NO Nama Obat Satuan Pustu PKD: Kaliwungu WR - Jenggot Sesepan

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PUSTU

NO NAMA OBAT SATUAN


KALIWUNGU WR.JENGGOT SESEPAN

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET 61 105
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT 7
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET 55 81
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE 3 5
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET 121 168
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE 3 9
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET 53 133
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET 206 34
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL 2 1
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL 2 3
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL 6 2
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET 110 75
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET 99 57
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT 2 7
147 SALISIL BEDAK 2 % KOTAK 3
148 SAMCODRYL SIRUP BOTOL 1
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET 170 94
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET 48 80
157 VITAMIN B KOMPLEK TABLET TABLET 69 28
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET 50

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET
PROGRAM TUBERCULOSIS (TBC)
A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL

PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE 2 8
13 OXYTOCIN INJEKSI AMPUL

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PKD RUANG
IGD LAB PONED P2P GIGI
DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN OBAT

50
-
80
10

62

200
14
600
45

508
7
41
22
9 9
95
400
234

336
90

96

114
45

66

79

98
50
5

150
40
16 7
700

60
100

117

22

72
40

700
9
1

20
25
64
38

100
16
250
8
80
350
110
100

130
12
24
3

950
22

12 3
270
70

18
250
200
54

20

15

90
25
37

80
13
34
15

56
9
57

180
7

750
9
3
240
300

500
150

55
95

100

30
50

500
100

100
350
900

80

- 15

213 7
98 14
- 8

- 7

18
1
2 5

19
19 4
11
23 5

38
11
2

29

39

5 5
1,300
13
500

10

7
3
JUMLAH
GUDANG
STOK
OBAT
-
-
50
-
80
10
-
300 362
400 400
540 740
12 26
10,800 11,400
300 345
-
11,700 12,374
7
300 341
48 77
50 68
95
6,000 6,536
234
-
3,600 3,936
90
-
600 696
3 3
114
53
-
-
30 96
300 300
700 779
-
98
50
5
-
-
300 450
40
-
-
50 73
500 1,200
7 7
6 7
-
1 1
-
800 860
200 300
4 4
8
200 200
17 17
32 32
100 100
4 4
117
-
2,800 2,822
-
-
100 172
100 140
100 100
5,000 5,989
13 22
3 4
-
20
25
200 264
72 122
-
100 200
16
250
60 68
200 280
11,200 11,736
110
100
-
300 430
144 156
96 120
30 33
-
-
11,000 12,190
70 92
-
100 100
35 50
270
70
-
-
18
250
200
200 254
90 90
300 320
-
15
-
600 690
25
37
96 96
-
80
31 44
110 147
400 415
162 162
200 256
9
180 242
-
180
7
100 108
-
1,000 1,750
10 19
16 19
3,400 3,825
-
300
5 5
300 956
200 350
-
300 355
3,660 3,755
-
200 300
-
44 83
53
1
-
7,000 7,764
100
50 50
300 300
-
400 500
2,400 2,878
2,000 2,997
-
20 20
390 520
-
-
2 2
12 12
13 13
2 2
1 1
-
120 123
-
-
-
-
-
75 90
-
-
2,000 2,220
-
-
1,100 1,212
80 88
-
34 41
-
-
48 66
9 10
44 51
-
56 59
-
400 400
-
85 85
900 900
-
658 677
265 288
77 88
170 198
70 70
90 128
40 51
47 49
3 3
-
29 29
-
9 9
200 229
-
300 339
-
-
-
-
1,500 1,500
177 179
108 108
-
-
30 40
-
-
-
-
1 1
-
-
-
-
-
9,000 10,300
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
13
36,260 36,760
-
-
-
-
-
-
-
4 4
-
-
30 34
-
-
22 32
-
62 69
16 16
100 117
30 33
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT SESEPAN

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET 61 139
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT 7
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET 5 57
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE 5 4
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET 117
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE 1 6
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET 39 165
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET 93 53
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL 2 1
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL 2
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL 13 2
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET 13 4
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET 81 125
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET 77
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT 2 5
147 SALISIL BEDAK 2 % KOTAK 7
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET 99 108
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET 50 70
157 VITAMIN B KOMPLEK TABLET TABLET 104 35
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET
PROGRAM TUBERCULOSIS (TBC)
A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL

PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE 1 8
13 OXYTOCIN INJEKSI AMPUL

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PKD RUANG
IGD LAB PONED P2P GIGI
DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN OBAT

47
130

50

62
305
230
-
380
59

620

34
25
12
95
509
234

440
25

105

119
3

64

53

118
46
2
6
10
120
40
15
600
1

50
67
86

8
10

80

85

72
110

805
9
3

55
58
16

136

50
7
90
600
120
100

187
14

28
13
6
1,300
11

9 3
260
90

50

91

16

129
5
15

50
300
12
25
5

47
14
38

2
7

5
5
500
49

581
150

70
85

56

23
79
5

800
20

50
700
600

31
190

20

138 6
157 12
7

1 25
4 3

54

27
25
11
22

24
12

10

25

9 3
408
35
204

38
13
JUMLAH
GUDANG
STOK
OBAT
-
-
47
-
130
50
-
300 362
305
230
-
4,800 5,180
200 259
60 60
13,600 14,420
17 17
300 334
264 296
50 62
95
4,400 4,971
234
-
5,000 5,440
60 85
-
500 605
3 3
119
12
-
-
30 94
300 300
800 853
-
118
46
2
16 22
20 30
120
40
50 50
-
90 105
1,000 1,600
8 9
10 10
-
2 2
50
67
300 386
5 5
8
100 110
17 17
26 26
100 100
4 4
80
-
3,000 3,085
-
-
100 172
100 210
100 100
3,500 4,422
13 22
3 6
-
-
55
200 258
84 107
-
100 236
-
50
96 103
200 290
9,600 10,404
120
100
-
200 387
168 182
120 120
28
13
6
18,000 19,446
100 111
110 110
150 150
10 22
260
90
-
-
-
-
500 500
200 250
140 140
200 291
-
16
-
500 629
24 29
15
194 194
50
300
31 43
130 158
400 405
157 157
200 247
14
180 220
-
-
2
22
-
17
12 17
- 5
2,500 3,206
-
49
4 4
500 1,158
200 350
-
300 370
3,760 3,845
-
300 356
-
64 94
50 136
5
-
6,000 7,007
20
80 80
540 540
-
400 450
2,000 2,820
1,500 2,239
-
31
120 310
-
-
3 3
14 14
14 14
3 3
2 2
-
150 150
-
-
-
-
-
60 80
-
-
600 744
1,100 1,100
-
1,000 1,169
85 92
-
39 44
-
-
48 48
10 36
43 50
-
52 57
-
-
-
60 60
150 204
200 200
660 687
210 235
77 88
160 182
85 85
100 124
40 52
48 48
4 4
-
24 24
-
11 21
200 200
-
300 325
-
-
-
-
-
160 163
144 144
-
-
22 34
-
-
-
1 1
17 17
-
-
-
-
-
9,000 9,408
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- -
-
-
20 20
-
-
-
-
-
-
-
-
-
-
40 40
-
-
-
-
-
-
350 385
77,510 77,714
-
-
-
-
-
-
-
4 4
-
-
100 105
-
-
27 34
-
63 67
17 17
50 97
13
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT SESEPAN

