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153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBULIZER 2,5 MG/2,5 ML NACL

KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 84
2 102 IV CATHETER 24 G SET 36
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 44
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 717
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 117
15 120 METHAMPIRON TAB 500 MG TABLET 551
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 278
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 380
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 339
27 159 AMLODIPIN TAB 5 MG TABLET 40
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 112
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 97
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 39
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 233
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 111
42 404 DEKSAMETASON TAB 0,5 MG TABLET 226
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 7
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 19
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 55
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET -3
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 30
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 448
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 260
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 10
78 904 INFUS SET DEWASA SET/KANTONG 44
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 35
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 90
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 70
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 425
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 10
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 160
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL -3
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 252
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 104
113 1307 METOKLOPRAMID 10 MG TABLET 359
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 28
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 20
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 90
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 85
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 34
126 1430 KAOTIN SYRUP BOTOL 4
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 292
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 7
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 50
133 1604 PARASETAMOL SYR BOTOL 60 ML 35
134 1605 PARASETAMOL 100MG TABLET 0
135 1606 PARASETAMOL TAB 500 MG TABLET 630
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 148
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 252
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 348
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 0
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 260
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 219
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 126
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 80
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
84 3 81
36 1 35
2 2
7 7
0 0
0 0
0 0
0 0
115 115
44 44
28 28
717 18 699
24 24
117 8 109
551 3 548
278 17 261
49 49
0 0
0 0
0 0
0 0
380 12 368
43 43
9 9
9 9
339 11 328
40 40
0 0
112 1 111
0 0
97 1 96
273 273
39 10 29
5 5
22 22
8 8
0 0
0 0
233 233
166 166
111 111
226 226
7 7
0 0
19 19
0 0
55 55
0 0
-3 8 93
4 4
0 0
0 0
96 96
0 0
5 5
5 5
30 30
8 8
448 2 446
0 0
3 3
9 9
364 364
145 145
0 0
2 2
123 123
0 0
38 38
1 1
0 0
0 0
260 3 257
0 0
39 39
0 0
10 1 9
44 3 41
0 0
35 35
0 0
288 288
0 0
90 3 87
0 0
70 70
0 0
425 425
1 1
14 14
3 3
0 0
125 125
10 2 13
160 160
0 0
0 0
0 0
0 0
0 0
17 17
-3 3 -6
0 0
0 0
0 0
0 0
46 46
0 0
252 1 251
243 243
0 0
104 14 90
359 8 351
5 5
28 3 25
0 0
20 20
0 0
281 281
90 90
11 11
85 85
100 100
0 0
34 34
4 4
292 8 284
0 0
0 0
7 7
0 0
50 50
35 1 34
0 4 -4
630 630
282 282
0 0
0 0
14 14
148 148
4 4
1 1
252 11 241
348 10 338
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
0 0
260 260
0 0
219 219
32 32
0 0
0 0
126 126
19 19
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
80 80
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 81
2 102 IV CATHETER 24 G SET 35
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 44
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 699
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 109
15 120 METHAMPIRON TAB 500 MG TABLET 548
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 261
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 368
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 328
27 159 AMLODIPIN TAB 5 MG TABLET 40
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 111
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 96
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 29
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 233
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 111
42 404 DEKSAMETASON TAB 0,5 MG TABLET 226
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 7
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 19
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 55
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 93
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 30
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 446
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 257
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 9
78 904 INFUS SET DEWASA SET/KANTONG 41
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 35
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 87
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 70
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 425
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 13
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 160
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL -6
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 251
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 90
113 1307 METOKLOPRAMID 10 MG TABLET 351
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 25
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 20
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 90
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 85
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 34
126 1430 KAOTIN SYRUP BOTOL 4
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 284
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 7
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 50
133 1604 PARASETAMOL SYR BOTOL 60 ML 34
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 630
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 148
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 241
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 338
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 0
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 260
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 219
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 126
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 80
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
81 3 78
35 1 34
2 2
7 7
0 0
0 0
0 0
0 0
115 115
44 44
28 28
699 18 681
24 24
109 8 101
548 3 545
261 17 244
49 49
0 0
0 0
0 0
0 0
368 12 356
43 43
9 9
9 9
328 11 317
40 40
0 0
111 111
0 0
96 1 95
273 273
29 10 19
5 5
22 22
8 8
0 0
0 0
233 233
166 166
111 111
226 226
7 7
0 0
19 19
0 0
55 55
0 0
93 8 85
4 4
0 0
0 0
96 96
0 0
5 5
5 5
30 30
8 8
446 2 444
0 0
3 3
9 9
364 364
145 145
0 0
2 2
123 123
0 0
38 38
1 1
0 0
0 0
257 3 254
0 0
39 39
0 0
9 1 8
41 3 38
0 0
35 35
0 0
288 288
0 0
87 3 84
0 0
70 70
0 0
425 425
1 1
14 14
3 3
0 0
125 125
13 2 11
160 160
0 0
0 0
0 0
0 0
0 0
17 17
-6 2 -8
0 0
0 0
0 0
0 0
46 46
0 0
251 251
243 243
0 0
90 19 71
351 16 335
5 5
25 3 22
0 0
20 20
0 0
281 281
90 90
11 11
85 4 81
100 100
0 0
34 34
4 4
284 284
0 34 -34
0 0
7 7
0 0
50 50
34 34
-4 -4
630 630
282 282
0 0
0 0
14 14
148 148
4 4
1 1
241 3 238
338 10 328
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
0 0
260 260
0 0
219 219
32 32
0 0
0 0
126 126
19 19
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
80 80
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 78
2 102 IV CATHETER 24 G SET 34
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 44
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 681
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 101
15 120 METHAMPIRON TAB 500 MG TABLET 545
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 244
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 356
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 317
27 159 AMLODIPIN TAB 5 MG TABLET 40
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 111 30
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 95
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 233
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 111
42 404 DEKSAMETASON TAB 0,5 MG TABLET 226
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 7
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 19
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 55
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 85
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 30
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 444
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 2
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 254
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 38
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 35
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 84
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 70
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 425
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 160
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL -8
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 251
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 71
113 1307 METOKLOPRAMID 10 MG TABLET 335
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 20
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 90
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 81
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 34
126 1430 KAOTIN SYRUP BOTOL 4
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 284
128 1465 PARASETAMOL DROP BOTOL -34
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 7
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 50
133 1604 PARASETAMOL SYR BOTOL 60 ML 34
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 630
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 148
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 238
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 328
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 0
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 260
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 219
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 126
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
78 3 75
34 34
2 2
7 7
0 0
0 0
0 0
0 0
115 115
44 44
28 28
681 8 673
24 24
101 101
545 2 543
244 4 240
49 49
0 0
0 0
0 0
0 0
356 19 337
43 43
9 9
9 9
317 11 306
40 40
0 0
141 141
0 0
95 95
273 273
19 19
5 5
22 1 21
8 8
0 0
0 0
233 18 215
166 166
111 111
226 226
7 7
0 0
19 19
0 0
55 55
0 0
85 85
4 4
0 0
0 0
96 96
0 0
5 5
5 5
30 30
8 8
444 6 438
0 0
3 3
9 9
364 364
145 145
0 0
2 1 1
123 123
0 0
38 38
1 1
0 0
0 0
254 5 249
0 0
39 39
0 0
8 8
38 2 36
0 0
35 35
0 0
288 6 282
0 0
84 3 81
0 0
70 8 62
0 0
425 24 401
1 1
14 14
5 5
0 0
125 125
11 1 10
160 160
0 0
0 0
0 0
0 0
0 0
17 17
-8 9 -17
0 0
0 0
0 0
0 0
46 46
0 0
251 251
243 243
0 0
71 6 65
335 2 333
5 5
22 22
0 0
20 6 14
0 0
281 281
90 90
11 11
81 81
100 100
0 0
34 34
4 4
284 284
-34 -34
0 0
7 1 6
0 0
50 50
34 34
-4 -4
630 22 608
282 282
0 0
0 0
14 14
148 148
4 4
1 1
238 9 229
328 15 313
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
0 0
260 260
0 0
219 219
32 32
0 0
0 0
126 126
19 19
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 267
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 75
2 102 IV CATHETER 24 G SET 34
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 44
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 673
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 101
15 120 METHAMPIRON TAB 500 MG TABLET 543
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 240
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 337
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 306
27 159 AMLODIPIN TAB 5 MG TABLET 40
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 95
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 21
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 215
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 111
42 404 DEKSAMETASON TAB 0,5 MG TABLET 226
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 7
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 19
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 55
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 85
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 30
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 438
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 1
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 36
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 35
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 81
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 62
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 401
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 10
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 160
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL -17
