BULAN NOVEMBER 2018

GUDANG
NO NAMA OBAT SATUAN OBAT
1 Albendazol Tablet

2 Alopurinol 100 mg tablet 6600

Alopurinol tablet 300

3 tablet 3100
mg

4 Ambroxol tablet 30 mg tablet 15700

Aminofilina injeksi 24
5 ampul 0
mg/ml

Aminofilina tablet 200

6 tablet 0
mg

7 Amlodipin tablet 5 mg tablet 9900

8 Amlodipin tablet 10 mg tablet 2160

Amoksisillin kaplet 500

9 kaplet 100800
mg
Amoksisilin serbuk
10 ampul 0
injeksi 1000mg
Amoksisilin sirup kering
11 botol 1150
125 mg/ 5 mg
Amoksisillin sirup kering
12 botol 0
250 mg/5ml
13 Ampisillin injeksi ampul

14 Ampisillin kaplet 500 mg kapsul 0

Antasida DOEN I tablet

15 tablet 92000
kunyah
botol
16 Antasida Suspensi 400
@60ml

Anti Bakteri DOEN saleb

kombinasi : Basitrasin
17 tube
500 IU/g + polimiksin
10.000

Anti Hemoroid DOEN

kombinasi : Bismut
18 supp 90
subgalat 150mg+
Heksaklorofen 2,5mg

Anti Hemoroid DOEN

19 kapsul 0
kapsul

Anti parkinson DOEN

kombinasi : Benzerazid
20 tablet 0
25 mg + levodopa 100
mg
 Antifungi DOEN
Kombinasi :
21 pot 134
Asam Benzoat 6% +
Asam Salisilat 3%

Aqua Pro Injeksi Steril,

22 vial 84
bebas pirogen

Asam Asetisalisilat tab

23 tablet 1700
100 mg (Asetosal)

Asam Askorbat (Vit. C)

24 tablet 34100
tab. 50 mg
25 Asam Folat tablet 5300
Asam Mefenamat kapsul
26 kaplet 23100
500 mg
Asam Tranexamat injeksi
27 ampul
100 mg/ml
Asam Tranexamat injeksi
28 ampul 0
500mg/ml
Asam Tranexamat kaplet
29 kaplet 2100
500mg
30 Asiklovir krim 5% tube 0

31 Asiklovir tablet 200 mg tablet 2300

32 Asiklovir tablet 400 mg tablet 3800

33 Azitromicin tab 500mg tablet 420

Besi (II) sulfat 200 mg +

Asam Folat 0,25 mg
34 tablet 38880
tablet (tablet tambah
darah kombinasi)

Betahistin Mesilat tablet

35 tablet 0
6 mg

36 Betametason krim 0,1 % tube 425

37 Bisakodil tablet 1230

38 Bisoprolol tablet 5 mg tablet

39 Cetirizine sirup 5mg/5ml botol 50

40 Cetirizine tablet 10mg kapsul 0

Deksametason Injeksi
41 ampul 500
i.v. 5 mg/ml
Deksametason tablet 0,5
42 tablet 72600
mg
Diazepam Injeksi 10
43 ampul
mg/ml

44 Diazepam tablet 2 mg tablet

Diazepam 5 mg (Stesolid
45 supp
rectal)

46 Digoksin tablet 0,25 mg tablet 600

 Diltiazem HCl tablet 30
47 tablet 800
mg
Dimenhidrinat tablet
48 tablet 10900
50mg
49 Difenhidramin Inj. Ampul 0
Doksisiklin kapsul 100
50 kapsul 0
mg
51 Domperidon 10 mg tablet 7100
Domperidon suspensi 5
52 botol 400
mg/ml
Ephedrin HCl tablet 25
53 tablet
mg
Epinefrin (adrenalin)
54 injeksi 0,1% ampul 0
(sebagaiHCL)
Ergotamin tartrat 1 mg +
55 tablet 100
kofein 50 mg
Eritromicin kaplet 500
56 mg kaplet 600

Etakridin (Rivanol) lar

57 botol 0
0,1 %
Etambutol tablet salut
58 tablet
500mg (HCL)
botol 100
59 Etanol 70% ml
Etanol 70 %( One Med
60 botol 1 L 9
alcohol)
Extract belladon tab 10
61 tablet 0
mg
Fenitoin Natrium Injeksi
62 ampul
50 mg/ml