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET 108 77
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT 4 7
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET 40 91
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE 1 2
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET 64 2
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET 69 80
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE 6
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET 117
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE 7
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL 5 2
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL 7 1
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL 12 6
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET 69 119
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET 72
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT 7 5
147 SALISIL BEDAK 2 % KOTAK 1 6
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET 140 88
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET 116 64
157 VITAMIN B KOMPLEK TABLET TABLET 46
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET
PROGRAM TUBERCULOSIS (TBC)
A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL

PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE
13 OXYTOCIN INJEKSI AMPUL

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PKD RUANG
IGD LAB PONED P2P GIGI
DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN OBAT

28
143

35

52
43
128

503
86

500

34
52
21
80
116

174
358

53

130

62

107

98
114
5
7

136
40
24
1,100
1
1

50
105
150
2

48

65

6
72
110

800
9
1

60
63
1

156
21

2
90
500
62
100

37
27
7
18

1,100
13
10
2
7
170
30

140
68
44

75

16

163
13
40
9
40
280
3
11
79

47
3
23

77
3
34

1,009
3
1
940
72

250
150

216
102

91

23
53
24

979
75

80
800
500

18
50

16

13

102 10
125 132

18

18

12
1

7 3
4

32
36 9
11
33 5

34
9

9 8
10

865

84
1

1
16

2
21

2
18
58
224

11

14

7
JUMLAH
GUDANG
STOK
OBAT
-
-
28
143
-
35
-
300 352
43
128
-
1,500 2,003
100 186
120 120
16,000 16,685
32 32
300 334
264 327
40 61
80
3,300 3,416
-
174
5,700 6,189
-
-
400 453
3 3
130
3
-
-
62
300 300
800 907
-
100 198
114
5
20 27
-
500 636
40
100 100
-
90 114
6,500 7,666
7 8
12 13
69 69
2 2
50
800 905
300 450
1 3
-
100 148
17 17
27 27
100 100
5 5
-
-
2,800 2,865
-
6
200 272
200 310
200 200
3,400 4,349
17 26
4 5
-
-
60
200 263
48 55
-
100 256
10 31
-
96 98
200 290
7,000 7,617
62
100
-
300 337
168 195
120 134
18
-
-
17,000 18,100
150 163
110 120
250 252
10 17
200 370
30
-
-
-
- 140
100 168
200 244
190 190
200 275
-
16
-
400 563
24 37
40
230 239
40
280
39 42
220 238
400 479
257 257
200 247
10 13
180 211
-
77
3
52
-
1,009
14 17
1
1,500 2,628
1000 1,000
-
72
-
1,500 1,822
150
-
300 516
3,420 3,522
-
300 391
-
60 95
50 110
24
-
5,500 6,707
75
-
690 690
-
400 480
1,500 2,480
1,500 2,046
-
12 30
150 200
-
-
3 3
13 13
13 13
3 3
2 2
-
150 166
-
-
-
-
-
45 58
-
1,500 1,612
-
-
-
900 1,157
-
91 109
-
45 63
-
48 60
11 12
-
38 48
52 56
-
-
-
60 60
-
-
660 692
175 220
77 88
150 188
100 100
80 114
45 54
49 49
3 3
21 21
-
25 25
-
220 220
-
320 320
-
-
-
-
-
161 161
144 144
-
12 29
-
-
-
-
-
10
-
-
-
-
-
8,000 8,865
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,000 1,084
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1
-
5
-
1
16
-
2
21
-
2
18
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 20
-
203 203
-
-
-
-
-
-
-
-
140 140
-
-
-
-
-
-
250 308
73,480 73,704
-
-
285 285
96 96
-
-
-
4 4
-
-
90 90
-
-
22 33
-
49 63
18 18
-
5 12
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT SESEPAN

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET 148 128
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT 4 4
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET 68 62
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET 76 4
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET 86 79
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET 70 119
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET 93 75
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE 5 4
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET 101 109
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL 3
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL 5 3
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL 6 7
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL 14 7
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET 34 37
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET 85 112
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET 14
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET 144
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT 7
147 SALISIL BEDAK 2 % KOTAK
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET 148
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET 166 52
157 VITAMIN B KOMPLEK TABLET TABLET 42 33
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET
PROGRAM TUBERCULOSIS (TBC)
A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL

PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE
13 OXYTOCIN INJEKSI AMPUL

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PKD RUANG
IGD LAB PONED P2P GIGI
DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN OBAT

5
18

135

32
28
10

370
80

280

34
26
9 6
25
320
258

48
100

44

56
17

40

90

180
160
2
19
27
246
30
23 12
600
1

50
12
219

54

85

26
65
33

450
14
1

50
43
4

190
16
132
11
30
500
70
100

96
24

20

8
1,200
21
30
19
12
240

210
184
26

65

14

138

8
40
308
20
8
43

32
5
19

200
5
48

695
1
3
530
1,408

200

219
148

196
60

100

17
69
24

280
30
50

60
160
570

5
25

48

182 148
214 128

17

19

10
2

34
23 10
10
27 8

27
11

15

50

8 7
84
37
144

285
95

8
24
JUMLAH
GUDANG
STOK
OBAT
-
-
24 29
18
100 100
100 235
-
32
28
10
-
3,500 3,870
80
170 170
19,300 19,856
30 30
300 334
288 322
80 95
25
3,000 3,450
258
-
11,600 11,728
100
-
400 444
3 3
100 156
17
-
-
40
300 300
900 990
-
180
160
10 12
24 43
66 93
1,400 1,646
30
200 200
-
140 175
9,000 9,765
7 8
18 18
-
2 2
50
900 912
400 619
1 1
-
100 154
15 15
27 27
100 100
5 5
-
-
1,400 1,485
-
24 50
200 265
200 233
200 200
5,500 6,139
27 41
7 8
-
-
60 110
230 273
4
-
100 290
30 46
200 332
84 95
200 230
7,500 8,168
70
100
-
500 596
216 240
48 57
20
-
8
17,000 18,410
230 251
100 130
250 269
35 47
700 940
-
-
-
-
300 510
184
240 266
290 290
220 285
-
8 22
-
500 638
72 72
-
420 431
40
300 608
54 74
240 256
400 443
257 257
200 232
20 25
180 212
-
200
5
69
-
4,000 4,766
17 18
3
3,100 3,827
8000 9,408
-
214
-
3,000 3,363
200 348
-
400 596
3,860 3,920
-
400 500
-
100 124
100 169
24
-
2,600 3,028
30
50
1,290 1,290
-
400 460
1,400 1,778
4,000 4,645
-
12 17
190 215
-
-
4 4
22 22
16 16
5 5
3 3
-
150 198
-
-
-
-
-
60 67
-
300 300
500 830
- -
- -
1,100 1,442
-
101 118
-
55 74
-
48 48
8 12
-
33 43
56 58
-
-
-
70 70
-
-
700 734
169 202
77 87
230 265
130 130
134 161
45 56
48 48
3 3
-
17 17
8 8
16 16
185 200
-
290 340
-
-
-
-
750 750
176 180
108 108
-
14 29
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,000 1,084
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 1
-
4 4
3 3
1 1
16 16
-
2 2
16 16
-
2 2
18 18
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 20
-
-
-
-
-
-
-
-
-
-
140 140
-
-
-
-
-
-
200 237
70,060 70,204
-
-
285
95
-
-
-
4 4
-
-
40 49
10 10
-
27 35
-
14 14
20 28
24
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET 169 106
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT 4 9
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET 162 62
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET 146 38
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET 114 -
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET 143 86
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET 175 107
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE 5 4
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET 86 -
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL 2
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL 5 -
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL 3 -
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL 13 -
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET 0 -
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET 73 104
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET 14
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET 0
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT 9
147 SALISIL BEDAK 2 % KOTAK
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET 142 22
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET 154 -
157 VITAMIN B KOMPLEK TABLET TABLET 90 137
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET

