -
- 100
- 100
- 100
- -
- - 2,541
- -
- -
200 200 111
- -
- -
- -
- -
400 -
800 -
100 200
- -
50 - 2,595
- -
- -
- -
- -
- -
- -
24 - 1,810
- -
- -
800 200 37
- -
- -

300 200
149
- -

60 -

- -
- -

60 -
1,845
 300 - 333
- -
- -
- -
- -
- -
- -
100 500
- -

- 100
1,490
- -

- -
- -
- -
- -
- -
- -
-
300 200 132
- -
3 2
1,000 200 100
- -
100 - 407
- -
- -
- -
- 100
300 - 140
- -
- -
150 - 1949.2
- -
500 - 49
- -
- -
- -
- -
- - 14
- -
- -
- -
5 -
 500 - 52
- -
500 - 98
- -
- -
100 100
- -

48 -
2,429
- -
400 -
- -
- -
- -
- -
- -
- -
- -

- -

- -
- -
- -
- -
- -
- - 3,226
- 300
- -
- -
- -
500 - 82
- -
- -
- -
1,800 - 22
-
- -
- -
- -
- -
- -
- -
- -
-
- -
- -
20 -
1 -
- -
5 -
- -
- -
- -
- -
- -
- -
-
- -
- -
- -

- -

- -

- -
- -
- -
- -
19 25
16 68
5 25
- -
13 - 7,500
- -
- -
10 14
- -
16 33
- -
- -
- -
- -
- -
- -
- -
150 - 4,250
14 8

- -
- -
 - -
- -
- -
-
-
- -
2 1 19,360
- -
- -
- -
10 20 12090.51
- -
100 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 3 41,000
- -
- -
- -
- -
- -

- -

- -
- -
400 -
- -

- -

- -

- -
- -

60 -
12,155
 - -
- -
- 10
- -
- -
- -
- -
-
- -
- -

- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
-
- -

- -

- -
- -
-
- -
100 200 825
- -
- -
- -
- -
- -
- -
- -
- -
5 3 5,198
- -

- -
- -
- -
- -
 - -
- -
- -
- 1
4 -
3 8
7 7
- -
- -
- -
400 - 400
- - 924
- -
3 -
2 -
- -
100 -
3 -
600 - 148
2 -
- -
- -
- -
- -
- -
50 - 4788.3
100 - 308
- -
7 -
200 200 118
- - 112086.99
- - 70902.99
- - 55,714
40 -
 STOK PENERI-
No Nama Obat Satuan AWAL MAAN

1 2 3 4 5
1 Air untuk injeksi amp 20 ml AMP -
2 Albendazol tablet 400 mg tablet 400
3 Alopurinol tablet 100 mg tablet -
4 Ambroxol 30 mg tab tablet -
5 Ambroxol drop BOTOL -
6 Aminofilin inj 24 mg/ml AMP -
7 Aminofilin tablet 200 mg tablet -
8 Amlodipin 10 mg tablet - 900
9 Amlodipin 5 mg tablet -
10 Amoksisillin 250 mg tablet -
5 Amoksisilin kaplet 500 mg botol - 5,000
12 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml Botol - 300
13 Amoksisilin sirup
Anestetik lokal kering
gigi 125 mg/
kombinasi 5 mg - hcl
: lidokain 60 ml
2% + epinefrin 1 : 80.000 inj 2 BOTOL - 240
14 ml AMP -

15 Antasida DOEN I Tablet kunyah,kombinasi : Alumunium Hidroksida 200 mg tablet - 2,000

+ Magnesium Hidroksida 200 mg
16 Antasida DOEN II suspensi,komb:Alumunium Hidroksida 200 mg/ml + botol -
Magnesium Hidroksida 200 mg/ml - 60 ml
17 Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam Salisilat 3% pot -

