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LAPORAN STOK OPNAME

loket obat
BULAN JANUARI 2018

sisa awal pemasuk persediaa pengeluara


No Nama Obat Satuan an n n
1 2 3 4 5 6 7
SUMBER DANA : DAK
1 Albendazol tablet 400 mg tablet - 100 100 100
2 Alopurinol tablet 100 mg tablet 134 500 634 634
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 115 2,700 2,815 2,815
11 Amoksisilin Kapsul 250 mg kapsul - - - -
12 Amoksisilin sirup kering 125 mg/ 5 mg - 60 ml Botol 13 210 223 204
13 Amoksisillin + As Klavulanat 625 mg tablet - - - -
14 Amoksisillin serbuk injeksi 1000 mg Vial - - - -

Antasida DOEN I Tablet kunyah,kombinasi :


15 Alumunium Hidroksida 200 mg + Magnesium tablet 200 1,000 1,200 1,200
Hidroksida 200 mg

Antasida DOEN II suspensi,komb:Alumunium


16 Hidroksida 200 mg/ml + Magnesium botol 2 200 202 150
Hidroksida 200 mg/ml - 60 ml
Antifungi DOEN Kombinasi : Asam Benzoat
17 pot - - - -
6% + Asam Salisilat 3%
Antihemoroid DOEN kombinasi : Bismut
18 supp 3 15 18 8
Subgalat 150 mg + Heksaklorofen 250 mg
Antimigren : Ergotamin tartrat 1 mg + Kofein tablet
19 - - - -
50 mg
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 44 500 544 544
24 Asam Askorbat (vitamin C) tablet 250 mg tablet - - - -
25 Asam Mefenamat 500 mg kapsul 96 1,500 1,596 1,470
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 ampul
29 - - - -
(sulfat) @ 1 ml
Besi (II)Sulfat 200 mg + asam folat 0,25
30 mg/tablet (tablet tambah darah) @ 30 tablet sachet 2,475 - 2,475 2,475

31 Betahistin Mesilat 6 mg tablet - - - -


32 Betametason krim 0,1 % - 5 gr tube - 48 48 48
33 Bisoprolol tablet 5 mg tablet - - - -
34 Bromhexin tab 8 mg tablet - - - -
35 Cetrizin syrup 5 mg/ml - 60 ml botol 23 - 23 23
36 Cetrizin tab 10 mg tablet - - - -
37 Deksametason injeksi IV 5 mg/ml ampul - - - -
38 Deksametason tablet 0,5 mg tablet 208 - 208 208
39 Dekstrometorfan sirup 10 mg/5 ml (HBr) - 60 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) @ ampul 24 - 24 12
46 Digoksin tablet 0,25 mg tablet - - - -
47 Doksisiklin kapsul 100 mg kapsul - - - -
48 Domperidone Suspensi 5 mg/5 ml - 60 ml Botol 12 48 60 48
49 Efedrin tablet 25 mg (HCl) tablet - - - -
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai
50 ampul - - - -
HCl) - @ 1 ml
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 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 ampul - - - -
64 Fitomenadion ( vit K 1 ) tablet salut gula 10 mgtablet - - - -
65 Furosemid injeksi iv/im 10 mg/ml @ 2 ml ampul - - - -
66 Furosemid tablet 40 mg tablet 48 400 448 448