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 251
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 65
113 1307 METOKLOPRAMID 10 MG TABLET 333
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 90
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 81
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 34
126 1430 KAOTIN SYRUP BOTOL 4
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 284
128 1465 PARASETAMOL DROP BOTOL -34
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 50
133 1604 PARASETAMOL SYR BOTOL 60 ML 34
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 608
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 148
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 229
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 313
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 0
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 260
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 219
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 126
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 267
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
75 3 72
34 1 33
2 2
7 7
0 0
0 0
0 0
0 0
115 115
44 44
28 28
673 673
24 24
101 4 97
543 543
240 8 232
49 49
0 0
0 0
0 0
0 0
337 337
43 43
9 9
9 9
306 3 303
40 40
0 0
141 141
0 0
95 95
273 273
19 19
5 5
21 21
8 8
0 0
0 0
215 215
166 166
111 111
226 226
7 7
0 0
19 19
0 0
55 1 54
0 0
85 85
4 4
0 0
0 0
96 96
0 0
5 5
5 5
30 1 29
8 8
438 12 426
0 0
3 3
9 9
364 364
145 145
0 0
1 1
123 123
0 0
38 38
1 1
0 0
0 0
249 249
0 0
39 39
0 0
8 8
36 3 33
0 0
35 3 32
0 0
282 282
0 0
81 3 78
0 0
62 4 58
0 0
401 24 377
1 1
14 14
5 5
0 0
125 125
10 4 6
160 160
0 0
0 0
0 0
0 0
0 0
17 17
-17 2 -19
0 0
0 0
0 0
0 0
46 46
0 0
251 3 248
243 243
0 0
65 22 43
333 16 317
5 5
22 22
0 0
14 14
0 0
281 281
90 90
11 11
81 81
100 100
0 0
34 1 33
4 4
284 284
-34 11 -45
0 0
6 6
0 0
50 50
34 34
-4 -4
608 608
282 282
0 0
0 0
14 14
148 8 140
4 4
1 1
229 9 220
313 8 305
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
0 0
260 260
0 0
219 219
32 32
0 0
0 0
126 126
19 19
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
267 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 72
2 102 IV CATHETER 24 G SET 33
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 44
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 673
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 97
15 120 METHAMPIRON TAB 500 MG TABLET 543
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 232
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 337
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 303
27 159 AMLODIPIN TAB 5 MG TABLET 40
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 95
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 21
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 215
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 111
42 404 DEKSAMETASON TAB 0,5 MG TABLET 226
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 19
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 54
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 85
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 29
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 426
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 1
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 33
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 32
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 78
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 58
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 377
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 6
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 160
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL -19
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 248
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 43
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 90
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 81
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 33
126 1430 KAOTIN SYRUP BOTOL 0
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 284
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 50
133 1604 PARASETAMOL SYR BOTOL 60 ML 34
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 608
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 140
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 220
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 305
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 0
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 260
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 219
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 126
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
72 72
33 33
2 2
7 7
0 0
0 0
0 0
0 0
115 115
44 44
28 28
673 10 663
24 0 24
97 97
543 543
232 11 221
49 49
0 0
0 0
0 0
0 0
337 337
43 43
9 9
9 9
303 10 293
40 2 38
0 0
141 141
0 0
95 95
273 273
19 19
5 5
21 21
8 8
0 0
0 0
215 215
166 166
111 111
226 3 223
5 5
0 0
19 19
0 0
54 3 51
0 0
85 85
4 4
0 0
0 0
96 96
0 0
5 5
5 5
29 3 26
8 8
426 18 408
0 0
3 3
9 9
364 364
145 145
0 0
1 1
123 123
0 0
38 38
1 1
0 0
0 0
249 249
0 0
39 39
0 0
8 8
33 33
0 0
32 5 27
0 0
282 282
0 0
78 8 70
0 0
58 58
0 0
377 48 329
1 1
14 14
5 5
0 0
125 125
6 6
160 6 154
0 0
0 0
0 0
0 0
0 0
17 17
-19 1 115
0 0
0 0
0 0
0 0
46 46
0 0
248 6 242
243 243
0 0
43 8 35
317 317
5 5
22 22
0 0
14 14
0 0
281 281
90 90
11 11
81 81
100 100
0 0
33 1 32
0 1 -1
284 284
-45 -45
0 0
6 6
0 0
50 50
34 1 33
-4 -4
608 32 576
282 282
0 0
0 0
14 14
140 140
4 4
1 1
220 4 216
305 3 302
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
0 0
260 10 250
0 0
219 8 211
32 32
0 0
0 0
126 8 118
19 19
37 37
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 72
2 102 IV CATHETER 24 G SET 33
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 44 100
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 663
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 97
15 120 METHAMPIRON TAB 500 MG TABLET 543
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 221
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 337 300
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 293 300
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 95
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 21
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 215 200
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 111
42 404 DEKSAMETASON TAB 0,5 MG TABLET 223 300
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 19
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 85 200
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 26 100
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 408
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 1 5
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1 5
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 33 80
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 27 100
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 70 200
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 58
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 329 250
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 6 10
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 154 200
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 115
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 242
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 35 150
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 90 200
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 81
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 284
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 50 150
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 576
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 140
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 216
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 302
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 0 300
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 211
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 118 200
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37 100
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
72 2 70
33 33
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 28
663 663
24 24
97 4 93
543 10 533
221 23 198
49 49
0 0
0 0
0 0
0 0
637 637
43 43
9 9
9 9
593 593
38 38
0 0
141 141
0 0
95 95
273 273
19 19
5 5
21 21
8 8
0 0
0 0
415 415
166 166
111 3 108
523 3 520
5 5
0 0
19 19
0 0
51 51
0 0
285 285
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 126
8 8
408 408
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
113 113
0 0
127 2 125
0 0
282 282
0 0
270 3 267
0 0
58 2 56
0 0
579 579
1 1
14 14
5 5
0 0
125 125
16 16
354 6 348
0 0
0 0
0 0
0 0
0 0
17 17
115 3 112
0 0
0 0
0 0
0 0
46 46
0 0
242 242
243 243
0 0
185 6 179
317 317
5 5
22 22
0 0
14 14
0 0
281 281
290 290
11 11
81 81
100 100
0 0
32 32
-1 -1
284 284
-45 -45
0 0
6 6
0 0
200 200
33 33
-4 -4
576 576
282 282
0 0
0 0
14 14
140 140
4 4
1 1
216 7 209
302 9 293
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
300 6 294
250 250
0 0
211 211
32 32
0 0
0 0
318 3 315
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 70
2 102 IV CATHETER 24 G SET 33
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 663
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 93
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 198
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 637
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 95
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 21
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 415
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 108
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINAS BOTOL 60 ML 5
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 19
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 285
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 126
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 408
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 113
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 267
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 56
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 579
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 348
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 112
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 242
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 179
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 81
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 284
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 200
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 576
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 140
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 209
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 293
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEB BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 294
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 211
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DA AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 315
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60
T PUSKESMAS KERJO

JUMLAH
PENERIMAAN PERSEDIAAN MUTASI SISA STOK
HARGA
70 2 68
33 2 31
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 28
663 10 653
24 24
93 6 87
533 533
198 30 168
49 49
0 0
0 0
0 0
0 0
637 637
43 3 40
9 9
9 9
593 593
38 38
0 0
141 141
0 0
95 3 92
273 273
19 19
5 5
21 21
8 8
0 0
0 0
415 415
166 166
108 2 106
520 520
5 1 4
0 0
19 6 13
0 0
51 51
0 0
285 285
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 126
8 8
408 6 402
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
113 3 110
0 0
125 125
0 0
282 282
0 0
267 6 261
0 0
56 3 53
0 0
579 24 555
1 1
14 14
5 5
0 0
125 3 122
16 16
348 348
0 0
0 0
0 0
0 0
0 0
17 17
112 6 106
0 0
0 0
0 0
0 0
46 1 45
0 0
242 2 240
243 243
0 0
179 12 167
317 317
5 5
22 22
0 0
14 14
0 0
281 281
290 290
11 11
81 6 75
100 100
0 0
32 32
-1 -1
284 284
-45 -45
0 0
6 6
0 0
200 200
33 33
-4 -4
576 28 548
282 282
0 0
0 0
14 14
140 2 138
4 4
1 1
209 2 207
293 11 282
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
294 294
250 250
0 0
211 6 205
32 32
0 0
0 0
315 12 303
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60
Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 68
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 653
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 87
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 168
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 637
23 140 AMOKSISILIN 1 GRAM INJ VIAL 40
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 92
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 21
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 415
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 106
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 13
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 285
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 126
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 402
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 110
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 261
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 53
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 555
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 122
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 348
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 106
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 45
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 240
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 167
