KEPOLISIAN NEGARA REPUBLIK INDONESIA

DAERAH BALI
RUMAH SAKIT BHAYANGKARA DENPASAR

LAPORAN BULANAN
OBAT UMUM BULAN OKTOBER TAHUN 2022

NO NAMA OBAT SATUAN SISA TERIMA RETUR KELUAR SISA HARGA KET
AWAL AKHIR
1 ABOCATH 14 TERUMO PCS 105 0 0 0 105 6,156
2 ABOCATH 16 TERUMO PCS 47 0 0 3 44 17,982
3 ABOCATH NO 18 BUAH 18 0 0 0 18 29,970
4 ABOCATH NO 20 BUAH 48 0 0 4 44 29,970
5 ABOCATH NO 22 BUAH 23 2 0 3 22 29,970
6 ABOCATH NO 24 BUAH 9 0 1 2 8 29,970
7 ACETIN 600 EFF TABLET 170 10 0 50 130 10,306
8 ALCO DROP BOTOL 0 6 0 0 6 94,905
9 AMOXAN 500 MG CAPSUL 162 0 10 90 82 3,663
10 AMOXAN SYR BOTOL 3 0 0 3 0 25,641
11 ANALTRAM TABLET TABLET 340 0 80 220 200 9,990
12 ANSEL GAMEX NO 8 PCS 64 0 0 50 14 22,200
13 ANTIS 60 ML BOTOL 6 0 0 0 6 10,982
14 APETIC DROP BOTOL 6 6 0 4 8 27,750
15 APETIC SYR BOTOL 5 0 0 1 4 30,525
16 APIALYS DROP BOTOL 14 0 0 12 2 47,175
17 APIALYS SYR 100 ML BOTOL 6 0 0 3 3 38,850
18 AQUACEL AG+ 10 X 10 PCS 10 0 0 3 7 169,955
19 ARCOXIA 60 MG TABLET 123 0 0 45 78 16,084
20 ARCOXIA 90 MG TABLET 173 7 37 132 85 17,864
21 ARDIUM 500 MG TABLET 207 0 0 25 182 8,547
22 ARM SLING S BUAH 3 0 0 0 3 83,250
23 ASIFIT TABLET 80 0 15 30 65 2,172
24 AUROLENS 18.0 PCS 1 0 0 0 1 105,450
25 AUROLENS P 17.0 PCS 1 0 0 0 1 105,450
26 AUROLENS P 20.0 PCS 1 0 0 0 1 105,450
27 AUROVISC PCS 5 0 0 0 5 129,971
28 AVAXIM 160 INJ SYRINGE 23 0 0 1 22 380,769
29 BAQUINOR FORTE TABLET 23 0 10 10 23 15,063
30 BAQUINOR INFUS FLES 16 0 0 0 16 257,298
31 BECOM - C TABLET 113 1 00 20 153 80 1,748
32 BECOM Z TABLET 276 0 60 270 66 2,331
33 BETADINE KUMUR 190 ML BOTOL 4 11 3 12 6 31,648
34 BETADINE VAGINAL DOUCHE 100 ML BOTOL 3 0 0 0 3 98,790
35 BICROLID TABLET TABLET 8 0 0 0 8 11,516
36 BIOSANBE KIDS SYRUP BOTOL 4 0 0 0 4 39,960
37 BLEDSTOP INJ BLU AMPUL 40 0 0 0 40 8,170
38 BMT PLATINUM 400 GRAM KALENG 1 0 0 0 1 139,194
39 BOVIE BUAH 9 0 0 6 3 349,711
40 BREATHY TETES HIDUNG BOTOL 6 0 0 4 2 37,463
41 BUFACOMB CREAM TUBE 6 1 0 2 5 22,755
42 BUFECT SYR BOTOL 2 0 0 1 1 16,650
43 CAL-95 TABLET 166 3 00 0 225 241 6,105
44 CALCIDIN BLUTABLET TABLET 60 0 0 20 40 999
45 CALOMA PLUS TABLET 333 0 0 0 333 2,900
46 CARMED 20 % TUBE 5 0 0 0 5 41,403
47 CEBACTAM INJ VIAL 7 0 0 0 7 207,570