Garam Oralit 1 serbuk kombinasi :Natrium


67 0,52 g + Kalium Klorida 0,30 g +Trinatrium sachet - - - -
sitrat dihidrat 0,58 g +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 92 300 392 392
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 - - - -
78 Griseofulvin tablet 125 mg, micronized tablet - - - -
79 Haloperidol tablet 0,5 mg tablet - - - -
80 Haloperidol tablet 1,5 mg tablet - - - -
81 Haloperidol tablet 5 mg tablet - - - -
82 Hidroklorotiazida (HCT) tablet 25 mg tablet - - - -
83 Hidrokortison krim 2,5% - 5 gr tube 3 - 3 3
84 Hyoscine-N-Butilbromide tablet 10 mg tablet - - - -
85 Ibuprofen tablet 200 mg tablet - - - -
86 Ibuprofen tablet 400 mg tablet 174 200 374 170
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 30 400 430 237
92 Kaptopril tablet 25 mg tablet 324 800 1,124 1,124
93 Karbamazepin 200 mg tablet - 100 100 90
94 Ketokonazole 200 mg tablet tablet 90 - 90 90
95 Ketokonazole krim - 15 gr tube 4 50 54 35
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 24
103 Kloramfenikol suspensi 125 mg/5ml - 60 ml botol 22 - 22 22
104 Kloramfenikol tetes telinga 3 % - 5 ml botol - - - -
105 Klorfeniramina mealeat (CTM) tablet 4 mg tablet 5 800 805 790
106 Klorpromazin tablet salut 100 mg (HCl) tablet - - - -
107 Kodein 10 mg ampul - - - -
Kotrimokszol DOEN I (dewasa) kombinasi :
108 Sulfametoksazole 400 mg + Trimetoprim 80 tablet 202 300 502 470
mg

Kotrimosazol DOEN II (pediatrik) Kombinasi : tablet


109 - - - -
Sulfametoksazol 100 mg + Trimetoprim 20 mg

Kotrimosazol Suspensi Kombinasi:


110 Sulfametoksazol 200 mg + Trimetoprim 40 botol 15 60 75 52
mg/ 5 ml - 60 ml
111 Lanzoprazole kapsul/kaplet 30 mg kapsul - - - -
112 Lidokain inj 2% @ 2 ml ampul 75 - 75 17
Lidokain inj 2% (HCl) + Epinefrine 1 : 80000 - ampul
113 - 60 60 32
2 ml @ 2 ml
114 Loratadin tablet 10 mg tablet 28 300 328 328
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 136 100 236 130
122 Metil prednisolon tablet 4 mg tablet - - - -

Metilergometrin Maleat (Metilergometrin)


123 ampul - - - -
injeksi 0,200 mg - 1 ml

Metilergometrin Maleat (Metilergometrin)


124 tablet - - - -
tablet salut 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 400 300 700 638
133 Natrium diklofenak 50 mg tablet - - - -
134 Natrium Klorida larutan infus 0,9% - 500 ml botol 2 3 5 5
135 Nifedipin tablet 10 mg tablet - 1,000 1,000 980
136 Nistatin tablet salut 500000 IU/g tablet - - - -
137 Nistatin vaginal tablet 100000 IU/g tablet 24 100 124 46
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 - - - -
142 Omeprazole 20 mg kapsul 42 300 342 342
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 51 150 201 201
146 Paracetamol tablet 100 mg tablet - - - -
147 Paracetamol tablet 500 mg tablet 470 500 970 970
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 29 - 29 29
152 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tablet 194 - 194 194
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 4
157 Prednison tablet 5 mg tablet 268 500 768 600
158 Ranitidin injeksi 25 mg / 2 ml ampul - - - -
159 Ranitidin tab 150 mg tablet 110 500 610 610
160 Reserpin tablet 0,25 mg tablet - - - -
161 Ringer Laktat larutan infus - 500 ml botol - - - -
162 Salbutamol tablet 2 mg tablet 45 100 145 96
163 Salbutamol tablet 4 mg tablet - - - -
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+
164 pot 16 48 64 24
Belerang endap 4% - 30 gr
165 Salisil bedak 2% - 50 gr kotak 52 - 52 52
166 Sefadroksil kapsul 500 mg kapsul 230 400 630 480
167 Sefadrosil syr 125 mg/5 ml - 60 ml botol 70 - 70 70
168 Sefiksim Syr kering botol - - - -
169 Sefotaksim inj 1 g vial - - - -
170 Seftazidim inj 1g vial - - - -
171 Seftriakson injeksi 1 g vial - - - -
Serum Anti Bisa Ular Polivalen Injeksi 5 ml
172 vial - - - -
(ABU I)