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 284
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 200
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 548
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 207
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 282
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 294
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 303
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
68 3 65
31 31
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 28
653 653
24 24
87 4 83
533 533
168 12 156
49 49
0 0
0 0
0 0
0 0
637 16 621
40 3 37
9 9
9 9
593 593
38 38
0 0
141 141
0 0
92 4 88
273 273
19 19
5 5
21 1 20
8 8
0 0
0 0
415 10 405
166 166
106 3 103
520 520
4 4
0 0
13 4 9
0 0
51 51
0 0
285 285
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 126
8 8
402 402
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
110 4 106
0 0
125 125
0 0
282 282
0 0
261 5 256
0 0
53 6 47
0 0
555 555
1 1
14 14
5 5
0 0
122 122
16 16
348 348
0 0
0 0
0 0
0 0
0 0
17 17
106 8 98
0 0
0 0
0 0
0 0
45 45
0 0
240 1 239
243 243
0 0
167 167
317 317
5 5
22 22
0 0
14 14
0 0
281 281
290 290
11 11
75 75
100 100
0 0
32 32
-1 -1
284 3 281
-45 -45
0 0
6 6
0 0
200 1 199
33 33
-4 -4
548 15 533
282 282
0 0
0 0
14 14
138 138
4 4
1 1
207 6 201
282 14 268
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
294 2 292
250 250
0 0
205 205
32 32
0 0
0 0
303 3 300
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 65
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 653
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 621
23 140 AMOKSISILIN 1 GRAM INJ VIAL 37
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 88
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 103
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 9
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 285
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 126
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 402
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 106
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 256
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 47
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 555
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 122
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 348
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 98
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 45
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 167
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 199
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 533
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 201
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 268
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 292
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 300
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
65 65
31 31
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 28
653 653
24 24
83 83
533 533
156 156
49 49
0 0
0 0
0 0
0 0
621 621
37 37
9 9
9 9
593 593
38 38
0 0
141 141
0 0
88 88
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 405
166 166
103 103
520 520
4 4
0 0
9 9
0 0
51 51
0 0
285 285
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 126
8 8
402 402
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
106 106
0 0
125 125
0 0
282 282
0 0
256 256
0 0
47 47
0 0
555 555
1 1
14 14
5 5
0 0
122 122
16 16
348 348
0 0
0 0
0 0
0 0
0 0
17 17
98 98
0 0
0 0
0 0
0 0
45 45
0 0
239 239
243 243
0 0
167 167
317 317
5 5
22 22
0 0
14 14
0 0
281 281
290 290
11 11
75 75
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
199 199
33 33
-4 -4
533 533
282 282
0 0
0 0
14 14
138 138
4 4
1 1
201 201
268 268
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
292 292
250 250
0 0
205 205
32 32
0 0
0 0
300 300
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 65
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 653
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 621
23 140 AMOKSISILIN 1 GRAM INJ VIAL 37
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 88
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 103
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 9
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 285
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 126
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 402
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 106
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 256
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 47
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 555
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 122
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 348
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 98
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 45
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 167
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 199
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 533
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 201
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 268
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 292
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 300
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
65 65
31 31
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 28
653 653
24 24
83 83
533 533
156 156
49 49
0 0
0 0
0 0
0 0
621 621
37 37
9 9
9 9
593 593
38 38
0 0
141 141
0 0
88 88
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 405
166 166
103 103
520 520
4 4
0 0
9 9
0 0
51 51
0 0
285 285
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 126
8 8
402 402
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
106 106
0 0
125 125
0 0
282 282
0 0
256 256
0 0
47 47
0 0
555 555
1 1
14 14
5 5
0 0
122 122
16 16
348 348
0 0
0 0
0 0
0 0
0 0
17 17
98 98
0 0
0 0
0 0
0 0
45 45
0 0
239 239
243 243
0 0
167 167
317 317
5 5
22 22
0 0
14 14
0 0
281 281
290 290
11 11
75 75
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
199 199
33 33
-4 -4
533 533
282 282
0 0
0 0
14 14
138 138
4 4
1 1
201 201
268 268
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
292 292
250 250
0 0
205 205
32 32
0 0
0 0
300 300
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 65
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 653
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 621
23 140 AMOKSISILIN 1 GRAM INJ VIAL 37
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 88
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 103
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 9
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 285
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 126
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 402
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 106
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 256
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 47
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 555
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 122
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 348
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 98
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 45
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 167
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 199
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 533
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 201
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 268
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 292
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 300
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
65 65
31 31
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 28
653 653
24 24
83 83
533 533
156 156
49 49
0 0
0 0
0 0
0 0
621 621
37 37
9 9
9 9
593 593
38 38
0 0
141 141
0 0
88 88
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 405
166 166
103 103
520 520
4 4
0 0
9 9
0 0
51 51
0 0
285 285
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 126
8 8
402 402
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
106 106
0 0
125 125
0 0
282 282
0 0
256 256
0 0
47 47
0 0
555 555
1 1
14 14
5 5
0 0
122 122
16 16
348 348
0 0
0 0
0 0
0 0
0 0
17 17
98 98
0 0
0 0
0 0
0 0
45 45
0 0
239 239
243 243
0 0
167 167
317 317
5 5
22 22
0 0
14 14
0 0
281 281
290 290
11 11
75 75
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
199 199
33 33
-4 -4
533 533
282 282
0 0
0 0
14 14
138 138
4 4
1 1
201 201
268 268
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
292 292
250 250
0 0
205 205
32 32
0 0
0 0
300 300
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 65
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 653
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 621
23 140 AMOKSISILIN 1 GRAM INJ VIAL 37
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 88
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20M AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 103
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KO BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 9
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 285
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 126
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 402
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZE TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 106
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 256
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 47
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 555
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 122
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 M BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 348
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 98
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 45
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 167
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 199
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 533
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 201
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 268
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNT BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 292
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML- AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 300
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
SMAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
65 65
31 31
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 28
653 653
24 24
83 83
533 533
156 156
49 49
0 0
0 0
0 0
0 0
621 621
37 37
9 9
9 9
593 593
38 38
0 0
141 141
0 0
88 88
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 405
166 166
103 103
520 520
4 4
0 0
9 9
0 0
51 51
0 0
285 285
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 126
8 8
402 402
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
106 106
0 0
125 125
0 0
282 282
0 0
256 256
0 0
47 47
0 0
555 555
1 1
14 14
5 5
0 0
122 122
16 16
348 348
0 0
0 0
0 0
0 0
0 0
17 17
98 98
0 0
0 0
0 0
0 0
45 45
0 0
239 239
243 243
0 0
167 167
317 317
5 5
22 22
0 0
14 14
0 0
281 281
290 290
11 11
75 75
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
199 199
33 33
-4 -4
533 533
282 282
0 0
0 0
14 14
138 138
4 4
1 1
201 201
268 268
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 53
21 21
0 0
29 29
8 8
292 292
250 250
0 0
205 205
32 32
0 0
0 0
300 300
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 65
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28
12 114 AMOKSISILIN 500 MG TABLET 653
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 621
23 140 AMOKSISILIN 1 GRAM INJ VIAL 37
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 88
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 103
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 9
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 285
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 126
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 402
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 106
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 256
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 47
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 555
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 122
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 348
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 98
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 45
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 167
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 14
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 199
133 1604 PARASETAMOL SYR BOTOL 60 ML 33
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 533
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 201
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 268
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 53
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 292
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 250
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 300
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
65 9 56
31 1 30
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
28 1 27
653 6 647
24 24
83 83
533 533
156 156
49 49
0 0
0 0
0 0
0 0
621 621
37 1 36
9 9
9 1 8
593 593
38 38
0 0
141 141
0 0
88 3 85
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 405
166 166
103 1 102
520 520
4 4
0 0
9 9
0 0
51 51
0 0
285 9 276
4 4
0 0
0 0
96 96
0 0
5 5
5 5
126 2 124
8 8
402 18 384
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 249
0 0
39 39
0 0
8 8
106 4 102
0 3 -3
125 125
0 0
282 282
0 0
256 9 247
