31 Januari 2023
31 Januari 2023
31 Januari 2023
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Page 1
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
50 Stik Benecheck Plus Glukosa PTM Stip DAK 2022 G22193040 4/30/2024
Stik Benecheck Plus Asam Urat
51 Stip DAK 2022 U22058051 12/31/2023
PTM
Page 2
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Stik Benecheck Plus cholestrol
52 Stip DAK 2022 C22078050 9/30/2023
LABORATORIUM PTM
53 Virotec Dengue Kombo (P2M) Pcs APBD I H22023 8/31/2024
54 Camphenol - DAK 22 PK21221614 11/11/2024
55 Gutta Percha 45/80 @ 120 pcs - DAK 22 10920 8/30/2024
56 GIGI Gutta Percha 15/40 @ 120 pcs - DAK 22 10522 4/30/2026
57 Pulp - x - DAK 22 PK21222108 1/7/2025
58 Surgispon - DAK 22 1121005 10/30/2024
59 Alkohol Botol DAK 2022 2022033065 11/30/2023
60 ANTISEPTIK DAN DESINFEKTAN Alkacide Kovid 2019 Botol DID 2021 1S16N0906 6/30/2023
61 Povidon 300 ml Botol DAK 22 6072288 6/30/2025
62 Alkohol Swab KESMAS Pcs APBD I 2022 15072288 6/30/2025
63 Alkohol swab PTM Pcs DAK 2022 20417A007 8/30/2027
64 Alkohol swab PTM Pcs DAK 2022 20417A008 8/30/2027
65 Alkohol swab Pcs DAK 2022 1092188 8/31/2024
66 Alat Suntik sekali pakai 5 ml Pcs DAK 2021 710 7/9/2026
67 Blod TransfusiSet Stera Pcs DAK 2021 28032088 2/1/2025
68 Blood Lancet KESMAS pcs APBD I 2022 3102288 9/30/2027
69 Blood Lancet Pcs DAK 2021 20069 3/1/2025
Blade Sterile (Mess) Serenity
70 Pcs DAK 2022 K1052 3/31/2027
carbon
BMHP
71 Catgut Plain 3/0 HR 37 mm@24 Pcs DAK 2022 2108144 9/30/2026
72 Female Catheter no. 18 Pcs DAK 2021 20180520 5/1/2023
73 Gips 4 Inch Rol APBD I 2021 - -
74 Hb Meter KESMAS Pcs APBD I 2022 HB22103175 -
75 IV Catheter no. 18 Pcs DAK 2021 72021 6/1/2026
76 IV Catheter no. 20 Pcs DAK 2022 21k2806j 10/31/2026
77 IV Catheter no. 22 Pcs DAK 2022 21L2506J 11/30/2026
78 IV Catheter no. 24 Pcs DAK 2022 20108D003 8/30/2027
79 Jarum Kulit GT 14 Pcs DAK 2021 16153703 -
80 Jarum Otot GR 14 Pcs DAK 2021 13934810 -
Page 3
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Kacamata Safety Gogles Kovid Carlos
81 Buah - -
2019 Fernandes
82 Kapas Pembalut 500 gr Bungkus DAK 2022 4102188 9/30/2026
83 Female Catheter no. 16 Pcs DAK 2021 20191115 11/1/2024
84 Lubrikan Cupid TB Pcs APBD 2 LBC2283 2/28/2025
85 Lab. Kit Malaria P2M Kotak APBD 1 - -
86 Masker Las (Foging) P2M Pcs APBD I 2021 - -
87 Masker Surgical Tie On 3 Ply Pcs APBD I 2022 - -
88 Masker 3 Ply Hijab Head Loop Pcs APBD I 2022 20201105MB 11/5/2023
89 Masker Surgical 3 Ply Ear Loop Pcs APBD I 2022 - 4/29/2024
90 Masker N95 TB Pcs APBN 2022 EN14683 11/21/2025
91 Masker 3 Ply Earloop Pcs APBN 2022 20201107C 11/7/2023
92 Masker 3 Ply Earloop Pcs APBN 2022 20201104B 11/4/2023
93 Masker 3 Ply Earloop Pcs APBN 2022 20201023C 10/23/2023