Fenobarbital Injeksi 1
63 ampul
m/iv.50 mg/ml

Fenoksimetil Penisilin
64 tablet 0
tablet 250 mg

Fenol Gliserol tetes

65 botol
telinga 10 %

Fitomenadion (Vit. K1)

66 ampul
injeksi 10 mg/ml

Fitomenadion (Vit. K1)

67 tablet 400
tab salut gula 10 mg

68 Furosemid tablet 40 mg tablet 0

69 Garam Oralit sachet 5500

Gentamycin 0,1% Salep
70 tube 0
Kulit
Gentamycin sulfat 0,3%
71 botol 144
tetes mata
Gentian Violet larutan
72 botol 192
1%
Glibenklamid tablet 5
73 tablet 15000
mg
74 Glimepirid 1 mg tablet 5700
75 Glimepirid 2 mg tablet 3400
Gliseril Guaiakolat tablet
76 tablet 0
100 mg
Glucosa larutan infus 5%
77 botol
steril
Griseofulvin tablet 125
78 tablet 0
mg micronized
79 Guaifenesin teblet 0

80 Haloperidol tablet 5mg tablet

Haloperidol drops
81 Botol 15
2mg/ml

82 Hidrokortison krim 2,5 % tube 384

83 Hidroclortiazid n(HCT) tablet

Hyoscine-N-
84 Butilbromide tablet tablet 2500
10mg
85 Ibuprofen 400 mg tablet 39900
Ibuprofen sirup 100
86 botol 350
mg/5 ml
Isosorbid Dinitrat Tab
87 tablet 700
sublingual 5 mg
Kalsium Glukonat inj. i.v.
88 ampul
10%
Kalsium laktat
89 tablet
(kalk)tablet 500 mg
90 Kaptopril 12,5 mg tablet 6100

91 Kaptopril tablet 25 mg tablet 1100

92 Kaptopril tablet 50 mg tablet 6900

Karbogliserin tetes
93 Botol
telinga
ketokonazol tablet 200
94 tablet
mg

95 Ketokonazol krim 2% tube 127

96 ketorolac injeksi 10mg ampul

97 Klonidin tablet 0,15 mg tablet

98 Kloramfenikol inj vial

Klorampenicol tetes
mata minimal
99 mengandung botol 390
Kloramfenikol base
5mg/ml

Kloramfenikol salep
100 tube 5 gr 0
mata 1%
Kloramfenikol kapsul
101 tablet 500
250 mg
 Kloramfenikol suspensi
102 botol 50
125mg/5ml

Kloramfenikol tetes
103 botol 260
telinga 3%

Klorfeniramina maleat
104 tablet 26800
(CTM) tablet 4 mg

Klorpromazin HCL
105 tablet
tab100 mg (HCl)
106 Kodein tablet 10 mg tablet
Kotrimoksazol DOEN
107 tablet 50200
(dewasa)

Kotrimoksazol Suspensi
108 botol 450
kombinasi

109 Lanzoprazol tablet 720

Levofloksasin tablet 500
110 mg tablet

111 Lidokain 2% ampul 500

Lidokain HCl 20mg,

112 adrenalin 0.0125mg botol
injeksi (non generik)

Lincomisin kapsul 500

113 kapsul
mg
Mebendazol sirup 100
114 botol
mg/5 ml

115 Meloksikam tablet 15mg tablet 2900

Metamphiron tablet 500

116 tablet 13300
mg
Metformin HCl tablet
117 tablet 6500
500 mg
Metil prednisolon tablet
118 tablet 4600
4 mg
Metil prednisolon tablet
119 tablet 3500
8 mg
Metilergometrin Maleat
120 ampul 0
injeksi
Metilergometrin Maleat
121 tablet 1500
tab 0,125 mg
Metoklopramid tablet 5
122 tablet 4500
mg
Metoklopramide injeksi
123 ampul
5 mg/ml
Metronidazol tablet 500
124 tablet 500
mg
125 Mikonazol krim 2% tube 192
126 Mineral Mix sachet 0
Natrium Diklofenak
127 tablet 0
tablet 50 mg
128 N-Asetil Sistein Kapsul 8400
129 NaCl 160
130 Nifedipin tablet 10 mg tablet 28700