18 Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen supp - 10

250 mg
19 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg tablet -
20 Aquadest - 500 ml BOTOL - 6
21 asam asetilsalisilat tablet 80 mg (asetosal) tablet - 300
22 Asam Askorbat (vitamin C) tablet 50 mg tablet - 500
23 Asam Mefenamat 500 mg kapsul 400 5,000
24 Asiklovir 200 mg tablet tablet -
25 Asiklovir 400 mg tablet tablet - 500
26 Asiklovir krim 5 % - 5 gr tube - 25
27 Atropin injeksi l.m/lv/s.k. 0,25 mg/mL - 1 mL (sulfat) @ 1 ml ampul -
28 Salisil bedak 2% - 50 gr kotak - 100
29 Betametason krim 0,1 % - 5 gr tube - 168
30 Betametason krim 0,5 mg/g TUBE -
31 Bisakodil sup 10 mg supp -
32 Cairan Ringer Dextrose (Glukosa 10%) BOTOL -
33 Deksametason inj 5 mg/ml (i.v./i.m.) AMP -
34 Deksametason tablet 0,5 mg tablet - 2,000
35 Diazepam inj 5 mg/ml (i.v./i.m.) AMP -
36 Diazepam rectal 5 mg/2,5 ml dalam tube tube -
37 Diazepam Rectal 10 mg / 2,5 ml tube TUBE -
38 Diazepam tab 2 mg tablet -
39 Diazepam tab 5 mg tablet -
40 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) @ 1ml ampul -
41 Digoksin tab 0,25 mg tablet -
42 Doksisiklin kaps 100 mg kapsul -
43 Domperidon Suspensi 5 mg/5ml BOTOL -
44 Domperidon tab 10 mg tablet -
45 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) - @ 1 ml ampul 18
46 Ergotamin tab 1 mg tablet -
47 Eritromisin kaps 250 mg kapsul -
48 Eritromisin sir 200 mg/5 ml BOTOL -
49 Eritromisin tab 500 mg tablet -
50 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) AMP - 60
51 Fitomenadion (vitamin K 1) tab sal 10 mg tablet -
52 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) AMP -
53 Furosemid tablet 40 mg tablet - 1,000

54 Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida 0,30 g + - 300
trinatrium sitrat 0,58 g + glukosa anhidrat 2,7 g sachet
55 Gentamicin inj 40 mg/ml AMP - 30
56 Gentamicin SK 0,1 % - 5 gr TUBE -
57 Glibenklamid tab 5 mg tablet - 500
58 Glukosa Larutan Infus 5% steril 500 ml BOTOL 20
59 Griseofulvin (micronized) tab 125 mg tablet -
60 Hidroklorotiazid tab 25 mg tablet -
61 Hidrokortison krim 2,5% - 5 gr tube - 72
62 Hyoscine-N-Butilbromide tablet 10 mg tablet -
63 Ibuprofen Sirup 100 mg / 5 ml BOTOL - 200
64 Ibuprofen tab 200 mg tablet -
65 Ibuprofen tablet 400 mg tablet 200
66 Isosorbid dinitrat tab 5 mg tablet -
67 Kalsium laktat (kalk) tab 500 mg tablet - 1,000
68 Kaptopril tablet 12,5 mg tablet - 500
69 Kaptopril tab 25 mg tablet - 3,000
70 Ketokonazole 200 mg tablet tablet -
71 Ketokonazole krim - 15 gr TUBE - 80
72 Ketokonazole scalp sol 2 % (Zoloral SS) TUB -
73 Klindamisin Kap 300 mg kapsul -
74 Kloramfenikol kaps 250 mg kapsul -
75 Kloramfenikol salep kulit 2% TUBE - 48
76 Kloramfenikol salep mata - 5 gr tube - 48
77 Kloramfenikol suspensi 125 mg/5ml - 60 ml botol - -
78 Klorfeniramina mealeat (CTM) tablet 4 mg tablet 200 1,000