173 Serum Anti Tetanus 1.500 IU/ampul (A.T.S.) ampul - - - -

Sianokobalamin (Viatamin B12) injeksi 500


174 ampul - - - -
mcg @ 1 ml
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 21 - 21 21
181 Tetrasiklin 500 mg kapsul kapsul 130 - 130 80
182 Tetrasiklin kapsul 250 mg kapsul - - - -
183 Thiamphenikol 500 mg kapsul - - - -
184 Tiamin (vitamin B1) injeksi 100 mg/ml @ 1 mlampul - - - -
185 Tiamin (vitamin B1) tablet 50 mg (HCL/Nitrat) tablet 32 500 532 532
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 76 1,800 1,876 1,876
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 2 - 2 2
202 OAT Kategori 2 (FDC) Paket - - - -
203 OAT Tuberculosis sisipan (FDC) Paket - - - -
204 Obat TBC Anak (FDC) Paket - - - -
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 - vial - - - -
210 Zinc Tab 20 mg tablet - - - -
211 Alat Kesehatan - - -
212 Alat suntik sekali pakai 1 ml (SNI) set 52 - 52 21
213 Alat suntik sekali pakai 2,5 ml (SNI) set - - - -
214 Alat suntik sekali pakai 5 ml (SNI) set - - - -
Catgut / Benang Bedah No. 2/0 dengan jarum Pcs
215 - - - -
bedah (SNI)
Catgut / Benang Bedah No. 3/0 dengan jarum Pcs
216 - - - -
bedah (SNI)
217 Foley Cathether no 20 (SNI) Pcs - - - -
218 Foley Cathether no 18 (SNI) Pcs 4 - 4 4
219 Foley Cathether no 22 (SNI) Pcs - - - -
220 Infusion set anak (SNI) set - - - -
221 Infusion set dewasa (SNI) set - 19 19 19
222 IV Catheter No 20 G (SNI) buah 24 16 40 29
223 IV Catheter No 22 G (SNI) buah - 5 5 5
224 IV Catheter No 24 G (SNI) buah - - - -
225 Kapas Pembalut / Absorben 250 gram Bungkus - 3 3 3
226 Kasa Pembalut Elastic 3 Inchi Rol - - - -
227 Kasa Pembalut Elastic 4 Inchi Rol - - - -
228 Kasa Pembalut Hidrofil 4 m x 10 cm rol 6 10 16 16
229 Kasa Pembalut Hidrofil 4 m x 5 cm elastic rol - - - -
230 Kassa Hidrofil steril uk 16 x 16 cm (isi 16 lembakotak 7 16 23 23
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 18 150 168 145
Silk (Benang Bedah Sutera) No. 3/0 dengan
239 Pcs 1 14 15 13
jarum 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 - 2 2 2


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 - 10 10 10
7 Dobutamin inj (Halmeln) ampul - - - -
8 Eperison 50 mg tablet 55 100 155 125
9 Epidosin Injeksi ampul - - - -
10 Etanol 70 % - 1000 ml botol 1 - 1 -
11 Etanol 70 % - 100 ml botol - - - -
12 Hidrogen Peroksida 3% - 1000 ml botol 1 - 1 -

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 - - - -

Karbazokrom Natrium Sulfonat 5mg/ml


17 ampul - - - -
injeksi
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 - 2 2 2


22 Meropenem inj ampul - - - -
23 Methyl prednisolon inj ampul - - - -
24 Midazolam inj 15 mg/3 ml ampul - - - -
Multivitamin dan Mineral Tablet untuk
25 tablet - - - -
remaja
26 Multivitamin drop untuk bayi - 15 ml botol - - - -
Multivitamin Sirup Pertumbuhan
27 botol - - - -
(Mengandung Lysine 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 54 400 454 454

Obat anti diare (Attapulgite dan Pektin) syr botol - - - -

Obat Flu sirup Kombinasi (Parasetamol 150


31 mg, Fenilpropanolamin HCl, CTM,DMP) - 60 botol - - - -
ml
Obat tradisional pemulihan hati untuk
32 tablet - - - -
penderita TBC
33 Oksigen 1 m3 tabung - - - -
34 Oksigen 6 m3 tabung - - - -
Obat scabies mengandung Permethrin 5 % sk tube
35 - 60 60 60
- 10 gr
36 Polikresulen konsentrat - 10 ml botol - - - -
37 Propofol inj ampul - - - -

