Rencana Distribusi Obat Puskesmas

RENCANA DISTRIBUSI OBAT PUSKESMAS LAMPASI
AGUSTUS 2019
RDO
NO NAMA OBAT SATUAN No Batch ED Agus REVISI KET
2019
Acetylsistein kapsul 200mg kapsul EBG145 Jul 2020 1,500 2000

Acyclovir krem Tube 16305012 Jul 2021 25
Alopurinol tablet 100 mg tablet A81138 Mei 2020 300
Alprazolam 0.5 mg tablet tablet A80007 Jan 2020 200
Aminofilin tablet 200 mg tablet 17CK046 Okt 2020 500 500
Amitriptilin HCl tablet 25 mg Tablet A1419IV Okt 2022 200
Amlodipine 10 mg tablet AF09H27 Jun 2021 1500
Amlodipine 5 mg tablet A1419IV Okt 2020 900 1200
Amoksisilin Kaplet 500 mg Kaplet B80192 Sept 2020 1,000 3000
Amoksisilin sirup kering Btl/60 ml H10516701 Agus 2020 50
Antasida Doen suspensi Btl/60 ml 18SC123 Jun 2021 50
Antasida DOEN tablet Tablet A80059 Jan 2020 1,500
Anti Hemoroid Supp suppos A80160W Jan 2022 50 10
Aqua pro injeksi Vial 74G48A Jul 2022 10
As.Askorbat ( Vit C 50 mg ) tablet tablet H70071BI Agus 2020 1,000
As.Mefenamat 500 mg kaplet 172760 Okt 2019 1000
Asam Folat Tablet 19618D0020 April 2020 400
Besi II Fumarat tablet Tablet 18TD1038 Sept 2020 10000
Besi II Fumarat tablet ( Hemafort ) tablet 95026024 Mei 2020 1,000
Betahistine 6 mg tablet Tablet 4960350 Jan 2021 500
Betametason krem Tube L71923T Des 2020 25
Borak Glyserin Btl/15 ml 68097 Jun 2020 12
Buskopan 10 mg (Hyoscine butyl bromid) tablet 70603 Mar 2021 300
Calsium Glukonas Injeksi 100mg/ml Ampul 97KA0036 Feb 2020 5
Captopril tablet 25 mg Tablet 21E052' Mei 2020 1,000
Cefadroxil 500 mg kaplet Tablet 8F0601 Jun 2020 500 800
Cetirizin Tablet tablet - 200 500
Cetirizin Syrup Botol S05009AH Mei 2020 10
Codein tablet 10 mg Tablet L73949J Des 2021 300 500
Cyproploksazin tablet 500 mg tablet 1605-32-108 Mei 2020 600
Deksametason inj.5mg/ml-1ml Ampul F8D378 Apr 2020 10
Deksametason tablet 0,5 mg Tablet 1807-41-150 Jul 2020 1,000
Diazepam 5 mg rectal (stesolid) Suppos U23681704 Mar 2019 2
Diazepam 10 mg rectal (stesolid) Suppos V23691708 Des 2021 2
Diazepam tablet 5 mg Tablet 170110 Feb 2021 200
Domperidone 10 mg Tablet 48J0027 Okt 2021 300
Domperidone syrup botol 1803-05-186 Mar 2020 10
Dulcolak Supp Dewasa Suppos 15081869 Agus 2019 10
Erytromisin kaplet 500 mg Tablet T08010AG Feb 2021 100
Fenolgliserin tts telinga 10% Botol 18LB017 Feb 2020 24
Furosemid tablet 40 mg Tablet J72500B Sept 2020 200
Garam Oralit utk 200 ml sachet H81511B Jul 2023 200
Gentamycin cream Tube 9977 Sept 2020 10
Glimepiride 2 mg tablet 49C0316 Feb 2021 300
Gliseril Guayakolat tablet 100 mg Tablet 39673 Sept 2022 1,000
Glukasa Larutan infus 10% steril Btl/500 260509 Apr 2019 2
Haloperidol tablet 1,5 mg Tablet 1706229 Jun 2020 500
Haloperidol 5 mg tablet - 100
Hidrokhlortiazide 25 mg Tablet L72853B Nov 2022 500
Ibuprofen tablet 200 mg Tablet 1805-20-177 Mei 2020 800
Ibuprofen tablet 400 mg Tablet BD91195 Apr 2021 500 1000
Isosorbit Dinitrat tablet 5 mg tablet I610044 Nov 2020 100
Kalium Permanganat serbuk Pot 067030 Jun 2020 12
Kalsium Laktat tablet 500 mg Tablet A80067 Feb 2020 1,000
Kanamycin injeksi vial 16958 Mei 2021 10
RDO
2019
Katekonazol Cream Tube F70756T Jun 2021 25

Klindamisin 150 mg Tablet EA0003 Mar 2020 100
Klofeniraminan Maleat (CTM) tab 4 mg tablet 1807-54-152 Juli 2022 5,000
Kloramfenikol salep kulit ( Bufacetin) Tube/5 g 10205810 Mei 2021 24
Kloramfenikol salep mata 1% Tube J72747W Okt 2020 24
Klorpromazin HCL tablet 100 mg tablet - 300
Kolkisin (Colcitine) tablet M0V036 Nov 2021 150
Kotrimoksazol tablet Forte 960 mg Tablet A81458 Jun 2020 300
Lansoprazol capsul kapsul 18LP1030 Jul 2022 200
Lidokain com.inj. 2% Ampul 16815008-2 Feb 2021 30
Lisol mgd kresol tersabun 50% Botol 24041888 Mar 2021 2 0
Loperamide tablet tablet 1806-03-34 Jun 2022 100
Loratadin Tablet tablet TLRTA70021 Sept 2020 200
Metformin tablet 500 mg tablet M02AA018 Mar 2021 1,000
Methil prednisolon 4 mg Tablet M02AA018 Apr 2021 300 500
Metilergometrin Maleat 0,125 mg Tablet G71631J Jul 2022 100
Metoklopramida tablet 10 mg Tablet H140818B Agus 2019 200 0
MgSO4 20% vial 5
Miconazol krem Tube F81410W Jun 2022 24
Minyak Ikan salep Pot KR11Z3A Nov 2022 12
Natrium Bicarbonat 500 mg Tablet 0610611 Okt 2020 200 0
Natrium Diklofenat tablet 25 mg tablet 16364084 Okt 2021 500
Oksitetrasiklin HCL salep mata 1% Tube @ 5 E81338W Mei 2021 25
Oksitosin injeksi 10IU/ml-1ml ampul 97LI0023 Sept 2020 10
Omeprazole 20 mg kapsul Tablet 1805-07-53 Mei 2020 300
Paket TB Anak Paket 1805005 Feb 2020 3
Paket TB I Paket 1808177 Jul 2020 2
Paracetamol syrup Btl/60 ml A80671 Mar 2020 100
Paracetamol tablet 100 mg tablet 17TC020 Mar 2021 1000
Paracetamol tablet 500 mg Tablet A80324 Feb 2020 16,800
Pehacain injeksi Ampul 06052022-2 Mei 2020 20
Permetrin cream (Scabimite) Tube B19012 Feb 2021 10
Pirantel syrup 125 mg Botol 629-18153 Sept 2020 5
Prednison tablet 5 mg Tablet 1901137 Jan 2021 500
Pyridoksin HCl ( Vit B.6) tablet 10 mg Tablet - 1000
Pyroksikam kapsul 10 mg Tablet 1806-02-143 Jun 2022 1000
Ranitidin Tablet Tablet HTRNTA84408 Jul 2021 1,500
Retinol (Vit A) kapsul lunak 100.000 IU kapsul - 200
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 18KB015 Feb 2021 1500
Ringer Laktat lar.inf steril Flask 471205 Nov 2021 20
Risperidone tablet 1 mg Tablet 49F0241 Jun 2021 200
Risperidone tablet 2 mg Tablet 49F0458 Jun 2021 200
Salbutamol 2 mg Tablet 172316B Agus 2022 600
Salisil Bedak Kotak 078121.1 Jul 2021 30
Serum Anti Tetanus 1.500 IU ( ATS ) Ampul 4200918 Mar 2020 10
Sianokobalamin tablet ( Vit B 12 ) Tablet 18TC039 Mar 2023 1000
Sinvastatin tablet 10 mg Tablet A8702IV Sept 2020 300
Sinvastatin tablet 20 mg Tablet 51028 Apr 2020 500
Thiamin HCl tablet 50 mg Tablet J82134B Feb 2023 1,500
Ventolin Nebules ampul FV0599 Feb 2021 20
Vitamin B kompleks tablet tablet 18TC028 Mar 2021 2,000
Yodium povidon lart.10% - 1000 ml Btl/1000 EB18092 Apr 2022 1
Yodium povidon salep Tube KB17062 Okt 2020 10
Zinc tablet tablet 18ZC1002 Mei 2021 100
Zink syrup Botol 037108 Jul 2020 12
Etil Klorida semprot Botol/10 170346 Mar 2020 3
H2O2 3 % btl/1 lite 018001 Jan 2020 1
Scandonest 2% Ampul - 20
RDO
2019
Tooth mouse Tube - 1

Abbocath ( IV ) No.24 Pcs - 5
Alat Suntik 3 cc Pcs Lot2018925 Agus 2023 200
Aquadest steril 500 ml Btl/500 280341B Mar 2023 2
Catgut / Benang Bedah No.3/0 sachet 170901 Agus 2022 24
Chlorhexidin 0.5% Btl/500 1605019 Mei 2019 5
Etakridin ( Rivanol) larutan 0,1 % Btl/300 14111788 Okt 2020 5
Etanol 70 % Botol/ 1L 128709 Sept 2020 3
Handscoon M PT. Millenium Pasang 1815021 Jan 2023 500 800
Handscoon no 6,5 PT. AAM pasang 56508699 Apr 2024 200
Handscoon no 7 pasang 2541770 Mar 2020 200
Infusion set anak Set 17020 Jan 2022 5
Infusion set dewasa Pcs 20082017 Agus 2022 25
Jarum jahit no. 9 segitiga biji - 12
Jarum jahit no.10 segitiga Pcs - 12
Jarum jahit no.13 segitiga Biji - 12
Jelly utk Dopler Botol 20170630 Jun 2020 3
Kaca Slide ktk/72 - 2
Kapas alkohol AC Swab 2% Pcs 170920 Agus 2022 500
Kapas pembalut absorben 250 mg Rol/250 21111788 Okt 2022 5
Kasa pembalut hydrofil 40 x 80 cm roll 5
Larutan Klorin 10 % Btl1000m 170715 2
Masker PT. Millenium Pcs 664135 Okt 2022 200
Masker Sungkup Disposible Adult pcs 5
Natrium Klorida lar.infus 0,9% steril Flask/50 370702 Jun 2022 20
NGT No.16 pcs 5
Pharmafix 5x500 cm pcs 5
Pharmafix 10x500 cm Pcs 5
Planotes strip 20170701 Jul 2020 180
Rapit test syphilis strip QSY1018004 Mar 2020 100
Selang Oksigen Anak pcs 180530 Mei 2023 27
Selang Oksigen Dewasa pcs 90
Selang Suction bayi pcs 60
Silk Benang Bedah Sutra No.3/0 Pcs 170724 Jun 2022 24
Silk No. 4/0 bks/75c TA061 Sept 2022 12
Sofratul / Cholorotul pcs 20
Tes HIV SD 1/2.3.0 strip 03AMD0194 Okt 2020 100
Umbilical cord klem pcs 100
Under Pad Pcs 20171010 Okt 2022 30
Urine Bag pcs 10
Pirantel 125 mg tablet 50
REKAP LKO PUSKESMAS BULAN JANUARI - DESEMBER TAHUN 2018
PUSKESMAS AIR TABIT PUSKESMAS PARIT RANTANG
MUTASI MUTASI
NO BULAN SALDO AWAL STOK AKHIR NO BULAN SALDO AWAL STOK AKHIR
MASUK KELUAR MASUK KELUAR
1 JANUARI 90,863,826.24 38,583,030.81 41,573,247.97 87,873,609.08 1 JANUARI 34,945,852.41 45,626,010.00 23,311,790.75 57,260,071.66
2 FEBRUARI 87,873,609.08 13,915,688.93 10,552,007.20 91,237,290.81 2 FEBRUARI 57,260,071.66 20,791,728.19 24,408,766.62 53,643,033.22
3 MARET 91,237,290.81 10,890,077.36 31,657,522.81 70,469,845.35 3 MARET 53,643,033.22 17,765,802.71 17,584,254.90 53,824,581.03
4 APRIL 70,469,845.35 15,374,619.00 28,182,420.84 57,662,043.52 4 APRIL 53,824,581.03 13,058,622.31 24,609,067.09 42,274,136.24
5 MEI 57,662,043.52 53,300,492.19 40,294,581.44 70,667,954.26 5 MEI 42,274,136.24 40,239,308.12 25,970,680.18 56,542,764.19
6 JUNI 70,667,954.26 14,255,293.10 11,488,107.57 73,435,139.79 6 JUNI 56,542,764.19 13,726,933.65 14,516,867.78 55,752,830.05
7 JULI 73,435,139.79 103,485,845.43 18,323,986.22 158,596,999.00 7 JULI 55,752,830.05 93,132,651.15 16,417,584.49 132,467,896.71
8 AGUSTUS 158,596,999.00 15,300,042.00 11,549,664.28 162,347,376.72 8 AGUSTUS 132,467,896.71 14,104,593.47 24,545,932.28 122,026,557.90
9 SEPTEMBER 162,347,376.72 27,403,701.62 18,520,721.41 171,230,356.93 9 SEPTEMBER 122,026,557.90 38,713,298.14 26,705,677.30 134,034,178.74
10 OKTOBER 171,230,356.93 14,755,058.27 13,402,436.45 172,582,978.75 10 OKTOBER 134,034,178.74 16,517,160.21 20,967,235.51 129,584,103.44
11 NOVEMBER 172,582,978.75 12,285,977.01 83,903,700.32 100,965,255.43 11 NOVEMBER 129,584,103.44 22,484,885.33 20,894,313.53 131,174,675.24
12 DESEMBER 100,965,255.43 19,924,184.81 12,382,164.01 108,507,276.24 12 DESEMBER 131,174,675.24 25,937,419.17 15,464,489.20 141,647,605.22
TOTAL JANUARI - DESEMBER 90,863,826.24 339,474,010.52 321,830,560.52 108,507,276.24 TOTAL JANUARI - DESEMBER 34,945,852.41 362,098,412.43 255,396,659.62 141,647,605.22
#REF! #REF!
PUSKESMAS IBUH PUSKESMAS LAMPASI
MUTASI MUTASI
1 JANUARI 43,289,335.06 43,528,241.12 22,358,710.74 64,458,865.44 1 JANUARI 54,936,398.66 41,444,718.03 16,669,386.89 79,711,729.80
3 MARET 61,787,862.94 25,438,808.46 26,954,313.04 60,272,358.36 3 MARET 84,620,223.95 10,471,712.91 24,809,613.05 70,282,323.81
4 APRIL 60,272,358.36 20,910,175.82 32,744,164.30 48,438,369.88 4 APRIL 70,282,323.81 9,546,149.16 17,781,600.22 62,046,872.74
5 MEI 48,438,369.88 79,983,430.04 63,827,555.05 64,594,244.87 5 MEI 62,046,872.74 47,678,142.43 25,345,480.92 84,379,534.25
6 JUNI 64,594,244.87 15,545,339.74 21,560,328.41 58,579,256.20 6 JUNI 84,379,534.25 11,718,589.99 18,301,044.81 77,797,079.43
7 JULI 58,579,256.20 113,775,053.95 26,110,212.05 146,244,098.10 7 JULI 77,797,079.43 127,292,241.55 33,202,775.47 171,886,545.51
8 AGUSTUS 146,244,098.10 16,509,045.99 27,709,192.85 135,043,951.24 8 AGUSTUS 171,886,545.51 12,737,945.22 44,085,767.46 140,538,723.27
10 OKTOBER 142,712,382.14 23,334,330.35 17,718,543.74 148,328,168.74 10 OKTOBER 137,285,897.62 24,556,084.03 24,891,289.09 136,950,692.56
#REF! #REF!
PUSKESMAS TIAKAR PUSKESMAS TAROK
MUTASI MUTASI
1 JANUARI 28,333,369.17 41,675,365.89 20,178,094.42 49,830,640.64 1 JANUARI 58,622,937.39 50,964,454.50 26,903,737.84 82,683,654.06
3 MARET 48,999,137.12 23,127,486.95 28,627,931.78 43,498,692.29 3 MARET 51,205,492.41 29,088,197.95 32,058,171.14 48,235,519.22
4 APRIL 43,498,692.29 18,535,811.84 21,486,732.31 40,547,771.83 4 APRIL 48,235,519.22 20,124,293.90 24,998,952.15 43,360,860.97
5 MEI 40,547,771.83 43,352,759.96 24,375,430.00 59,525,101.79 5 MEI 43,360,860.97 72,776,624.90 70,966,993.19 45,170,492.68
6 JUNI 59,525,101.79 19,346,223.91 13,952,538.53 64,918,787.16 6 JUNI 45,170,492.68 20,714,888.31 13,126,221.73 52,759,159.27
7 JULI 64,918,787.16 181,610,574.28 29,730,181.12 216,799,180.32 7 JULI 52,759,159.27 136,576,403.83 29,852,999.78 159,482,563.32
8 AGUSTUS 216,799,180.32 19,249,822.55 39,316,641.52 196,732,361.35 8 AGUSTUS 159,482,563.32 29,868,513.73 25,657,584.40 163,693,492.64
10 OKTOBER 191,999,282.91 22,505,795.68 35,019,130.90 179,485,947.70 10 OKTOBER 177,278,286.13 22,596,395.63 24,680,230.35 175,194,451.41
#REF! #REF!
PUSKESMAS PAYOLANSEK PUSKESMAS PADANG KARAMBIA
MUTASI MUTASI
1 JANUARI 46,296,357.40 42,879,125.50 19,057,145.28 70,118,337.61 1 JANUARI 62,629,219.09 40,881,171.00 14,579,668.87 88,930,721.22
3 MARET 70,487,878.55 13,698,803.78 23,571,373.28 60,615,309.05 3 MARET 92,525,544.76 8,684,665.00 16,860,414.50 84,349,795.26
4 APRIL 60,615,309.05 10,076,628.07 15,468,175.16 55,223,761.96 4 APRIL 84,349,795.26 9,602,996.89 17,219,671.31 76,733,120.84
5 MEI 55,223,761.96 30,969,967.49 15,156,735.22 71,036,994.23 5 MEI 76,733,120.84 42,374,140.36 32,371,606.08 86,735,655.12
6 JUNI 71,036,994.23 9,936,088.08 11,053,011.21 69,920,071.09 6 JUNI 86,735,655.12 10,041,316.50 14,887,834.29 81,889,137.33
7 JULI 69,920,071.09 95,352,677.17 44,793,262.61 120,479,485.65 7 JULI 81,889,137.33 66,938,336.51 27,269,979.77 121,557,494.07
8 AGUSTUS 120,479,485.65 14,305,195.10 25,975,675.10 108,809,005.65 8 AGUSTUS 121,557,494.07 11,711,061.57 31,094,933.94 102,173,621.70
10 OKTOBER 129,052,409.68 26,014,054.94 14,951,738.86 140,114,725.76 10 OKTOBER 100,551,232.34 16,569,485.52 18,329,369.58 98,791,348.28
#REF! #REF! Payakumbuh, Januari 2019
Mengetahui Kasubag Tata Usaha
Kepala Instalasi Farmasi #REF! Instalasi Farmasi Kota Payakumbuh
Kota Payakumbuh
ASMARINI, S.Farm, Apt EKO RISWANTO, A. Md FARM
NIP. 19681220 199203 2 004 NIP. 19850830 200803 1 002
LAPORAN KEUANGAN OBAT
INSTALASI FARMASI KOTA PAYAKUMBUH
SEMESTER I TAHUN 2018
MUTASI
SALDO AWAL BULAN SALDO AKHIR BULAN
NO BULAN BERTAMBAH BERKURANG
TK I DAK PRG TOTAL TK I DAK PRG TOTAL TK I DAK PRG TOTAL TK I DAK PRG TOTAL
SEMESTER I
1 JANUARI #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
2 FEBRUARI #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
3 MARET #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
4 APRIL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
5 MEI #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
6 JUNI #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
SMS 1 #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Payakumbuh, 10 September 2018