48 CEFAT 500 MG TABLET 100 0 0 30 70 11,544
49 CEFAT F SYR BOTOL 2 0 0 0 2 82,251
50 CEFXON INJ VIAL 15 44 2 49 12 249,750
51 CELEBREX 200 MG CAPSUL 154 20 40 210 4 16,561
52 CERINI TABLET 33 1 75 10 48 170 3,885
53 CERNIVIT INJ VIAL 12 20 0 6 26 277,500
54 CHANNA PLUS SACHET 6 0 0 0 6 56,388
55 CICA CARE 12X6CM LEMBAR 4 0 0 0 4 278,014
56 CINOLON N CREAM TUBE 3 2 0 2 3 13,653
57 CLANEKSI 500 MG TABLET 65 90 0 0 155 13,764
58 CODIPRONT SYR BOTOL 4 0 0 4 0 56,777
59 COLERGIS SYR BOTOL 6 0 0 0 6 51,060
60 CORTIDEX TABLET 9 1 00 10 39 80 333
61 CRUCTH TONGKAT PASANG 1 0 0 0 1 149,850
62 CYMBALTA 60 MG TABLET 42 56 0 70 28 23,079
63 CYPRODIOL TAB PCS 10 0 0 0 10 6,660
64 DAILY OA KNEE BRACE RT XL BUAH 0 3 0 0 3 4,025,970
65 DC-2 TABLET 84 0 0 0 84 8,325
66 DEHYDRALITE BOTOL 4 0 1 1 4 16,317
67 DELTA DRY 10 CM ROLL 2 0 0 0 2 113,937
68 DELTA DRY 7,5 CMX3,6M ROLL 3 0 0 0 3 95,005
69 DELTA LITE CONFORMABLE 10 CMX3.6M (ROLL
4 INCI ) 2 0 0 0 2 211,746
70 DELTA LITE CONFORMABLE 12,5 CM X 3,6M
ROLL
( 5 INCI ) 4 0 0 2 2 243,097
71 DERMATIX ULTRA 15 GRAM TUBE 3 0 0 0 3 240,426
72 DESOLEX CREAM TUBE 6 0 0 6 0 27,750
73 DESREM INJEKSI VIAL 27 0 0 27 0 263,070
74 DIVITI SYRINGE 5 0 0 0 5 327,450
75 DOLONES CREAM TUBE 3 0 0 2 1 56,888
76 DUODERM EXTRATHIN PCS 1 0 0 0 1 51,189
77 DYNACAST PRELUDE 10 CM (Satuan) CM 290 0 65 231 124 4,875
78 ELECTROSTATIC BACTERIAL FILTER VT150PCS 5 0 0 0 5 49,950
79 ENEMA SET BLU PCS 4 0 0 0 4 25,227
80 EPEXOL 30 MG TABLET 32 1 00 15 40 107 944
81 EPEXOL SYR BOTOL 9 0 0 1 8 19,703
82 EPISAN SUS BOTOL 5 0 0 0 5 55,611
83 ERYSANBE SYR BOTOL 4 0 0 0 4 25,253
84 ESOMAX VIAL 0 5 0 0 5 194,250
85 ESTASOR TABLET 40 0 0 0 40 9,990
86 EXFORGE FCT 160/10 MG TABLET 44 0 0 0 44 14,382
87 FAKTU OINTMENT TUBE 0 3 0 0 3 107,040
88 FAKTU SUPP TUBE 54 0 0 7 47 16,317
89 FENOFLEX 160 MG TABLET 60 0 0 0 60 9,990
90 FERRO K DROP BOTOL 3 10 0 9 4 29,970
91 FLAMAR TABLET 279 11 0 40 250 2,054
92 FLAMAR GEL TUBE 9 0 0 3 6 18,648
93 FOLAVIT 400MG TABLET 70 0 0 0 70 1,021
94 FORXIGA 10 MG TABLET 0 84 0 45 39 21,682
95 GABAXA INFUS UMUM FLES 4 0 0 4 0 235,875
96 GARDASIL INJEKSI AMPUL 1 0 0 0 1 954,086
97 GENU UGAFLEX ROM T-2 PCS 2 0 0 0 2 2,997,000