79 Besi (II)Sulfat 200 mg + asam folat 0,25 mg/tablet (tablet tambah darah) @ sachet -
30 tablet
80 Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5 mg nebules vial -
81 Kotrimokszol DOEN I (dewasa) kombinasi : Sulfametoksazole 400 mg + tablet 200 500
Trimetoprim 80 mg
82 Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 mg + Trimetoprim botol - 144
40 mg/ 5 ml - 60 ml
83 Lidokain inj 2% (HCl) + Epinefrine 1 : 80000 - 2 ml @ 2 ml ampul -
84 Lidokain inj 2% @ 2 ml ampul -
85 Loratadin tablet 10 mg tablet - 2,000
86 Magnesium sulfat inj 20% vial - 12
87 Magnesium sulfat inj 40% vial - 12
88 Metformin tab 500 mg tablet - 500
89 Metilergometrin inj 0,2 mg/ml AMP -
90 Metilergometrin tab salut 0,125 mg tablet -
91 Metoklopramid inj 5 mg/ml AMP -
92 Metoklopramid tab 10 mg tablet -
93 Metoklopramid tab 5 mg tablet -
94 metronidazole 125 mg botol - 50
95 Metronidazol tab 500 mg tablet -
96 Mikonazol krim 2% TUBE -
97 Misoprostol 200 µg -
98 N ASETYL SISTEIN kapsul - 900
99 Natrium Klorida larutan infus 0,9% - 500 ml botol - 20
100 Natrium bikarbonat tablet 500 mg tablet -
101 Natrium diklofenak tab 25 mg tablet -
102 Natrium diklofenak tab 50 mg tablet -
103 Nifedipin tablet 10 mg tablet -
104 Nistatin tab salut 500.000 UI tablet -
105 Nistatin vaginal tablet 100000 IU/g tablet -
106 Nystatin drop/oral suspensi - 15 ml BOTOL -
107 Obat anti diare (Attapulgite dan Pektin) tablet -
Obat Flu sirup Kombinasi (Paracetamol 120 mg, glyceryl guaiacolate 25
108 mg, chlorpheniramine maleate 1 mg, phenylephrine HCl 5 mg - 60 ml -
BOTOL
109 Oksitosin injeksi 10 IU/ml-1 ml ampul -
110 Omeprazol kaps 20 mg tablet - 900
111 Paracetamol tablet 500 mg tablet - 4,000
112 Parasetamol drop 100mg/ml BOTOL - 112
113 Paracetamol sirup 120 mg / 5 ml - 60 ml botol - 600
114 Obat scabies mengandung Permethrin 5 % sk - 10 gr tube - 120
115 Pirantel tab. Score (base) 125 mg tablet -
116 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tablet - 500
117 Polikresulen konsentrat - 10 ml -
118 Povidon Iodine - 30 ml botol 1
119 povidone lodida larutan 10%-60 ml botol -
120 Povidon iodin lar 100 mg/ml - 300 ml Botol -
121 Povidon iodin lar 100 mg/ml - 1 L Botol -
122 Prednison tablet 5 mg tablet - 1,500
123 Ranitidin injeksi 25 mg / 2 ml AMP - 10
124 Ranitidin tab 150 mg tablet - 1,000
125 Reserpin tablet 0,25 mg tablet -
126 Ringer Laktat Larutan Botol - 20
127 Salbutamol cairan ih 0,1% Botol -
128 Salbutamol tablet 2 mg tablet -
129 Salbutamol tab 4 mg tablet -

130 pot - 48
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang endap 4% - 30 gr
131 Salep kombinasi kortikosteroid - 5 gr TUBE -
132 Salep Luka bakar - 10 gr TUBE -
133 Sefadroksil kapsul 500 mg kapsul - 500
134 Sefadroksil syr 125 mg/5 ml - 60 ml Botol - 100
135 Sefotaksim inj 1 g AMP -