Kepala Instalasi Farmasi Instalasi Farmasi Kota Payakumbuh
Kota Payakumbuh

NIP. 19681220 199203 2 004 NIP. 19850830 200803 1 002
DISTRIBUSI OBAT SELAIN PUSKESMAS
SUMBER
No BULAN TOTAL
TK I DAK PROGRAM
1 JANUARI #REF! #REF! #REF! #REF!
2 FEBRUARI #REF! #REF! #REF! #REF!
3 MARET #REF! #REF! #REF! #REF!
4 APRIL #REF! #REF! #REF! #REF!
5 MEI #REF! #REF! #REF! #REF!
6 JUNI #REF! #REF! #REF! #REF!
TOTAL SEMESTER I #REF!

Mengetahui
Kepala Instalasi Farmasi Kasubag Tata Usaha
Kota Payakumbuh Instalasi Farmasi Kota Payakumbuh

NIP. 19681220 199203 2 004 NIP. 19850830 200803 1 002
DAFTAR OBAT KADALUARSA
Th
No Nama Obat Satuan Sumber Harga Satuan jumlah Nilai Kadaluarsa
Pengadaan
1 Klorpromazin HCL tablet 100 mg tablet 2016 DAK 171.00 6,800 Rp 1,162,800.00 Februari 2018
2 Carbamazepin tablet 200 mg tablet 2016 DAK 280.00 4,300 Rp 1,204,000.00 Juni 2018
3 Skapel / Pisau Bedah Pcs 2016 DAK 2,995.00 200 Rp 599,000.00 Juni 2019
TOTAL NILAI Rp 2,965,800.00

Mengetahui
Kepala Instalasi Farmasi Kasubag Tata Usaha
Kota Payakumbuh Instalasi Farmasi Kota Payakumbuh

NIP. 19681220 199203 2 004 NIP. 19850830 200803 1 002
REKAP LKO PUSKESMAS BULAN JANUARI - JUNI TAHUN 2018
PUSKESMAS AIR TABIT PUSKESMAS PARIT RANTANG
MUTASI MUTASI
1 JANUARI 34,945,852.41 45,626,010.00 22,655,670.75 57,916,191.66
2 FEBRUARI 57,916,191.66 20,791,728.19 24,410,497.62 54,297,422.22
3 MARET 54,297,422.22 17,765,802.71 16,928,134.90 55,135,090.03
4 APRIL 55,135,090.03 13,058,606.30 24,267,942.29 43,925,754.04
5 MEI 43,925,754.04 40,239,288.11 24,742,155.17 59,422,886.98
6 JUNI 59,422,886.98 13,726,908.45 11,376,960.48 61,772,834.96
TOTAL JANUARI - JUNI TOTAL JANUARI - JUNI 34,945,852.41 151,208,343.76 124,381,361.21 61,772,834.96
PUSKESMAS IBUH PUSKESMAS PAYOLANSEK

MUTASI MUTASI
1 JANUARI 43,289,335.06 43,528,241.12 22,129,855.74 64,687,720.44 1 JANUARI 46,296,357.40 42,879,125.50 19,057,145.28 70,118,337.61
3 MARET 62,016,717.94 25,438,808.46 26,954,313.04 60,501,213.36 3 MARET 70,487,878.55 13,698,803.78 23,571,373.28 60,615,309.05
4 APRIL 60,501,213.36 20,910,155.82 32,744,162.53 48,667,206.65 4 APRIL 60,615,309.05 10,076,601.06 15,468,161.49 55,223,748.62
5 MEI 48,667,206.65 79,983,390.01 63,827,524.82 64,823,071.84 5 MEI 55,223,748.62 30,969,934.47 15,156,699.87 71,036,983.21
6 JUNI 64,823,071.84 15,545,319.73 21,560,317.31 58,808,074.26 6 JUNI 71,036,983.21 9,936,079.18 11,052,993.78 69,920,068.61
TOTAL JANUARI - JUNI 43,289,335.06 215,446,868.68 199,928,129.48 58,808,074.26 TOTAL JANUARI - JUNI 46,296,357.40 127,554,491.68 103,930,780.47 69,920,068.61
PUSKESMAS LAMPASI PUSKESMAS TAROK

MUTASI MUTASI
1 JANUARI 54,936,398.66 41,444,718.03 16,669,386.89 79,711,729.80 1 JANUARI 58,622,937.39 50,964,454.50 26,903,737.84 82,683,654.06
3 MARET 84,620,223.95 10,471,712.91 24,809,613.05 70,282,323.81 3 MARET 51,205,492.41 29,088,197.95 32,058,171.14 48,235,519.22
4 APRIL 70,282,323.81 9,546,129.15 17,781,586.68 62,046,866.27 4 APRIL 48,235,519.22 20,124,272.90 24,998,937.28 43,360,854.83
5 MEI 62,046,866.27 47,678,122.43 25,345,462.32 84,379,526.38 5 MEI 43,360,854.83 72,776,604.90 70,966,977.74 45,170,482.00
6 JUNI 84,379,526.38 11,718,587.95 18,301,026.27 77,797,088.06 6 JUNI 45,170,482.00 20,714,821.00 13,126,210.56 52,759,092.44
PUSKESMAS PADANG KARAMBIA PUSKESMAS TIAKAR

MUTASI MUTASI
1 JANUARI 62,629,219.09 40,881,171.00 14,579,668.87 88,930,721.22 1 JANUARI 28,333,369.17 41,675,365.89 20,178,094.42 49,830,640.64
3 MARET 92,525,544.76 8,684,665.00 16,860,414.50 84,349,795.26 3 MARET 48,999,137.12 23,127,486.95 28,627,931.78 43,498,692.29
4 APRIL 84,349,795.26 9,602,976.88 17,219,658.24 76,733,113.90 4 APRIL 43,498,692.29 18,535,800.84 21,486,728.41 40,547,764.73
5 MEI 76,733,113.90 42,374,129.36 32,371,597.58 86,735,645.68 5 MEI 40,547,764.73 43,352,756.24 24,375,423.98 59,525,096.98
6 JUNI 86,735,645.68 10,041,267.63 14,887,819.10 81,889,094.21 6 JUNI 59,525,096.98 19,346,159.41 13,952,538.30 64,918,718.09
TOTAL 8 PUSKESMAS
MUTASI
NO BULAN SALDO AWAL STOK AKHIR
MASUK KELUAR
1 JANUARI 329,053,469.17 306,999,086.04 142,173,559.78 493,878,995.43
2 FEBRUARI 493,878,995.43 159,147,271.40 188,873,849.87 464,152,416.95
3 MARET 464,152,416.95 128,275,477.76 169,809,951.70 422,617,943.02
4 APRIL 422,617,943.02 101,854,542.96 153,967,176.93 370,505,309.05
5 MEI 370,505,309.05 357,374,225.52 256,785,841.48 471,093,693.08
6 JUNI 471,093,693.08 101,029,143.34 104,257,865.80 467,864,970.62
TOTAL JANUARI - JUNI 329,053,469.17 1,154,679,747.01 1,015,868,245.56 467,864,970.62
Kepala Instalasi Farmasi Instalasi Farmasi Kota Payakumbuh
Kota Payakumbuh
NIP. 19681220 199203 2 004 NIP. 19850830 200803 1 002
Sep-19
Perencanaa
NO NAMA OBAT SATUAN No Batch ED n 2019
Acetylsistein kapsul 200mg kapsul EBE210 Jun 2020 15,000