0 0
47 2 45
0 0
555 24 531
1 1
14 14
5 5
0 0
122 122
16 16
348 12 336
0 0
0 0
0 0
0 0
0 0
17 17
98 1 97
0 0
0 0
0 0
0 0
45 1 44
0 0
239 239
243 243
0 0
167 3 164
317 317
5 5
22 22
0 0
14 1 13
0 0
281 281
290 290
11 11
75 75
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
199 1 198
33 1 32
-4 -4
533 37 496
282 282
0 0
0 0
14 14
138 138
4 4
1 1
201 6 195
268 7 261
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
53 3 50
21 21
0 0
29 29
8 8
292 292
250 6 244
0 0
205 205
32 32
0 0
0 0
300 300
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 56
2 102 IV CATHETER 24 G SET 30
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 647
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 621
23 140 AMOKSISILIN 1 GRAM INJ VIAL 36
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 593
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 85
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 102
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 9
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 276
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 124
58 612 FOLEY CATHETER SET 8
59 614 FAMOTIDIN 20 MG TABLET 384
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 249
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 102
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 125
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 247
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 45
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 531
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 122
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 336
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 97
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 44
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 164
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 13
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 198
133 1604 PARASETAMOL SYR BOTOL 60 ML 32
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 496
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 195
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 261
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 50
154 1936 SIMVASTATIN 20 MG TABLET 21
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 292
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 244
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 300
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
56 1 55
30 1 29
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
27 27
647 6 641
24 1 23
83 83
533 533
156 156
49 49
0 0
0 0
0 0
0 0
621 1 620
36 1 35
9 9
8 8
593 8 585
38 38
0 0
141 141
0 0
85 3 82
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 405
166 166
102 1 101
520 520
4 4
0 0
9 2 7
0 0
51 51
0 0
276 9 267
4 4
0 0
0 0
96 96
0 0
5 5
5 5
124 2 122
8 1 7
384 12 372
0 0
3 3
9 9
364 364
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
249 6 243
0 0
39 39
0 0
8 8
102 1 101
-3 -3
125 5 120
0 0
282 282
0 0
247 6 241
0 0
45 4 41
0 0
531 24 507
1 1
14 14
5 5
0 0
122 8 114
16 16
336 336
0 0
0 0
0 0
0 0
0 0
17 17
97 1 96
0 0
0 0
0 0
0 0
44 1 43
0 0
239 239
243 243
0 0
164 3 161
317 317
5 5
22 22
0 0
13 13
0 0
281 281
290 290
11 11
75 75
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
198 1 197
32 1 31
-4 -4
496 17 479
282 282
0 0
0 0
14 14
138 138
4 4
1 1
195 8 187
261 14 247
9 9
1 1
2 2
0 0
0 0
1 1
0 0
0 0
50 3 47
21 5 16
0 0
29 29
8 8
292 6 286
244 244
0 0
205 205
32 32
0 0
0 0
300 300
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 55
2 102 IV CATHETER 24 G SET 29
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 641
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 620
23 140 AMOKSISILIN 1 GRAM INJ VIAL 35
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 585
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 82
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 101
42 404 DEKSAMETASON TAB 0,5 MG TABLET 520
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 7
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 267
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 122
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 372
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZE TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 243
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 101
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 120
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 241
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 41
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 507
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 114
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 M BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 336
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 96
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 43
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 161
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 13
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 75
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 197
133 1604 PARASETAMOL SYR BOTOL 60 ML 31
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 479
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 187
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 247
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 47
154 1936 SIMVASTATIN 20 MG TABLET 16
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 286
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 244
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 300
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
55 3 52
29 1 28
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
27 27
641 641
23 23
83 3 80
533 533
156 156
49 49
0 0
0 0
0 0
0 0
620 10 610
35 1 34
9 9
8 8
585 3 582
38 38
0 0
141 141
0 0
82 1 81
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 405
166 166
101 4 97
520 3 517
4 4
0 0
7 1 6
0 0
51 51
0 0
267 267
4 4
0 0
0 0
96 96
0 0
5 5
5 5
122 2 120
7 7
372 6 366
0 0
3 3
9 9
364 14 350
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
243 243
0 0
39 39
0 0
8 8
101 4 97
-3 -3
120 5 115
0 0
282 282
0 0
241 19 222
0 0
41 7 34
0 0
507 24 483
1 1
14 14
5 5
0 0
114 21 93
16 16
336 336
0 0
0 0
0 0
0 0
0 0
17 17
96 3 93
0 0
0 0
0 0
0 0
43 1 42
0 0
239 239
243 243
0 0
161 8 153
317 317
5 5
22 22
0 0
13 2 11
0 0
281 281
290 290
11 11
75 6 69
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
197 4 193
31 2 29
-4 -4
479 48 431
282 282
0 0
0 0
14 14
138 138
4 4
1 1
187 14 173
247 14 233
9 2 7
1 1
2 2
0 0
0 0
1 1
0 0
0 0
47 4 43
16 16
0 0
29 29
8 8
286 4 282
244 244
0 0
205 205
32 32
0 0
0 0
300 6 294
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 52
2 102 IV CATHETER 24 G SET 28
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 641
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23
14 116 AMPISILIN INJ 1 GRAM VIAL 80
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 610
23 140 AMOKSISILIN 1 GRAM INJ VIAL 34
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 582
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 81
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 405
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 97
42 404 DEKSAMETASON TAB 0,5 MG TABLET 517
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 51
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 267
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 120
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 366
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 350
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 243
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 97
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 222
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 34
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 483
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 93
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 16
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 336
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 93
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 42
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 243
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 153
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 11
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 290
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 69
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 193
133 1604 PARASETAMOL SYR BOTOL 60 ML 29
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 431
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 173
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 233
145 1901 SALBUTAMOL TABLET 2 MG TABLET 7
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 43
154 1936 SIMVASTATIN 20 MG TABLET 16
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 282
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 244
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 294
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
MAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
52 5 47
28 28
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
27 27
641 12 629
23 23
80 80
533 533
156 156
49 49
0 0
0 0
0 0
0 0
610 12 598
34 34
9 9
8 8
582 10 572
38 38
0 0
141 141
0 0
81 1 80
273 273
19 19
5 5
20 20
8 8
0 0
0 0
405 4 401
166 166
97 97
517 4 513
4 4
0 0
6 6
0 0
51 6 45
0 0
267 267
4 4
0 0
0 0
96 96
0 0
5 5
5 5
120 11 109
7 7
366 366
0 0
3 3
9 9
350 9 341
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
243 243
0 0
39 39
0 0
8 8
97 3 94
-3 -3
115 115
0 0
282 282
0 0
222 20 202
0 0
34 9 25
0 0
483 483
1 1
14 14
5 5
0 0
93 5 88
16 4 12
336 12 324
0 0
0 0
0 0
0 0
0 0
17 17
93 4 89
0 0
0 0
0 0
0 0
42 42
0 0
239 239
243 3 240
0 0
153 153
317 317
5 5
22 22
0 0
11 10 1
0 0
281 281
290 12 278
11 11
69 69
100 100
0 0
32 32
-1 -1
281 281
-45 -45
0 0
6 6
0 0
193 193
29 1 28
-4 -4
431 39 392
282 282
0 0
0 0
14 14
138 138
4 4
1 1
173 7 166
233 10 223
7 7
1 1
2 2
0 0
0 0
1 1
0 0
0 0
43 43
16 16
0 0
29 29
8 8
282 2 280
244 244
0 0
205 205
32 3 29
0 0
0 0
294 11 283
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 47
2 102 IV CATHETER 24 G SET 28
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 629
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23
14 116 AMPISILIN INJ 1 GRAM VIAL 80
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 598
23 140 AMOKSISILIN 1 GRAM INJ VIAL 34
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 572
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 80
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 19
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 401
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 97
42 404 DEKSAMETASON TAB 0,5 MG TABLET 513
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 4
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 267
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 366
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 9
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 341
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZE TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 243
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 94
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 202
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 25
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 483
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 88
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 M BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 89
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 42
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 240
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 153
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 1
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 278
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 69
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 281
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 193
133 1604 PARASETAMOL SYR BOTOL 60 ML 28
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 392
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 166
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 223
145 1901 SALBUTAMOL TABLET 2 MG TABLET 7
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 43
154 1936 SIMVASTATIN 20 MG TABLET 16
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 280
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 244
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 29
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 283
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
MAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
47 47
28 28
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
27 27
629 629
23 23
80 80
533 533
156 156
49 49
0 0
0 0
0 0
0 0
598 598
34 34
9 9
8 8
572 572
38 38
0 0
141 141
0 0
80 4 76
273 273
19 1 18
5 5
20 20
8 8
0 0
0 0
401 401
166 166
97 97
513 513
4 1 3
0 0
6 6
0 0
45 45
0 0
267 3 264
4 4
0 0
0 0
96 96
0 0
5 5
5 5
109 109
7 7
366 4 362
0 0
3 3
9 3 6
341 341
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
243 243
0 0
39 39
0 0
8 8
94 1 93
-3 -3
115 115
0 0
282 282
0 0
202 9 193
0 0
25 25
0 0
483 483
1 1
14 14
5 5
0 0
88 88
12 12
324 324
0 0
0 0
0 0
0 0
0 0
17 17
89 8 81
0 0
0 0
0 0
0 0
42 1 41
0 0
239 239
240 240
0 0
153 3 150
317 317
5 5
22 22
0 0
1 1
0 0
281 281
278 278
11 11
69 5 64
100 100
0 0
32 32
-1 -1
281 13 268
-45 -45
0 0
6 6
0 0
193 193
28 28
-4 -4
392 26 366
282 282
0 0
0 0
14 14
138 138
4 4
1 1
166 10 156
223 14 209
7 4 3
1 1
2 2
0 0
0 0
1 1
0 0
0 0
43 1 42
16 16
0 0
29 29
8 8
280 22 258
244 244
0 0