Nistatin tablet salut

131 tablet
500.000 IU

Nistatin tablet vaginal

132 tablet 100
100.000 IU/gr

Obat Batuk Hitam cairan

133 botol 180
(OBH)
Oksitetrasiklin HCl salep
134 tube 0
mata 3 %

135 Omeprazol kapsul 20 mg kapsul 15000

136 Ondansentron inj Ampul

137 Parasetamol drop botol 0
Parasetamol sirup 120
138 botol 450
mg/5 mL
Parasetamol tablet 500
139 mg tablet 18400

Pirantel tab.score (base)

140 tablet 0
125 mg
Piridoksin HCl (Vit. B6)
141 tablet
tablet 10 mg
Piridoksin HCl (Vit. B6)
142 tablet 11400
tablet 25 mg

143 Piroksikam tablet 10mg tablet 2300

144 Polikresulen cairan botol 10 ml 0

Povidon Iodin larutan 10

145 botol 30ml 35
%
Povidon Iodin larutan 10 botol 60ml
146 48
%
Povidon Iodin larutan 10 botol 300ml
147 48
%

148 Prednison tablet 5 mg tablet 150000

Propanolol tablet 10mg

149 tablet 0
(HCl)
Ranitidin injeksi 25 mg/
150 ampul 40
2 ml
Ranitidin injeksi 50 mg/
151 ampul 0
2 ml

152 Ranitidin tablet 150 mg tablet 11800

153 Reserpin tablet 0,10 mg tablet

Retinol ( Vitamin A )
154 kapsul 11800
100.000 IU kapsul lunak

Retinol ( Vitamin A )
155 kapsul 0
200.000 IU kapsul lunak

Ringer Laktat Larutan botol @ 500

156 140
Infus Steril ml
157 Salbutamol aerosol 0
 Salbutamol i.h 0,1%
158 ampul
(ventolin nebules)

159 Salbutamol tablet 2 mg tablet 11500

Salep 2-4 kombinasi:

160 Asam Salisilat 2% + pot
Belerang endap 4%

161 Salisil bedak serbuk 2% dus @ 50 gr 88

Sefadroksil kapsul 500

162 kapsul 400
mg

163 Sefiksim kaplet 100 mg kapsul 250

Sefotaksim injeksi
164 vial
1g/vial
Seftriakson injeksi 1
165 vial
g/vial

Sianokobalamin tab (vit

166 tablet 10000
B12) tab 50 mcg

167 Simetidin tablet 200mg tablet 400

168 Simvastatin 10 mg tablet 0

169 Simvastatin 20 mg tablet 23250
Siprofloksasin tablet 500
170 tablet 200
mg

Sulfasetamida Natrium
171 botol
tetes mata 15 %

172 Tetrasiklin 250 mg kapsul 400

Tetrasiklin kapsul 500
173 kapsul 900
mg
Thiamin (Vit.B1) tab. 50
174 tablet 18300
mg
Tiamfenikol kapsul
175 kapsul
500mg
176 Triheksifenidil tablet 0
Vitamin B Komplek
177 tablet 52800
tablet

178 Zinc sirup 20 mg/5 ml botol 60 ml 100

Zink 20mg tablet

179 tablet 60000
dispersibel
OBAT DINPROP
1 Hepagard kapsul
2 Tensigard Kapsul 600

3 Minyak kayu putih botol 50ml

4 Enkasari kumur & telan botol

OBAT GIGI
1 Caviton Putih botol
 Chlor Fenol Kamfer
2 botol
Menthol ( CHKM )
Devitalisasi Pasta non
3 kotak
arsen
4 Eching dan Bonding tube
5 Etil Klorida Semprot botol 0
6 Eugenol cairan botol 6
Formokresol ( pengganti
7 botol
TKF )
8 Hydcal kotak
Mummifying Pasta /
9 kotak
Iodorm Pasta
Semen seng fosfat
10 botol
serbuk dan cairan
Silver amalgam serbuk
11 botol
65-75 %

12 Spongostan (Curaspon) pcs

Tambalan sementara
13 untuk gigi 28gr(3M paket
ESPE CavitG)

Tambalan tetap gigi /

14 kotak
Glass Ionomer ART

15 Composite pcs 6
OBAT PENUNJANG

Bromheksin HCl tablet

1 tablet
8mg (Bromifar)