PROGRAM TUBERCULOSIS (TBC)


A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL
PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE
13 OXYTOCIN INJEKSI AMPUL

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
PKD
IGD LAB PONED P2P GIGI
SESEPAN DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN

10

8
27

14 2
1
1

12
5

19

132
7

178 6

106 10

15

4
4

20
14 10
9
13 10

17
10

50

7
28

4 7
8

13
8
RUANG JUMLAH
GUDANG
OBAT STOK
OBAT
-
-
6 6
-
92 - 92
64 64
-
32 32
-
-
-
-
-
28 110 138
1,400 15,000 16,675
20 20
24 300 324
264 277
50 60
-
1,000 2,000 3,224
23 23
-
400 9,100 9,684
-
-
98 100 198
3 3
23 100 123
-
-
-
20 20
300 300
250 500 750
-
138 138
150 150
10 10
6 14
40 67
50 900 950
-
24 150 174
-
110 126
800 5,600 6,514
7 8
15 16
-
1 1
5 5
44 700 744
95 300 395
1 1
-
22 22
15 15
24 24
-
5 5
-
-
100 1,400 1,500
-
-
104 100 204
20 200 220
80 100 180
500 4,000 4,729
27 39
7 7
-
-
5 60 65
38 230 268
-
-
180 100 280
7 30 37
50 50
84 84
74 200 274
330 5,900 6,512
40 40
100 100
-
-
12 168 180
11 20
5 5
-
-
500 15,000 15,586
11 230 241
100 100
90 100 190
35 40
110 700 810
10 10
-
-
-
200 200
-
16 240 256
290 290
25 220 245
-
6 8 14
-
27 27
72 72
-
28 360 390
-
219 219
54 73
4 230 239
24 400 424
200 200
32 200 232
5 12 17
39 60 102
-
24 24
1 1
80 93
-
-
16 15 31
-
500 2,600 3,277
1,000 8,000 9,000
-
14
-
127 2,800 2,927
148 200 348
-
87 300 387
3,120 3,252
-
138 300 438
-
9 50 68
22 100 122
-
-
318 1,400 1,882
-
-
1,020 1,020
-
60 300 360
318 472
200 1,000 1,427
-
8 8
52 52
-
-
4 4
14 14
16 16
5 5
3 3
-
90 97
-
-
-
-
-
10 10
-
500 500
184
-
-
900 1,016
-
101 107
-
45 60
-
25 25
6 12
-
30 34
4
51 51
-
-
30 30
-
-
690 710
10 34
77 86
70 93
130 130
70 87
45 55
48 48
2 2
-
17 17
8 8
14 14
150 159
-
250 300
-
7
28
-
750 750
176 176
108 108
-
7 18
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
630 1,000 1,630
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 20
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
146 200 346
54 67,840 67,894
-
-
285 285
95 95
-
-
-
4 4
-
-
20 28
10 10
-
17 30
-
14 14
15 23
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET 188 193
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT 4 9
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET 156 42
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET 152 116
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET 150 214
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET 78 201
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET 103 94
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE 5 5
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET 120 136
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL 2
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL -
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL -
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL 2 3
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET 60 52
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET 109 91
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT 5
147 SALISIL BEDAK 2 % KOTAK
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET 11 61
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET -
157 VITAMIN B KOMPLEK TABLET TABLET 84 95
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET

PROGRAM TUBERCULOSIS (TBC)


A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL
PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE
13 OXYTOCIN INJEKSI AMPUL

TAMBAHAN
1 CDBS COLLECTION KIT TEST
2 RDT ANTI HCV TEST
3 RIFAMPICIN 75 MG / ISONIAZID 50 MG TABLET
4 RIFAPENTINE 300 MG / ISONIAZID 300 MG TABLET
5 CETIRIZINE TABLET TABLET
6 CETIRIZINE SIRUP BOTOL
7 CURCUMA FORCE TABLET TABLET
8 ANTASIDA SIRUP BOTOL
9 DOMPERIDON SIRUP BOTOL
10 ERITROMISIN SIRUP BOTOL
11 METFORMIN TABLET 850 MG TABLET
12 HANDSCHOEN OBGYN STERIL (TROGE) PASANG
13 PHARMAFIX - PLESTER WOUND DRESSING SIZE 10 CM X 500 CM PIECES
14 URINE BAG (TROGE) PIECES
15 STIMUNO STICK SACHET
16 HERBAKOF SIRUP BOTOL
17 HERBAKOF STICK SACHET
18 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 6,5 PASANG
19 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 7 PASANG
20 FOLLEY CATHETER NO. 14 (CHROMA) PIECES
21 FOLLEY CATHETER NO. 16 (CHROMA) PIECES
22 FOLLEY CATHETER NO. 18 (CHROMA) PIECES
23 PERMETRIN KRIM 30 GRAM TUBE
24 ALLOPURINOL TABLET 300 MG TABLET
25
PKD
IGD LAB PONED P2P GIGI
SESEPAN DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN

7
10

13 22
1

9
4
33

38

70
6

91 5

84 5

13

7 5
5

4
7 7
3
26 10

24
16

26

4 3
13

10
7
RUANG JUMLAH
GUDANG
OBAT STOK
OBAT
-
-
24 24
-
60 150 210
90 100 190
-
32 32
110 900 1,010
590 590
-
460 12,100 12,560
-
50 50
350 23,500 24,231
24 24
17 300 317
6 216 235
115 124
-
220 2,300 2,718
60 60
-
110 15,400 15,778
-
300 300
70 70
3 3
100 100
-
50 50
-
8 20 28
300 300
106 500 606
-
26 100 126
94 200 294
19 19
28 35
148 158
36 1,500 1,536
-
4 200 204
-
170 205
450 7,800 8,614
3 3
20 21
-
-
50 50
93 700 793
20 200 220
3 3
-
56 56
15 15
30 30
100 100
5 5
-
-
40 1,400 1,440
-
20 48 68
69 100 169
20 200 220
100 100
620 4,600 5,499
42 51
15 19
-
5 5
14 90 104
78 200 278
3 48 51
-
132 160 292
5 100 105
122 122
- -
3 3
510 5,200 5,907
54 200 254
100 100
-
40 300 340
13 192 205
5 48 63
3 3
-
3 10 13
366 18,000 18,622
9 320 329
100 100
24 250 274
33
43 1,200 1,243
400 400
400 400
-
-
112 112
50 400 450
16 270 286
590 590
40 220 260
-
2 16 18
-
30 400 430
6 120 126
-
3 300 305
-
105 500 605
74 112
4 200 204
4 400 404
257 257
8 190 198
10 10
60 60
230 230
-
-
200 205
-
400 4,200 4,712
1 13 14
7 7
490 690
210 8,000 8,210
-
56 300 356
3 3
130 5,100 5,230
148 200 348
-
10 500 510
2,740 2,810
-
88 400 488
-
9 110 124
61 120 181
35 100 135
-
442 2,300 2,814
11 300 311
150 150
1,920 1,920
-
100 200 300
125 300 425
385 7,500 8,064
-
5 60 65
-
-
-
6 6
26 26
18 18
7 7
5 5
-
70 76
-
-
-
-
-
60 60
-
1,000 1,000
96
-
-
653 742
-
119 123
-
53 66
36 36
5 5
8 13
-
35 47
48 53
-
-
-
60 60
-
-
720 724
185 199
77 80
190 226
165 165
80 104
40 56
51 51
3 3
-
28 28
-
19 19
150 154
-
290 316
-
-
-
-
2,450 2,450
189 189
108 108
-
6 13
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
119 1,000 1,119
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 20
-
-
-
-
-
-
-
-
-
-
140 140
-
-
-
-
-
-
98 200 298
374 63,040 63,414
-
-
285 285
-
-
-
-
4 4
-
-
60 73
10 10
-
22 32
-
38 38
39 46
-
140 140
-
-
-
-
-
-
300 300
-
-
-
-
-
-
-
-
-
2,592 2,592
-
-
-
-
-
-
-
-
150 150
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT SESEPAN

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT
147 SALISIL BEDAK 2 % KOTAK
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET
157 VITAMIN B KOMPLEK TABLET TABLET
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET
PROGRAM TUBERCULOSIS (TBC)
A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL

PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE
13 OXYTOCIN INJEKSI AMPUL

TAMBAHAN
1 CDBS COLLECTION KIT TEST
2 RDT ANTI HCV TEST
3 RIFAMPICIN 75 MG / ISONIAZID 50 MG TABLET
4 RIFAPENTINE 300 MG / ISONIAZID 300 MG TABLET
5 CETIRIZINE TABLET TABLET
6 CETIRIZINE SIRUP BOTOL
7 CURCUMA FORCE TABLET TABLET
8 ANTASIDA SIRUP BOTOL
9 DOMPERIDON SIRUP BOTOL
10 ERITROMISIN SIRUP BOTOL
11 METFORMIN TABLET 850 MG TABLET
12 HANDSCHOEN OBGYN STERIL (TROGE) PASANG
13 PHARMAFIX - PLESTER WOUND DRESSING SIZE 10 CM X 500 CM PIECES
14 URINE BAG (TROGE) PIECES
15 STIMUNO STICK SACHET
16 HERBAKOF SIRUP BOTOL
17 HERBAKOF STICK SACHET
18 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 6,5 PASANG
19 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 7 PASANG
20 FOLLEY CATHETER NO. 14 (CHROMA) PIECES
21 FOLLEY CATHETER NO. 16 (CHROMA) PIECES
22 FOLLEY CATHETER NO. 18 (CHROMA) PIECES
23 PERMETRIN KRIM 30 GRAM TUBE
24 ALLOPURINOL TABLET 300 MG TABLET
25
PKD RUANG
IGD LAB PONED P2P GIGI
DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN OBAT

12

31
50

32
530

610

18
800

17

12

450

280

75

24

11

24

14

25
38

5
9
64
4

4
800

50
21
30

157

7
69
95

350
5
1

5
50
50

110

14

10
660
100
100
300

10

12
100
159

40
10

36

30
7

180
21
6
99

80

50
19

350
130

110
150

160
52

10

12
25
39

800
100
15

50
650
420

13

150 90
100 121

19

7 4
3

25
22
5
20

17
8

31
18
25

4
124
39
30

17

19

50

152
JUMLAH
GUDANG
STOK
OBAT
-
-
12
-
150 181
100 150
-
32
530
580 580
-
4,000 4,610
-
18
20,100 20,900
10 10
300 317
-
90 102
-
1,000 1,450
-
-
12,000 12,280
-
100 175
-
3 3
24
-
11
-
24
300 300
500 514
-
25
200 238
18 18
22 27
108 117
1,400 1,464
-
150 154
-
148 152
2,000 2,800
4 4
42 42
-
1 1
50
600 621
200 230
3 3
-
-
15 15
26 26
100 100
5 5
-
-
1,300 1,457
-
7
100 169
100 195
100 100
2,000 2,350
42 47
15 16
-
5
50
200 250
-
-
160 270
60 60
14
-
200 210
4,000 4,660
100 200
100
-
-
144 144
-
-
-
-
10,000 10,300
300 300
100 110
200 200
40 52
900 1,000
159
-
-
-
-
400 440
270 280
270 270
220 256
-
10 13
-
400 430
7
-
296 296
-
180
74 95
6
300 399
257 257
100 180
-
-
-
50
19
-
-
-
8
-
1,800 2,150
-
-
130
2 2
4,800 4,910
200 350
-
500 660
2,220 2,272
-
400 410
-
90 102
120 145
39
-
1,000 1,800
200 300
150 165
1,530 1,530
-
200 250
650
4,500 4,920
-
5
-
-
-
6 6
23 23
18 18
7 7
5 5
-
65 65
-
-
-
-
-
40 53
-
100 340
-
-
-
453 674
-
119 128
-
53 72
24 24
-
8 13
-
35 46
48 51
-
-
-
50 50
-
-
680 705
80 102
70 75
100 120
165 165
17
40 48
51 51
2 2
-
-
27 27
19 19
100 131
18
250 275
-
-
-
-
-
183 183
108 108
-
6 10
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
14,200 14,324 13200
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 20
20 20
-
-
-
-
-
-
-
-
-
140 140
-
-
-
-
-
- 450 100
100 139 3500
30
-
-
285 285
95 95
-
-
-
4 4
-
-
40 57
10 10
-
22 22
-
38 38
39 44
-
100 119
-
-
-
-
-
-
200 250
6 6
-
30 30
12 12
-
-
-
-
-
2,160 2,312
-
-
-
-
-
-
-
-
150 150
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT SESEPAN

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT
147 SALISIL BEDAK 2 % KOTAK
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET
157 VITAMIN B KOMPLEK TABLET TABLET
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET
PROGRAM TUBERCULOSIS (TBC)
A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL

PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE
13 OXYTOCIN INJEKSI AMPUL