Acetylsistein kapsul 200mg kapsul EBG145 Jul 2020 -
Acyclovir krem Tube 16305012 Jul 2021 50
Acyclovir tablet 200 mg Tablet 06303002 Apr 2021 -
Acyclovir tablet 400 mg Tablet 0630415 Agus 2020 2,500
Acyclovir tablet 400 mg Tablet 16304007 Apr 2021 -
Albendazol 400 mg tablet 366626 Juni 2022 6,000
Alopurinol tablet 100 mg tablet A81330 Mei 2020 2,000
Alopurinol tablet 300 mg tablet - 500
Alprazolam 0.5 mg tablet tablet A80007 Jan 2020 4,000
Ambroxol tablet tablet 9,000
Ambroxol syrup btl 400
Aminofilin tablet 200 mg tablet 17CK046 Okt 2020 3,000
Amitriptilin HCl tablet 25 mg Tablet A1419IV Okt 2022 3,000
Amlodipine 10 mg tablet AF09H27 Jun 2021 18,000
Amlodipine 10 mg tablet AF09H026 Jun 2021
Amlodipine 5 mg tablet A1419IV Okt 2020 -
Amlodipine 5 mg tablet 071228 Jul 2020 10,000
Amoksisilin Kaplet 250 mg Tablet 1708-45-51 Agus 2020 -
Amoksisilin Kaplet 500 mg Kaplet B80192 Sept 2020 30,000
Amoksisilin Kaplet 500 mg Kaplet CAMXA80415 Mei 2021 -
Amoksisilin Kaplet 500 mg Kaplet HH018300 Agus 2021 -
Amoksisilin sirup kering Btl/60 m H10516701 Agus 2020 300
Amoksisilin sirup kering Btl/60 m 270242 Jul 2019 -
Amoksisilin sirup kering forte 250mg/5ml Botol 1807-32-193 Jul 2020 100
Antasida Doen suspensi Btl/60 m 172902 Nov 2019 500
Antasida Doen suspensi Btl/60 m 19SD283 April 2021 -
Antasida DOEN tablet Tablet A80059 Jan 2020 26,000
Anti Hemoroid Supp suppos A80160W Jan 2022 300
Aqua pro injeksi Vial 74G48A Jul 2022 10
As. Askorbat (Vit C 250 mg) tablet Tablet - -
As. Askorbat (Vit C 250 mg) tablet Tablet B70110B Jan 2021 -
As.Askorbat ( Vit C 50 mg ) tablet tablet H70071BI Agus 2020 15,000
As.Benzoat 6% + As.Salisilat 3% ( AAV ) Pot 165F051C Jun 2020 24
As.Benzoat 6% + As.Salisilat 3% ( AAV ) Pot 165F051C Jun 2020 -
As.Mefenamat 500 mg kaplet 172760 Okt 2019 5,000
As.Mefenamat 500 mg kaplet A91039 April 2022 -
As.Mefenamat 500 mg kaplet A80559 Mar 2020 -
As.Mefenamat 500 mg kaplet TSK64946 Sept 2022 -
As.Salisilat 2% + Belerang endap 4% Pot - -
As.Salisilat 2% + Belerang endap 4% Pot 175C064A Mar 2021 24
Asam Folat Tablet 1618D002 April 2020 5,000
Asam Folat Tablet 19618D0020 April 2020
Asam Tranexamat 500 mg Tablet TSE23248 Apr 2022 1,200
Asetosal ( Miniaspi ) tablet 80 mg tablet A160346 Mei 2020 -
Asetosal ( Miniaspi ) tablet 80 mg tablet A81430 Jul 2020 -
Asetosal ( Miniaspi ) tablet 80 mg tablet A81948 Sept 2020 -
Atropin Sulfat Injeksi Ampul 9618B0011A Feb 2020 5
Bacitracin + Polimiksin salep Tube 1805005 Mei 2022 100
Benzatin penisilin injeksi Vial 95319008 Okt 2020 -
Besi II Fumarat tablet Tablet 18TD1038 Sept 2020 -
Besi II Fumarat tablet Tablet 18TD1038 Sept 2020 125,000
Besi II Fumarat tablet ( Hemafort ) tablet 95026024 Mei 2020 2,000
Betahistine 6 mg tablet Tablet 4960350 Jan 2021 5,500
Betametason krem Tube L71923T Des 2020 500
Borak Glyserin Btl/15 m 68097 Jun 2020 10
Buskopan 10 mg (Hyoscine butyl bromid) tablet 70603 Mar 2021 4,000
Calsium Glukonas Injeksi 100mg/ml Ampul 97KI0112 Sept 2020 5
Captopril tablet 12.5 mg tablet 95081001 Jun 2020 -
Captopril tablet 12.5 mg tablet D80691B Jan 2023 -
Captopril tablet 12.5 mg tablet 95081001 Mar 2023 -
Captopril tablet 25 mg Tablet 21E052' Mei 2020 20,000
Carbamazepin tablet 200 mg tablet 713198 Des 2019 500
Carbamazepin tablet 200 mg tablet A80705 Des 2019 -
Cefadroxil 125 mg syrup botol 6802007 Mar 2021 100
Cefadroxil 500 mg kaplet Tablet 8F0601 Jun 2020 5,000
Cetirizin Tablet Tablet T03019AH Mar 2020 -
Cetirizin Tablet tablet TO3037 Mar 2020 2,000
Cetirizin Syrup Botol S05028AJ Mei 2021 80
Codein tablet 10 mg Tablet F81729J Juni 2022 3,000
Combivent nebu (Ipratropium bromida) Ampul 100
Cyproploksazin tablet 500 mg tablet 1808-13-108 Agus 2020 4,000
Deksametason inj.5mg/ml-1ml Ampul - -
Deksametason inj.5mg/ml-1ml Ampul F8D378 Apr 2020 50
Deksametason tablet 0,5 mg Tablet 1805-37-150 Mei 2020 10,000
Deksametason tablet 0,5 mg Tablet 1807-41-150 Jul 2020 -
Diazepam injeksi 5 mg/ml-2ml Ampul T2071106 Jun 2021 5
Diazepam 5 mg rectal (stesolid) Suppos W23681702 Feb 2022 10
Diazepam 10 mg rectal (stesolid) Suppos V23691708 Des 2021 5
Diazepam tablet 2 mg Tablet A3111EW Mei 2023 1,500
Diazepam tablet 5 mg Tablet 170110 Feb 2021 300
Diazepam tablet 5 mg Tablet A80480 Feb 2022 -
Diphenhidramin Injeksi 10 mg/ml ampul 18IE010 Mei 2021 1
Domperidone 10 mg Tablet 48J0027 Okt 2021 3,500
Domperidone syrup botol KLDPDA72118 Apr 2020 -
Domperidone syrup botol 1803-05-186 Mar 2020 60
Dulcolak Supp Anak Suppos - -
Dulcolak Supp Dewasa Suppos 15081869 Agus 2019 50
Dulcolak Supp Dewasa Suppos 17080976 Jul 2021 -
Dulcolak Supp Dewasa Suppos 17070936 Jul 2021
Epinefrin HCl/bitartrat inj.0,1-1 ml Ampul 97LA0062 Jan 2020 -
Epinefrin HCl/bitartrat inj.0,1-1 ml Ampul 97LD0031 Apr 2020 10
Erytromisin kaplet 250 mg Tablet - -
Erytromisin kaplet 500 mg Tablet T08010AG Feb 2021 300
Erytromisin kaplet 500 mg Tablet T02017AH Agus 2021 -
Erytromisin kaplet 500 mg Tablet T02112AH Sept 2021 -
Erytromisin syrup kering Btl/60 m AK92037 Feb 2020 -
Fenitoin kapsul 100 mg kapsul 370408 Apr 2020 1,000
Fenobarbital inj.50mg/ml-2ml Ampul 95803001-2 Mei 2020 5
Fenobarbital tablet 30 mg Tablet H71702B Jul 2022 2,000
Fenolgliserin tts telinga 10% Botol 18LB017 Feb 2020 150
Fitomenadion ( Vit K ) inj.2 mg/ml-1ml ampul 06478074 Nov 2019 40
Fitomenadion ( Vit K ) inj.2 mg/ml-1ml ampul 16478013 Mei 2020 -
Fitomenadion ( Vit K ) tablet sal 10 mg Tablet 16381003 Mar 2021 600
Furosemid tablet 40 mg Tablet - 400
Furosemid tablet 40 mg Tablet J72500B Sept 2020 -
Furosemid tablet 40 mg Tablet K72719B Okt 2020 -
Furosemid tablet 40 mg Tablet B80163B Jan 2021 -
Furosemid tablet 40 mg Tablet C80554B Feb 2021 -
Furosemid tablet 40 mg Tablet H81556B Jul 2021 -
Garam Oralit utk 200 ml sachet H81512B Jul 2023 3,000
Garam Oralit utk 200 ml sachet H81512B Jul 2023 -
Gentamicin Injeksi Ampul BF18B004 Mar 2020 20
Gentamicin tetes mata Botol 253003 Mar 2021 150
Gentamycin cream Tube 9977 Sept 2020 100
Gentamycin cream Tube D80767T Apr 2022 -
Gentamycin tetes mata botol 0253003 Mar 2021 -
Gentian Violet lar.1% Botol 88024 Agus 2021 40
Glibenklamida tablet 5 mg Tablet 1612099 Mar 2022 -
Glimepiride 2 mg tablet 49C0316 Feb 2021 1,500
Glimepiride 2 mg tablet 49E0860 Mei 2021 -
Gliseril Guayakolat tablet 100 mg Tablet 39873 Sept 2022 -
Gliseril Guayakolat tablet 100 mg Tablet 39773 Sept 2022 -
Gliseril Guayakolat tablet 100 mg Tablet 59573 Sept 2022
Glukasa Larutan infus 5 % steril Btl/500 270611 Mei 2020 6
Glukasa Larutan infus 10% steril Btl/500 241002 Sept 2019 2
Griseofulvin 125 mg Tablet 1804-06-176 Apr 2020 -
Griseofulvin 500 mg Tablet HM128036 Des 2019 500
Haloperidol tablet 0,5 mg Tablet A1808GV Jul 2023 -
Haloperidol tablet 1,5 mg Tablet 1706229 Jun 2020 4,000
Haloperidol tablet 1,5 mg Tablet A1901CU Mei 2022 -
Haloperidol 5 mg tablet A90602 Mar 2022 400
Haloperidol decanoat inj ( Haldol Inj ) Ampul 6009 Okt 2019 -
Haloperidol decanoat inj ( Haldol Inj ) Ampul 5S2T Mei 2021 -
Haloperidol injeksi Ampul 460060 Mar 2019 6
Hidrokhlortiazide 25 mg Tablet L72853B Nov 2022 2,500
Hidrokortison cream 1% Tube 19SC003 Mar 2021 100
Hidrokortison krim 2,5% Tube F71612T Okt 2021 -
Hidrokortison krim 2,5% Tube J71612T Okt 2021 100
Ibuprofen tablet 200 mg Tablet 1805-20-177 Mei 2020 3,000
Ibuprofen tablet 400 mg Tablet BD911914 Apr 2021 13,000
Ibuprofen tablet 400 mg Tablet BD91195 Apr 2021 -
Ibuprofen syr Botol S08006AG Agus 2019 -
Ichthyol salep Pot 058017 Mei 2022 -
Isoniazida ( INH ) tablet 100 mg Tablet A501857 Feb 2020 -
Isosorbit Dinitrat tablet 5 mg tablet I610044 Nov 2020 100
Isosorbit Dinitrat tablet 5 mg tablet A2353JV Okt 2022 -
Isosorbit Dinitrat tablet 5 mg tablet A2353JV Okt 2022 -
Kalium Permanganat serbuk Pot 067030 Jun 2020 35
Kalsium Laktat tablet 500 mg Tablet A80067 Feb 2020 16,000
Kanamycin injeksi vial 16958 Mei 2021 10
Kanamycin injeksi Ampul 17017 Mei 2022 -
Kaolin Pectin Syrup Botol S1153117 Jun 2020 -
Kaolin Pectin Syrup Botol S1153118 Jun 2020 -
Katekonazol 200 mg tablet Tablet 1709-57-103 Sept 2021 500
Katekonazol Cream Tube F70756T Jun 2021 50