38 Salbutamol for Nebulizer 2,5mg/2,5 ml NaCl Botol 3 - 3 3

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 - - - -
Diamond Bor (Round b,k ; Fissur b,k ;
44 set - - - -
Inverted b,k)
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
56 botol - - - -
Curcuminoid - 120 ml
Multivitamin dan mineral tablet untuk
57 tablet - - - -
jampersal
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 68 100 168 100
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 - 5 5 5
Dressing Penutup luka lebar berperekat 5 m x Roll
73 - - - -
5 cm
89 IV Cathetter No. 18 buah - - - -
Jarum Hacting Kulit No. 10 setengah
91 Pcs - - - -
lingkaran
Jarum Hacting Kulit No. 11 setengah
92 Pcs - - - -
lingkaran
Jarum Hacting Kulit No. 12 setengah
93 Pcs - - - -
lingkaran

94 Jarum Hacting Kulit No. 9 setengah lingkaran Pcs - - - -

Jarum Hacting Otot No. 10 setengah


95 Pcs - - - -
lingkaran
Jarum Hacting Otot No. 12 setengah
96 Pcs - - - -
lingkaran
97 Kasa gulung Besar (100 Y x 80 cm) Roll - - - -
98 Kasa Kompres 40/40 steril Bungkus - 4 4 4
99 Kasa Pembalut 2 m x 80 cm Roll 1 3 4 4

100 Kasa Pembalut Hidrofil 4 m x 15 m elastic Roll 2 7 9 9

101 Kasa Pembalut Hidrofil 4 m x 3 cm elastic Roll - - - -


102 Klem Umbilical buah - - - -
103 Ky Jelly tube - - - -
104 Masker Pcs 30 400 430 430
111 Sarung tangan non steril Pasang - - - -
112 Sarung tangan panjang (Gynaecolog) Pasang - - - -
113 Sarung tangan rumah tangga Pasang - 3 3 3
114 Silk Caset 3/0 100m Roll - 2 2 2
115 N ASETYL SISTEIN kapsul - - - -
116 Asam Asetilsalisilat tablet 80 mg (Asetosal) tablet - 100 100 100
117 Povidon Iodida larutan 10 % - 60 ml botol - 3 3 3
118 AMLodipin 10 mg tab TAB - 600 600 600
119 KACA SLIDE KOTAK - 2 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 50
126 cotrimoxazole 960 mg tablet 20 100 120 120
127 metronidazole 125 mg botol - - - -
128 REAGEN TB - - - -
129 domperidone 10 mg tab - 200 200 200
130 fixomul 15 cm rol - - - -
131 fixomul strech 5x10 rol - - - -
132 fixomul 5x5 cm rol - - - -
sisa akhir