TAMBAHAN
1 CDBS COLLECTION KIT TEST
2 RDT ANTI HCV TEST
3 RIFAMPICIN 75 MG / ISONIAZID 50 MG TABLET
4 RIFAPENTINE 300 MG / ISONIAZID 300 MG TABLET
5 CETIRIZINE TABLET TABLET
6 CETIRIZINE SIRUP BOTOL
7 CURCUMA FORCE TABLET TABLET
8 ANTASIDA SIRUP BOTOL
9 DOMPERIDON SIRUP BOTOL
10 ERITROMISIN SIRUP BOTOL
11 METFORMIN TABLET 850 MG TABLET
12 HANDSCHOEN OBGYN STERIL (TROGE) PASANG
13 PHARMAFIX - PLESTER WOUND DRESSING SIZE 10 CM X 500 CM PIECES
14 URINE BAG (TROGE) PIECES
15 STIMUNO STICK SACHET
16 HERBAKOF SIRUP BOTOL
17 HERBAKOF STICK SACHET
18 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 6,5 PASANG
19 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 7 PASANG
20 FOLLEY CATHETER NO. 14 (CHROMA) PIECES
21 FOLLEY CATHETER NO. 16 (CHROMA) PIECES
22 FOLLEY CATHETER NO. 18 (CHROMA) PIECES
23 PERMETRIN KRIM 30 GRAM TUBE
24 ALLOPURINOL TABLET 300 MG TABLET
25
PKD RUANG
IGD LAB PONED P2P GIGI
DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN OBAT

21

20
90

32
40

600

10
450

17

12 7

300

200

120

50

12

79

78
8

9
17
80
30

12
500
1
2

50
33
50

70

21

7
70
60

400
1

59
50
14

90
13

19
10
520
50
100
88
20

400
5
78

6
70

10

18

15

60
8

60

70

54

38
38
600

300
90

500
150

120
141 24

60

15

500
30

200
600
100
18

11

133 89
150 120

18

7 12
4

19
14

19

17
12

30

60

4
48

17
JUMLAH
GUDANG
STOK
OBAT
-
1 1
21
-
150 170
200 290
-
32
500 540
580 580
-
4,800 5,400
100 100
60 70
16,800 17,250
21 21
300 317
20 20
20 39
56 56
1,000 1,300
600 600
-
9,500 9,700
600 600
300 420
-
3 3
200 250
38 38
-
-
12 24
300 300
400 479
-
100 178
200 208
17 17
10 19
17
600 680
-
100 130
-
90 102
1,200 1,700
4 5
18 20
-
1 1
50
790 823
500 550
3 3
-
70
14 14
15 15
100 100
-
-
192 192
1,100 1,121
48 48
72 79
100 170
60
200 200
500 900
42 43
15 15
-
-
90 149
190 240
24 38
-
160 250
86 99
100 100
72 91
200 210
3,400 3,920
100 150
100
-
-
120 208
20
-
-
11 11
7,000 7,400
300 305
78
200 200
35 41
800 870
400 400
-
-
-
-
1,400 1,400
270 280
570 570
200 200
18
14 14
-
600 600
144 159
-
269 269
-
1,000 1,060
74 82
-
300 360
300 300
100 170
19 19
60 114
-
400 400
53 91
200 238
1,200 1,800
-
8 8
6 6
3,300 3,600
-
-
300 390
-
3,800 4,300
200 350
-
800 920
1,620 1,785
-
100 160
-
60 75
-
-
-
1,500 2,000
200 230
100 100
2,040 2,040
-
100 100
200
4,200 4,800
100
18
-
-
-
6 6
18 18
18 18
7 7
5 5
-
50 50
-
-
-
-
-
30 41
-
222
-
100 100
-
100 370
-
119 128
-
53 71
12 12
-
8 13
-
31 50
4
40 40
-
12 12
44 44
-
-
640 659
14
70 70
5 24
165 165
- 17
20 32
50 50
3 3
17 17
22 22
-
-
50 80
-
200 260
-
-
-
100 100
-
165 165
144 144
-
3 7
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
9,980 9,980
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 20
20 20
-
-
-
-
-
-
-
-
-
100 100
-
-
-
-
-
- 450 100
48 3500
62,520 62,520
-
-
-
-
-
-
-
-
-
-
25 31
5 5
-
27 27
-
38 38
39 44
-
70 87
-
-
-
-
-
-
200 200
4 4
-
30 30
11 11
-
-
-
-
-
2,878 2,878
-
-
-
-
-
-
-
-
150 150
-
PUSTU
NO NAMA OBAT SATUAN
KALIWUNGU WR.JENGGOT