Katekonazol Cream Tube D80786T Apr 2022 -
Katekonazol Cream Tube I81895T Apr 2022 -
Klindamisin 150 mg Tablet EBF022 Juni 2020 500
Klindamisin 150 mg Tablet EA0003 Mar 2020 -
Klindamisin 300 mg Kapsul 172252 Sept 2019 600
Klofeniraminan Maleat (CTM) tab 4 mg tablet 1808-33-152 Agus 2022 60,000
Klofeniraminan Maleat (CTM) tab 4 mg tablet 1807-54-152 Juli 2022
Kloramfenikol 250 mg Tablet 1803-02-251 Mar 2022 -
Kloramfenikol salep kulit ( Bufacetin) Tube/5 g 10204920 Apr 2022 300
Kloramfenikol salep mata 1% Tube J72747W Okt 2020 150
Kloramfenikol tetes mata 0.5% Botol 0130718001 Jan 2020 100
Kloramfenikol tts telinga 3% Btl/5 ml 0520718004 Jul 2021 -
Klorpromazin HCL tablet 100 mg tablet - 1,500
Kolkisin (Colcitine) tablet M0V036 Nov 2021 500
Kotrimoksazol Suspensi Botol 2706003 Jun 2019 -
Kotrimoksazol tablet Adul kombinasi Tablet - 200
Kotrimoksazol tablet Forte 960 mg Tablet A81458 Jun 2020 1,000
Lansoprazol capsul kapsul 18LP1030 Jul 2022 1,000
Lincomycin 500 mg Tablet 6438006 Apr 2020 -
Lidokain com.inj. 2% Ampul 16815008-2 Feb 2021 250
Lidokain injeksi 2% murni Ampul 18IB026 Feb 2022 60
Lisol mgd kresol tersabun 50% Botol 017001 - - 12
Lisol mgd kresol tersabun 50% Botol 24041888 Mar 2021 -
Loperamide tablet tablet 1806-03-34 Jun 2022 600
Loratadin Tablet tablet 223021 Mei 2020 3,000
Loratadin Tablet tablet TLRTA70015 Agus 2020 -
Loratadin Tablet tablet TLRTA70021 Sept 2020 -
Loratadin Tablet tablet TLRTA70037 Nov 2020 -
Loratadin Tablet tablet 10218J0050 Okt 2021 -
Metformin tablet 500 mg tablet HTMFNA82744 Apr 2020 8,500
Metformin tablet 500 mg tablet M02AA018 Mar 2021
Methil prednisolon 4 mg Tablet M02AM010 Mar 2021 3,200
Metilergometrin M. inj.0,200 mg/ml-1ml Ampul 97LG0040 Agus 2020 20
Metilergometrin Maleat 0,125 mg Tablet G71631J Jul 2022 1,000
Metilergometrin Maleat 0,125 mg Tablet G71629J Jul 2022 -
Metoklopramida tablet 10 mg Tablet WK368G Agus 2019 200
Metoklopramida tablet 10 mg Tablet WK368G Nov 2020 -
Metoklopramide syr botol XM010 Mar 2019 -
MgSO4 20% vial 94D48D Apr 2022 5
Miconazol krem Tube K73201W Nov 2021 400
Miconazol krem Tube F81411W Jun 2022
Minyak Ikan salep Pot KR11Z3A Nov 2022 12
Natrium Bicarbonat 500 mg Tablet 0610611 Okt 2020 -
Natrium Bicarbonat 500 mg Tablet 0610613 Nov 2020 -
Natrium Khlorida Tetes mata (cendo lyteers botol 100
Natrium Diklofenat tablet 25 mg tablet 16364004 Apr 2023 3,000
Natrium Diklofenat tablet 25 mg tablet 16364084 Okt 2021
Natrium Diklofenat tablet 50 mg Tablet 06365019 Mei 2020 -
Natrium Diklofenat tablet 50 mg Tablet 6365031 Okt 2020 -
Nipedipin tablet tablet 48A4197 Des 2020 100
Nystatin 100.000 IU Tab Vagina Ovula 16372002 Jan 2022 100
Oksitetrasiklin HCL salep mata 1% Tube @ 5 E81338W Mei 2021 20
Oksitetrasiklin HCL salep mata 1% Tube @ 5 J82873 Okt 2021 -
Oksitetrasiklin HCl salep kulit 3% tube - 150
Oksitosin injeksi 10IU/ml-1ml ampul 97LI0023 Sept 2020 100
Omeprazole 20 mg kapsul Tablet 1805-06-53 Mei 2020 4,000
Omeprazole 20 mg kapsul Tablet 1806-04-53 Jun 2020 -
Paket TB Anak Paket 16493046 Nov 2020 10
Paket TB I Paket 1808177 Jul 2020 25
Paket TB I Paket 1808183 Jul 2020 -
Paket TB II box 16471039-3 Jun 2021 1
Paraformaldehid 1 gram tablet 807140901 - -
Paracetamol Drops Botol 1805033 Mei 2020 50
Paracetamol syrup Btl/60 m A80671 Mar 2020 1,300
Paracetamol tablet 100 mg tablet 17TC020 Mar 2021 6,000
Paracetamol tablet 500 mg Tablet A80324 Feb 2020 130,000
Paracetamol tablet 500 mg Tablet A80324 Feb 2020 -
Paracetamol tablet 500 mg Tablet A80322 Feb 2020 -
Pehacain injeksi Ampul 06052022-2 Mei 2020 300
Pehacain injeksi Ampul 16052025 Jul 2022 -
Permetrin cream (Scabimite) Tube D1602 Apr 2021 60
Permetrin cream (Scabimite) Tube B19012 Feb 2021
Pirantel syrup 125 mg Botol 629-18153 Sept 2020 25
Pirantel tablet 125 mg tablet G81347B Juni 2023 100
Prednison tablet 5 mg Tablet 1901137 Jan 2021 7,000
Propanolol 10 mg Tablet 1803041 Mar 2021 -
Propanolol 10 mg Tablet 1802127 Feb 2021 -
Propiltiourasil tablet 100 mg Tablet 1606003 Sept 2021 -
Propiltiourasil tablet 100 mg Tablet 48DO411 Mar 2021 -
Pyridoksin HCl ( Vit B.6) tablet 10 mg Tablet C70215B Feb 2020 6,800
Pyridoksin HCl ( Vit B.6) tablet 10 mg Tablet E160466B Mei 2019 -
Pyridoksin HCl ( Vit B.6) tablet 10 mg Tablet 172024B Agus 2020 -
Pyroksikam kapsul 10 mg Tablet 1806-02-143 Jun 2022 1,600
Pyroksikam kapsul 20 mg Tablet 1706046 Jul 2019 3,000
Quinine tab tablet - -
Ranitidin Tablet Tablet HTRNTA84408 Jul 2021 15,000
Retinol (Vit A) kapsul lunak 100.000 IU kapsul - 500
Retinol (Vit A) kapsul lunak 100.000 IU kapsul 18KB009 Feb 2021 -
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 16KH007 Agus 2019 3,500
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 18KB015 Feb 2021 -
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 086064W Agus 2019 -
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 17KE026 Mei 2020 -
Ringer Laktat lar.inf steril Flask 471205 Nov 2021 200
Risperidone tablet 1 mg Tablet 49F0241 Jun 2021 1,200
Risperidone tablet 2 mg Tablet 49F0458 Jun 2021 1,700
Salbutamol 2 mg Tablet 172316B Agus 2022 2,500
Salisil Bedak Kotak 078121.1 Jul 2021 180
Serum Anti Bisa Ular Inj Vial 4701517 Jul 2019 -
Serum Anti Tetanus 1.500 IU ( ATS ) Ampul 4202917 Nov 2019 50
Serum Anti Tetanus 1.500 IU ( ATS ) Ampul 4200918 Mar 2020 -
Sianokobalamin tablet ( Vit B 12 ) Tablet 18TC039 Mar 2023 5,000
Sinvastatin tablet 10 mg Tablet A8702IV Sept 2020 2,000
Sinvastatin tablet 10 mg Tablet 171495 Jul 2021 -
Sinvastatin tablet 20 mg Tablet 51028 Apr 2020 1,000
Suprafenid suppos Suppos G8C183 Mar 2021 10
Tetagam Injeksi 250 UI vial 36045851A Des 2020 30
Tetracain tetes mata Botol 8P10423 Apr 2021 3
Tetrasiklin 500 mg Tablet 1708-01-52 Agus 2021 -
Thiamin HCl tablet 50 mg Tablet J82134B Feb 2023 17,000
Tiamphenicol 500 mg tablet 1806-05-48 Jun 2020 -
Triheksilpenidil tablet Tablet 1708154 Agus 2019 1,500
Triheksilpenidil tablet Tablet A81565 Agus 2020 -
Vaksin HB Ig Vial H2MAA00033 Sept 2019 -
Vaksin Hepatitis B Rekonbinan Dewasa Vial 3660418 Apr 2020 -
VAR vial - -
VAR vial P1C542M Jul 2020 -
Ventolin Nebules ampul FV0599 Feb 2021 200
Vitamin B kompleks tablet tablet 18TC028 Mar 2021 32,000
Vitamin B kompleks tablet tablet 18TC048 Mei 2021 -
Vitamin B kompleks tablet tablet 18TC028 Mar 2021
Yodium povidon lart.10% - 1000 ml Btl/1000 EB18092 Apr 2022 5
Yodium povidon lart.10% - 60 ml Btl/60 m DB18133 Mar 2022 20
Yodium povidon salep Tube KB17062 Okt 2020 40
Zinc tablet tablet 18ZC1056 Des 2021 200
Zink syrup Botol 023508 Feb 2020 150
Zink syrup Botol 037108 Jul 2020 -
Alfogyl ktk 1
Calsidol/Hydcal kotak 17017 Sept 2020 5
Calsigel kotak 3131714 Okt 2020 -
Cavit kotak 1711221 Nov 2019 7
Double check buah - -
Etil Klorida semprot Botol/10 170346 Mar 2020 35
Etil Klorida semprot Botol/20 185375 Des 2022 -
Eugenol Cairan Botol 070736W Apr 2021 2
Flour topikal ( Frutti Flour Natural) Botol 667117 Sept 2019 -
Flour topikal ( Frutti Flour Natural) Botol 835117 Nov 2019 -
Flour topikal ( Frutti Flour Natural) Botol 90118 Jan 2020 -
Flour topikal ( Frutti Flour Natural) Botol 252118 Mar 2020 -
Fuji IX GP Kotak 1710141 Okt 2020 -
Fuji IX Mini pack Box 1704191 Apr 2020 -
Glass Ionomer ART (Fuji IX ART 1-1) Box 1704031 Apr 2020 -
H2O2 3 % btl/1 lite 018001 Jan 2020 -
Ketak Molar Botol 668237 Apr 2020 -
Needle No. 30x21 mm pcs 6061593 Mei 2021 -
Needle No. 30x21 mm Pcs 290521 Apr 2022 -
Scandonest 2% Ampul - -
Seluloid strip pcs - -
Semen Seng serbuk dan cairan Box 1710111 Okt 2020 -
Spon Gelatin cublcles 1x1x1 cm Kotak 17001 Feb 2020 4
Toot cleansing tinture (Occo) Botol 817 Agus 2020 1
Tooth mouse Tube 06201705 Apr 2020 4
BCG 20 ds vial -
Polio B OPV 10 ds vial -
Polio IPV vial -
Campak 10 ds vial -
DPT - HB HIB vial -
HBU Hep B PID vial -
DT vial -
TD vial -
Vaksin Meningitis vial 201705001 Mei 2019 -
Vaksin MR vial -
Abbocath ( IV ) No.18 Pcs 20171225 Nov 2022 50
Abbocath ( IV ) No.20 Pcs - 150
Abbocath ( IV ) No.20 Pcs 170421 Apr 2020 -
Abbocath ( IV ) No.22 Pcs 20180720 Juni 2023 -
Abbocath ( IV ) No.24 Pcs - -
Abbocath ( IV ) No.24 Pcs - -
Alat Suntik 0.05 cc Pcs 17001 Jan 2022 200
Alat Suntik 0.05 cc Pcs 17001 Jan 2022 -
Alat Suntik 0.05 cc Pcs 17001 Jan 2022 -
Alat Suntik 0.5 cc Pcs 18134 Jun 2023 1,600
Alat Suntik 0.5 cc Pcs 18135 Jun 2023 -
Alat Suntik 1 cc Pcs 01031688 Feb 2021 200
Alat Suntik 2.5 cc Pcs 18112017 Nov 2022 -
Alat Suntik 2.5 cc Pcs 18112017 Nov 2022 -
Alat Suntik 3 cc Pcs Lot2018925 Agus 2023 3,000
Alat Suntik 3 cc Pcs 18L150SJ Nov 2023 -
Alat Suntik 5 cc Pcs 16501 Apr 2021 800
Alat Suntik 5 cc Pcs 1804401 Mar 2023 -
Anti Sera A & B Set 610164 Okt 2020 -
Anti Sera A & B Set 610167 Apr 2021 -
Anascopy Pcs - -
Arisound Timer ktk - -
Aquadest steril 500 ml Btl/500 - -
Aquadest steril 500 ml Btl/500 280341A Mar 2023 5
BD Pronto pcs - -
Blood lancet Pcs - 3,000
Blood lancet Pcs 18091788 Agus 2022 -
Box Slide pcs - -
Catgut / Benang Bedah No.2/0 pcs 617451 Nov 2020 -
Catgut / Benang Bedah No.3/0 Pcs 1607148 Jul 2021 48
Catgut / Benang Bedah No.3/0 sachet 170901 Agus 2022 -
Catgut / Benang Bedah No.3/0 sachet 180801 Juli 2023 -
Catgut no 4/0 sachet - -
Catgut chromic 1 HS 37 mm sachet 150601 Jun 2020 -
Catgut Chromic 4/0 100m Roll 16D08 Apr 2021 -
Chlorhexidin 0.5% Btl/500 1605019 Mei 2019 30
Chlorhexidin 0.5% Btl/500 1805017 Mei 2021 -
Chlorhexidin 7.5% Btl/1 L 1603012 Mar 2021 -
Duk lubang 30x30 helai - -
Etakridin ( Rivanol) larutan 0,1 % Btl/300 14111788 Okt 2020 50
Etanol 70 % Botol/ 1L F28737 Jun 2020 -
Etanol 70 % Botol/ 1L G48731 Agus 2020 30
Etanol 70 % Botol/100 E58804 Jun 2021 30
Handscoon L Pasang SGP-PP2328 Agus 2020 -
Handscoon M PT. Millenium Pasang 1815021 Jan 2023 5,000
Handscoon no 6,5 PT. AAM pasang 56508696 Apr 2024 700
Handscoon no 7 pasang 2541770 Mar 2020 1,600
Handscoon no 7 PT. AAM pasang 20300332945 Nov 2021 -
Handscoon no 7,5 Pasang 2308185SPZA Jun 2019 -
Handscoon no 7,5 PT. AAM pasang 030281855PZA Mei 2021 50
Handscoon obgyn Pasang 23011788 Des 2021 20
Handscoon obgyn Pasang 23011788 Des 2021 -
Handscoon S Pasang 170320502 Feb 2022 -
Handscoon S PT. PDA Pasang 161046356LPZA Feb 2022 -
Infusion set anak Set 194D46H Apr 2021 10
Infusion set anak Set 17020 Jan 2022 -
Infusion set dewasa Pcs 20082017 Agus 2022 200
Iodina test Botol - -
Jarum EDTA 22 x 1 pcs 8085481 Mar 2020 -
Jarum tindik telinga 8G pcs - -
Jarum tindik telinga 8G pcs - -
Jarum jahit vagina buah - -
Jarum Jahit vagina pcs - -
Jarum vagina No.7 pcs - -
Jarum jahit no. 9 s/d 14 lusin - -
Jarum jahit no. 9 segitiga biji - 48
Jarum jahit no. 9 segitiga Pcs - -
Jarum jahit no.10 bulat Pcs - -
Jarum jahit no.11 segitiga Pcs - -
Jarum jahit no.12 bulat biji - -
Jarum jahit no.12 bulat Biji - -
Jarum jahit no.12 segitiga biji - 36
Jarum jahit no.12 segitiga Pcs - -
Jarum jahit no.12 segitiga Biji - -
Jarum jahit no.13 segitiga Biji - 12
Jarum Ose buah - -
Jelly utk Dopler Botol 20170630 Jun 2020 15
Kaca Slide ktk/72 - 2
Kaca Slide Ktk/72 - -
Kaca Slide Ktk/72 - -
Kapas alkohol AC Swab 2% Pcs 180610 Mei 2023 5,000
Kapas pembalut absorben 250 mg Rol/250 21111788 Okt 2022 80
Kapas pembalut absorben 250 mg Rol/250 46023 Feb 2023 -
Kapas pembalut absorben 250 mg Rol/250 46023 Feb 2023 -
Kasa pembalut 2 x 80 Bks 081888 -
Kasa kompres 40/40 Bks 109107 Sept 2021 -
Kasa kompres 40/40 Bks 10817 Agus 2021
Kasa Pembalut hidrofil 4 x 15 cm Rol 012188 20
Kasa Pembalut hidrofil 4 x 15 cm Rol 46081 Agus 2023 -
Kasa Pembalut hidrofil 4 x 3 cm Rol 112088 -
Kasa Pembalut hidrofil 4 x 3 cm Rol 46081 Agus 2023 -
Kasa pembalut hydrofil 40 x 80 cm roll 1905461 Mei 2024 45
Kasa steril 16x16 ktk/16 09051688 Apr 2021 -
Kasa steril 16x16 ktk/16 46023 Feb 2023 -
Kartu golongan darah Kotak - -
Larutan As.Sulfosalisilat 20% Botol 50817-SU 2019 -
Larutan As.Sulfosalisilat 20% Botol 50817-SU 2020 -
Larutan Asam Asetat Btl/100 - Nov 2020 -
Larutan asam klorida 0,1 N Botol 660418-HC Jun 2020 -
Larutan Bennedict Botol 300118-BN Mar 2020 -
Larutan Drafkin Botol - Jul 2022 -
Larutan Etanol Asam Btl/100 - Nov 2020 -
Larutan Emmersion Oil Btl/100 500718-IM Sept 2020 1
Larutan Giemstatin Btl/100 710518-CM Jul 2020 -
Larutan Karbokfuksin Btl/100 - Sept 2020 -
Larutan Klorin 10 % Btl1000m C1707BO15 25
Larutan Klorin 10 % Btl1000m 1708B008 -
Larutan KOH 10% Botol 621117-KO Jan 2020 -
Larutan Lugol Btl/100 - Jul 2022 -
Larutan Metilen Blue Btl/100 - Sept 2020 -
Larutan NaCl 0.9 % botol - Jul 2022 -
Larutan Xilol Btl/100 - Jul 2022 -
Larutan Zein Nelsen Set / 5 bt 050617-ZN Agus 2019 -
Larutan Zein Nelsen Set / 5 bt 010518-ZN Jul 2020 -
Mantoux Test Vial 6500218 -
Masker N95 pcs C161961 Jul 2021 -
Masker N95 Pcs R16723 Agus 2021 -
Masker PT. Millenium Pcs 018elite664192 Apr 2023 5,000
Masker PT. MMP Pcs 664183 Apr 2023 -
Masker PT. MPI Pcs 664192 Apr 2023 -
Masker PT. MPP Pcs 14A2018F19 -
Masker Sungkup Disposible Adult pcs 1810022252 Sept 2023 5
Metanol Botol/1lt - Jul 2022 -
Nald Heacting kulit no.9 pcs - -
Nald Heacting kulit no.9 pcs - -
Nald Heacting otot no.9 pcs - -
Nald Heacting otot no.9 pcs - -
Natrium Klorida lar.infus 0,9% steril Flask/50 471201 Nov 2021 150
Natrium Klorida lar.infus 0,9% steril Flask/50 390401 Mar 2024
NGT No.16 pcs 1602020219 Jan 2021 5
Nonwoven fixation 5cmx10m roll 20180801 Juli 2023 -
Paper tape 5cmx9,14m roll 20180501 Apr 2023 -
Pharmafix 5x500 cm pcs 20H18 Agus 2023 10
Pharmafix 10x500 cm Pcs 25F18 Juni 2023 30
Planotes strip 20170701 Jul 2020 250
Pita LILA Pcs - -
Plester 1.25 cm x 4.5 m Roll 65241048 Des 2019 -
Plester 2.50 cm x 4.5 m Roll 71825448 Mei 2020 200
Plester 2.50 cm x 4.5 m Roll 71825448 Mei 2020 -
Pot Sputum Buah - 600
Pot Sputum Buah - -
Pot Sputum Buah - -
RDT Malaria strip MR18J61 Feb 2021
Rapit test syphilis strip QSY1018033 Nov 2020 400
Rapid HBSAg strip strip 01EMD020A Nov 2020 800
Reagen Asam Urat (Human) paket/4x - -
Reagen Asam Urat BA 88A Paket (6 111738 -
Reagen Asam Urat Rajawali Kotak/se - -
Reagen cholesterol (Human) paket - -
Reagen Diluen BC 20 S 20 Liter 2018030802 Mar 2020 -
Reagen Gula Darah (Human) paket/4x 18003 -
Reagen Kolesterol BA 88A paket (2 091704A -
Reagen kolesterol Rajawali Kotak/se - -
Reagen Lysee BC 20 S botol/50 2018012301 Jan 2020 1
RPR Sifilis pcs - -
Safety Box 5 liter pcs - 50
Selang Oksigen Anak pcs 180530 Mei 2023 30
Selang Oksigen Dewasa pcs 180530 Mei 2023 100
Selang Suction bayi pcs 2018520 Mei 2023 60
Silk Benang Bedah Sutra No.3/0 Pcs 170724 Jun 2022 200
Silk No. 4/0 bks/75c UC260 Feb 2024 60
Silk No. 5/0 bks SK1505 Sept 2022 24
Sofratul / Cholorotul pcs 7CT07 Okt 2020 50
Spritus Labor Botol C180613001 -
Standar Westergen Pcs - -
Stik HB Easy Touch pcs 1,250
Stik Asam Urat Auto Check Stik U.18037031 Sept 2019 -
Stik Glukosa Auto Check Stik G.18066033 Mar 2020 -
Stik Kolesterol Auto Check Stik C.18027039 Jul 2019 -
Strip Accu Check Stirp 476801 Agus 2019 -
Strip Asam Urat Nesco strip UAS18314B35 Feb 2020 -
Strip gluco DR strip G18D20208 Nov 2019 -
Strip Glucose Nesco strip GUS18321A4I Feb 2020 -
Strip Kolesterol Nesco strip CHS18323840 Agus 2019 -
Tabung EDTA Merah 5 ml pcs 180307 Feb 2020 500
Tabung EDTA Ungu 3 ml pcs 180502 Apr 2020 100
Tes HIV SD 1/2.3.0 strip 03AMD036B Nov 2020 800
Tes HIV SD Focus strip 03E1802 Jul 2020 -
Tes HIV Biomeriux strip 1006684110 Jun 2020 -
Tip pipet mikro (biru) pcs 031217 Feb 2022 -
Tip pipet mikro (kuning) pcs 031217 Feb 2022 -
Torniquet Pcs - -
Umbilical cord klem pcs OP3/1419 Apr 2024 100
Under Pad Pcs 1831605A Nov 2023 100
Urine Bag pcs 20180420 Apr 2023 10
Vagina Speculum disposible M Pcs 25102017 Sept 2022 -
Vagina Speculum disposible S Pcs 0052017 Apr 2022 -
Vaguna Speculum disposible L pcs 15052017 Apr 2022 300
Widal ( TP O & H ) Botol 16898 Mar 2020 -
I OBAT PUSKESMAS LAMPASI
Sep-19
Sisa RDO
Distribusi Sisa 2019 distribusi Sept REVISI KET
2019 2018 2019
6,100 8,900 25,000