205 205
29 3 26
0 0
0 0
283 2 281
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 47
2 102 IV CATHETER 24 G SET 28
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 629
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23
14 116 AMPISILIN INJ 1 GRAM VIAL 80
15 120 METHAMPIRON TAB 500 MG TABLET 533
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 156
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 598
23 140 AMOKSISILIN 1 GRAM INJ VIAL 34
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 572
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 76
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 18
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 401
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 97
42 404 DEKSAMETASON TAB 0,5 MG TABLET 513
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINASI BOTOL 60 ML 3
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 264
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 362
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 6
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 341
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 243
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 39
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 93
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 193
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 25
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 483
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 88
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 12
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 81
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 240
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 150
113 1307 METOKLOPRAMID 10 MG TABLET 317
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 1
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 278
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 64
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 268
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 193
133 1604 PARASETAMOL SYR BOTOL 60 ML 28
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 366
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 156
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 209
145 1901 SALBUTAMOL TABLET 2 MG TABLET 3
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBU BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 16
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 258
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 244
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 26
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 281
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60
PUSKESMAS KERJO

JUMLAH
PENERIMAAN PERSEDIAAN MUTASI SISA STOK
HARGA
47 7 40
28 1 27
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 144
27 27
629 629
23 23
80 1 79
533 3 530
156 14 142
49 49
0 0
0 0
0 0
0 0
598 4 594
34 3 31
9 9
8 8
572 572
38 38
0 0
141 141
0 0
76 9 67
273 273
18 1 17
5 5
20 20
8 8
0 0
0 0
401 4 397
166 166
97 2 95
513 3 510
3 3
0 0
6 6
0 0
45 45
0 0
264 264
4 4
0 0
0 0
96 96
0 0
5 5
5 5
109 109
7 7
362 24 338
0 0
3 3
6 6
341 15 326
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
243 3 240
0 0
39 6 33
0 0
8 8
93 6 87
-3 -3
115 115
0 0
282 282
0 0
193 6 187
0 0
25 5 20
0 0
483 483
1 1
14 2 12
5 5
0 3 -3
88 88
12 1 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
81 4 77
0 0
0 0
0 0
0 0
41 41
0 0
239 239
240 2 238
0 0
150 6 144
317 3 314
5 5
22 22
0 0
1 9 -8
0 0
281 281
278 10 268
11 11
64 2 62
100 100
0 0
32 32
-1 -1
268 3 265
-45 -45
0 0
6 6
0 0
193 1 192
28 2 26
-4 -4
366 58 308
282 282
0 0
0 0
14 14
138 138
4 4
1 1
156 3 153
209 18 191
3 4 -1
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
16 16
0 0
29 29
8 8
258 32 226
244 6 238
0 0
205 205
26 26
0 0
0 0
281 11 270
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 40
2 102 IV CATHETER 24 G SET 27
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 144
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 629
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23
14 116 AMPISILIN INJ 1 GRAM VIAL 79
15 120 METHAMPIRON TAB 500 MG TABLET 530
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 142
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 594
23 140 AMOKSISILIN 1 GRAM INJ VIAL 31
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 572
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 67
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 17
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 95
42 404 DEKSAMETASON TAB 0,5 MG TABLET 510
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINAS BOTOL 60 ML 3
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 264
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 338
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 6
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 326
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 240
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 87
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 20
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 483
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 88
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 77
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 238
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 144
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 62
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 265
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 192
133 1604 PARASETAMOL SYR BOTOL 60 ML 26
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 308
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 153
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 191
145 1901 SALBUTAMOL TABLET 2 MG TABLET -1
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEB BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 16
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 226
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 238
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 26
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 270
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 0
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
40 3 37
27 27
2 2
7 7
0 0
0 0
0 0
0 0
115 115
144 139
27 27
629 14 615
23 23
79 1 78
530 530
142 11 131
49 49
0 0
0 0
0 0
0 0
594 6 588
31 2 29
9 9
8 8
572 9 563
38 38
0 0
141 141
0 0
67 3 64
273 273
17 17
5 5
20 20
8 8
0 0
0 0
397 397
166 166
95 95
510 510
3 3
0 0
6 6
0 0
45 45
0 0
264 264
4 4
0 0
0 0
96 96
0 0
5 5
5 5
109 109
7 7
338 338
0 0
3 3
6 6
326 326
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
240 240
0 0
33 33
0 0
8 8
87 87
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
20 20
0 0
483 483
1 1
12 12
5 5
-3 -3
88 88
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
77 77
0 0
0 0
0 0
0 0
41 41
0 0
239 239
238 238
0 0
144 144
314 314
5 5
22 22
0 0
-8 -8
0 0
281 281
268 268
11 11
62 9 53
100 100
0 0
32 32
-1 -1
265 3 262
-45 -45
0 0
6 6
0 0
192 3 189
26 26
-4 -4
308 31 277
282 282
0 0
0 0
14 14
138 138
4 4
1 1
153 6 147
191 13 178
-1 6 -7
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
16 16
0 0
29 29
8 8
226 13 213
238 6 232
0 0
205 205
26 26
0 0
0 0
270 270
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 37 90
2 102 IV CATHETER 24 G SET 27
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 615
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23
14 116 AMPISILIN INJ 1 GRAM VIAL 78 10
15 120 METHAMPIRON TAB 500 MG TABLET 530
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 131 500
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 588
23 140 AMOKSISILIN 1 GRAM INJ VIAL 29 10
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 563
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 64 100
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 17 60
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 95
42 404 DEKSAMETASON TAB 0,5 MG TABLET 510
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 3
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0 200
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 264
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4 10
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5 3
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 338
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3 5
62 706 GLIBENKLAMID TAB 5 MG TABLET 6 100
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 326 200
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 240 100
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 87
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 20 100
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 483 250
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 88
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 77 100
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0 100
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 238
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 144
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 22 100
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 281 200
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL -1 6
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 26 15
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 277 1000
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 14 200
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 147 100
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 178 300
145 1901 SALBUTAMOL TABLET 2 MG TABLET -7
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 16 50
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 213
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 26 100
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 270
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
127 127
27 27
2 2
7 7
0 0
0 0
0 0
0 0
115 115
139 139
27 27
615 615
23 23
88 88
530 530
631 631
49 49
0 0
0 0
0 0
0 0
588 588
39 39
9 9
8 8
563 563
38 38
0 0
141 141
0 0
164 164
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
95 95
510 510
3 3
200 200
6 6
0 0
45 45
0 0
264 264
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
338 338
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
87 87
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
120 120
0 0
733 733
1 1
12 12
5 5
-3 -3
88 88
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
177 177
100 100
0 0
0 0
0 0
41 41
0 0
239 239
238 238
0 0
144 144
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
11 11
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
41 41
-4 -4
1277 1277
282 282
0 0
0 0
214 214
138 138
4 4
1 1
247 247
478 478
-7 -7
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
66 66
0 0
29 29
8 8
213 213
232 232
0 0
205 205
126 126
0 0
0 0
270 270
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 127
2 102 IV CATHETER 24 G SET 27
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 139
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 615
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23
14 116 AMPISILIN INJ 1 GRAM VIAL 88
15 120 METHAMPIRON TAB 500 MG TABLET 530
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 631
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 588
23 140 AMOKSISILIN 1 GRAM INJ VIAL 39
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 563
27 159 AMLODIPIN TAB 5 MG TABLET 38
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 164
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/M AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 95
42 404 DEKSAMETASON TAB 0,5 MG TABLET 510
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 3
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINAS TABLET 200
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 264
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 338
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 87
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 120
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 733
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 88
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 177
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 100
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 238
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 144
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 41
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1277
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 247
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 478
145 1901 SALBUTAMOL TABLET 2 MG TABLET -7
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 66
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 0
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 270
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
127 3 124
27 4 23
2 2
7 7
0 0
0 0
0 0
0 0
115 115
139 2 137
27 27
615 9 606
23 23
88 88
530 16 514
631 631
49 49
0 0
0 0
0 0
0 0
588 22 566
39 4 35
9 9
8 8
563 563
38 2 36
0 0
141 141
0 0
164 1 163
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
95 2 93
510 510
3 2 1
200 200
6 6
0 0
45 45
0 0
264 12 252
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
338 338
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
87 4 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
120 6 114
0 0
733 24 709
1 1
12 1 11
5 5
-3 -3
88 3 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
177 9 168
100 8 92
0 0
0 0
0 0
41 41
0 0
239 239
238 238
0 0
144 12 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
11 1 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
41 41
-4 -4
1277 5 1272
282 282
0 0
0 0
214 214
138 138
4 4