94 Masker Bedah 3 Ply HIV Pcs APBD I 2021 14200601 6/1/2025
95 Masker N95 (Aeco pro) TB Pcs APBD I 2022 TC-84A-4175 -
BMHP
96 Masker N95 3M TB Pcs APBD R18777 10/4/2023
Maker KN95 Protectif Mask Kovid
97 null APBD 1 LA2019951 -
2019
98 Masker N95 Semillas Kovid 2019 null DID 1210701 7/31/2026
Masker Ear Loop Semillas Covid
99 Pcs DID 1210710 7/31/2026
2019
100 Masker N95 Niosh Kovid 2019 null Kemenkes - -
Masker Hijab Kaisin Uniceef Kovid
101 null Kemenkes 202006020003 11/28/2025
2019
Masker N95 3M Particulat N95
102 Pcs BTT 16OBRGAOA 3/31/2025
8210 Covid 2019
103 Nasal Canula Bayi Pcs DAK 2022 07042288TI 3/31/2026
104 Nasal Canula DEWASA Pcs DAK 2022 09062288T1 5/30/2026
105 Pen Lancing KESMAS Pcs APBD I 2022 15092088 -
Plesterin Bulat Soft (Box @200
106 200/box DAK 2022 23022288 1/31/2027
Pcs)
107 Strip Hb Meter KESMAS Pcs APBD I 2022 HS22103175 11/15/2024
Page 4
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Sarung Tangan Non Steril L
108 Pcs APBD I 2022 720224033 7/30/2025
KESMAS
Sarung Tangan Steril no.7 Cosmo
109 Pcs DAK 2022 10329138 3/31/2026
Med
110 Sarung Tangan Non Steril L Pcs DAK 2022 7217306137 4/30/2027
Sarung Tangan Steril no.7 Surgical
111 Pcs DAK 2022 20200228 2/28/2027
BMHP Gloves
Sarung Tangan Steril no.7 Cosmo
112 Pcs DAK 2022 SH2202032 3/31/2027
Med
113 Sarung Tangan Obgyn Pcs DAK 2022 1042288 3/31/2027
114 Tes kehamilan Pcs DAK 2022 9032288 10/30/2026
115 Urine Bag Pcs DAK 2021 11210401 4/1/2026
116 USG GEL Dopler Botol DAK 2022 2405228 4/30/2024
117 Albendazole 400 mg Tablet APBD 1 2023 1110099 10/30/2023
118 Albendazole 400 mg Tablet APBD 1 2023 1110097 10/30/2023
119 Albendazole 400 mg Tablet APBD 1 2023 1110098 10/30/2023
120 Albendazole 400 mg Tablet APBD 1 2023 1110096 10/30/2023
121 Antasida DOEN Tablet Tablet APBD I 2022 201062 10/30/2024
122 Azitromicin 500 mg Tablet DID E01951J 7/30/2025
123 Asam Acetylsalisilate Tablet DAK 2022 56826003 11/30/2024
124 Attapulgit 600mg (Pularex) Tablet DAK 2021 12101 12/1/2024
125 Attapulgit 600mg (Pularex) Tablet DAK 2021 9101 9/1/2024
126 Asam Ascorbaat 50 mg Tablet DAK 2022 G20212N 7/30/2024
OBAT
127 Acetylsistein 200 mg Kapsul DAK 2022 22AS1211 9/30/2024
128 Amlodipin 10 mg Tablet DAK 2022 AG1301 1/31/2025
129 Allopurinol 300 mg Tablet DAK 2022 HTALOD2254 3/31/2024
130 Asam Folat 1 mg Tablet DAK 2021 2110-05-365 10/1/2023
131 Bedaquiline 100 mg Tablet APBD 1 2023 TMC22004 12/31/2024
132 Betahistine Tablet DAK 2022 52J0570 10/1/2023
133 Cycloserine 250 mg Tablet APBD 1 2023 CSP2103469 3/27/2025
134 Clofazimine 100 mg Tablet APBD 1 2023 LH3728 1/30/2026
135 Chloroquin 150 mg Kovid 2019 Tablet APBD 1 C001701B 2/28/2025
136 Cotrimoxazol 960 mg Tablet APBN A10987 6/30/2024