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No Nama Obat Satuan sisa awal
1 2 3 4
1 Air untuk injeksi amp 20 ml AMP -
2 Albendazol tablet 400 mg tablet -
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 -
9 Amlodipin 5 mg tablet -
10 Amoksisillin 250 mg tablet -
5 Amoksisilin kaplet 500 mg botol -
12 Amoksisilin sirup kering 250 mg/ 5 ml - 60 ml Botol -
13 Amoksisilin sirup
Anestetik lokal kering
gigi 125 mg/
kombinasi 5 mg - hcl
: lidokain 60 ml
2% + epinefrin 1 : 80.000 inj 2 BOTOL 19
14 ml AMP -
15 Antasida DOEN I Tablet kunyah,kombinasi : Alumunium Hidroksida 200 mg tablet
+ Magnesium Hidroksida 200 mg -
16 Antasida DOEN II suspensi,komb:Alumunium Hidroksida 200 mg/ml + botol
Magnesium Hidroksida 200 mg/ml - 60 ml 52
17 Antifungi DOEN Kombinasi : Asam Benzoat 6% + Asam Salisilat 3% pot -
18 Antihemoroid DOEN kombinasi : Bismut Subgalat 150 mg + Heksaklorofen supp
250 mg 10
19 Antimigren : Ergotamin tartrat 1 mg + Kofein 50 mg tablet -
20 Aquadest - 500 ml BOTOL 1
21 asam asetilsalisilat tablet 80 mg (asetosal) tablet -
22 Asam Askorbat (vitamin C) tablet 50 mg tablet -
23 Asam Mefenamat 500 mg kapsul 126
24 Asiklovir 200 mg tablet tablet -
25 Asiklovir 400 mg tablet tablet -
26 Asiklovir krim 5 % - 5 gr tube -
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 -
29 Betametason krim 0,1 % - 5 gr tube -
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 -
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 12
41 Digoksin tab 0,25 mg tablet -
42 Doksisiklin kaps 100 mg kapsul -
43 Domperidon Suspensi 5 mg/5ml BOTOL 12
44 Domperidon tab 10 mg tablet -
45 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) - @ 1 ml ampul -
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 -
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 -
54 Garam oralit kombinasi : natrium klorida 0,52 g + kalium klorida 0,30 g +
trinatrium sitrat 0,58 g + glukosa anhidrat 2,7 g sachet -
55 Gentamicin inj 40 mg/ml AMP -
56 Gentamicin SK 0,1 % - 5 gr TUBE -
57 Glibenklamid tab 5 mg tablet -
58 Glukosa Larutan Infus 5% steril 500 ml BOTOL -
59 Griseofulvin (micronized) tab 125 mg tablet -
60 Hidroklorotiazid tab 25 mg tablet -
61 Hidrokortison krim 2,5% - 5 gr tube -
62 Hyoscine-N-Butilbromide tablet 10 mg tablet -
63 Ibuprofen Sirup 100 mg / 5 ml BOTOL -
64 Ibuprofen tab 200 mg tablet -
65 Ibuprofen tablet 400 mg tablet 204
66 Isosorbid dinitrat tab 5 mg tablet -
67 Kalsium laktat (kalk) tab 500 mg tablet -
68 Kaptopril tablet 12,5 mg tablet 193
69 Kaptopril tab 25 mg tablet -
70 Ketokonazole 200 mg tablet tablet -
71 Ketokonazole krim - 15 gr TUBE 19
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 -
76 Kloramfenikol salep mata - 5 gr tube -
77 Kloramfenikol suspensi 125 mg/5ml - 60 ml botol -
78 Klorfeniramina mealeat (CTM) tablet 4 mg tablet 15
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
Trimetoprim 80 mg 32
82 Kotrimosazol Suspensi Kombinasi: Sulfametoksazol 200 mg + Trimetoprim botol
40 mg/ 5 ml - 60 ml 23
83 Lidokain inj 2% (HCl) + Epinefrine 1 : 80000 - 2 ml @ 2 ml ampul 28
84 Lidokain inj 2% @ 2 ml ampul 58
85 Loratadin tablet 10 mg tablet -
86 Magnesium sulfat inj 20% vial -
87 Magnesium sulfat inj 40% vial -
88 Metformin tab 500 mg tablet -
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 -
95 Metronidazol tab 500 mg tablet -
96 Mikonazol krim 2% TUBE -
97 Misoprostol 200 µg -
98 N ASETYL SISTEIN kapsul -
99 Natrium Klorida larutan infus 0,9% - 500 ml botol -
100 Natrium bikarbonat tablet 500 mg tablet -
101 Natrium diklofenak tab 25 mg tablet 62
102 Natrium diklofenak tab 50 mg tablet -
103 Nifedipin tablet 10 mg tablet 20
104 Nistatin tab salut 500.000 UI tablet -
105 Nistatin vaginal tablet 100000 IU/g tablet 78
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 -
111 Paracetamol tablet 500 mg tablet -
112 Parasetamol drop 100mg/ml BOTOL -
113 Paracetamol sirup 120 mg / 5 ml - 60 ml botol -
114 Obat scabies mengandung Permethrin 5 % sk - 10 gr tube -
115 Pirantel tab. Score (base) 125 mg tablet -
116 Piridoksin (Vitamin B6) tablet 10 mg (HCL) tablet -
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 168
123 Ranitidin injeksi 25 mg / 2 ml AMP -
124 Ranitidin tab 150 mg tablet -
125 Reserpin tablet 0,25 mg tablet -
126 Ringer Laktat Larutan Botol -
127 Salbutamol cairan ih 0,1% Botol 49
128 Salbutamol tablet 2 mg tablet
129 Salbutamol tab 4 mg tablet -
130 pot
Salep 2 - 4 Kombinasi: Asam Salisilat 2 %+ Belerang endap 4% - 30 gr 40
131 Salep kombinasi kortikosteroid - 5 gr TUBE -
132 Salep Luka bakar - 10 gr TUBE -
133 Sefadroksil kapsul 500 mg kapsul 150
134 Sefadroksil syr 125 mg/5 ml - 60 ml Botol -
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 -
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 -
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 50
147 Thiamin(vit.B1) 50 mg tablet -
148 Triheksifenidil tab 2 mg tablet -
149 Vitamin B Kompleks tablet tablet -
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 -
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 -