Bromheksin HCl tablet

2 tablet
8mg
Fenoterol MDI 100 mcg/
3 fls
10ml
Metampiron 500mg +
4 tablet 0
Diazepam 2 mg

5 Magnesium Sulfat 40% 140

6 Norit tube 18
7 Oxytosin injeksi ampul
8 Rapid Tes HIV tes

9 Salep Bisul (Ichtiol) pot 15gram 0

Salep Luka tube 15

10 16
bakar(Bioplacenton) gram

Bioplacenton tulle 10 x
11 box 0
10
Salep Luka Bakar
12 pot 15gram
Levertran15g
Sirup vit. besi Fe botol @
13 156mg/ml 100ml
14 Spasminal Tablet 1100
 Tablet curcuma (spek
15 min: extr. Curcumae tablet 0
rhizoma 20mg)

Teofilin syrup 43,33 mg/

16 tablet
5 ml
17 Terapi Diare syrup botol 0
Terapi Diare Tablet
18 tablet 37700
(Attapulgite)

19 Vitamin Neurotropik tablet 4500

Vitamin neurotropik
20 tablet
(Selesbion)
Multivitamin sirup
21 botol 0
(Recovit)
botol
22 Vitamin Syrup @60ml
Obat batuk kombinasi
23 botol
(Fenidryl)

Obat batuk kombinasi

24 tablet 0
tablet (Colortusin)

25 Lexigo tablet 0
26 Gentalex tube 0
27 Melocid tablet 0
28 Pritalinc kapsul 420
29 Neo Kaominal botol 60
OBAT PROGRAM
1 Obat Suntik KB I vial 320

2 Susuk KB Plus Insenter pcs 0

3 Spuit 3 mL KB pcs 500

4 Pil KB Pil 3440
5 IUD pcs 25
6 Plester Antiseptik box 2

7 Obat Antituberkolosis

8 Etambutol 400 mg tablet

9 Pirazinamid 500 mg tablet
10 Kanamisin 1 g vial
Levofloksasin tablet 250
11 tablet
mg
12 Etionamid 250 mg tablet
13 Sikloserin 250 mg tablet
ALKES & BHP
ADS 0,05 ml setara dari
1 pcs 500
Medeco
ADS 0,5 ml setara dari
2 pcs 1000
Medeco

Alat suntik sekali pakai 1

3 pcs 100
ml setara Terumo
 Alat suntik sekali pakai
4 pcs
2,5 ml setara Terumo

Alat suntik sekali pakai

5 pcs 0
3ml

Alat suntik sekali pakai 5

6 pcs 1800
ml setara Terumo

Alat suntik sekali pakai

7 pcs
10 ml setara Terumo

Alat tes cepat garam

8 set@ 6btl
Beryodium
9 Alkohol swab box 650
10 Aquadest btl 1 Liter 7
11 Bisturi kecil buah 0
12 Blood lancet pcs 0

Catgut/benang bedah
13 ktk/ 12 pcs 17
no. 3/0 dg jarum bedah

Catgut/benang bedah
14 ktk/ 12 pcs 24
no. 2/0 dg jarum bedah

15 Deck glass box

16 Folley catheter no.14 buah 18

17 Folley catheter no.16 buah 40

18 Folley catheter no.18 buah 40

19 Handscoon steril No. 7 pasang 200

Handscoon lengan
20 pcs 5
panjang (obgyn)
100pcs/
21 Handscoon non steril 34
kotak
22 Hypafix 15 x 5 buah 10
23 Hypafix 15 x 10 buah 16
set/
24 Infusion set anak kantong
set/
25 Infusion set dewasa 0
kantong
IV Catheter no. 18G
26 pcs
(setara Abocath)
IV Catheter no. 20G
27 pcs
(setara Abocath)
IV Catheter no. 22G
28 pcs
(setara Abocath)
IV Catheter no. 24G
29 pcs
(setara Abocath)

Jarum hecting/ jarum

30 bgks/ 12pcs 0
kulit (luar) besar
 Jarum hecting/ jarum
31 bgks/ 12pcs 0
kulit (luar) Sedang