3,000 (3,000) - 1,500
50 - 125
- - 300
200 2,300 3,400
800 (800) -
6,400 (400) -
400 1,600 2,100 300
300 200 (300)
1,500 2,500 1,900
- 9,000 - 1,000
- 400 - 50
2,500 500 3,200 200
1,400 1,600 6,400
2,100 15,900 (3,000)
1,260 (1,260)
2,700 (2,700) -
7,800 2,200 7,600 1,200
- - -
10,500 19,500 47,500 3,000
2,500 (2,500) -
- - -
50 250 260
30 (30) -
80 20 150 20
150 350 650 100
100 (100) -
8,000 18,000 24,500 1,000
100 200 140
10 - -
- - -
1,000 (1,000) -
4,000 11,000 20,000 1,000
- 24 (24)
24 (24) -
- 5,000 14,900
2,500 (2,500) -
1,000 (1,000) -
- - -
- - 30
24 - -
1,300 3,700 1,200
500 (500) 500
300 900 (400)
- - -
- - -
- - -
10 (5) -
- 100 (100)
- - -
2,160 (2,160) -
25,920 99,080 130,880 10,080
3,000 (1,000) (1,700)
1,600 3,900 4,260 500
200 300 255 25
24 (14) 52 12
600 3,400 (1,600) 200
5 - -
700 (700) 3,000
1,000 (1,000) -
- - -
3,100 16,900 (4,000)
1,000 (500) (200)
- - -
- 100 100 60
2,300 2,700 4,500 1,000
300 (300) -
1,150 850 2,000 300
10 70 145 20
2,800 200 (1,200) 200
- 100 - 20
2,600 1,400 2,100 500
- - -
20 30 -
1,100 8,900 7,000
4,500 (4,500) - 1,000
- 5 (10)
4 6 -
6 (1) -
300 1,200 (600) 200
200 100 4,400
200 (200) -
1 - -
1,500 2,000 3,100
5 (5) -
30 30 105 10
- - (12)
25 25 14
40 (40) -
10 (10)
- - -
10 - (10)
- - -
100 200 1,800
- - -
- - -
15 (15) -
- 1,000 (600)
5 - (10)
500 1,500 (200)
48 102 167 24
60 (20) 40
- - -
200 400 2,200
- 400 800
200 (200) -
- - -
- - -
- - -
200 (200) -
800 2,200 300 200
- - -
- - -
- - -
200 (200) -
20 - 20
120 30 100 24
40 60 230
10 (10) - 20
- - -
48 (8) 39
- - (100)
200 1,300 -
600 (600) 2,100 300
5,000 20,000 (22,000)
1,000 (1,000) - 1,000
1,000 (1,000) -
1,000 (1,000)
5 1 20
2 - -
- - -
300 200 -
- - -
1,800 2,200 - 500
- - (2,600)
200 200 - 100
1 (1) 25
- - -
4 2 40
1,200 1,300 (600) 500
34 66 28 24
72 (72) -
- 100 428 24
3,900 (900) 5,000 500
2,600 10,400 5,600
1,100 (1,100) -
150 (150) -
- - 8
- - 100
100 - -
- - -
- - -
- 35 (24)
8,700 7,300 14,300 1,000
10 - (10)
- - -
- - -
- - -
300 200 100
- 50 76
- - -
25 (25) -
100 400 1,400
- - -
1,300 (700) 1,600
13,000 47,000 60,000
7,000 (7,000) 5,000
- - -
48 252 60
72 78 204 24
- 100 230
20 (20) 15
600 900 3,000
300 200 - 200
30 (30) (50)
1,000 (800) (200)
200 800 400
500 500 540
- - -
30 220 (120)
100 (40) 200
2 10 38
4 (4) -
100 500 (200) 100
1,700 1,300 (3,100)
- - -
500 (500) -
- - -
200 (200) - 300
1,800 6,700 9,100
500 (500)
3,400 (200) 8,000 500
20 - 30
200 800 800
- - -
- 200 200
200 (200) -
- - (30)
5 - -
150 250 148
48 (48) 48
12 - (2)
100 (100) -
200 (200) -
- 100 - 10
1,300 1,700 7,100
1,000 (1,000)
- - (200)
100 (100) -
100 - -
100 - 200
25 (5) 150
- - -
- - -
- - -
75 75 (100)
50 50 140
600 3,400 690 300
- - -
11 (1) (3)
5 20 (9)
4 (4) -
- - -
- - -
4 (4) -
- - -
2 (2) -
- 1 -
- - -
56 (6) 300
400 900 1,050 100
5,000 1,000 13,500
29,800 100,200 138,500
8,000 (8,000) -
4,000 (4,000) -
140 160 800
- - -
- 60 5
15 (15)
25 - -
- 100 -
1,900 5,100 1,900 1,000
- - (100)
- - -
- - (200)
- - -
2,500 4,300 7,900 500
1,000 (1,000) -
500 (500) -
1,900 (300) 8,200
4,800 (1,800) (2,360)
- - -
8,700 6,300 19,100 1,500
1,000 (500) 700
200 (200) -
2,000 1,500 4,500
- - -
- - -
1,500 (1,500) -
60 140 180
700 500 (800)
1,000 700 1,600 200
2,300 200 1,100 200
68 112 154 20
- - -
10 40 30
10 (10) - 10
3,000 2,000 5,200
1,410 590 3,750 300
- - -
1,500 (500) -
10 - -
15 15 43 5
2 1 5
- - -
5,200 11,800 11,000 1,000
- - -
2,200 (700) (1,100)
- - - 200
- - -
- - -
- - -
- - -
60 140 100 20
8,000 24,000 29,500
2,000 (2,000) - 2,000
4,000 (4,000)
4 1 -
15 5 (20)
20 20 -
400 (200) 500
20 130 (20)
44 (44) -
- 1 - 1
- 5 4
- - -
5 2 5
- - (10)
8 27 20
1 (1) -
- 2 7
- - -
- - -
- - -
- - -
- - 8
- - -
- - -
- - 2
- - -
- - -
- - -
40 (40) (20)
- - -
- - -
- 4 19
- 1 5
1 3 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 40 5
125 25 125
- - -
10 (10) (10)
- - -
- - -
- 200 -
- - -
- - -
- 1,600 -
- - -
200 - (400)
- - -
- - -
300 2,700 800
200 (200) -
- 800 (200)
- - -
- - 2
- - -
- - -
- - -
- - -
2 3 4
- - -
800 2,200 2,000
400 (400) - 200
- - -
- - -
- 48 54
12 (12) -
24 (24) -
- - -
- - (48)
- - -
4 26 (2)
8 (8) -
1 (1) -
- - -
18 32 2
3 (3) -
3 27 41
27 3 20
- - -
3,100 1,900 6,550 300
500 200 (150)
500 1,100 1,300
- - -
100 (100) -
200 (150) -
- 20 -
15 (15) -
200 (200) -
- - -
5 5 -
5 (5) -
50 150 200
10 (10) 10
- - -
- - -
- - -
- - -
- - -
- - -
- - -
12 36 -
12 (12) -
- - -
12 24 -
24 12 50
- - -
- - 50
- - -
- 36 38
12 (12) -
12 (12) -
12 - 38
- 12 -
- - -
11 4 17 2
- 2 (5)
- - -
2 (2) -
2,200 2,800 (700) 500
18 62 24
7 (7) -
- - -
- - -
- - -
- -
40 (20) 280
- - -
25 (25) 200
- - -
7 38 - 5
- - -
- - -
- - -
- - -
- - -
2 (2) 2
- - -
- - -
- - (3)
6 (6) -
1 - -
- - -
1 (1) -
2 23 45
- - -
- - -
- - -
4 (4) -
- - -
- - -
7 (7) (10)
- - -
10 (10) 20
- - -
- - -
1,100 3,900 6,300 500
200 (200) -
- - -
- - -
5 - -
1 (1) -
- - -
- - -
- - -
- - -
- 150 110
30 (30)
5 -
4 (4) -
3 (3) -
5 5 -
5 25 - 5
240 10 880 180
- - -
50 (50) (10)
50 150 -
- - -
100 500 (200)
- - -
- - -
200 200 (300)

200 600 -
- - -
- - -
- - -
- - -
5 (5) -
- - -
- - -
- - -
- 1 -
- - -
- 50 -
30 - -
100 - -
60 - -
72 128 150
36 24 (1)
16 8 -
20 30 -
- - 3
- - -
- 1,250 - 250
- - -
- - -
- - -
- - -
500 (500) -
- - (100)
500 (500) -
200 (200) -
100 400 -
- 100 600
300 500 (300)
- - -
- - (25)
- - 10,000
- - 8,000
- - -
100 - -
30 70 500 30
10 - -
- - 50
- - 50
- 300 50 25
3 (3) 3
Oct-19
Perencana Distribusi
NO NAMA OBAT SATUAN No Batch ED an 2019 2019
Acetylsistein kapsul 200mg kapsul EBE210 Jun 2020 15,000 6,100