1 1
247 1 246
478 478
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
66 1 65
0 0
29 29
8 8
313 3 310
232 232
0 0
205 205
126 126
0 0
0 0
270 270
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 124 100
2 102 IV CATHETER 24 G SET 23
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 137
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 606 300
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 23 10
14 116 AMPISILIN INJ 1 GRAM VIAL 88
15 120 METHAMPIRON TAB 500 MG TABLET 514 500
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 631 500
17 122 ANTASIDA SYR BOTOL 60 ML 49
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 566
23 140 AMOKSISILIN 1 GRAM INJ VIAL 35
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 8
26 158 AMBROKSOL 30 MG TABLET 563
27 159 AMLODIPIN TAB 5 MG TABLET 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 163
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 510
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMB BOTOL 60 ML 1 10
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINA TABLET 200
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 252
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 338 500
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 M TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 83
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 11 5
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 168
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 92
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 238 100
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 132
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 41 10
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1272 500
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 246
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 478 300
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 310
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 270
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 m Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
224 4 220
23 3 20
2 2
7 7
0 0
0 0
0 0
0 0
115 115
137 137
27 27
906 906
33 33
88 1 87
1014 6 1008
1131 8 1123
49 1 48
0 0
0 0
0 0
0 0
566 566
35 2 33
9 9
8 2 6
563 3 560
36 36
0 0
141 141
0 0
163 3 160
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
93 93
510 6 504
11 11
200 6 194
6 6
0 0
45 45
0 0
252 9 243
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
838 838
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
83 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
114 114
0 0
709 709
1 1
16 16
5 5
-3 -3
85 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
168 168
92 6 86
0 0
0 0
0 0
41 41
0 0
239 239
338 338
0 0
132 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
10 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
51 1 50
-4 -4
1772 31 1741
282 282
0 0
0 0
214 214
138 138
4 4
1 1
246 4 242
778 10 768
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
65 65
0 0
29 29
8 8
310 5 305
232 232
0 0
205 205
126 126
0 0
0 0
270 17 253
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 220
2 102 IV CATHETER 24 G SET 20
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 137
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 906
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 33
14 116 AMPISILIN INJ 1 GRAM VIAL 87
15 120 METHAMPIRON TAB 500 MG TABLET 1008
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 1123
17 122 ANTASIDA SYR BOTOL 60 ML 48
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 566
23 140 AMOKSISILIN 1 GRAM INJ VIAL 33
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 6
26 158 AMBROKSOL 30 MG TABLET 560
27 159 AMLODIPIN TAB 5 MG TABLET 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 160
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 504
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINA BOTOL 60 ML 11
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 194
45 410 DIAZEPAM TAB 2 MG TABLET 6
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 243
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 838
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 83
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 16
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 168
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 86
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 338
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 132
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 50
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1741
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 242
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 768
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 305
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML D AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 253
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JK AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 01
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
220 2 218
20 2 18
2 2
7 7
0 0
0 0
0 0
0 0
115 115
137 137
27 27
906 4 902
33 2 31
87 4 83
1008 3 1005
1123 6 1117
48 48
0 0
0 0
0 0
0 0
566 566
33 33
9 9
6 1 5
560 3 557
36 36
0 0
141 141
0 0
160 160
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
93 93
504 4 500
11 11
194 194
6 3 3
0 0
45 45
0 0
243 243
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
838 838
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
83 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
114 114
0 0
709 709
1 1
16 16
5 5
-3 -3
85 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
168 168
86 86
0 0
0 0
0 0
41 41
0 0
239 239
338 338
0 0
132 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
10 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
50 1 49
-4 -4
1741 23 1718
282 282
0 0
0 0
214 214
138 138
4 4
1 1
242 3 239
768 10 758
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
65 65
0 0
29 29
8 8
305 3 302
232 232
0 0
205 205
126 126
0 0
0 0
253 253
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 218
2 102 IV CATHETER 24 G SET 18
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 137
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 902
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 31
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 1005
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 1117
17 122 ANTASIDA SYR BOTOL 60 ML 48
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 566
23 140 AMOKSISILIN 1 GRAM INJ VIAL 33
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 5
26 158 AMBROKSOL 30 MG TABLET 557
27 159 AMLODIPIN TAB 5 MG TABLET 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 160
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 500
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINA BOTOL 60 ML 11
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 194
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 243
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 838
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 83
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 16
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 168
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 86
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 338
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 132
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 49
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1718
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 239
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 758
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 302
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DA AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 253
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JK AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 0
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
218 218
18 18
2 2
7 7
0 0
0 0
0 0
0 0
115 115
137 137
27 27
902 902
31 31
83 83
1005 1005
1117 1117
48 48
0 0
0 0
0 0
0 0
566 566
33 33
9 9
5 5
557 557
36 36
0 0
141 141
0 0
160 160
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
93 93
500 500
11 11
194 194
3 3
0 0
45 45
0 0
243 243
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
838 838
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
83 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
114 114
0 0
709 709
1 1
16 16
5 5
-3 -3
85 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
168 168
86 86
0 0
0 0
0 0
41 41
0 0
239 239
338 338
0 0
132 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
10 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
49 49
-4 -4
1718 1718
282 282
0 0
0 0
214 214
138 138
4 4
1 1
239 239
758 758
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
65 65
0 0
29 29
8 8
302 302
232 232
0 0
205 205
126 126
0 0
0 0
253 253
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 218
2 102 IV CATHETER 24 G SET 18
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 137
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 902
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 31
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 1005
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 1117
17 122 ANTASIDA SYR BOTOL 60 ML 48
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 566
23 140 AMOKSISILIN 1 GRAM INJ VIAL 33
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 5
26 158 AMBROKSOL 30 MG TABLET 557
27 159 AMLODIPIN TAB 5 MG TABLET 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 160
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 500
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINA BOTOL 60 ML 11
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 194
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 243
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 838
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 83
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 16
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 168
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 86
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 338
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 132
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 49
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1718
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 239
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 758
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NE BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 302
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DA AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 253
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JK AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 0
S KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
218 218
18 18
2 2
7 7
0 0
0 0
0 0
0 0
115 115
137 137
27 27
902 902
31 31
83 83
1005 1005
1117 1117
48 48
0 0
0 0
0 0
0 0
566 566
33 33
9 9
5 5
557 557
36 36
0 0
141 141
0 0
160 160
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
93 93
500 500
11 11
194 194
3 3
0 0
45 45
0 0
243 243
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
838 838
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
83 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
114 114
0 0
709 709
1 1
16 16
5 5
-3 -3
85 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
168 168
86 86
0 0
0 0
0 0
41 41
0 0
239 239
338 338
0 0
132 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
10 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
49 49
-4 -4
1718 1718
282 282
0 0
0 0
214 214
138 138
4 4
1 1
239 239
758 758
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
65 65
0 0
29 29
8 8
302 302
232 232
0 0
205 205
126 126
0 0
0 0
253 253
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

enanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 218
2 102 IV CATHETER 24 G SET 18
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 137
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 902
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 31
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 1005
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 1117
17 122 ANTASIDA SYR BOTOL 60 ML 48
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 566
23 140 AMOKSISILIN 1 GRAM INJ VIAL 33
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 5
26 158 AMBROKSOL 30 MG TABLET 557
27 159 AMLODIPIN TAB 5 MG TABLET 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 160
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/M AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 500
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBI BOTOL 60 ML 11
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINAS TABLET 194
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 243
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 838
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 83
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 M TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 16
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 168
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 86
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 338
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 132
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 49
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1718
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 239
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 758
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 302
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 253