Jarum hecting/ jarum

32 bgks/ 12pcs 0
kulit (luar) kecil

Jarum hecting/ jarum

33 bgks/ 12pcs 0
otot (luar) besar

Jarum hecting/ jarum

34 bgks/ 12pcs
otot (luar) sedang

Jarum hecting/ jarum

35 bgks/ 12pcs
otot (luar) kecil

36 Jelly EKG / Dopler botol

Kapas pembalut/
37 bungkus 157
absorben 250gr
Kapas pembalut/
38 bungkus 0
absorben 100gr

39 Kasa hidrofil 40x80 cm roll 2

Kasa hidrofil steril uk

40 roll 4
18x22
Kasa kompres 40/40
41 roll 22
steril
Kasa pembalut 2m x 80
42 roll 19
cm
Kasa pembalut
43 elasticn4m x 15cm roll 20
elastis
Kasa pembalut elastic
44 roll 0
4m x 3cm
Kasa steril 16x16 cm (isi
45 kotak 70
16 lembar)
Kasa sterIl ( isi 12
46 kotak
lembar)

47 Kertas golongan darah pack/ 100's

48 Kertas ECG Besar roll 0

49 Kertas ECG Standar roll 0
50 Kertas tissu gulung 37
Klem tali pusat 50 buah/
51 100
disposible kotak
52 Lisol botol 0
53 Masker pcs 142
54 Masker N95 ktk/ 20 pcs 8

Matabor gigi standar

55 set/ 6 biji
setara dari Edenta

56 Object glass/ box slide slide 0

57 Plester 5yard x 2 inchi roll 0

58 Silk 3/0 box 79

59 Spirtus botol 10
Tabung reaksi 1,5 x 10
60 pcs
cm
61 Test kehamilan strip 50
62 Tensocraft 4x 10 roll
63 Tensocraft 4x 15 roll
64 Transfusi set anak pcs
65 Terufision Blood pieces
66 Wing Needle pcs
67 Urin bag pcs 99
REAGEN
botol/
1 Alkohol asam 100ml
Antiseptic Handscrub (E-
2 box 0
care)
botol/
2 Asam klorida 0,1 N 0
100ml
botol/
3 Asam sulfosalisilat 100ml
4 Asam urat stik box
pack/
5 White tip
1000pcs
6 Dempul hematokrit pcs 2
botol/
7 EDTA 100ml

8 Glucoprotein urine tes test strip 26

Glucoprotein stik 10
9 test strip
parameter
10 Glukosa stik test strip
11 Haemoglobulin C btl/ 500ml
12 HbsAg test strip
Kolesterol stik Easy
13 box
Touch

14 Kolesterol stik (easy box

touch)
15 box
Kolesterol stik (Nesco)
16 Kertas Lensa lembar
17 Larutan Hipoklorit Botol 27
18 Larutan benedict btl 100ml
19 Larutan eosin 2% botol

20 Larutan etanol asam btl/ 100ml

21 Larutan karbol fuchsin btl/ 100ml

botol/
22 Larutan KOH 100ml

23 Larutan metilen biru btl/ 100ml

24 Larutan Poch Pack D botol

25 Larutan Turk btl/ 100ml
26 Metanol botol
27 Minyak imersi btl/ 100ml

28 Paket Gol. Darah anti A botol

29 Paket Gol. Darah anti AB botol

30 Paket Gol. Darah anti B botol

Reagensia Natrium
31 btl/ 500ml
Citrat 3,13%
32 Reagensia uji SGOT kit/ 50ml
33 Reagensia uji SGPT kit/ 50ml

Reagensia Uju Widal S

34 vial
para Typhi AH

Reagensia Uji Widal Typi

35 vial
H
Reagensia Uji Widal Typi
36 vial
O
37 Ress Ecker btl/ 100ml
Stik Trigliserid untuk
38 box/ 25pcs
Accutrend

39 Stik Urinalisis 10 botol/100's

parameter
39 Xylol btl/ 100ml
BARANG PENUNJANG
 TANGGAL PENERIMA
NO NAMA OBAT SATUAN KADALUARS AN
A (ED)

Amoksisillin
9 kaplet 500 kaplet Nov-20 200
mg

Asam
Mefenamat
26 kaplet Feb-19 200
kapsul 500
mg
Obat Suntik
1 vial 500
KB I
Susuk KB
2 Plus pcs 20
Insenter
Spuit 3 mL
3 pcs 500
KB

5 IUD pcs 25

Plester
6 box 2
Antiseptik