136 AMP -
Serum anti bisa ular : A.B.U. I (khusus ular dari luar ) inj (i.m./i.v.) Papua
137 Serum antitetanus (A.T.S) inj 1500 UI/amp (i.m.) AMP -
138 Cetrizin syrup 5 mg/ml - 60 ml botol - 240
139 Setirizin tab 10 mg tablet -
140 Sianokobalamin (vitamin B12) tab 50 mcg tablet -
141 Sianokobalamin (Viatamin B12) injeksi 500 mcg @ 1 ml AMP -
142 Simvastatin tablet 10 mg tablet - 600
143 Siprofloksasin tablet 500 mg (sebagai HCL) tablet -
144 Sulfasetamida Natrium tetes mata 15% - 5 ml Botol -
145 Tetrasiklin kaps 250 mg kapsul -
146 Tetrasiklin 500 mg kapsul kapsul -
147 Thiamin(vit.B1) 50 mg tablet - 1,000
148 Triheksifenidil tab 2 mg tablet -
149 Vitamin B Kompleks tablet tablet - 5,000

150 Vitamin Neurotropik, mengandung : Vit. B1 100 mg, B6 100 mg, Vit. B12 -
00 mcg tablet
151 zink sulfat 20 mg botol -
152 Zinc tab disp 20 mg tablet -
153 Obat Gigi -
154 Devitalisasi pasta non arsen T -
155 Glass Ionomer Cement ART set -
156 Kalsium Hidroksida Pasta tube -
157 Klorfenol kamfer Menthol ( CHKM ) - 10 ml botol -
158 Mummifying Pasta botol -
159 Zink Fosfat serbuk dan cairan @ 30 gr -
160 Atching Agent (SGI) -
161 Diamond Bor (Round b,k ; Fissur b,k ; Inverted b,k) -
162 Disclosing Solution -
163 Gutta perca 45-80 -
164 Paper Point 45-80 -
165 Cresophene -
166 Temporary Filling Pasta Pot -
167 Triamsinolon Asetonit 1mg salep -
168 Trikesol Formalin -
169 Bonding autoetch -
170 Spongostan -
171 Komposite -
172 Mikrobrush -
173 Saliva ejector suction -
174 Caviton/ Tambalan sementara -
175 Hydcal/pulp caping -
176 N2 ( u/ pengisian sal akar) -
177 Basis -
178 Etil klorida spray botol - 5
179 Obat Program -

180 Multivitamin dan Mineral Tablet untuk remaja, Mengandung minimal: Besi -
II fumarat 300 mg,Asam folat 2 mg, Manganese sulphate 0,2 mg, Copper
sulphate 0,2 mg, Vit. C 100 mg, Vit B12 15 mcg tablet
Multivitamin drop untuk bayi - 15 ml mengandung : DHA 10 mg, L-lysine
181 HCl 100 mg, vit A 1,000 IU, vit D 200 IU, vit B1 3 mcg, vit B2 2 mg, vit B6 2 -
mg, vit B12 2.5 mcg, nicotinamide 10 mg, Ca pantothenate 3 mg BOTOL