Acetylsistein kapsul 200mg kapsul EBG145 Jul 2020 - 4,500
Acyclovir krem Tube 16305012 Jul 2021 50 50
Acyclovir tablet 200 mg Tablet 06303002 Apr 2021 - -
Acyclovir tablet 400 mg Tablet 0630415 Agus 2020 2,500 200
Acyclovir tablet 400 mg Tablet 16304007 Apr 2021 - 800
Albendazol 400 mg tablet 366626 Juni 2022 6,000 6,400
Alopurinol tablet 100 mg tablet A81330 Mei 2020 2,000 700
Alopurinol tablet 300 mg tablet - 500 300
Alprazolam 0.5 mg tablet tablet A80007 Jan 2020 4,000 1,500
Ambroxol tablet tablet 1907-08-146 Jul 2021 9,000 1,000
Ambroxol syrup btl 1907-06-184 Jul 2021 400 50
Aminofilin tablet 200 mg tablet 17CK046 Okt 2020 3,000 2,700
Amitriptilin HCl tablet 25 mg Tablet A1419IV Okt 2022 3,000 1,400
Amlodipine 10 mg tablet AF09H27 Jun 2021 18,000 2,100
Amlodipine 10 mg tablet RE09E029 Mei 2022 2,160
Amlodipine 5 mg tablet A1419IV Okt 2020 - 2,700
Amlodipine 5 mg tablet 071228 Jul 2020 10,000 9,000
Amoksisilin Kaplet 250 mg Tablet 1708-45-51 Agus 2020 - -
Amoksisilin Kaplet 500 mg Kaplet B80192 Sept 2020 30,000 10,500
Amoksisilin Kaplet 500 mg Kaplet CAMXA80415 Mei 2021 - 5,500
Amoksisilin Kaplet 500 mg Kaplet HH018300 Agus 2021 - -
Amoksisilin sirup kering Btl/60 m H10516701 Agus 2020 300 50
Amoksisilin sirup kering Btl/60 m 5908001 Jul 2022 - 80
Amoksisilin sirup kering forte 250mg/5ml Botol 1807-32-193 Jul 2020 100 80
Antasida Doen suspensi Btl/60 m 172902 Nov 2019 500 150
Antasida Doen suspensi Btl/60 m 19SD283 April 2021 - 200
Antasida DOEN tablet Tablet A80059 Jan 2020 26,000 8,000
Anti Hemoroid Supp suppos A80166W Jan 2022 300 110
Aqua pro injeksi Vial 74G48A Jul 2022 10 10
As. Askorbat (Vit C 250 mg) tablet Tablet - - -
As. Askorbat (Vit C 250 mg) tablet Tablet B70110B Jan 2021 - 1,000
As.Askorbat ( Vit C 50 mg ) tablet tablet H70071BI Agus 2020 15,000 5,000
As.Benzoat 6% + As.Salisilat 3% ( AAV ) Pot 165F051C Jun 2020 24 -
As.Benzoat 6% + As.Salisilat 3% ( AAV ) Pot 165F051C Jun 2020 - 24
As.Mefenamat 500 mg kaplet 172760 Okt 2019 5,000 -
As.Mefenamat 500 mg kaplet A91039 April 2022 - 2,500
As.Mefenamat 500 mg kaplet A80559 Mar 2020 - 1,000
As.Mefenamat 500 mg kaplet TSK64946 Sept 2022 - -
As.Salisilat 2% + Belerang endap 4% Pot - - -
As.Salisilat 2% + Belerang endap 4% Pot 175C064A Mar 2021 24 24
Asam Folat Tablet 1618D002 April 2020 5,000 1,300
Asam Folat Tablet 19619D0010 April 2020 1,000
Asam Tranexamat 500 mg Tablet TSE23248 Apr 2022 1,200 500
Asetosal ( Miniaspi ) tablet 80 mg tablet A160346 Mei 2020 - -
Asetosal ( Miniaspi ) tablet 80 mg tablet A81430 Jul 2020 - -
Asetosal ( Miniaspi ) tablet 80 mg tablet A81948 Sept 2020 - -
Atropin Sulfat Injeksi Ampul 9618B0011A Feb 2020 5 10
Bacitracin + Polimiksin salep Tube 1805005 Mei 2022 100 -
Benzatin penisilin injeksi Vial 95319008 Okt 2020 - -
Besi II Fumarat tablet Tablet 18TD1038 Sept 2020 - 2,160
Besi II Fumarat tablet Tablet 18TD1038 Sept 2020 125,000 36,000
Besi II Fumarat tablet ( Hemafort ) tablet 95026024 Mei 2020 2,000 3,000
Betahistine 6 mg tablet Tablet 4960350 Jan 2021 5,500 2,100
Betametason krem Tube C90063T Mar 2021 500 225
Borak Glyserin Btl/15 m 68097 Jun 2020 10 36
Buskopan 10 mg (Hyoscine butyl bromid) tablet 22C016 Mar 2021 4,000 800
Calsium Glukonas Injeksi 100mg/ml Ampul 97KI0112 Sept 2020 5 5
Captopril tablet 12.5 mg tablet 95081001 Jun 2020 - 700
Captopril tablet 12.5 mg tablet D80691B Jan 2023 - 1,000
Captopril tablet 12.5 mg tablet 95081001 Mar 2023 - -
Captopril tablet 25 mg Tablet 21E052' Mei 2020 20,000 3,100
Carbamazepin tablet 200 mg tablet 713198 Des 2019 500 1,000
Carbamazepin tablet 200 mg tablet A80705 Des 2019 - -
Cefadroxil 125 mg syrup botol 6802007 Mar 2021 100 60
Cefadroxil 500 mg kaplet Tablet 8F0601 Jun 2020 5,000 3,300
Cetirizin Tablet Tablet T05035AJ Mei 2021 - 600
Cetirizin Tablet tablet TO3037 Mar 2020 2,000 1,150
Cetirizin Syrup Botol S05028AJ Mei 2021 80 30
Codein tablet 10 mg Tablet F81729J Juni 2022 3,000 3,300
Combivent nebu (Ipratropium bromida) Ampul 9984201 Jan 2021 100 20
Cyproploksazin tablet 500 mg tablet 1808-13-108 Agus 2020 4,000 3,100
Deksametason inj.5mg/ml-1ml Ampul - - -
Deksametason inj.5mg/ml-1ml Ampul F8D378 Apr 2020 50 20
Deksametason tablet 0,5 mg Tablet 1805-37-150 Mei 2020 10,000 1,100
Deksametason tablet 0,5 mg Tablet 1907-04-150 Jul 2020 - 5,500
Diazepam injeksi 5 mg/ml-2ml Ampul T2071106 Jun 2021 5 -
Diazepam 5 mg rectal (stesolid) Suppos W23681702 Feb 2022 10 4
Diazepam 10 mg rectal (stesolid) Suppos V23691708 Des 2021 5 6
Diazepam tablet 2 mg Tablet A3111EW Mei 2023 1,500 500
Diazepam tablet 5 mg Tablet 170110 Feb 2021 300 200
Diazepam tablet 5 mg Tablet A80480 Feb 2022 - 200
Diphenhidramin Injeksi 10 mg/ml ampul 18IE010 Mei 2021 1 1
Domperidone 10 mg Tablet 48J0027 Okt 2021 3,500 1,500
Domperidone syrup botol KLDPDA72118 Apr 2020 - 5
Domperidone syrup botol 1803-05-186 Mar 2020 60 40
Dulcolak Supp Anak Suppos - - -
Dulcolak Supp Dewasa Suppos 15081869 Agus 2019 50 25
Dulcolak Supp Dewasa Suppos 17080976 Jul 2021 - 40
Dulcolak Supp Dewasa Suppos 17070936 Jul 2021 20
Epinefrin HCl/bitartrat inj.0,1-1 ml Ampul 97LA0062 Jan 2020 - -
Epinefrin HCl/bitartrat inj.0,1-1 ml Ampul 97LD0031 Apr 2020 10 10
Erytromisin kaplet 250 mg Tablet - - -
Erytromisin kaplet 500 mg Tablet T08010AG Feb 2021 300 100
Erytromisin kaplet 500 mg Tablet T02017AH Agus 2021 - -
Erytromisin kaplet 500 mg Tablet T02112AH Sept 2021 - -
Erytromisin syrup kering Btl/60 m AK92037 Feb 2020 - 15
Fenitoin kapsul 100 mg kapsul 370408 Apr 2020 1,000 -
Fenobarbital inj.50mg/ml-2ml Ampul 95803001-2 Mei 2020 5 5
Fenobarbital tablet 30 mg Tablet H71702B Jul 2022 2,000 500
Fenolgliserin tts telinga 10% Botol 19LD008 Apr 2021 150 72
Fitomenadion ( Vit K ) inj.2 mg/ml-1ml ampul 06478074 Nov 2019 40 90
Fitomenadion ( Vit K ) inj.2 mg/ml-1ml ampul 16478013 Mei 2020 - -
Fitomenadion ( Vit K ) tablet sal 10 mg Tablet 16381003 Mar 2021 600 200
Furosemid tablet 40 mg Tablet - 400 -
Furosemid tablet 40 mg Tablet J72500B Sept 2020 - 200
Furosemid tablet 40 mg Tablet K72719B Okt 2020 - -
Furosemid tablet 40 mg Tablet B80163B Jan 2021 - -
Furosemid tablet 40 mg Tablet C80554B Feb 2021 - -
Furosemid tablet 40 mg Tablet H81556B Jul 2021 - 200
Garam Oralit utk 200 ml sachet H81512B Jul 2023 3,000 1,000
Garam Oralit utk 200 ml sachet H81512B Jul 2023 - -
Garam Oralit utk 200 ml sachet H81470B Jul 2023 - 200
Gentamicin Injeksi Ampul BF18B004 Mar 2020 20 20
Gentamicin tetes mata Botol 0253010 Mei 2021 150 144
Gentamycin cream Tube 9977 Sept 2020 100 40
Gentamycin cream Tube D80767T Apr 2022 - 30
Gentamycin tetes mata botol 0253003 Mar 2021 - -
Gentian Violet lar.1% Botol 88024 Agus 2021 40 48
Glibenklamida tablet 5 mg Tablet 1612099 Mar 2022 - -
Glimepiride 2 mg tablet 49C0316 Feb 2021 1,500 200
Glimepiride 2 mg tablet 49E0860 Mei 2021 - 900
Gliseril Guayakolat tablet 100 mg Tablet 39673 Sept 2022 25,000 5,000
Gliseril Guayakolat tablet 100 mg Tablet 39873 Sept 2022 - 2,000
Gliseril Guayakolat tablet 100 mg Tablet 39773 Sept 2022 - 1,000
Glukasa Larutan infus 5 % steril Btl/500 270611 Mei 2020 6 5
Glukasa Larutan infus 10% steril Btl/500 241002 Sept 2019 2 2
Griseofulvin 125 mg Tablet 1804-06-176 Apr 2020 - -
Griseofulvin 500 mg Tablet HM128036 Des 2019 500 300
Haloperidol tablet 0,5 mg Tablet A1808GV Jul 2023 - -
Haloperidol tablet 1,5 mg Tablet 1706229 Jun 2020 4,000 2,300
Haloperidol tablet 1,5 mg Tablet A1901CU Mei 2022 - -
Haloperidol 5 mg tablet A90602 Mar 2022 400 300
Haloperidol decanoat inj ( Haldol Inj ) Ampul 6009 Okt 2019 - 1
Haloperidol decanoat inj ( Haldol Inj ) Ampul 5S2T Mei 2021 - -
Haloperidol injeksi Ampul 460060 Mar 2019 6 4
Hidrokhlortiazide 25 mg Tablet L72853B Nov 2022 2,500 1,200
Hidrokortison cream 1% Tube 19SC003 Mar 2021 100 58
Hidrokortison krim 2,5% Tube F71612T Okt 2021 - 72
Hidrokortison krim 2,5% Tube J71612T Okt 2021 100 24
Ibuprofen tablet 200 mg Tablet 1907-01-177 Jul 2021 3,000 4,000
Ibuprofen tablet 400 mg Tablet BD911914 Apr 2021 13,000 2,600
Ibuprofen tablet 400 mg Tablet 1907143 Jul 2022 - 2,100
Ibuprofen syr Botol S08006AG Agus 2019 - 150
Ichthyol salep Pot 058017 Mei 2022 - -
Isoniazida ( INH ) tablet 100 mg Tablet A501857 Feb 2020 - -
Isosorbit Dinitrat tablet 5 mg tablet I610044 Nov 2020 100 100
Isosorbit Dinitrat tablet 5 mg tablet A2353JV Okt 2022 - -
Isosorbit Dinitrat tablet 5 mg tablet A2353JV Okt 2022 - -
Kalium Permanganat serbuk Pot 067030 Jun 2020 35 -
Kalsium Laktat tablet 500 mg Tablet A91768 Jul 2022 16,000 9,700
Kanamycin injeksi vial 16958 Mei 2021 10 10
Kanamycin injeksi Ampul 17017 Mei 2022 - -
Kaolin Pectin Syrup Botol S1153117 Jun 2020 - -
Kaolin Pectin Syrup Botol S1153118 Jun 2020 - -
Katekonazol 200 mg tablet Tablet 1709-57-103 Sept 2021 500 300
Katekonazol Cream Tube F70756T Jun 2021 50 -