Page 5
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Page 6
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Multivitamin & mineral Ibu Hamil
167 Tablet APBD I 2022 235955 6/1/2024
(LADUNIN)
Multivitamin Bionicom Zink Kovid
168 Tablet APBD 1 JI0031 9/1/2023
2019
169 Moxifloxacin ( moximed) 400mg Tablet APBD I 2022 52C0728 5/30/2023
170 Moxifloxacin ( moximed) 400mg Tablet APBD I 2022 1807049A 6/30/2023
171 Mineral Mix Sachet APBN 2022 2208097 8/30/2024
172 MDT MB ANAK (Kuning) Blister APBD 1 2023 LR4050 11/30/2024
173 MDT Combi Dewasa MB (Merah) Blister APBD 1 2023 LV2196 11/30/2025
174 MDT Combi Dewasa PB Blister APBD 1 2023 LG9270 12/31/2024
175 MDT Combi Dewasa PB Blister APBD I 2022 LH2420 5/30/2024
176 Methyl Ergometrin 0,125 MG Tablet DAK 2022 B20315J 2/28/2027
177 Metoclopramid 5 mg Tablet DAK 2022 J11245BJ 9/30/2026
Page 7
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Page 8
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
Epinefrina HCl/Bitartrat(Adrenalina)
225 Ampul DAK 2021 9621B0033A 1//2/23
inj.0,1%-1ml
226 Gluconat Calcicus Inj 100 mg/ml Ampul DAK 2021 4911814 9/1/2024
227 Lidocain Compositum 2% Ampul DAK 2022 568150242 11/30/2026
228 INJEKSI DAN PELARUT Lidokain Hcl 2% Ampul DAK 2022 56362063-1 9/30/2026
229 Lidokain Hcl 2% Ampul DAK 2022 56362059-1 9/30/2026
230 Meprovent Inhaler Ampul DAK 2022 N2D028 4/1/2028
231 Methyl Ergometrin Inj 0,2 mg/ml Ampul DAK 2021 4911833 8/1/2023
232 MgSO4 20% Vial DAK 2022 B771451B 11/8/2023
233 MgSO4 40% Vial DAK 2022 B98L51B 12/29/2023
234 Oxytocin Injeksi Ampul DAK 2022 9622C0076A 3/31/2025
235 Omeprazole Inj 40 mg/ml Ampul DAK 2021 468220064 6/1/2023
236 Phytomenadion Inj 2 mg/ml Vial DAK 2021 46478013 3/1/2023
237 Halloperidol inj 5 mg Ampul APBD I 4210119 10/30/2023
Halloperidol Dekanoat Injection 50
238 Ampul APBD I KDB3C00 3/31/2023
INJEKSI GOL.OBAT TERTENTU mg/ml
Halloperidol Dekanoat Injection 50
239 Ampul DAK 2021 KKB2E00 10/1/2023
mg/ml
240 Diazepam inj 5 mg Ampul APBD I F2H283 8/30/2024
241 INJEKSI GOL.PSIKOTROPIK Flufenazine inj Ampul APBD I 2EA01036 1/31/2025
242 Phenobarbital Injeksi Ampul DAK 2020 26803002 5/1/2023
243 Amoxicillin Syr 250 mg/5ml Botol DAK 2022 B10223 12/31/2024
244 Antasida sirup Botol - - -
245 SIRUP, SUSPENSI DAN DROP Albendazole sirup Botol APBD 1 2111062 11/30/2023
246 Cetirizine sirup Botol DAK 2022 AH2621 8/30/2024
247 Domperidon suspensi Botol DAK 2022 E19214 5/30/2025
Page 9
No Jenis Barang Nama Barang Satuan Persediaan Kartu Stok Sumber Dana No. Batch ED
252 LARUTAN ELEKTROLIT DAN Glucosa 10% (D10%) 500 ml Botol DAK 2021 2100101 12/1/2023
CAIRAN INFUS
253 Natrium Chlorida (NaCl) 0,9% Botol DAK 2022 E222D20 4/10/2025
Page 10