Multivitamin Sirup Pertumbuhan (Minimal mengandung Vit A 2,000 IU, vit

182 B1 1 mg, vit B2 0.5 mg, vit B6 1 mg, vit B12 1 mcg, vit C 10 mg, vit D 400 -
IU, Ca pantothenate 5 mg, Ca gluconate 50 mg, DHA 8 mg, lysine HCl 100
mg, colostrum bovine 250 mg - 60 ml BOtol
183 Retinol (vitamin A) kaps lunak 100.000 UI kapsul -
184 Retinol (vitamin A) kaps lunak 200.000 UI kapsul -
185 Vaksin BCG inj (i.k) vial -
186 Vaksin campak inj (s.k.) vial -
187 Vaksin jerap difteri tetanus (DT) vial -
188 Vaksin jerap difteri tetanus (Td) vial -
189 Vaksin jerap difteri tetanus pertusis (DTP) inj (i.m.) vial -
190 Vaksin jerap tetanus (tetanus adsorbed toxoid) inj (i.m.) vial -
191 Vaksin kombinasi DPT-HB-Hib vial -
192 Vaksin polio IPV inj 0,5 ml vial -
193 Vaksin polio t-OPV drops 10 dosis vial -
194 Amitriptilin tab sal 25 mg tablet -
195 Haloperidol tablet 0,5 mg tablet 100
196 Haloperidol tablet 1,5 mg tablet 100
197 Haloperidol tab 2 mg tablet -
198 Haloperidol tablet 5 mg tablet 100
199 Karbamazepin 200 mg tablet 200
200 Karbamazepin sir 100 mg/5 ml BOtol -
201 Karbamazepin tab 100 mg tablet -
202 Klorpromazin tab sal 100 mg tablet -
203 Klorpromazin tab sal 25 mg tablet -
204 ALAT KESEHATAN -
205 Alat suntik sekali pakai 1 ml (SNI) set -
206 Alat suntik sekali pakai 2,5 ml (SNI) set -
207 Alat suntik sekali pakai 5 ml (SNI) set -
208 Alkohol 70% 100 ml BOtol -
209 Etanol 70 % - 1000 ml botol -
210 Bisturi ujung Lancip No. 11 Pcs -
211 Bisturi ujung Lancip No. 20 Pcs -
212 Biuret bayi / microdip -
213 Catgut / Benang Bedah No. 2/0 dengan jarum bedah (SNI) Pcs -
214 Catgut / Benang Bedah No. 3/0 dengan jarum bedah (SNI) Pcs -
215 Dressing Penutup luka lebar berperekat 5 m x 5 cm Pcs -
216 Foley Cathether no 20 (SNI) Pcs -
217 Foley Cathether no 16 (SNI) Pcs -
218 Foley Cathether no 18 (SNI) buah -
219 Infusion set anak (SNI) Pcs -
220 Infusion set dewasa (SNI) buah -
221 IV Catheter No 20 G (SNI) buah -
222 IV Catheter No 22 G (SNI) buah -
223 IV Catheter No 24 G (SNI) BUAH -
224 Kapas Pembalut / Absorben 250 gram Pcs - 5
225 Kasa Kompres 40/40 steril Bungkus -
226 Kasa Pembalut Elastic 3 Inchi Pcs -
227 Kasa Pembalut Elastic 4 Inchi Pcs -
228 Kasa Pembalut Hidrofil 4 m x 10 cm rol -
229 Kasa Pembalut Hidrofil 4 m x 5 cm elastic Pcs -
230 Kassa Hidrofil steril uk 16 x 16 cm (isi 16 lembar) kotak -
231 Lisol 1000 ml Botol - 3
232 Lubricating Jelly 82 g TUBE -
233 Nelaton Catheter no 12 -
234 Nelaton Catheter no 14 -
235 Pembalut Gips 3 inchi -
236 Pembalut Gips 4 inchi -
237 Pembalut Gips 6 inchi -
238 Plester 5 yard x 2 inch (daya rekat tinggi) Pcs -
239 Sarung tangan bedah steril No. 6.5 PCS -
240 Sarung tangan bedah steril No. 7 Pcs - 600
241 Sarung tangan bedah steril No. 7.5 Pcs -
242 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah Pcs -
243 Urine Bag Pcs -
244 Wing Needle No. 21 G -
245 Wing Needle No. 23 G -
246 Wing Needle No. 25 G -
247 Wing Needle No. 27 G -
248 Alat suntik sekali pakai 3 ml set -
249 Ambroxol Syr 15 mg/ 5 ml BOtol -
250 Amoxycillin 500 mg + Asam Clavulanat 125 mg -
251 Antalgin Kaptab 500 mg -
252 Asam Folat 1 mg -
253 Asam Traneksamat tablet 500 mg -
254 Attapulgite Tablet 600 mg 1000 - 1,000
255 Cefotaxime Inj 500 mg -
256 Chloramfenicol Tetes Telinga 3 % -
257 Clindamisin Capsul 150 mg -
258 cotrimoxazole 960 mg tablet - 500
259 Alat suntik sekali pakai 10 ml set -
260 Eperison 50 mg tablet - 250
261 Obat TBC Anak (FDC) Paket -
262 OAT Kategori 1 (FDC) Paket -
263 FDC Kat. II Paket Kombinasi Paket -
264 FDC Sisipan Paket -
265 Glimepiride Tablet 2 mg tablet -
266 Glycerin Cairan Obat Luar (botol 100 ml) Botol -
267 Hidrogen Peroksida 3% - 1000 ml botol -
268 Isoniazid Tablet 100 mg tablet -
269 KACA SLIDE KOTAK -
270 Obat Pemulihan Hati mengandung Curcuma tablet -
271 Pantoprazole Serbuk Inj 40 mg (Dus, 1 Vial @ 40 mg) ampul - 15
272 Phenobarbital Tablet 30 mg tablet -
273 Piroksikam Tablet 10 mg tablet -
274 Pot Sputum Pot -
275 REAGEN TB Botol -
276 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl tablet -
277 sukralfat 500 mg botol - 50
278 tetagram ampul - 3
279 Alat suntik sekali pakai 10 ml set -
280 Alkohol Swab (2-ply) Pcs - 300
281 Alkohol Swab (4-ply) Pcs -
282 Auto Disposible Syringe 0,5 ml Pcs -
283 Bisturi No 22 Pcs -
284 Catgut Chromic Caset 3 - 0 set -
285 Catgut Plain Caset 3 - 0 set -
286 Nasal Oxygen, O2 Canula Size L Pcs -
287 Nasal Oxygen, O2 Canula Size S Pcs -
288 Nasal Oxygen, O2 Canula Size XS Pcs -
289 3-Way Stopcock Pcs -
290 CUTICELL CLASIC 10 X 10() set - 10
291 CUTIMED GEL 15 G() Pcs -
292 CUTISORB LA 10 X 10() Pcs -
293 E-CARE Surgi Glove Lighty Powdered Surgical Gloves() Pcs -
294 FEEDING TUBE NO 5 100 CM TERUMO() Pcs -
295 FEEDING TUBE NO 6 80 CM JMS() Pcs -
296 FIXOMUL 15 CM 76991() Pcs - 1
297 FIXOMULL STRECH 5 X 10() Pcs - 1
298 FOLLEY CATHETER 2 WAY NO. 16 LAIN-LAIN -(BOX, 10 PIECES) Pcs -
299 FOLLEY CATHETER 2 WAY NO. 22(BOX, 10 PIECES) Pcs -
300 FOLLEY CATHETER NO. 14 LAIN-LAIN\n -() Pcs -
301 IV CATHETER NO 18 SHORT TERUMO() Pcs -
302 IV CATHETER NO 26 VENFLON() Pcs -
303 Jarum Hecting Otot GR 10 (Sachet, 12 Pieces) set -
304 Jarum Hecting Otot GR 12 (Sachet, 12 Pieces) set -
305 Jarum Hecting Kulit GT 9 (Sachet, 12 Pieces) set -
306 Jarum Hecting Kulit GT 10 (Sachet, 12 Pieces) set -
307 Jarum Hacting Kulit No. 11 setengah lingkaran set -
308 Jarum Hecting Kulit GT 12 (Sachet, 12 Pieces) set -
309 KASA 2Y X 80 CM DRC() ROLL -
310 KASA 40 X 80 CM (ONEMED) LAIN-LAIN -(ROLL) ROLL -
311 LEUKOPLAST PLASTER 7,5 CM X 4,5 M() Pcs -
312 LYOFIL Catgut Chrom Soft() -
313 MASKER HIJAU EAR LOP() set -
314 Masker Pcs - 400
315 ONEMED Sarung tangan Obgyn() Pasang -
316 SARUNG TANGAN GAMEX NO 6.5 NO POWDER() Pasang -
317 SARUNG TANGAN GAMEX NO 7.5 NO POWDER() Pasang -
318 SARUNG TANGAN NON STERIL REMEDI M() Pasang -
319 Sarung tangan rumah tangga Pasang -
320 STOMACH TUBE LAIN-LAIN 16 FR (125 CM)() set -
321 SUCTION CATHETER NO 6() set -
322 SUCTION CATHETER NO 8() set -
323 UMBILICAL CORD KLEM STERILE NYLON LAIN-LAIN 5,5 CM(BOX, 50 PI Pcs -
324 Ky Jelly TUBE -
325 Silk Caset 3/0 100m Pasang -
326 Clorine 5,25% - 1000 ml Botol -
327 Kasa gulung Besar (100 Y x 80 cm) set -
328 Kasa Pembalut 2 m x 80 cm set -
329 Kasa Pembalut Hidrofil 4 m x 15 m elastic Pcs -
330 Kasa Pembalut Hidrofil 4 m x 3 cm elastic ROLL -
331 Methil dopa 250 mg Roll 500
332 fixomul 5x5 cm ROLL - 10
333 Masker N 95 ROLL -
PERSE- PEMA- STOK STOK
DIAAN KAIAN AKHIR OPT