98 GLAUSETA TABLET 75 0 0 2 73 3,716
99 GLUCOPHAGE XR 750 MG TABLET 100 2 40 0 30 310 2,993
## GOLDSURE 400 KALENG 1 0 0 0 1 124,875
## HAVRIX 720 JUNIOR VIAL 10 0 0 1 9 308,580
## HEPA MERZ GRANULE BOX 10 0 0 0 10 39,438
## HIBONE 300 MG KAPLET 170 0 0 30 140 4,440
## HIBONE 600 KAPLET 17 0 0 0 17 5,550
## HI-D 5000 TABLET 123 0 0 123 0 3,663
## HISTAPAN UMUM TABLET 80 0 0 0 80 744
## HORVITA G TABLET 100 1 00 0 70 130 968
## HP PRO CAPSUL 122 0 0 0 122 7,122
## IMBOOST FORCE TABLET 1 60 0 1 60 5,702
## INFANRIX HEXA INJ VIAL 6 0 0 2 4 696,858
## INFUSAN NS FLES 0 1 0 1 0 21,312
## INFUSAN NS 100 ML FLES 0 3 0 3 0 17,150
## INTRIZIN SYR BOTOL 3 0 0 0 3 73,260
## INVITEC 200 MG TABLET 40 0 0 0 40 12,580
## ISPRINOL TABLET TABLET 32 0 0 0 32 9,366
## JANUVIA 100 MG TABLET 20 0 0 0 20 16,245
## JARDIANCE 10 MG TABLET 50 0 0 0 50 20,425
## KALITAKE POWDER PCS 32 0 4 14 22 17,483
## KENALOG IN ORABASE TUBE 3 0 0 1 2 66,600
## KEREN INJ AMPUL 15 0 0 0 15 48,840
## KEREN TABLET TABLET 10 1 15 25 135 15 6,643
## KETOMED BOTOL 2 0 0 0 2 44,511
## KETOSTERIL TABLET TABLET 286 1 00 0 190 196 8,125
## KUNCI EMERGENCY PCS 100 0 0 30 70 3,774
## LACIDOFIL CAP CAPSUL 50 0 0 10 40 5,550
## LACTOGEN 1 180 GRAM KOTAK 2 0 0 2 0 29,006
## LACTOGEN PREMATURE 400 GRAM KALENG 1 0 0 0 1 83,657
## LACTOGROW 3 BUAH 0 2 0 2 0 54,917
## LAMESON TABLET TABLET 100 2 04 45 189 160 4,163
## LANAKELOID CREAM TUBE 0 2 0 0 2 142,080
## LANOS DROP BOTOL 3 6 0 9 0 44,400
## LAPRAZ TABLET 66 0 0 50 16 13,625
## LASAL EXP SYR BOTOL 3 0 0 3 0 44,400
## LASALCOM TUBE 112 0 0 0 112 12,210
## LAVIT C INJ 500 MG AMPUL 4 0 0 2 2 23,310
## LAVIT C INJEKSI 1000 MG AMPUL 11 6 3 13 7 33,300
## LAXSANBE KAPSUL PCS 200 0 0 0 200 1,221
## L-BIO ZAK 2 0 0 0 2 7,770
## LEVOCIN 500 MG TABLET 24 90 0 16 98 40,959
## LIGAFLEX CLASSIC OPEN PCS 1 0 0 0 1 649,350
## LIGAFLEX POST OP OPEN PCS 1 0 0 0 1 1,798,200
## LIPITOR 10 MG TABLET 150 0 0 10 140 21,112
## LIPITOR 20 MG TABLET 62 90 60 90 122 21,950
## LOPROLOL 100 MG TABLET 0 2 00 0 0 200 4,029
## MALLEO DYNASTAB BOA PCS 1 2 0 1 2 999,000
## MAXIFLO MASKER O2 ANAK BUAH 24 0 0 0 24 14,127
## MAXIFLON 400 MG TAB PCS 14 0 0 0 14 53,280