Katekonazol Cream Tube D80786T Apr 2022 - -
Katekonazol Cream Tube I81895T Apr 2022 - 25
Klindamisin 150 mg Tablet EBF022 Juni 2020 500 100
Klindamisin 150 mg Tablet EA0003 Mar 2020 - -
Klindamisin 300 mg Kapsul 172252 Sept 2019 600 1,300
Klofeniraminan Maleat (CTM) tab 4 mg tablet 1808-33-152 Agus 2022 60,000 13,000
Klofeniraminan Maleat (CTM) tab 4 mg tablet 1908-16-152 Agus 2021 12,000
Kloramfenikol 250 mg Tablet 1803-02-251 Mar 2022 - -
Kloramfenikol salep kulit ( Bufacetin) Tube/5 g 10204920 Apr 2022 300 48
Kloramfenikol salep mata 1% Tube J72747W Okt 2020 150 120
Kloramfenikol tetes mata 0.5% Botol 0130718001 Jan 2020 100 -
Kloramfenikol tts telinga 3% Btl/5 ml 0520718004 Jul 2021 - 30
Klorpromazin Injeksi Ampul 16329002 Mei 2020 3
Klorpromazin HCL tablet 100 mg tablet - 1,500 600
Kolkisin (Colcitine) tablet M0V036 Nov 2021 500 510
Kotrimoksazol Suspensi Botol 2706003 Jun 2019 - 30
Kotrimoksazol tablet Adul kombinasi Tablet - 200 1,000
Kotrimoksazol tablet Forte 960 mg Tablet A91191 Mei 2022 1,000 700
Lansoprazol capsul kapsul 18LP1030 Jul 2022 1,000 500
Lincomycin 500 mg Tablet 6438006 Apr 2020 - -
Lidokain com.inj. 2% Ampul 16815008-2 Feb 2021 250 30
Lidokain injeksi 2% murni Ampul 18IB026 Feb 2022 60 100
Lisol mgd kresol tersabun 50% Botol 017001 - - 12 2
Lisol mgd kresol tersabun 50% Botol 24041888 Mar 2021 - 4
Loperamide tablet tablet 1905-03-34 Mei 2023 600 200
Loratadin Tablet tablet 223021 Mei 2020 3,000 1,700
Loratadin Tablet tablet TLRTA70015 Agus 2020 - -
Loratadin Tablet tablet TLRTA70021 Sept 2020 - 500
Loratadin Tablet tablet TLRTA70037 Nov 2020 - -
Loratadin Tablet tablet 10218J0050 Okt 2021 - 500
Metformin tablet 500 mg tablet HTMFNA82744 Apr 2020 8,500 1,800
Metformin tablet 500 mg tablet HTMFNA93192 Jun 2021 1,500
Methil prednisolon 4 mg Tablet M02BY026 Mei 2022 3,200 3,900
Metilergometrin M. inj.0,200 mg/ml-1ml Ampul 97LG0040 Agus 2020 20 20
Metilergometrin Maleat 0,125 mg Tablet G71631J Jul 2022 1,000 200
Metilergometrin Maleat 0,125 mg Tablet G71629J Jul 2022 - -
Metoklopramida tablet 10 mg Tablet WK368G Agus 2019 200 -
Metoklopramida tablet 10 mg Tablet WK368G Nov 2020 - 200
Metoklopramide syr botol XM010 Mar 2019 - -
MgSO4 20% vial 94D48D Apr 2022 5 5
Miconazol krem Tube K73201W Nov 2021 400 150
Miconazol krem Tube F81411W Jun 2022 96
Minyak Ikan salep Pot KR11Z3A Nov 2022 12 12
Natrium Bicarbonat 500 mg Tablet 0610611 Okt 2020 - 100
Natrium Bicarbonat 500 mg Tablet 0610613 Nov 2020 - 200
Natrium Khlorida Tetes mata (cendo lyteers botol 9L0415 Apr 2022 100 10
Natrium Diklofenat tablet 25 mg tablet 16364004 Apr 2023 3,000 1,300
Natrium Diklofenat tablet 25 mg tablet 16364084 Okt 2021 1,000
Natrium Diklofenat tablet 50 mg Tablet 06365019 Mei 2020 - -
Natrium Diklofenat tablet 50 mg Tablet 6365031 Okt 2020 - 100
Nipedipin tablet tablet 48A4197 Des 2020 100 100
Nystatin 100.000 IU Tab Vagina Ovula 16372002 Jan 2022 100 100
OBH syrup Botol 185J149 Mar 2022
Oksitetrasiklin HCL salep mata 1% Tube @ 5 E81338W Mei 2021 20 25
Oksitetrasiklin HCL salep mata 1% Tube @ 5 J82873 Okt 2021 - -
Oksitetrasiklin HCl salep kulit 3% tube - 150 75
Oksitosin injeksi 10IU/ml-1ml ampul 97LI0023 Sept 2020 100 70
Omeprazole 20 mg kapsul Tablet 1805-06-53 Mei 2020 4,000 600
Omeprazole 20 mg kapsul Tablet 1806-04-53 Jun 2020 - 300
Paket TB Anak Paket 16493046 Nov 2020 10 11
Paket TB I Paket 1808177 Jul 2020 25 5
Paket TB I Paket 1808183 Jul 2020 - 4
Paket TB I Paket 1808174 Jul 2020 - -
Paket TB II box 16471039-3 Jun 2021 1 -
Paraformaldehid 1 gram tablet 807140901 - - -
Paracetamol Drops Botol 1805033 Mei 2020 50 56
Paracetamol syrup Btl/60 m A80671 Mar 2020 1,300 500
Paracetamol tablet 100 mg tablet 17TC020 Mar 2021 6,000 5,000
Paracetamol tablet 500 mg Tablet A80324 Feb 2020 130,000 29,800
Paracetamol tablet 500 mg Tablet A80324 Feb 2020 - 8,000
Paracetamol tablet 500 mg Tablet A80322 Feb 2020 - 4,000
Pehacain injeksi Ampul 06052022-2 Mei 2020 300 200
Pehacain injeksi Ampul 16052025 Jul 2022 - -
Permetrin cream (Scabimite) Tube D1602 Apr 2021 60 -
Permetrin cream (Scabimite) Tube B19012 Feb 2021 15
Pirantel syrup 125 mg Botol 629-18153 Sept 2020 25 25
Pirantel tablet 125 mg tablet G81347B Juni 2023 100 -
Prednison tablet 5 mg Tablet 1901065 Jan 2021 7,000 2,900
Propanolol 10 mg Tablet 1803041 Mar 2021 - -
Propanolol 10 mg Tablet 1802127 Feb 2021 - -
Propiltiourasil tablet 100 mg Tablet 1606003 Sept 2021 - -
Propiltiourasil tablet 100 mg Tablet 48DO411 Mar 2021 - -
Pyridoksin HCl ( Vit B.6) tablet 10 mg Tablet C70215B Feb 2020 6,800 2,500
Pyridoksin HCl ( Vit B.6) tablet 10 mg Tablet E160466B Mei 2019 - 1,000
Pyridoksin HCl ( Vit B.6) tablet 10 mg Tablet J82247B Okt 2021 - 1,000
Pyroksikam kapsul 10 mg Tablet 1806-02-143 Jun 2022 1,600 2,900
Pyroksikam kapsul 20 mg Tablet 1706046 Jul 2019 3,000 4,800
Quinine tab tablet - - -
Ranitidin Tablet Tablet HTRNTA84408 Jul 2021 15,000 10,200
Retinol (Vit A) kapsul lunak 100.000 IU kapsul - 500 1,000
Retinol (Vit A) kapsul lunak 100.000 IU kapsul 18KB009 Feb 2021 - 200
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 16KH007 Agus 2019 3,500 2,000
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 18KB015 Feb 2021 - -
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 086064W Agus 2019 - -
Retinol (Vit A) kapsul lunak 200.000 IU kapsul 17KE026 Mei 2020 - 1,500
Ringer Laktat lar.inf steril Flask 471205 Nov 2021 200 80
Risperidone tablet 1 mg Tablet 49F0241 Jun 2021 1,200 800
Risperidone tablet 2 mg Tablet 50F0280 Jun 2022 1,700 1,200
Salbutamol 2 mg Tablet L8263613 Nov 2022 2,500 3,000
Salbutamol 4 mg Tablet 2,000 -
Salisil Bedak Kotak 079288 Jul 2022 180 92
Serum Anti Bisa Ular Inj Vial 4701517 Jul 2019 - -
Serum Anti Tetanus 1.500 IU ( ATS ) Ampul 4202917 Nov 2019 50 10
Serum Anti Tetanus 1.500 IU ( ATS ) Ampul 4200918 Mar 2020 - 20
Sianokobalamin tablet ( Vit B 12 ) Tablet 18TC039 Mar 2023 5,000 3,000
Sinvastatin tablet 10 mg Tablet A8702IV Sept 2020 2,000 1,710
Sinvastatin tablet 10 mg Tablet 171495 Jul 2021 - -
Sinvastatin tablet 20 mg Tablet 51028 Apr 2020 1,000 1,500
Suprafenid suppos Suppos G8C183 Mar 2021 10 10
Tetagam Injeksi 250 UI vial 36045851A Des 2020 30 20
Tetracain tetes mata Botol 8P10423 Apr 2021 3 2
Tetrasiklin 500 mg Tablet 1708-01-52 Agus 2021 - -
Thiamin HCl tablet 50 mg Tablet J82134B Feb 2023 17,000 6,200
Tiamphenicol 500 mg tablet 1806-05-48 Jun 2020 - -
Triheksilpenidil tablet Tablet 1708154 Agus 2019 1,500 2,200
Triheksilpenidil tablet Tablet A90806 Apr 2022 - 200
Vaksin HB Ig Vial H2MAA00033 Sept 2019 - -
Vaksin Hepatitis B Rekonbinan Dewasa Vial 3660418 Apr 2020 - -
VAR vial - - -
VAR vial P1C542M Jul 2020 - -
Ventolin Nebules ampul FV0599 Feb 2021 200 80
Vitamin B kompleks tablet tablet 18TC028 Mar 2021 32,000 8,000
Vitamin B kompleks tablet tablet 18TC048 Mei 2021 - 2,000
Vitamin B kompleks tablet tablet 19TB041 Feb 2022 6,000
Yodium povidon lart.10% - 1000 ml Btl/1000 EB18092 Apr 2022 5 6
Yodium povidon lart.10% - 60 ml Btl/60 m DB18133 Mar 2022 20 15
Yodium povidon salep Tube KB17062 Okt 2020 40 20
Zinc tablet tablet 18ZC1056 Des 2021 200 400
Zink syrup Botol 023508 Feb 2020 150 32
Zink syrup Botol 037108 Jul 2020 - 44
Alfogyl ktk B24239AC Mei 2021 1 1
Calsidol/Hydcal kotak 17017 Sept 2020 5 -
Calsigel kotak 3131714 Okt 2020 - -
Cavit kotak 1711221 Nov 2019 7 5
Double check buah - - -
Etil Klorida semprot Botol/10 181114 Nov 2021 35 10
Etil Klorida semprot Botol/20 185375 Des 2022 - 1
Eugenol Cairan Botol 070736W Apr 2021 2 -
Flour topikal ( Frutti Flour Natural) Botol 667117 Sept 2019 - -
Flour topikal ( Frutti Flour Natural) Botol 835117 Nov 2019 - -
Flour topikal ( Frutti Flour Natural) Botol 90118 Jan 2020 - -
Flour topikal ( Frutti Flour Natural) Botol 252118 Mar 2020 - -
Fuji IX GP Kotak 1710141 Okt 2020 - -
Fuji IX Mini pack Box 1704191 Apr 2020 - -
Glass Ionomer ART (Fuji IX ART 1-1) Box 1704031 Apr 2020 - -
H2O2 3 % btl/1 lite 18051988 Apr 2022 - 1
Ketak Molar Botol 668237 Apr 2020 - -
Needle No. 30x21 mm pcs 6061593 Mei 2021 - -
Needle No. 30x21 mm Pcs 290521 Apr 2022 - -
Scandonest 2% Ampul - - 40
Seluloid strip pcs - - -
Semen Seng serbuk dan cairan Box 1710111 Okt 2020 - -
Spon Gelatin cublcles 1x1x1 cm Kotak 17001 Feb 2020 4 -
Toot cleansing tinture (Occo) Botol 817 Agus 2020 1 -
Tooth mouse Tube 06201705 Apr 2020 4 1
BCG 20 ds vial - -
Polio B OPV 10 ds vial - -
Polio IPV vial - -
Campak 10 ds vial - -
DPT - HB HIB vial - -
HBU Hep B PID vial - -
DT vial - -
TD vial - -
Vaksin Meningitis vial 201705001 Mei 2019 - -
Vaksin MR vial - -
Abbocath ( IV ) No.18 Pcs 20181015 Sept 2023 50 15
Abbocath ( IV ) No.20 Pcs - 150 125
Abbocath ( IV ) No.20 Pcs 170421 Apr 2020 - -
Abbocath ( IV ) No.22 Pcs 20180720 Juni 2023 - 10
Abbocath ( IV ) No.24 Pcs - - -
Abbocath ( IV ) No.24 Pcs 20170930 Agus 2022 - 5
Alat Suntik 0.05 cc Pcs 17001 Jan 2022 200 -
Alat Suntik 0.05 cc Pcs 17001 Jan 2022 - -
Alat Suntik 0.05 cc Pcs 17001 Jan 2022 - -
Alat Suntik 0.5 cc Pcs 18134 Jun 2023 1,600 -
Alat Suntik 0.5 cc Pcs 18135 Jun 2023 - -
Alat Suntik 1 cc Pcs 01031688 Feb 2021 200 300
Alat Suntik 2.5 cc Pcs 18112017 Nov 2022 - -
Alat Suntik 2.5 cc Pcs 18112017 Nov 2022 - -
Alat Suntik 3 cc Pcs Lot2018925 Agus 2023 3,000 300
Alat Suntik 3 cc Pcs 18L150SJ Nov 2023 - 500
Alat Suntik 5 cc Pcs 16501 Apr 2021 800 -
Alat Suntik 5 cc Pcs 1804401 Mar 2023 - -
Anti Sera A & B Set 610164 Okt 2020 - -
Anti Sera A & B Set 610167 Apr 2021 - -
Anascopy Pcs - - -
Arisound Timer ktk - - -
Aquadest steril 500 ml Btl/500 - - -
Aquadest steril 500 ml Btl/500 280341A Mar 2023 5 2
BD Pronto pcs - - -
Blood lancet Pcs - 3,000 800
Blood lancet Pcs 18091788 Agus 2022 - 600
Box Slide pcs - - -
Catgut / Benang Bedah No.2/0 pcs 617451 Nov 2020 - -
Catgut / Benang Bedah No.3/0 Pcs 1607148 Jul 2021 48 -
Catgut / Benang Bedah No.3/0 sachet 170901 Agus 2022 - 12
Catgut / Benang Bedah No.3/0 sachet 180801 Juli 2023 - 24
Catgut no 4/0 sachet - - -
Catgut chromic 1 HS 37 mm sachet 150601 Jun 2020 - -
Catgut Chromic 4/0 100m Roll 16D08 Apr 2021 - -
Chlorhexidin 0.5% Btl/500 1605019 Mei 2019 30 4
Chlorhexidin 0.5% Btl/500 1805017 Mei 2021 - 8
Chlorhexidin 7.5% Btl/1 L 1603012 Mar 2021 - 1
Duk lubang 30x30 helai - - -
Etakridin ( Rivanol) larutan 0,1 % Btl/300 14111788 Okt 2020 50 23
Etanol 70 % Botol/ 1L F28737 Jun 2020 - 3
Etanol 70 % Botol/ 1L G48731 Agus 2020 30 3
Etanol 70 % Botol/100 E58804 Jun 2021 30 27
Handscoon L Pasang SGP-PP2328 Agus 2020 - -
Handscoon M PT. Millenium Pasang 1815021 Jan 2023 5,000 3,400
Handscoon no 6,5 PT. AAM pasang 56508696 Apr 2024 700 500
Handscoon no 7 pasang 2541770 Mar 2020 1,600 500
Handscoon no 7 PT. AAM pasang 20300332945 Nov 2021 - -
Handscoon no 7,5 Pasang 2308185SPZA Jun 2019 - 100