6 7 8 9
- - - -
400 100 300 -
- - - -
- - - -
- - - -
- - - -
- - - -
900 600 300 -
- - - -
- - - -
5,000 3,000 2,000 -
300 80 220 -
240 168 72 -
- - - -
2,000 1,500 500
-
- - -
-
- - - -
10 - 10
-
- - - -
6 - 6
-
300 - 300 -
500 250 250 -
5,400 1,200 4,200 -
- - - -
500 - 500 -
25 - 25 -
- - - -
100 40 60 -
168 72 96 -
- - - -
- - - -
- - - -
- - - -
2,000 1,200 800 -
- - - -
- - - -
- - - -
 - - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
18 18 - -
- - - -
- - - -
- - - -
- - - -
60 - 60 -
- - - -
- - - -
1,000 800 200 -
300 100 200
-
30 - 30 -
- - - -
500 - 500 -
20 - 20 -
- - - -
- - - -
72 72 - -
- - - -
200 50 150 -
- - - -
200 - 200 -
- - - -
1,000 300 700 -
500 200 300 -
3,000 800 2,200 -
- - - -
80 20 60 -
- - - -
- - - -
- - - -
48 48 - -
48 48 - -
- - - -
1,200 600 600 -
- - -
-
- - - -
 700 200 500
-
144 48 96
-
- - - -
- - - -
2,000 500 1,500 -
12 - 12 -
12 - 12 -
500 - 500 -
- - - -
- - - -
- - - -
- - - -
- - - -
50 - 50 -
- - - -
- - - -
- - - -
900 510 390 -
20 - 20 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -

- - -
-
- - - -
900 240 660 -
4,000 500 3,500 -
112 15 97 -
600 100 500 -
120 - 120 -
- - - -
500 - 500 -
- - - -
1 1 - -
- - - -
- - - -
- - - -
1,500 200 1,300 -
10 - 10 -
1,000 300 700 -
- - - -
20 - 20 -
- - - -
- 149 (149) -
- - - -
48 - 48
-
- - - -
- - - -
500 50 450 -
100 - 100 -
- - - -
- - -
-
- - - -
240 60 180 -
- - - -
- - - -
- - - -
600 - 600 -
- - - -
- - - -
- - - -
- - - -
1,000 600 400 -
- - - -
5,000 1,200 3,800 -
- - -
-
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 1 (1) -
- - - -
- - - -
- - - -
- - - -
 - - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5 1 4 -
- - - -

- - -

- - -
-

- - -

-
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 - 100 -
100 - 100 -
- - - -
100 - 100 -
200 100 100 -
- - - -
- - - -
 - - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 79 (79) -
- - - -
- - - -
5 5 - -
- - - -
- - - -
-
- 14 (14) -
- - - -
- 23 (23) -
3 - 3 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
600 100 500 -
- - - -
- 5 (5) -
- - - -
- - - -
- - - -
 - - - -
- - - -
- - - -
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