## MEFINAL 500 MG TABLET 70 2 00 10 115 165 1,526
## MEGABAL TABLET 46 0 30 70 6 1,887
## MENIVAX INJEKSI VIAL 0 40 5 39 6 136,227
## METHYCOBAL INJ AMPUL 17 20 0 9 28 36,214
## MICROGEST 100 MG KAPS 161 15 12 63 125 13,320
## MMR II AMPUL 0 3 0 0 3 389,281
## MONOCYN 0 BUAH 16 0 0 0 16 133,533
## MONOSYN 6/0 PCS 3 0 0 0 3 147,184
## NAN PH PRO 1 400 GRAM KALENG 2 0 0 0 2 174,632
## NEBILET 5 MG TABLET 56 0 0 0 56 7,761
## NEUROAID CAPSUL 60 1 20 0 60 120 53,520
## NEUROBION 1000 MG TABLET 85 0 0 10 75 1,874
## NEUROBION 5000 INJ AMPUL 28 20 7 25 30 13,886
## NEUROBION 5000MG TABLET 31 1 00 10 20 121 3,487
## NEUROSANBE BLU TABLET 60 0 0 0 60 1,360
## NORPHAGEN INJ PCS 20 20 2 8 34 94,905
## NORVASK 10 MG PCS 90 0 10 70 30 16,040
## NORVASK 5 MG TABLET 60 0 0 0 60 8,950
## NUCIDE SALEP DUS 1 0 0 0 1 54,834
## NUPESON KRIM TUBE 2 0 0 0 2 23,199
## NUTRIBABY ROYAL PEPTI KALENG 1 0 0 0 1 242,938
## OPICEF CAPSUL 115 0 0 10 105 11,100
## OPIVASK 10 MG TABLET 60 0 0 60 0 11,100
## OPSITE 15.5 X 8.5 CM BLU LEMBAR 12 0 0 1 11 25,530
## OPSITE 6.5 X 5 CM BLU LEMBAR 35 0 0 0 35 9,990
## ORTEL C2 PCS 0 2 0 0 2 549,450
## OSCAL 0.25 MG BLU TABLET 175 3 30 30 250 285 7,399
## OSFIT TABLET 33 1 60 0 73 120 2,035
## OSTELOX 15 MG TABLET 50 0 0 0 50 10,179
## OSTEOCARE TAB TABLET 60 0 0 0 60 4,623
## OSTEOSAN 1000 PCS 145 0 0 95 50 3,108
## OXYFLO NASAL CANUL O2 DEWASA UMUM BUAH 0 3 1 4 0 25,530
## PANTOPRAZOLE DRAY INJ 40 MG VIAL 7 21 2 22 8 37,740
## PANTOZOL TAB TABLET 60 35 0 86 9 16,491
## PD SIVE 10 CMX4MM PCS 7 0 1 1 7 43,235
## PDS II POLYDIOXANONE W9734T PCS 21 0 0 2 19 191,101
## PEDIASURE COMPLETE VANILLA 400 GR K ALENG 3 0 0 0 3 162,918
## PERIUK BUAH 35 0 2 12 25 9,990
## PISAU CUKUR BUAH 22 12 2 23 13 11,655
## PLAVIX 75 MG TAB 84 0 0 0 84 29,402
## PP TEST BLU BUAH 6 0 0 6 0 1,532
## PREDNICORT TABLET 6 0 0 0 6 3,330
## PREGEX 150 MG TABLET 38 0 36 74 0 6,075
## PRENAGEN EMESIS VAN 200 GRAM KOTAK 3 0 0 0 3 38,913
## PREVENAR INJ VIAL 15 0 0 8 7 718,533
## PRIMOLUT N TABLET 30 90 0 24 96 6,158
## PROBIOKID BLU SACH 21 40 0 30 31 15,596
## PROLENE 2/0 BUAH 1 0 0 0 1 110,704
## PROLENE 4/0 BUAH 4 0 0 0 4 101,121
## PROLENE 6/0 BUAH 0 5 0 0 5 