181 Multivitamin drop untuk bayi - 15 ml mengandung : DHA 10 mg, L-lysine


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 -
196 Haloperidol tablet 1,5 mg tablet -
197 Haloperidol tab 2 mg tablet -
198 Haloperidol tablet 5 mg tablet -
199 Karbamazepin 200 mg tablet 10
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 31
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 1
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 11
222 IV Catheter No 22 G (SNI) buah -
223 IV Catheter No 24 G (SNI) BUAH -
224 Kapas Pembalut / Absorben 250 gram Pcs -
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 -
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 23
241 Sarung tangan bedah steril No. 7.5 Pcs -
242 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah Pcs 2
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 68
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 -
255 Cefotaxime Inj 500 mg -
256 Chloramfenicol Tetes Telinga 3 % -
257 Clindamisin Capsul 150 mg -
258 cotrimoxazole 960 mg tablet -
259 Alat suntik sekali pakai 10 ml set -
260 Eperison 50 mg tablet 30
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 1
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 -
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 -
278 tetagram ampul -
279 Alat suntik sekali pakai 10 ml set -
280 Alkohol Swab (2-ply) Pcs -
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 -
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 -
297 FIXOMULL STRECH 5 X 10() Pcs -
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 -
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 106
332 fixomul 5x5 cm ROLL -
333 Masker N 95 ROLL -
pemasuka persediaa pengeluara sisa
n n akhir
n
5 6 7 8
- - - -
100 100 100 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
168 187 169 18
- - - -

1,300 1,500 1,300 200

- 52 52 -
- - - -

- 10 - 10
- - - -
- 1 - 1
- - - -
- - - -
1,200 1,326 1,200 126
- - - -
- - - -
- - - -
- - - -
40 40 30 10
- - - -
72 72 72 -
- - - -
- - - -
- - - -
1,200 1,200 1,000 200
- - - -
- - - -
- - - -
- - - -
- - - -
- 12 - 12
- - - -
- - - -
- 12 12 -
- - - -
- - - -
- - - -
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- - - -
800 800 600 200

100 100 100 -


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72 72 72 -
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50 50 50 -
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- 204 - 204
- - - -
300 300 200 100
200 393 200 193
900 900 800 100
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20 39 32 7
- - - -
- - - -
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48 48 35 13
48 48 48 -
- - - -
600 615 400 215

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- 32 - 32

- 23 - 23
- 28 - 28
- 58 - 58
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- 62 - 62
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- 20 - 20
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- 78 - 78
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500 500 400 100
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- 1 - 1
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200 368 200 168
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- 49 - 49
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- 40 - 40
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- 150 - 150
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- 50 - 50
600 600 500 100
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1,200 1,200 1,000 200

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- 10 - 10
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- 31 - 31
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- 1 - 1
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- - - -
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- - - -
- - - -
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- 11 - 11
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- 23 - 23
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- 2 - 2
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- 68 - 68
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