1 A.B.U SERUM VIAL


2 A.T.S INJEKSI 1.500 IU AMPUL
3 ACYCLOVIR KRIM TUBE
4 ACYCLOVIR TABLET 200 MG TABLET
5 ACYCLOVIR TABLET 400 MG TABLET
6 ALLOPURINOL TABLET 100 MG TABLET
7 AMINOFILIN INJEKSI 24 MG/ML AMPUL
8 AMINOFILIN TABLET TABLET
9 AMLODIPINE TABLET 5 MG TABLET
10 AMLODIPINE TABLET 10 MG TABLET
11 AMOKSISILIN INJEKSI 1 G (PENMOX) VIAL
12 AMOKSISILIN KAPLET 500 MG KAPLET
13 AMOKSISILIN SIRUP KERING 125 MG/5 ML BOTOL
14 AMOKSISILIN SIRUP KERING 250 MG/5 ML BOTOL
15 ANTASIDA DOEN TABLET TABLET 55
16 ANTI HEMOROID SUPPOSITORIA SUPPO
17 ANTI MIGREN DOEN TABLET KOMBINASI TABLET
18 ANTIFUNGI ZALF POT
19 AQUA PRO INJEKSI STERIL VIAL
20 ASAM ASETILSALISILAT TABLET 80 MG TABLET
21 ASAM ASKORBAT TABLET 50 MG TABLET 114
22 ASAM FOLAT 0,4 MG TABLET
23 ASAM FOLAT 1 MG TABLET
24 ASAM MEFENAMAT KAPLET 500 MG KAPLET 70
25 ASETIL SISTEIN 200 MG KAPSUL
26 ATAPULGIT TABLET 600 MG (NEW ANTIDES) TABLET
27 ATAPULGIT TABLET 600 MG (PULAREX) TABLET
28 ATROPIN SULFAT INJEKSI 0,25 MG/ML AMPUL
29 BETAHISTIN TABLET 6 MG TABLET
30 BETAMETASON KRIM 5 GRAM TUBE
31 BETAMETASON KRIM 10 GRAM TUBE
32 BISAKODIL SUPPOSITORIA (DULCOLAX) 10 MG SUPPO
33 BISAKODIL TABLET TABLET
34 CAPTOPRIL TABLET 12,5 MG TABLET
35 CAPTOPRIL TABLET 25 MG TABLET
36 CARBAMAZEPINE TABLET TABLET
37 CAVICUR DRAGEE DRAGEE
38 CEFADROXYL KAPSUL 500 MG KAPSUL
39 CEFADROXYL SIRUP BOTOL
40 CEFOTAXIM INJEKSI 0,5 GRAM VIAL
41 CEFTRIAXON INJEKSI 1 GRAM VIAL
42 CIPROFLOKSASIN 500 MG TABLET
43 CLINDAMYCIN 150 MG KAPSUL
44 CLINDAMYCIN 300 MG KAPSUL
45 CODEIN TABLET 10 MG TABLET
46 DEKSAMETASON INJEKSI 5 MG/ML AMPUL
47 DEKSAMETASON TABLET 0,5 MG TABLET
48 DIAZEPAM ENEMA 5 MG/2,5 ML ENEMA
49 DIAZEPAM INJEKSI 5 MG/ML (R) AMPUL
50 DIAZEPAM TABLET 2 MG (R) TABLET
51 DIFENHIDRAMIN INJEKSI 10 MG/ML AMPUL
52 DIGOKSIN TABLET 0,25 MG TABLET
53 DIMENHIDRINAT TABLET 10 MG TABLET
54 DOMPERIDON TABLET 10 MG TABLET
55 EPINEFRIN HCL INJEKSI 0,1 % AMPUL
56 ERITROMICIN KAPSUL 250 MG KAPSUL
57 ERITROMICIN TABLET 500 MG TABLET
58 ETAKRIDINA ( RIVANOL ) 0,1 % BOTOL
59 ETANOL 70 % BOTOL
60 FENOBARBITAL TABLET 30 MG TABLET
61 FITOMENADION INJEKSI 10 MG/ML AMPUL
62 FITOMENADION TABLET 10 MG TABLET
63 FUROSEMIDE TABLET 40 MG TABLET
64 GARAM ORALIT UNTUK 200 ML (R) SACHET
65 GENTAMICIN SALEP MATA TUBE 4
66 GENTAMICIN TETES MATA BOTOL
67 GLIBENKLAMID TABLET 5 MG TABLET
68 GLIMEPIRID 1 MG TABLET
69 GLIMEPIRID 2 MG TABLET
70 GLISERIL GUAIAKOLAT TABLET 100 MG (GUAIFENESIN) TABLET
71 GLUKOSA LAR INFUS 5 % BOTOL
72 GLUKOSA LAR INFUS 10 % BOTOL
73 GRISEOFULVIN TABLET 125 MG TABLET
74 GRISEOFULVIN TABLET 500 MG TABLET
75 HEMOROGARD TABLET
76 HIDROKLORTIAZID TABLET 25 MG TABLET
77 HIDROKORTISON KRIM TUBE
78 HIOSINA BUTILBROMIDA INJEKSI AMPUL
79 HIOSINA BUTILBROMIDA TABLET 10 MG TABLET
80 IBUPROFEN SUSPENSI 100 MG/5 ML BOTOL
81 IBUPROFEN TABLET 200 MG TABLET
82 ICHTYOL SALEP POT
83 ISOSORBID DINITRAT 5 MG TABLET S.L TABLET
84 KALSIUM LAKTAT TABLET 500 MG TABLET
85 KETOKONAZOL TAB TABLET
86 KLONIDIN TABLET 0,15 MG TABLET
87 KLORAMFENIKOL KAPSUL 250 MG KAPSUL
88 KLORAMFENIKOL KAPSUL 500 MG KAPSUL
89 KLORAMFENIKOL SALEP KULIT 2% TUBE
90 KLORAMFENIKOL SALEP MATA 1% TUBE
91 KLORAMFENIKOL SUSPENSI BOTOL
92 KLORAMFENIKOL TETES MATA 0,5% BOTOL
93 KLORAMFENIKOL TETES TELINGA 3 % BOTOL
94 KLORFENIRAMIN MALEAT TABLET 4 MG TABLET 133
95 KOTRIMOKSAZOL SUSPENSI BOTOL
96 KOTRIMOKSAZOL TABLET DEWASA TABLET
97 KOTRIMOKSAZOL TABLET FORTE 800/160 TABLET
98 LIDOKAIN INJEKSI 2% AMPUL
99 LIVRON B PLEX TABLET
100 LORATADIN 10 MG TABLET
101 MASFLU FORTE TABLET TABLET
102 MEBENDAZOL TABLET 500 MG TABLET
103 MELOXICAM TABLET 15 MG TABLET
104 METAFLU TABLET TABLET
105 METFORMIN TABLET 500 MG TABLET
106 METIL ERGOMETRIN MALEAT TABLET TABLET
107 METIL PREDNISOLON TABLET 4 MG TABLET
108 METOKLOPRAMID TABLET 5 MG TABLET
109 METOKLOPRAMID TABLET 10 MG TABLET
110 METRONIDAZOL SIRUP 125 MG/5ML BOTOL
111 METRONIDAZOL TABLET 250 MG TABLET
112 METRONIDAZOL TABLET 500 MG TABLET
113 MIKONAZOL KRIM 2 % TUBE
114 MOLEXFLU SIRUP BOTOL
115 MULTIVITAMIN SIRUP ANAK (ANARIA SIRUP) BOTOL
116 NATRIUM DIKLOFENAK TABLET 25 MG TABLET
117 NATRIUM DIKLOFENAK TABLET 50 MG TABLET
118 NATRIUM KLORIDA LAR. INFUS 0,9 % BOTOL
119 NEO KAOMINAL SUSPENSI BOTOL
120 NIFEDIPIN TABLET TABLET
121 NISTATIN 100.000 IU TABLET VAGINA OVULA
122 NISTATIN 500.000 IU TABLET
123 NISTATIN SUSPENSI BOTOL
124 OBAT BATUK HITAM BOTOL
125 OMEPRAZOLE INJEKSI 40 MG/10 ML VIAL
126 OMEPRAZOLE KAPSUL KAPSUL
127 PARASETAMOL DROPS 15 ML BOTOL
128 PARASETAMOL SIRUP 120 MG/ML BOTOL
129 PARASETAMOL TABLET 500 MG (MERSI FARMA) TABLET
130 PARASETAMOL TABLET 500 MG (TRIFAMOL) TABLET
131 PERAK SULFADIAZIN KRIM 1% TUBE
132 PERMETRIN KRIM 10 GRAM TUBE
133 PIRIDOKSIN HCL TABLET 10 MG TABLET
134 PIRIDOKSIN HCL TABLET 25 MG (R) TABLET
135 PIROXICAM 10 MG TABLET
136 PIROXICAM 20 MG TABLET
137 POVIDON IODINE 10% 60 ML BOTOL
138 PREDNISON TABLET 5 MG TABLET
139 PROPRANOLOL TABLET 10 MG TABLET
140 RANITIDIN INJEKSI AMPUL
141 RANITIDIN TABLET 150 MG TABLET
142 RINGER LAKTAT INFUS BOTOL
143 SALBUTAMOL NEBULES 0,1% AMPUL
144 SALBUTAMOL TABLET 2 MG TABLET
145 SALBUTAMOL TABLET 4 MG TABLET
146 SALEP 2-4 POT 4
147 SALISIL BEDAK 2 % KOTAK
148 SAMCODRYL SIRUP BOTOL
149 SIANOKOBALAMIN INJEKSI 500 MG/ML AMPUL
150 SIANOKOBALAMIN TABLET 50 MCG TABLET
151 SIMVASTATIN TABLET 10 MG TABLET
152 SIMVASTATIN TABLET 20 MG TABLET
153 STIMUNO FORTE KAPSUL KAPSUL
154 TETRASIKLIN KAPSUL 250 MG KAPSUL
155 TETRASIKLIN KAPSUL 500 MG KAPSUL
156 THIAMINE HCL TABLET 50 MG TABLET
157 VITAMIN B KOMPLEK TABLET TABLET
158 WICOLD TABLET TABLET
159 ZINK SIRUP (R) BOTOL
160 ZINK TABLET (R) TABLET 26