Handscoon no 7,5 PT. AAM pasang 030281855PZA Mei 2021 50 200
Handscoon obgyn Pasang 23011788 Des 2021 20 -
Handscoon obgyn Pasang 10011888 Des 2022 - 25
Handscoon S Pasang 170320502 Feb 2022 - 200
Handscoon S PT. PDA Pasang 161046356LPZA Feb 2022 - -
Infusion set anak Set 194D46H Apr 2021 10 5
Infusion set anak Set 17020 Jan 2022 - 5
Infusion set dewasa Pcs 20082017 Agus 2022 200 50
Iodina test Botol - - 10
Jarum EDTA 22 x 1 pcs 8085481 Mar 2020 - -
Jarum tindik telinga 8G pcs - - -
Jarum tindik telinga 8G pcs - - -
Jarum jahit vagina buah - - -
Jarum Jahit vagina pcs - - -
Jarum vagina No.7 pcs - - -
Jarum jahit no. 9 s/d 14 lusin - - -
Jarum jahit no. 9 segitiga biji - 48 12
Jarum jahit no. 9 segitiga Pcs - - 12
Jarum jahit no.10 bulat Pcs - - -
Jarum jahit no.10 segitiga Pcs - 36 12
Jarum jahit no.11 segitiga Pcs - 36 24
Jarum jahit no.11 segitiga Pcs - - -
Jarum jahit no.12 bulat biji - - -
Jarum jahit no.12 bulat Biji - - -
Jarum jahit no.12 segitiga biji - 36 -
Jarum jahit no.12 segitiga Pcs - - 12
Jarum jahit no.12 segitiga Biji - - 12
Jarum jahit no.13 segitiga Biji - 12 12
Jarum jahit no.14 segitiga Pcs - 12 -
Jarum Ose buah - - -
Jelly utk Dopler Botol 20170630 Jun 2020 15 13
Kaca Slide ktk/72 - 2 -
Kaca Slide Ktk/72 - - -
Kaca Slide Ktk/72 - - 2
Kapas alkohol AC Swab 2% Pcs 180610 Mei 2023 5,000 2,700
Kapas pembalut absorben 250 mg Rol/250 21111788 Okt 2022 80 18
Kapas pembalut absorben 250 mg Rol/250 46023 Feb 2023 - 7
Kapas pembalut absorben 250 mg Rol/250 46023 Feb 2023 - -
Kasa pembalut 2 x 80 Bks 081888 - -
Kasa kompres 40/40 Bks 109107 Sept 2021 - -
Kasa kompres 40/40 Bks 10817 Agus 2021 -
Kasa Pembalut hidrofil 4 x 15 cm Rol 012188 20 40
Kasa Pembalut hidrofil 4 x 15 cm Rol 46081 Agus 2023 - -
Kasa Pembalut hidrofil 4 x 3 cm Rol 112088 - 25
Kasa Pembalut hidrofil 4 x 3 cm Rol 46081 Agus 2023 - 50
Kasa pembalut hydrofil 40 x 80 cm roll 1905461 Mei 2024 45 12
Kasa steril 16x16 ktk/16 09051688 Apr 2021 - -
Kasa steril 16x16 ktk/16 46023 Feb 2023 - -
Kartu golongan darah Kotak - - -
Larutan As.Sulfosalisilat 20% Botol 50817-SU 2019 - -
Larutan As.Sulfosalisilat 20% Botol 50817-SU 2020 - -
Larutan Asam Asetat Btl/100 - Nov 2020 - 2
Larutan asam klorida 0,1 N Botol 660418-HC Jun 2020 - -
Larutan Bennedict Botol 300118-BN Mar 2020 - -
Larutan Drafkin Botol - Jul 2022 - -
Larutan Etanol Asam Btl/100 - Nov 2020 - 6
Larutan Emmersion Oil Btl/100 500718-IM Sept 2020 1 1
Larutan Giemstatin Btl/100 710518-CM Jul 2020 - -
Larutan Karbokfuksin Btl/100 - Sept 2020 - 1
Larutan Klorin 10 % Btl1000m C1707BO15 25 2
Larutan Klorin 10 % Btl1000m 1708B008 - -
Larutan KOH 10% Botol 621117-KO Jan 2020 - -
Larutan Lugol Btl/100 - Jul 2022 - -
Larutan Metilen Blue Btl/100 - Sept 2020 - 4
Larutan NaCl 0.9 % botol - Jul 2022 - -
Larutan Xilol Btl/100 - Jul 2022 - -
Larutan Zein Nelsen Set / 5 bt 050617-ZN Agus 2019 - 7
Larutan Zein Nelsen Set / 5 bt 010518-ZN Jul 2020 - -
Mantoux Test Vial 6500218 - 10
Masker N95 pcs C161961 Jul 2021 - -
Masker N95 Pcs R16723 Agus 2021 - -
Masker PT. Millenium Pcs 018elite664192 Apr 2023 5,000 1,600
Masker PT. MMP Pcs 664183 Apr 2023 - 200
Masker PT. MPI Pcs 664192 Apr 2023 - -
Masker PT. MPP Pcs 14A2018F19 - -
Masker Sungkup Disposible Adult pcs 1810022252 Sept 2023 5 5
Metanol Botol/1lt - Jul 2022 - 1
Nald Heacting kulit no.9 pcs - - -
Nald Heacting kulit no.9 pcs - - -
Nald Heacting otot no.9 pcs - - -
Nald Heacting otot no.9 pcs - - -
Natrium Klorida lar.infus 0,9% steril Flask/50 471201 Nov 2021 150 -
Natrium Klorida lar.infus 0,9% steril Flask/50 390401 Mar 2024 30
NGT No.16 pcs 1602020219 Jan 2021 5 5
Nonwoven fixation 5cmx10m roll 20180801 Juli 2023 - 4
Paper tape 5cmx9,14m roll 20180501 Apr 2023 - 3
Pharmafix 5x500 cm pcs 20H18 Agus 2023 10 5
Pharmafix 10x500 cm Pcs 25F18 Juni 2023 30 10
Planotes strip 20170701 Jul 2020 250 240
Pita LILA Pcs - - -
Plester 1.25 cm x 4.5 m Roll 65241048 Des 2019 - 50
Plester 2.50 cm x 4.5 m Roll 71825448 Mei 2020 200 50
Plester 2.50 cm x 4.5 m Roll 71825448 Mei 2020 - -
Pot Sputum Buah - 600 100
Pot Sputum Buah - - -
Pot Sputum Buah - - -
RDT Malaria strip MR18J61 Feb 2021
Rapit test syphilis strip QSY1018033 Nov 2020 400 200
Rapid HBSAg strip strip 01EMD020A Nov 2020 800 300
Reagen Asam Urat (Human) paket/4x - - -
Reagen Asam Urat BA 88A Paket (6 111738 - -
Reagen Asam Urat Rajawali Kotak/se - - -
Reagen cholesterol (Human) paket - - -
Reagen Diluen BC 20 S 20 Liter 2018030802 Mar 2020 - 5
Reagen Gula Darah (Human) paket/4x 18003 - -
Reagen Kolesterol BA 88A paket (2 091704A - -
Reagen kolesterol Rajawali Kotak/se - - -
Reagen Lysee BC 20 S botol/50 2018012301 Jan 2020 1 -
RPR Sifilis pcs - - -
Safety Box 5 liter pcs - 50 -
Selang Oksigen Anak pcs 180530 Mei 2023 30 30
Selang Oksigen Dewasa pcs 180530 Mei 2023 100 100
Selang Suction bayi pcs 2018520 Mei 2023 60 60
Silk Benang Bedah Sutra No.3/0 Pcs 170724 Jun 2022 200 72
Silk No. 4/0 bks/75c UC260 Feb 2024 60 36
Silk No. 5/0 bks SK1505 Sept 2022 24 16
Sofratul / Cholorotul pcs 7CT07 Okt 2020 50 20
Spritus Labor Botol C180613001 - -
Standar Westergen Pcs - - -
Stik HB Easy Touch pcs HBS19401A4J Mar 2021 1,250 250
Stik Asam Urat Auto Check Stik U.18037031 Sept 2019 - -
Stik Glukosa Auto Check Stik G.18066033 Mar 2020 - -
Stik Kolesterol Auto Check Stik C.18027039 Jul 2019 - -
Strip Accu Check Stirp 476801 Agus 2019 - -
Strip Asam Urat Nesco strip UAS18314B35 Feb 2020 - 500
Strip gluco DR strip G18D20208 Nov 2019 - -
Strip Glucose Nesco strip GUS18321A4I Feb 2020 - 500
Strip Kolesterol Nesco strip CHS18323840 Agus 2019 - 200
Tabung EDTA Merah 5 ml pcs 180307 Feb 2020 500 100
Tabung EDTA Ungu 3 ml pcs 180502 Apr 2020 100 -
Tes HIV SD 1/2.3.0 strip 03AMD036B Nov 2020 800 300
Tes HIV SD Focus strip 03E1802 Jul 2020 - 25
Tes HIV Biomeriux strip 1006684110 Jun 2020 - -
Tip pipet mikro (biru) pcs 031217 Feb 2022 - -
Tip pipet mikro (kuning) pcs 031217 Feb 2022 - -
Torniquet Pcs - - -
Umbilical cord klem pcs OP3/1419 Apr 2024 100 100
Under Pad Pcs 1831605A Nov 2023 100 60
Urine Bag pcs 20180420 Apr 2023 10 10
Vagina Speculum disposible M Pcs 25102017 Sept 2022 - -
Vagina Speculum disposible S Pcs 0052017 Apr 2022 - -
Vaguna Speculum disposible L pcs 15052017 Apr 2022 300 30
Widal ( TP O & H ) Botol 16898 Mar 2020 - 3
SKESMAS LAMPASI
Sisa
Sisa RDO Okt
distribusi REVISI KET
2019 2019
2018
8,900 25,000
(4,500) - 1,500
- 125
- 300
2,300 3,400
(800) -
(400) -
1,300 2,100 300
200 (300) 200
2,500 1,900
8,000 - 1,000
350 - 50
300 3,200 300
1,600 6,400
15,900 (3,000)
(2,160) 1,500
(2,700) -
1,000 7,600 300
- -
19,500 47,500
(5,500) - 3,000
- -
250 260
(80) - 50
20 150
350 650
(200) -
18,000 24,500
190 140 30
- -
- -
(1,000) -
10,000 20,000
24 (24)
(24) -
5,000 14,900
(2,500) -
(1,000) -
- -
- 30
- -
3,700 1,200
(1,000) 500
700 (400)
- -
- -
- -
(5) -
100 (100)
- -
(2,160) -
89,000 130,880
(1,000) (1,700) 1,000
3,400 4,260 500
275 255 25
(26) 52
3,200 (1,600) 300
- -
(700) 3,000
(1,000) -
- -
16,900 (4,000)
(500) (200)
- -
40 100
1,700 4,500
(600) - 300
850 2,000
50 145
(300) (1,200) 200
80 - 20
900 2,100 500
- -
30 -
8,900 7,000
(5,500) - 1,000
5 (10)
6 - 2
(1) -
1,000 (600) 200
100 4,400
(200) -
- -
2,000 3,100 500
(5) -
20 105
- (12)
25 14
(40) -
(20)
- -
- (10)
- -
200 1,800
- -
- -
(15) -
1,000 (600)
- (10)
1,500 (200)
78 167 24
(50) 40
- -
400 2,200 100
400 800
(200) -
- -
- -
- -
(200) -
2,000 300
- -
- -
- -
(200) -
- 20
6 100 24
60 230
(30) - 20
- -
(8) 39
- (100)
1,300 -
(900) 2,100 300
20,000 (22,000)
(2,000) - 1,000
(1,000) -
(1,000)
1 20
- -
- -
200 -
- -
1,700 - 500
- (2,600)
100 -
(1) 25
- -
2 40
1,300 (600)
42 28
(72) -
76 428 24
(1,000) 5,000
10,400 5,600
(2,100) - 500
(150) -
- 8
- 100
- -
- -
- -
35 (24) 24
6,300 14,300 1,000
- (10)
- -
- -
- -
200 100 100
50 76
- -
(25) -
400 1,400
- -
(700) 1,600
47,000 60,000
(12,000)
- -
252 60
30 204
100 230 25
(30) 15
900 3,000
(10) -
(30) (50)
(800) (200)
300 400
500 540
- -
220 (120)
(40) 200
10 38
(4) -
400 (200) 100
1,300 (3,100)
- -
(500) -
- -
(500) - 300
6,700 9,100
(1,500) 1,000
(700) 8,000 300
- 30
800 800
- -
200 200
(200) -
- (30)
- -
250 148
(96) 48
- (2)
(100) -
(200) -
90 - 10
1,700 7,100
(1,000)
- (200)
(100) -
- -
- 200
100
(5) 150 25
- -
- -
- -
75 (100) 25
30 140 20
3,400 690
(300) - 300
(1) (3)
20 (9) 2
(4) -
- -
- -
(4) -
- -
(2) -
1 -
- -
(6) 300
800 1,050 100
1,000 13,500 1,000
100,200 138,500 10,000
(8,000) -
(4,000) -
100 800 40
- -
60 5 20
(15)
- -
100 -
4,100 1,900
- (100)
- -
- (200)
- -
4,300 7,900
(1,000) -
(1,000) - 500
(1,300) 8,200
(1,800) (2,360)
- -
4,800 19,100 1,500
(500) 700
(200) -
1,500 4,500
- -
- -
(1,500) -
120 180 20
400 (800) 100
500 1,600 200
(500) 1,100
- 300
88 154 24
- -
40 30
(20) -
2,000 5,200
290 3,750 300
- -
(500) -
- -
10 43 5
1 5
- -
10,800 11,000 1,000
- -
(700) (1,100)
(200) -
- -
- -
- -
- -
120 100 20
24,000 29,500
(2,000) -
(6,000) 2,000
(1) -
5 (20)
20 -
(200) 500
118 (20)
(44) -
- -
5 4
- -
2 5
- (10)
25 20
(1) -
2 7
- -
- -
- -
- -
- 8
- -
- -
(1) 2
- -
- -
- -
(40) (20)
- -
- -
4 19
1 5
3 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
35 5 10
25 125
- -
(10) (10)
- -
(5) -
200 -
- -
- -
1,600 -
- -
(100) (400)
- -
- -
2,700 800
(500) - 300
800 (200)
- -
- 2
- -
- -
- -
- -
3 4
- -
2,200 2,000
(600) -
- -
- -
48 54
(12) -
(24) - 12
- -
- (48)
- -
26 (2)
(8) -
(1) -
- -
27 2
(3) -
27 41
3 20
- -
1,600 6,550 300
200 (150)
1,100 1,300
- -
(100) -
(150) -
20 -
(25) -
(200) -
- -
5 -
(5) -
150 200 25
(10) 10
- -
- -
- -
- -
- -
- -
- -
36 -
(12) -
- -
24 -
12 50
- -
- 50
- -
36 38
(12) -
(12) -
- 38
12 -
- -
2 17 2
2 (5)
- -
(2) -
2,300 (700) 300
62 24
(7) -
- -
- -
- -
-
(20) 280
- -
(25) 200
(50) -
33 -
- -
- -
- -
- -
- -
(2) 2
- -
- -
- (3)
(6) -
- -
- -
(1) -
23 45
- -
- -
- -
(4) -
- -
- -
(7) (10)
- -
(10) 20
- -
- -
3,400 6,300
(200) -
- -
- -
- -
(1) -
- -
- -
- -
- -
150 110
(30)
-
(4) -
(3) -
5 - 3
20 - 3
10 880
- -
(50) (10)
150 -
- -
500 (200)
- -
- -
200 (300)
500 -
- -
- -
- -
- -
(5) -
- -
- -
- -
1 -
- -
50 -
- -
- -
- -
128 150 24
24 (1)
8 -
30 - 10
- 3
- -
1,000 - 250
- -
- -
- -
- -
(500) -
- (100)
(500) -
(200) -
400 -
100 600
500 (300)
(25) -
- (25)
- 10,000
- 8,000
- -
- -
40 500
- -
- 50
- 50
270 50 25
(3) 3

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Acetylsistein kapsul 200mg kapsul EBG145 Jul 2020 1,500 2000

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ASMARINI, S.Farm, Apt EKO RISWANTO, A. Md FARM

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Payakumbuh, 10 September 2018

ASMARINI, S.Farm, Apt EKO RISWANTO, A. Md FARM

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Payakumbuh, 10 September 2018

ASMARINI, S.Farm, Apt EKO RISWANTO, A. Md FARM

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