104,729
## PROLENE MESH PMII PCS 1 0 0 0 1 333,087
## PROLENE MESH PMSK BUAH 1 0 0 0 1 698,301
## PROMAVIT TABLET 85 6 00 100 485 300 3,663
## PROMEDEX TAB TABLET 60 0 0 40 20 2,165
## PROSPAN SYRUP 100 ML BOTOL 7 0 1 3 5 75,147
## PUMPICELL VIAL 20 11 11 37 5 168,443
## PUMPITOR CAPSUL 70 0 0 20 50 15,401
## PURICEMIA 300 MG TABLET 80 0 0 0 80 3,053
## Q-FIT BACK ARMOUR L BUAH 1 0 0 0 1 3,463,200
## QUETIAPINE XR 200 TABLET 133 0 0 0 133 13,522
## RANIVEL SIRUP BOTOL 2 3 0 2 3 59,940
## RATIVOL INJ AMPUL 16 0 5 13 8 41,625
## RATIVOL TABLET TABLET 100 0 0 0 100 6,383
## REBOZET FCT TABLET 0 70 0 70 0 228,735
## REMABREX 100 MG TABLET 80 0 0 25 55 6,475
## RESFAR 25 ML FLES 10 47 10 52 15 182,234
## RHINOS SR TABLET 63 3 50 50 296 167 7,160
## ROTATEQ VIAL 4 20 0 7 17 272,387
## SAGESTAM CREAM TUBE 2 0 0 2 0 13,986
## SANADRYL DMP SYR BOTOL 10 0 0 2 8 14,430
## SANADRYL SYR BOTOL 7 0 0 5 2 11,877
## SANBE HEST 200 FLES 9 0 0 2 7 223,943
## SANBEHEST 130 FLES 0 1 1 2 0 205,794
## SANEXON 8 MG TABLET TABLET 3 2 10 0 18 195 3,913
## SANMAG TABLET 90 0 20 100 10 898
## SANMAG SYR BOTOL 7 0 0 1 6 28,444
## SANMOL 500 mg ( BLU) TABLET 181 2 00 12 148 245 403
## SANMOL DROP BOTOL 5 10 1 4 12 18,426
## SANMOL FORTE TABLET 96 2 00 32 138 190 471
## SANMOL INF FLES 7 0 0 7 0 67,821
## SANMOL SYR BOTOL 15 0 0 3 12 16,095
## SANOSKIN MELLADERM PLUS TUBE 0 5 0 3 2 232,545
## SANTAGESIK INJ PCS 5 0 0 0 5 10,334
## SANTRAMOL TAB PCS 83 44 10 115 22 8,880
## SANYO MATERNITY BUAH 25 0 2 14 13 22,644
## SEDACUM 5 MG INJ AMPUL 20 0 0 0 20 27,750
## SGM ANANDA 150 G KOTAK 5 0 0 0 5 14,179
## SGM ANANDA GAIN 100 400GR BOX 1 0 0 1 0 67,794
## SGM BBLR 400 G KOTAK 1 0 0 0 1 74,578
## SILISTAB GENU T2 PCS 1 0 0 0 1 1,190,475
## SPECIALIST STOCKINET METER 1 0 0 0 1 16,626
## SPORETIK 100 MG TABLET 86 5 0 58 33 22,478
## SPORETIK 200 MG TABLET 45 1 20 14 88 91 32,468
## SPUIT 1 CC BLU BUAH 178 6 0 5 179 7,881
## SPUIT 10 CC BLU BUAH 3 1 29 5 12 125 8,880
## SPUIT 3 CC BLU BUAH 143 0 6 31 118 5,772
## SPUIT 5 CC BLU BUAH 51 0 4 44 11 6,993
## STARXON INJ VIAL 43 0 9 25 27 276,945
## STERISTRIP PCS 48 0 0 0 48 15,203
## STRIATAMIN CAP TABLET 42 3 91 0 207 226 3,968