PELAYANAN GIGI
1 DEVITALISASI PASTA BOTOL
2 ETIL KLORIDA SEMPROT BOTOL
3 EUGENOL CAIRAN BOTOL
4 GLASS IONOMER CEMENT SET
5 KALSIUM HIDROKSIDA PASTA SET
6 KLORFENOL KAMFER MENTOL (CHKM) CAIRAN BOTOL
7 LIDOKAIN KOMP. INJEKSI AMPUL
8 MUMMYFYING PASTA BOTOL
9 SEMEN SENG FOSFAT SET
10 TEMPORARY STOPING FLETCHER SET

BAHAN MEDIS HABIS PAKAI (BMHP)


1 ALAT SUNTIK DISPOSIBLE 1 ML (NIPRO) SET
2 ALAT SUNTIK DISPOSIBLE 1 ML (STERA) SET
3 ALAT SUNTIK DISPOSIBLE 3 ML (NIPRO) SET
4 ALAT SUNTIK DISPOSIBLE 3 ML (ONIONEX) SET
5 ALAT SUNTIK DISPOSIBLE 3 ML (STERA) SET
6 ALAT SUNTIK DISPOSIBLE 5 ML (NIPRO) SET
7 ALAT SUNTIK DISPOSIBLE 5 ML (STERA) SET
8 ALAT SUNTIK DISPOSIBLE 10 ML (KIMSMED) SET
9 ALAT SUNTIK DISPOSIBLE 10 ML (NIPRO) SET
10 ALAT SUNTIK DISPOSIBLE 20 ML (KIMSMED) SET
11 ALAT SUNTIK DISPOSIBLE 20 ML (NIPRO) SET
12 CATGUT SACHET (ASSUT) SACHET
13 CATGUT SACHET (SINOPHARM) SACHET
14 FOLLEY CATHETER NO. 14 SET
15 FOLLEY CATHETER NO. 16 (AXIMED) SET
16 FOLLEY CATHETER NO. 16 (REMEDI) SET
17 FOLLEY CATHETER NO. 18 (AXIMED) SET
18 FOLLEY CATHETER NO. 18 (REMEDI) SET
19 HANDSCHOEN NON STERIL PIECES
20 HANDSCHOEN OBGYN STERIL (AMBUMAX) PASANG
21 HANDSCHOEN OBGYN STERIL (REMEDI) PASANG
22 HANDSCHOEN STERIL (EAST-WEST GROUP) PASANG
23 HANDSCHOEN STERIL (MEDIGRIP) PASANG
24 INFUSION SET ANAK SET
25 INFUSION SET DEWASA SET
26 IV CATHETER NO. 18 SET
27 IV CATHETER NO. 20 SET
28 IV CATHETER NO. 22 SET
29 IV CATHETER NO. 24 SET
30 IV CATHETER NO. 26 SET
31 KAPAS PEMBALUT 250 GRAM ROL
32 KASA HIDROFIL 36 M X 80 CM ROL
33 KASA HIDROFIL 20 YARD X 80 CM ROL
34 KASA HIDROFIL STERIL 16 X 16 (DRC) KOTAK
35 KASA HIDROFIL STERIL 16 X 16 (ECO-SNA) KOTAK
36 KASA PEMBALUT 2 M X 80 CM ROL
37 KASA PEMBALUT 3,6 M X 5 CM ROL
38 KASA PEMBALUT 3,6 M X 6 CM ROL
39 KASA PEMBALUT 3,6 M X 10 CM (DRC) ROL
40 KASA PEMBALUT 3,6 M X 10 CM (KASA 55) ROL
41 KASA PEMBALUT 4 M X 5 CM ROL
42 KASA PEMBALUT 4 M X 10 CM ROL
43 KASA PEMBALUT 4 M X 15 CM ROL
44 MASKER PIECES
45 PLESTER ROL
46 SILK SACHET (SINOPHARM) SACHET
47 TRANFUSI SET SET
48 URINE BAG (NOUSMED) SET
49 URINE BAG (ONEMED) SET

PROGRAM TUBERCULOSIS (TBC)


A OBAT-OBATAN
1 FDC KATEGORI ANAK PAKET
2 FDC KATEGORI I PAKET
3 FDC KATEGORI I DOSIS HARIAN PAKET
4 FDC KATEGORI II PAKET
5 ISONIAZID TABLET 100 MG TABLET
6 ISONIAZID TABLET 300 MG TABLET
7 OAT KOMBIPAK KATEGORI I PAKET
8 PIRIDOKSIN TABLET 25 MG (P) TABLET
B NON OBAT-OBATAN
1 KATRIDE PIECES
2 TUBERCULIN VIAL
PROGRAM KUSTA
1 LAMPRENE KAPSUL KAPSUL
2 MDT MB ANAK BLISTER
3 MDT MB DEWASA BLISTER
4 MDT PB ANAK BLISTER
5 MDT PB DEWASA BLISTER
6 RIFAMPICIN 300 MG KAPSUL
7 RIFAMPICIN 450 MG KAPSUL
8 RIFAMPICIN 600 MG KAPSUL

PROGRAM KECACINGAN/VILARIASIS
1 ALBENDAZOL TABLET TABLET

OBAT PROGRAM MALARIA


A OBAT-OBATAN
1 ARTESUN INJEKSI 60 MG AMPUL
2 DHP @9 TABLET TABLET
3 DOKSISIKLIN KAPSUL 100 MG KAPSUL
4 KINA INJEKSI 25% 2 ML AMPUL
5 KINA TABLET (QUININA) @60 TABLET TABLET
6 PRIMAQUIN @100 TABLET TABLET
B NON OBAT-OBATAN
1 RAPID DB VIRUTEC DENGUE COMBO PIECES
2 RAPID RDT COMBO MALARIA PIECES
3 RAPID SD BIOLINE DENGUE DUO KOTAK

PROGRAM HIV/AIDS
A OBAT-OBATAN
1 (LPV/r) 200/50 MG BOTOL
2 ABACAVIR 300 MG BOTOL
3 ABC (120)/ 3TC (60) BOTOL
4 BENZATIN PENICILLIN INJEKSI VIAL
5 EFAVIRENZ 600 MG BOTOL
6 LAMIVUDINE 150 MG BOTOL
7 LPV/r (40/10) BOTOL
8 NEVIRAPINE 200 MG BOTOL
9 TDF(300)/3TC(300)/DTG(50) BOTOL
10 TENOFOVIR (TDF) 300 MG BOTOL
11 TENOFOVIR 300 + LAMIVUDIN 300 + EFAVIRNA 600 (ATRIPLA BOTOL
DEWASA)
12 ZIDOVUDINE + LAMIVUDINE + NEVIRAPINE (ATRIPLA ANAK) BOTOL
13 ZIDOVUDINE 100 MG BOTOL
14 ZIDOVUDINE 300 MG + LAMIVUDINE 150 MG (DUVIRAL) BOTOL
B NON OBAT-OBATAN
1 KONDOM SUTRA PIECES
2 MASKER BEDAH PIECES
3 RAPID HBSAg PIECES
4 RAPID HIV 1/2 AB 3 LINE TEST PIECES
5 RAPID HIV DIAGNOSTAR PIECES
6 RAPID HIV FOKUS PIECES
7 RAPID HIV SD PIECES
8 RAPID INTEC PIECES
9 RAPID SIFILIS PIECES
10 RAPID VIRUTEC HIV PIECES
11 REAGEN HBIg PIECES
12 RPR ANTIGEN SIFILIS KOTAK

PROGRAM DIARE
1 GARAM ORALIT UNTUK 200 ML (P) SACHET
2 ZINK TABLET (P) TABLET

PROGRAM KESWA
1 AMITRIPTILIN TABLET TABLET
2 DIAZEPAM INJEKSI 5 MG/ML (KESWA) AMPUL
3 DIAZEPAM TABLET 5 MG (KESWA) TABLET
4 FLUFENAZIN INJEKSI 25 MG/ML AMPUL
5 HALOPERIDOL DEKANOAT INJEKSI 50 MG/ML AMPUL
6 HALOPERIDOL DEKANOAT INJEKSI 5 MG/ML AMPUL
7 HALOPERIDOL TABLET 5 MG TABLET
8 KLORPROMAZIN HCL TABLET 100 MG TABLET
9 KLOZAPIN TABLET 25 MG TABLET
10 RISPERIDON TABLET 2 MG TABLET
11 TRIFLUOPERAZIN TABLET 5 MG TABLET
12 TRIHEKSIFENIDIL TABLET 2 MG TABLET

OBAT PROGRAM GIZI


1 FERVITAL KAPSUL KAPSUL
2 IODIUM TEST BOTOL
3 MINERAL MIX SACHET
4 RETINOL KAPSUL 100.000 IU KAPSUL
5 RETINOL KAPSUL 200.000 IU KAPSUL
6 TABLET TAMBAH DARAH ( Fe ) TABLET

PROGRAM STUNTING
1 SAMCOVIT SIRUP (DANA GIZI) BOTOL
2 ZINK SIRUP (P) BOTOL

PROGRAM PONED & KIA


1 AMPICILLIN INJEKSI 1 G VIAL
2 CA GLUKONAS INJEKSI 100 MG/ML AMPUL
3 DIAZEPAM INJEKSI 5 MG/ML (KIA) AMPUL
4 FENOBARBITAL INJEKSI 50 MG/ML (KIA) AMPUL
5 FITOMENADION INJEKSI 2 MG/ML (VIT. K INFANT) AMPUL
6 GENTAMICIN INJEKSI AMPUL
7 LEVOTIROKSIN TABLET TABLET
8 METIL ERGOMETRIN MALEAT INJ AMPUL
9 METRONIDAZOL INFUS 5 MG/ML BOTOL
10 MgSO4 20 % INJEKSI 25 ML VIAL
11 MgSO4 40 % INJEKSI 25 ML VIAL
12 OXYTETRACYCLINE SALEP MATA 1% TUBE
13 OXYTOCIN INJEKSI AMPUL

TAMBAHAN
1 CDBS COLLECTION KIT TEST
2 RDT ANTI HCV TEST
3 RIFAMPICIN 75 MG / ISONIAZID 50 MG TABLET
4 RIFAPENTINE 300 MG / ISONIAZID 300 MG TABLET
5 CETIRIZINE TABLET TABLET
6 CETIRIZINE SIRUP BOTOL
7 CURCUMA FORCE TABLET TABLET
8 ANTASIDA SIRUP BOTOL
9 DOMPERIDON SIRUP BOTOL
10 ERITROMISIN SIRUP BOTOL
11 METFORMIN TABLET 850 MG TABLET
12 HANDSCHOEN OBGYN STERIL (TROGE) PASANG
13 PHARMAFIX - PLESTER WOUND DRESSING SIZE 10 CM X 500 CM PIECES
14 URINE BAG (TROGE) PIECES
15 STIMUNO STICK SACHET
16 HERBAKOF SIRUP BOTOL
17 HERBAKOF STICK SACHET
18 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 6,5 PASANG
19 HANDSCHOEN STERIL (MEDIC-DENT STERIL) NO. 7 PASANG
20 FOLLEY CATHETER NO. 14 (CHROMA) PIECES
21 FOLLEY CATHETER NO. 16 (CHROMA) PIECES
22 FOLLEY CATHETER NO. 18 (CHROMA) PIECES
23 PERMETRIN KRIM 30 GRAM TUBE
24 ALLOPURINOL TABLET 300 MG TABLET
25
PKD
IGD LAB PONED P2P GIGI
SESEPAN DANAWARIH KALIWUNGU CIBUNAR PAMIRITAN

3
17

10
5
1
6

18

141 15
9

105

28

3
6

17

33

2
5
4

6
5
1

10
RUANG JUMLAH
GUDANG
OBAT STOK
OBAT
-
1 1
3 3
-
80 80
75 75
-
32 32
140 140
300 300
-
-
-
28 28
730 12,100 12,885
15 15
300 300
15 15
-
30 30
114
600 600
-
460 6,400 6,930
-
159 100 259
-
3 3
24 24
-
-
-
4 12 16
300 300
400 400
-
-
100 100
10 10
10 13
17
-
-
-
-
10 20
-
4 4
37 37
-
-
50 50
100 700 800
186 200 386
-
-
-
14 14
8 8
100 100
5 5
-
43 150 193
1,300 1,300
30 34
19 19
59 100 159
10 10
200 200
-
42 47
15 16
-
-
90 90
49 200 249
-
-
160 160
8 40 48
-
4 4
90 100 190
2,000 2,000
-
100 100
-
-
35 48 83
-
-
-
-
1,200 1,000 2,333
15 240 255
-
100 100
10 16
140 500 640
-
-
-
-
-
200 800 1,000
270 270
250 250
200 200
-
4 4
-
200 200
28 72 100
-
277 277
-
500 500
74 92
-
80 200 280
200 200 ed sept
100 100
5 5
-
-
400 200 600
35 35
-
-
-
-
-
1,000 1,000
-
100 100
-
-
500 1,000 1,500
148 200 348
-
200 500 700
60 216
-
-
-
12 30 46
20 20
-
-
700 700
-
100 100
240 600 840
-
-
-
600 500 1,100
-
-
26
-
-
6 6
16 16
18 18
7 7
5 5
-
20 20
-
-
-
-
-
9
-
-
-
-
-
105
-
109 117
-
51 79
-
-
5
-
31 34
40 46
-
-
46 46
-
-
-
-
-
55 55
-
10 10
-
20 20
50 50
3 3
-
-
20 20
17 17
17
-
150 183
-
-
-
100 100
-
143 145
76 76
-
2
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,157 5,157
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20 20
-
-
-
-
-
-
-
-
-
-
140 140
-
-
-
-
-
- 450 100
- 3500
52,410 52,410
-
-
285 285
-
-
-
-
4 4
-
-
35 40
5 9
-
27 33
-
38 43
39 40
-
40 50
-
-
-
-
-
-
200 200
-
-
24 24
8 8
-
-
-
-
-
360 360
-
-
-
-
-
-
-
-
150 150
-

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