## STUDEX GIWANG EMAS PASANG 16 0 0 2 14 49,950
## TAXEGRAM INJ VIAL 26 0 0 0 26 162,338
## TENSOCREPE 10 CM ROLL 15 0 1 2 14 73,475
## TENSOCREPE 15 CM ROLL 23 1 0 0 24 105,793
## TENSOCREPE 7,5 CM ROLL 29 0 0 0 29 58,413
## TENSOPLAST STK 14000 CHILD 2 " ROLL 2 2 0 1 3 208,682
## TENSOPLAST STK 14001 ADULT 3" ROLL 0 2 1 3 0 245,394
## TERFACEF INJEKSI VIAL 7 56 9 67 5 240,038
## TETAGAM INJ BLU AMPUL 1 0 1 2 0 199,800
## THEOBRON TABLET TABLET 70 7 13 90 0 2,720
## THUASNE LOMBASTAB DORSO T1 PCS 1 0 0 0 1 3,196,800
## TIRIS DROP BOTOL 5 0 0 3 2 77,700
## TONICARD KAPSUL LUNAK CAPSUL 169 0 5 15 159 18,315
## TREMENZA TABLET 170 2 00 42 360 52 1,665
## TRICHODAZOL 500 MG PCS 66 0 10 10 66 1,843
## TRICODASOLE INFUS FLES 5 0 0 0 5 99,123
## TROMBO ASPILET TABLET 220 0 0 40 180 913
## TROVENSIS 4MG TAB PCS 30 0 0 0 30 13,875
## TROVENSIS 8 MG TAB TABLET 5 30 0 15 20 19,592
## TROVENSIS INJ AMPUL 10 3 2 11 4 78,200
## TUZALOS TABLET 86 0 0 26 60 1,108
## TYPHIM VI 0,5 ML T INJEKSI VIAL 1 0 0 0 1 221,861
## ULTRAVITA BLU TABLET 0 2 20 0 60 160 2,664
## VAKSIN HEPATITIS B VIAL 6 20 1 8 19 61,538
## VARIFAX PCS 0 3 0 3 0 568,110
## VASCON INJ AMPUL 0 0 9 9 0 105,450
## VAXIGRIP TETRA SH BOX 23 0 0 10 13 221,445
## VENODENOL INJ AMPUL 22 0 0 4 18 158,175
## VICRYL 3/0 W.9120 BUAH 3 0 0 0 3 109,890
## VICRYL 5/0 BUAH 3 0 0 0 3 107,670
## VICRYL 0 W 9138 BUAH 6 0 0 0 6 94,805
## VICRYL 1./0 W 9431 BUAH 5 0 0 0 5 123,099
## VICRYL 2/0 W 9121 BUAH 5 0 0 0 5 109,890
## VICRYL 3/0 W9511T BUAH 8 0 0 8 0 114,608
## VICRYL 4/0 W9113 BUAH 0 5 0 0 5 103,147
## VIPALBUMIN TABLET 37 1 20 0 57 100 6,289
## VIPALBUMIN PLUS SACH 28 90 12 129 1 62,899
## VITAFOL TABLET 100 0 30 85 45 2,775
## WALKER STANDARD L PB1321 PCS 1 1 0 1 1 5,094,900
## WING NEEDLE NO 25 TERUMO BUAH 4 0 0 0 4 14,652
## WRAP AROUND HINGED KNEE SUPPORT PCS 0 1 0 0 1 2,738,370
## XARELTO 15 MG TABLET 39 0 0 35 4 36,827
## XIGDUO XR 10/1000 MG TABLET 28 56 0 56 28 22,973
## ZAMEL DROP BOTOL 0 10 0 8 2 39,461
## ZAMEL SYRUP BOTOL 5 0 0 1 4 37,463
## ZEGAVIT TABLET 78 0 20 98 0 4,995
## ZITROLIN TABLET 1 0 0 0 1 38,850
## ZYCIN TABLET 19 30 3 22 30 54,945
## ZYPREXA IM 10 MG VIAL 5 0 0 0 5 197,580