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
218 218
18 18
2 2
7 7
0 0
0 0
0 0
0 0
115 115
137 137
27 27
902 902
31 31
83 83
1005 1005
1117 1117
48 48
0 0
0 0
0 0
0 0
566 566
33 33
9 9
5 5
557 557
36 36
0 0
141 141
0 0
160 160
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
93 93
500 500
11 11
194 194
3 3
0 0
45 45
0 0
243 243
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
838 838
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
83 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
114 114
0 0
709 709
1 1
16 16
5 5
-3 -3
85 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
168 168
86 86
0 0
0 0
0 0
41 41
0 0
239 239
338 338
0 0
132 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
10 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
49 49
-4 -4
1718 1718
282 282
0 0
0 0
214 214
138 138
4 4
1 1
239 239
758 758
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
65 65
0 0
29 29
8 8
302 302
232 232
0 0
205 205
126 126
0 0
0 0
253 253
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 218
2 102 IV CATHETER 24 G SET 18
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 137
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 902
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 31
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 1005
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 1117
17 122 ANTASIDA SYR BOTOL 60 ML 48
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 566
23 140 AMOKSISILIN 1 GRAM INJ VIAL 33
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 5
26 158 AMBROKSOL 30 MG TABLET 557
27 159 AMLODIPIN TAB 5 MG TABLET 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 160
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 500
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBIN BOTOL 60 ML 11
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 194
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 243
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 838
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 83
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 16
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 168
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 86
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 338
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 132
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 49
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1718
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 239
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 758
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK N BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 302
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 253
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML J AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
AS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
218 218
18 18
2 2
7 7
0 0
0 0
0 0
0 0
115 115
137 137
27 27
902 902
31 31
83 83
1005 1005
1117 1117
48 48
0 0
0 0
0 0
0 0
566 566
33 33
9 9
5 5
557 557
36 36
0 0
141 141
0 0
160 160
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
93 93
500 500
11 11
194 194
3 3
0 0
45 45
0 0
243 243
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
838 838
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
83 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
114 114
0 0
709 709
1 1
16 16
5 5
-3 -3
85 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
168 168
86 86
0 0
0 0
0 0
41 41
0 0
239 239
338 338
0 0
132 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
10 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
49 49
-4 -4
1718 1718
282 282
0 0
0 0
214 214
138 138
4 4
1 1
239 239
758 758
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
65 65
0 0
29 29
8 8
302 302
232 232
0 0
205 205
126 126
0 0
0 0
253 253
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
P. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 218
2 102 IV CATHETER 24 G SET 18
3 103 ACYCLOVIR CREAM TUBE 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 115
10 111 AMINOFILIN 200 MG TABLET 137
11 112 AMINOFILIN INJ 24MG/ML AMPUL 27
12 114 AMOKSISILIN 500 MG TABLET 902
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 31
14 116 AMPISILIN INJ 1 GRAM VIAL 83
15 120 METHAMPIRON TAB 500 MG TABLET 1005
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 1117
17 122 ANTASIDA SYR BOTOL 60 ML 48
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 566
23 140 AMOKSISILIN 1 GRAM INJ VIAL 33
24 147 ATS INJ JKN AMPUL 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 5
26 158 AMBROKSOL 30 MG TABLET 557
27 159 AMLODIPIN TAB 5 MG TABLET 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 141
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 160
32 184 ASETYL CYSTEIN KAPSUL 273
33 202 BESI II SULFAT TABLET 77
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG AMPUL 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 397
40 308 CEFADROKSIL 500 MG KAPSUL 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 500
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOM BOTOL 60 ML 11
44 406 DEKSTROMETORFAN TAB 15 MG KOMBIN TABLET 194
45 410 DIAZEPAM TAB 2 MG TABLET 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 45
48 418 DASABION KAPSUL 0
49 419 DIMENHIDRINAT 50 MG TABLET 243
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 96
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5
57 610 FUROSEMID TAB 40 MG TABLET 109
58 612 FOLEY CATHETER SET 7
59 614 FAMOTIDIN 20 MG TABLET 838
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 526
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 6
67 722 GLIMEPIRID 2 MG TABLET 123
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 6
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 TABLET 340
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0
77 903 INFUS SET ANAK SET/KANTONG 8
78 904 INFUS SET DEWASA SET/KANTONG 83
79 908 ISONIAZID TAB.300 MG TABLET -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 TABLET 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 16
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 11
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 324
96 1138 KETOKONAZOLE 200MG TABLET 0
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 17
102 1162 KAEN - 3B INFUS BOTOL 168
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 86
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 239
110 1217 LORATADIN 10 MG TABLET 338
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 132
113 1307 METOKLOPRAMID 10 MG TABLET 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5
115 1314 METFORMIN 500 MG TABLET 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL -8
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 481
120 1335 MELOKSIKAM 7,5 MG TABLET 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 53
123 1408 NIFEDIPIN 10 MG TABLET 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0
125 1417 NEUROBION 5000 INJ AMPUL 32
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 262
128 1465 PARASETAMOL DROP BOTOL -45
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0
132 1516 OMEPRAZOL 20 MG KAPSUL 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 49
134 1605 PARASETAMOL 100MG TABLET -4
135 1606 PARASETAMOL TAB 500 MG TABLET 1718
136 1614 PIROKSIKAM 10 MG TABLET 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 214
140 1635 PIRACETAM 400 MG KAPSUL 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1
143 1807 RINGER LAKTAT BOTOL 500 ML 239
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 758
145 1901 SALBUTAMOL TABLET 2 MG TABLET 118
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTU BOTOL 42
154 1936 SIMVASTATIN 20 MG TABLET 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29
157 2103 URIN BAG BIJI 8
158 2202 VIT. B KOMPLEKS TABLET 302
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 232
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1 AMPUL 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 253
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 100
180 PROBION TABLET 367
181 CALORTUSIN TABLET 125
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M AMPUL 0
183 METILERGOMETRIN INJ AMPUL 0
184 OKSITOSIN INJ AMPUL 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 60

Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
MAS KERJO

JUMLAH
PERSEDIAAN MUTASI SISA STOK
HARGA
218 218
18 18
2 2
7 7
0 0
0 0
0 0
0 0
115 115
137 137
27 27
902 902
31 31
83 83
1005 1005
1117 1117
48 48
0 0
0 0
0 0
0 0
566 566
33 33
9 9
5 5
557 557
36 36
0 0
141 141
0 0
160 160
273 273
77 77
5 5
20 20
8 8
0 0
0 0
397 397
166 166
93 93
500 500
11 11
194 194
3 3
0 0
45 45
0 0
243 243
14 14
0 0
0 0
96 96
0 0
8 8
5 5
109 109
7 7
838 838
0 0
8 8
106 106
526 526
145 145
0 0
6 6
123 123
0 0
38 38
6 6
0 0
0 0
340 340
0 0
33 33
0 0
8 8
83 83
-3 -3
115 115
0 0
282 282
0 0
187 187
0 0
114 114
0 0
709 709
1 1
16 16
5 5
-3 -3
85 85
11 11
324 324
0 0
0 0
0 0
0 0
0 0
17 17
168 168
86 86
0 0
0 0
0 0
41 41
0 0
239 239
338 338
0 0
132 132
314 314
5 5
122 122
0 0
-8 -8
0 0
481 481
268 268
10 10
53 53
100 100
0 0
32 32
5 5
262 262
-45 -45
0 0
6 6
0 0
189 189
49 49
-4 -4
1718 1718
282 282
0 0
0 0
214 214
138 138
4 4
1 1
239 239
758 758
118 118
1 1
2 2
0 0
0 0
1 1
0 0
0 0
42 42
65 65
0 0
29 29
8 8
302 302
232 232
0 0
205 205
126 126
0 0
0 0
253 253
19 19
137 137
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
100 100
367 367
125 125
0 0
0 0
0 0
0 0
60 60

Penanggung jawab

Hartini
IP. 19680805 199203 2 013
NAMA OBAT

IV CATHETER 22 G
IV CATHETER 24 G
ACYCLOVIR CREAM
ACYCLOVIR TAB 200 MG
ALAT SUNTIK SEKALI PAKAI 1 ML
ALAT SUNTIK SEKALI PAKAI 2,5 ML
ALAT SUNTIK SEKALI PAKAI 5 ML
ALBENDAZOL TAB 400 MG
ALOPURINOL TAB 100 MG
AMINOFILIN 200 MG
AMINOFILIN INJ 24MG/ML
AMOKSISILIN 500 MG
AMOKSISILIN SYR. 125 MG/5ML
AMPISILIN INJ 1 GRAM
METHAMPIRON TAB 500 MG
ANTASIDA DOEN TAB KOMBINASI
ANTASIDA SYR
ANTI HEMOROID DOEN KOMB. SUPP
ANTIFUNGI DOEN KOMB SALEP
AQUA PRO INJ STERIL BEB. PIROGEN
AQUADEST STERIL 500 CC
ASAM MEFENAMAT 500 MG
AMOKSISILIN 1 GRAM INJ
ATS INJ JKN
AMBROXOL SIRUP 15 MG/ML
AMBROKSOL 30 MG
AMLODIPIN TAB 5 MG
ALAT SUNTIK SEKALI PAKAI 3 ML
ARDIOS
ALKOHOL SWAB
ASERING
ASETYL CYSTEIN
BESI II SULFAT
BIOPLACENTON 15 G
HYOSCINE BUTILBROMIDA INJEKSI 20MG
BETAMETASON SALEP KULIT 0,1 %
CAT GUT/BENANG BEDAH 2/0
CAT GUT/BENANG BEDAH 3/0
CIPROFLOKSASIN 500 MG
CEFADROKSIL 500 MG
DEKSAMETASON INJ 5 MG/ML-1 ML
DEKSAMETASON TAB 0,5 MG
DEKSTROMETORFAN SYR 10MG/5ML KOM
DEKSTROMETORFAN TAB 15 MG KOMBIN
DIAZEPAM TAB 2 MG
DIFENHIDRAMIN HCL INJ 10MG/ML-1ML
DIGOKSIN TAB 0,25 MG
DASABION
DIMENHIDRINAT 50 MG
DOMPERIDON SYR 5 MG/5ML
EPINEFRINA HCL/BITARTRAT INJ 0,1
ETHYL KLORIDA (KLORETIL) SEMPROT
ERITROMISIN 500 MG
ETANOL 100 ML
ERITROMISIN SIRUP 200 MG/ML
FENOL GLISEROL TTS TELINGA 10%
FUROSEMID TAB 40 MG
FOLEY CATHETER
FAMOTIDIN 20 MG
GARAM ORALIT UNTUK 200 ML AIR
GENTIAN VIOLET LARUTAN 1%
GLIBENKLAMID TAB 5 MG
GLISERIL GUAIAKOLAT TAB 100 MG
GLUKOSA LARUTAN INFUS 5%
GRISEOFULVIN TAB 125 MG, MICRONIZED
GENTAMICIN SALEP KULIT
GLIMEPIRID 2 MG
BROMHEXIN TAB 8 MG
HIDROKLORTIAZID (HCT) TAB 25 MG
HIDROKORTISON KRIM 2,5%
HYPAFIX
HANDSCHOEN
HYOSCINE BUTYLBROMIDE/SCOPMA 10
HANDSCRUB
IBUPROFEN TAB 400 MG
ICHTYOL/ICHTAMOLUM 10 %
INFUS SET ANAK
INFUS SET DEWASA
ISONIAZID TAB.300 MG
ISOSORBID DINITRAT TAB SUBLINGUAL 5
KALIUM PERMANGANAT SERBUK
KALSIUM LAKTAS TAB 500 MG
KAPAS PEMBALUT 250 G
KAPTOPRIL 25 MG
KASA PEMBALUT HIDROFIL 4M X 15CM
KLORAMFENIKOL INJ
KLONIDIN HCL 0,15 MG
KLORAMFENIKOL KAPSUL 250 MG
KLORAMFENIKOL SALEP MATA 1%
KLORAMFENIKOL SYR 125 MG/5ML
KLORAMFENIKOL TETES MATA 0,5%
KLORAMFENIKOL TETES TELINGA 1%
KLORFENIRAMIN MALEAT TAB 4 MG
KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML
KOTRIMOKSAZOL TAB 480 MG
KETOKONAZOLE 200MG
KASA GULUNG PANJANG
KEJI BELING
GLUKONAS KALSILKUS
KLORIN LAR 4 %
CAVICUR SYRUP
KAEN - 3B INFUS
KALIUM DIKLOFENAK 50 MG
KLORAMFENIKOL SALEP KULIT
BISAKODIL (LAXAMEX) 5 MG
LEVERTRAN
LIDOKAIN INJ /PEHACAIN INJ
LISOL MENGANDUNG KRESOL 50 %
LOPERAMID
LORATADIN 10 MG
LEUKOMED I.V FILM
BETAHISTIN MALEAT 6 MG
METOKLOPRAMID 10 MG
MIKONAZOL SALEP 2%
METFORMIN 500 MG
METRONIDAZOL TAB 500 MG
METOKLOPRAMID INJ 5 MG/ML
MASKER
METILPREDNISOLON 8 MG
MELOKSIKAM 7,5 MG
NATRIUM KLORIDA LAR. INFUS 0,9%
NEO DIAFORM (KAOLIN PEKTIN)
NIFEDIPIN 10 MG
NISTATIN VAGINA 100.000 UI/G
NEUROBION 5000 INJ
KAOTIN SYRUP
NATRIUM/SODIUM DIKLOFENAK 25 MG
PARASETAMOL DROP
OAT KATEGORI 1
OBAT BATUK HITAM (OBH) CAIRAN
OKSITETRASIKLIN HCL SALEP MATA 1%
OMEPRAZOL 20 MG
PARASETAMOL SYR
PARASETAMOL 100MG
PARASETAMOL TAB 500 MG
PIROKSIKAM 10 MG
PLESTER 5 YD X 2 INCH
POVIDON IODIDA 10%
PREDNISON 5 MG
PIRACETAM 400 MG
PIRACETAM INJEKSI 1 G/5ML
POVIDON IODIDA KUMUR
RINGER LAKTAT
RANITIDIN INJEKSI 25 MG/ML
SALBUTAMOL TABLET 2 MG
SALEP 2-4 KOMBINASI
SALISIL BEDAK 2%
SERUM ANTI BISA ULAR POLIVALEN
SILK 3/0
SULFASETAMID NA. TETES MATA 15%
DIAZEPAM SUPP (STESOLID)
FRAMISETIN SULFAT 1 % (SUFRATULLE)
SALBUTAMOL LARUTAN RESPIRATOR UNTU
SIMVASTATIN 20 MG
TETRASIKLIN 500 MG
ASAM TRANEKSAMAT 500 MG TABLET
URIN BAG
VIT. B KOMPLEKS
VIT. B1 (TIAMIN HCL) TAB 50 MG
VIT. B12 INJ
VIT. B12 TABLET 50 MG
VIT. C (ASAM ASKORBAT) TAB 50 MG
VIT. K1 (FITOMENADION) INJ 10 MG/ML-1
VIT. K1 (FITOMENADION) TAB 10 MG
VIT B6 25 MG ( PYRIDOXIN HCL )
DOMPERIDON/VOMETA 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
Duviral (Lamivudin 150 mg + Zidovudin 300
Nevirapine 200 mg
FDC Kombinasi (TDF + 3TC + EFV)
PROVAGIN VAGINAL SUPP
KLINDAMISIN 300 MG
MAGNESIUM SULFAT INJEKSI 20%
PLESTERIN BULAT
EFAVIRENZ 600 MG
LAMIVUDIN 150 MG
KETOROLAC INJEKSI
SURGICAL GLOVES
HANDRUB 5 LITER
ZINK DISPERSIBEL
PROBION
CALORTUSIN
VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M
METILERGOMETRIN INJ
OKSITOSIN INJ
KLORAMFENIKOL SALEP KULIT
URISPAS
NAMA OBAT

IV CATHETER 22 G
IV CATHETER 24 G
ACYCLOVIR CREAM
ACYCLOVIR TAB 200 MG
ALAT SUNTIK SEKALI PAKAI 1 ML
ALAT SUNTIK SEKALI PAKAI 2,5 ML
ALAT SUNTIK SEKALI PAKAI 5 ML
ALBENDAZOL TAB 400 MG
ALOPURINOL TAB 100 MG
AMINOFILIN 200 MG
AMINOFILIN INJ 24MG/ML
AMOKSISILIN 500 MG
AMOKSISILIN SYR. 125 MG/5ML
AMPISILIN INJ 1 GRAM
METHAMPIRON TAB 500 MG
ANTASIDA DOEN TAB KOMBINASI
ANTASIDA SYR
ANTI HEMOROID DOEN KOMB. SUPP
ANTIFUNGI DOEN KOMB SALEP
AQUA PRO INJ STERIL BEB. PIROGEN
AQUADEST STERIL 500 CC
ASAM MEFENAMAT 500 MG
AMOKSISILIN 1 GRAM INJ
ATS INJ JKN
AMBROXOL SIRUP 15 MG/ML
AMBROKSOL 30 MG
AMLODIPIN TAB 5 MG
ALAT SUNTIK SEKALI PAKAI 3 ML
ARDIOS
ALKOHOL SWAB
ASERING
ASETYL CYSTEIN
BESI II SULFAT
BIOPLACENTON 15 G
HYOSCINE BUTILBROMIDA INJEKSI 20MG
BETAMETASON SALEP KULIT 0,1 %
CAT GUT/BENANG BEDAH 2/0
CAT GUT/BENANG BEDAH 3/0
CIPROFLOKSASIN 500 MG
CEFADROKSIL 500 MG
DEKSAMETASON INJ 5 MG/ML-1 ML
DEKSAMETASON TAB 0,5 MG
DEKSTROMETORFAN SYR 10MG/5ML KOM
DEKSTROMETORFAN TAB 15 MG KOMBIN
DIAZEPAM TAB 2 MG
DIFENHIDRAMIN HCL INJ 10MG/ML-1ML
DIGOKSIN TAB 0,25 MG
DASABION
DIMENHIDRINAT 50 MG
DOMPERIDON SYR 5 MG/5ML
EPINEFRINA HCL/BITARTRAT INJ 0,1
ETHYL KLORIDA (KLORETIL) SEMPROT
ERITROMISIN 500 MG
ETANOL 100 ML
ERITROMISIN SIRUP 200 MG/ML
FENOL GLISEROL TTS TELINGA 10%
FUROSEMID TAB 40 MG
FOLEY CATHETER
FAMOTIDIN 20 MG
GARAM ORALIT UNTUK 200 ML AIR
GENTIAN VIOLET LARUTAN 1%
GLIBENKLAMID TAB 5 MG
GLISERIL GUAIAKOLAT TAB 100 MG
GLUKOSA LARUTAN INFUS 5%
GRISEOFULVIN TAB 125 MG, MICRONIZED
GENTAMICIN SALEP KULIT
GLIMEPIRID 2 MG
BROMHEXIN TAB 8 MG
HIDROKLORTIAZID (HCT) TAB 25 MG
HIDROKORTISON KRIM 2,5%
HYPAFIX
HANDSCHOEN
HYOSCINE BUTYLBROMIDE/SCOPMA 10
HANDSCRUB
IBUPROFEN TAB 400 MG
ICHTYOL/ICHTAMOLUM 10 %
INFUS SET ANAK
INFUS SET DEWASA
ISONIAZID TAB.300 MG
ISOSORBID DINITRAT TAB SUBLINGUAL 5
KALIUM PERMANGANAT SERBUK
KALSIUM LAKTAS TAB 500 MG
KAPAS PEMBALUT 250 G
KAPTOPRIL 25 MG
KASA PEMBALUT HIDROFIL 4M X 15CM
KLORAMFENIKOL INJ
KLONIDIN HCL 0,15 MG
KLORAMFENIKOL KAPSUL 250 MG
KLORAMFENIKOL SALEP MATA 1%
KLORAMFENIKOL SYR 125 MG/5ML
KLORAMFENIKOL TETES MATA 0,5%
KLORAMFENIKOL TETES TELINGA 1%
KLORFENIRAMIN MALEAT TAB 4 MG
KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML
KOTRIMOKSAZOL TAB 480 MG
KETOKONAZOLE 200MG
KASA GULUNG PANJANG
KEJI BELING
GLUKONAS KALSILKUS
KLORIN LAR 4 %
CAVICUR SYRUP
KAEN - 3B INFUS
KALIUM DIKLOFENAK 50 MG
KLORAMFENIKOL SALEP KULIT
BISAKODIL (LAXAMEX) 5 MG
LEVERTRAN
LIDOKAIN INJ /PEHACAIN INJ
LISOL MENGANDUNG KRESOL 50 %
LOPERAMID
LORATADIN 10 MG
LEUKOMED I.V FILM
BETAHISTIN MALEAT 6 MG
METOKLOPRAMID 10 MG
MIKONAZOL SALEP 2%
METFORMIN 500 MG
METRONIDAZOL TAB 500 MG
METOKLOPRAMID INJ 5 MG/ML
MASKER
METILPREDNISOLON 8 MG
MELOKSIKAM 7,5 MG
NATRIUM KLORIDA LAR. INFUS 0,9%
NEO DIAFORM (KAOLIN PEKTIN)
NIFEDIPIN 10 MG
NISTATIN VAGINA 100.000 UI/G
NEUROBION 5000 INJ
KAOTIN SYRUP
NATRIUM/SODIUM DIKLOFENAK 25 MG
PARASETAMOL DROP
OAT KATEGORI 1
OBAT BATUK HITAM (OBH) CAIRAN
OKSITETRASIKLIN HCL SALEP MATA 1%
OMEPRAZOL 20 MG
PARASETAMOL SYR
PARASETAMOL 100MG
PARASETAMOL TAB 500 MG
PIROKSIKAM 10 MG
PLESTER 5 YD X 2 INCH
POVIDON IODIDA 10%
PREDNISON 5 MG
PIRACETAM 400 MG
PIRACETAM INJEKSI 1 G/5ML
POVIDON IODIDA KUMUR
RINGER LAKTAT
RANITIDIN INJEKSI 25 MG/ML
SALBUTAMOL TABLET 2 MG
SALEP 2-4 KOMBINASI
SALISIL BEDAK 2%
SERUM ANTI BISA ULAR POLIVALEN
SILK 3/0
SULFASETAMID NA. TETES MATA 15%
DIAZEPAM SUPP (STESOLID)
FRAMISETIN SULFAT 1 % (SUFRATULLE)
SALBUTAMOL LARUTAN RESPIRATOR UNTU
SIMVASTATIN 20 MG
TETRASIKLIN 500 MG
ASAM TRANEKSAMAT 500 MG TABLET
URIN BAG
VIT. B KOMPLEKS
VIT. B1 (TIAMIN HCL) TAB 50 MG
VIT. B12 INJ
VIT. B12 TABLET 50 MG
VIT. C (ASAM ASKORBAT) TAB 50 MG
VIT. K1 (FITOMENADION) INJ 10 MG/ML-1
VIT. K1 (FITOMENADION) TAB 10 MG
VIT B6 25 MG ( PYRIDOXIN HCL )
DOMPERIDON/VOMETA 10 MG
ASAM TRANEKSAMAT 500 MG TABLET
Duviral (Lamivudin 150 mg + Zidovudin 300
Nevirapine 200 mg
FDC Kombinasi (TDF + 3TC + EFV)
PROVAGIN VAGINAL SUPP
KLINDAMISIN 300 MG
MAGNESIUM SULFAT INJEKSI 20%
PLESTERIN BULAT
EFAVIRENZ 600 MG
LAMIVUDIN 150 MG
KETOROLAC INJEKSI
SURGICAL GLOVES
HANDRUB 5 LITER
ZINK DISPERSIBEL
PROBION
CALORTUSIN
VIT. K1 (FITOMENADION) INJ 10 MG/ML-1M
METILERGOMETRIN INJ
OKSITOSIN INJ
KLORAMFENIKOL SALEP KULIT
URISPAS
KARTU STOK RUANG RAWAT INAP UPT PUSKESMAS KERJO

HARGA
NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN MUTASI SISA STOK JUMLAH HARGA
SATUAN
1 101 IV CATHETER 22 G SET 84 190 274 57 217
2 102 IV CATHETER 24 G SET 36 0 36 18 18
3 103 ACYCLOVIR CREAM TUBE 2 0 2 0 2
4 104 ACYCLOVIR TAB 200 MG TABLET 7 0 7 0 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0 0 0 0 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0 0 0 0 0
9 110 ALOPURINOL TAB 100 MG TABLET 115 0 115 0 115
10 111 AMINOFILIN 200 MG TABLET 44 100 144 2 142
11 112 AMINOFILIN INJ 24MG/ML AMPUL 28 0 28 1 27
12 114 AMOKSISILIN 500 MG TABLET 717 300 1017 123 894
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 24 10 34 3 31
14 116 AMPISILIN INJ 1 GRAM VIAL 117 10 127 60 67
15 120 METHAMPIRON TAB 500 MG TABLET 551 500 1051 46 1005
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 278 1000 1278 180 1098
17 122 ANTASIDA SYR BOTOL 60 ML 49 0 49 1 48
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0 0 0 0 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0 0 0 0 0
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0 0 0 0 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0 0 0 0 0
22 131 ASAM MEFENAMAT 500 MG TABLET 380 300 680 125 555
23 140 AMOKSISILIN 1 GRAM INJ VIAL 43 10 53 20 33
24 147 ATS INJ JKN AMPUL 9 0 9 0 9
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 9 0 9 4 5
26 158 AMBROKSOL 30 MG TABLET 339 300 639 85 554
27 159 AMLODIPIN TAB 5 MG TABLET 40 0 40 4 36
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0 0
29 166 ARDIOS TABLET 112 30 142 3 139
30 174 ALKOHOL SWAB BOK/100 PCS 0 0 0 0 0
31 178 ASERING BOTOL/FLABOT 97 100 197 40 157
32 184 ASETYL CYSTEIN KAPSUL 273 0 273 0 273
33 202 BESI II SULFAT TABLET 39 60 99 22 77
34 205 BIOPLACENTON 15 G TUBE 5 0 5 0 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 22 0 22 2 20
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8 0 8 0 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0 0 0 0 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0 0 0 0 0
39 305 CIPROFLOKSASIN 500 MG TABLET 233 200 433 36 397
40 308 CEFADROKSIL 500 MG KAPSUL 166 0 166 0 166
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 111 0 111 18 93
42 404 DEKSAMETASON TAB 0,5 MG TABLET 226 300 526 32 494
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINASI BOTOL 60 ML 7 10 17 4 13
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0 200 200 6 194
45 410 DIAZEPAM TAB 2 MG TABLET 19 0 19 16 3
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0 0 0 0 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 55 0 55 10 45
48 418 DASABION KAPSUL 0 0 0 0 0
49 419 DIMENHIDRINAT 50 MG TABLET -3 200 197 58 139
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 4 10 14 0 14
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0 0 0 0 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0 0 0 0 0
53 513 ERITROMISIN 500 MG KAPSUL 96 0 96 0 96
54 519 ETANOL 100 ML BOTOL/100 ML 0 0 0 0 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5 3 8 0 8
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5 0 5 0 5
57 610 FUROSEMID TAB 40 MG TABLET 30 100 130 21 109
58 612 FOLEY CATHETER SET 8 0 8 1 7
59 614 FAMOTIDIN 20 MG TABLET 448 500 948 110 838
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 0 0 0 0 0
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 3 5 8 0 8
62 706 GLIBENKLAMID TAB 5 MG TABLET 9 100 109 3 106
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 364 200 564 52 512
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 145 0 145 0 145
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0 0 0 0 0
66 716 GENTAMICIN SALEP KULIT TUBE 2 5 7 1 6
67 722 GLIMEPIRID 2 MG TABLET 123 0 123 0 123
68 802 BROMHEXIN TAB 8 MG TABLET 0 0 0 0 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38 0 38 0 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 1 5 6 0 6
71 806 HYPAFIX ROL 0 0 0 0 0
72 813 HANDSCHOEN BIJI/PSG 0 0 0 0 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 260 100 360 20 340
74 822 HANDSCRUB BOTOL 0 0 0 0 0
75 901 IBUPROFEN TAB 400 MG TABLET 39 0 39 6 33
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0 0 0 0 0
77 903 INFUS SET ANAK SET/KANTONG 10 0 10 2 8
78 904 INFUS SET DEWASA SET/KANTONG 44 80 124 42 82
79 908 ISONIAZID TAB.300 MG TABLET 0 0 0 3 -3
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 35 100 135 20 115
81 1101 KALIUM PERMANGANAT SERBUK POT 0 0 0 0 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 288 0 288 6 282
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0 0 0 0 0
84 1107 KAPTOPRIL 25 MG TABLET 90 200 290 103 187
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0 0 0 0 0
86 1113 KLORAMFENIKOL INJ VIAL 70 100 170 56 114
87 1116 KLONIDIN HCL 0,15 MG TABLET 0 0 0 0 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 425 500 925 216 709
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1 0 1 0 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 14 5 19 3 16
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 3 0 3 0 3
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 0 0 0 3 -3
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 125 0 125 40 85
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 10 10 20 14 6
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 160 200 360 36 324
96 1138 KETOKONAZOLE 200MG TABLET 0 0 0 0 0
97 1141 KASA GULUNG PANJANG ROL 0 0 0 0 0
98 1145 KEJI BELING KAPSUL 0 0 0 0 0
99 1146 GLUKONAS KALSILKUS FLES 0 0 0 0 0
100 1148 KLORIN LAR 4 % BOTOL 0 0 0 0 0
101 1155 CAVICUR SYRUP BOTOL 17 0 17 0 17
102 1162 KAEN - 3B INFUS BOTOL -3 100 97 67 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0 100 100 14 86
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0 0 0 0 0
106 1211 LEVERTRAN POT 0 0 0 0 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 46 0 46 5 41
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0 0 0 0 0
109 1214 LOPERAMID TABLET 252 0 252 13 239
110 1217 LORATADIN 10 MG TABLET 243 100 343 5 338
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0 0 0 0 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 104 150 254 130 124
113 1307 METOKLOPRAMID 10 MG TABLET 359 0 359 45 314
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5 0 5 0 5
115 1314 METFORMIN 500 MG TABLET 28 100 128 6 122
116 1315 METRONIDAZOL TAB 500 MG TABLET 0 0 0 0 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 20 0 20 35 -15
118 1320 MASKER BIJI 0 0 0 0 0
119 1331 METILPREDNISOLON 8 MG TABLET 281 200 481 0 481
120 1335 MELOKSIKAM 7,5 MG TABLET 90 200 290 22 268
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 11 0 11 1 10
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 85 0 85 32 53
123 1408 NIFEDIPIN 10 MG TABLET 100 0 100 0 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0 0 0 0 0
125 1417 NEUROBION 5000 INJ AMPUL 34 0 34 2 32
126 1430 KAOTIN SYRUP BOTOL 4 6 10 1 9
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 292 0 292 37 255
128 1465 PARASETAMOL DROP BOTOL 0 0 0 45 -45
129 1501 OAT KATEGORI 1 PAKET 0 0 0 0 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 7 0 7 1 6
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 0 0 0 0 0
132 1516 OMEPRAZOL 20 MG KAPSUL 50 150 200 11 189
133 1604 PARASETAMOL SYR BOTOL 60 ML 35 25 60 11 49
134 1605 PARASETAMOL 100MG TABLET 0 0 0 4 -4
135 1606 PARASETAMOL TAB 500 MG TABLET 630 1500 2130 439 1691
136 1614 PIROKSIKAM 10 MG TABLET 282 0 282 0 282
137 1616 PLESTER 5 YD X 2 INCH ROL 0 0 0 0 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0 0 0 0 0
139 1619 PREDNISON 5 MG TABLET 14 200 214 0 214
140 1635 PIRACETAM 400 MG KAPSUL 148 0 148 10 138
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4 0 4 0 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1 0 1 0 1
143 1807 RINGER LAKTAT BOTOL 500 ML 252 100 352 113 239
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 348 600 948 200 748
145 1901 SALBUTAMOL TABLET 2 MG TABLET 9 0 9 16 -7
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1 0 1 0 1
147 1903 SALISIL BEDAK 2% KOTAK 2 0 2 0 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0 0 0 0 0
149 1907 SILK 3/0 BIJI 0 0 0 0 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 1 0 1 0 1
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0 0 0 0 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0 0 0 0 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBULIZER 2,5 MG/2, BOTOL 53 0 53 12 41
154 1936 SIMVASTATIN 20 MG TABLET 21 50 71 6 65
155 2004 TETRASIKLIN 500 MG KAPSUL 0 0 0 0 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 29 0 29 0 29
157 2103 URIN BAG BIJI 8 0 8 0 8
158 2202 VIT. B KOMPLEKS TABLET 0 300 300 98 202
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 260 0 260 28 232
160 2205 VIT. B12 INJ AMPUL 0 0 0 0 0
161 2206 VIT. B12 TABLET 50 MG TABLET 219 0 219 14 205
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 32 100 132 6 126
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 0 0 0 0 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0 0 0 0 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 126 200 326 73 253
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 19 0 19 0 19
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 37 100 137 0 137
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0 0 0 0 0
168 2904 Nevirapine 200 mg Tablet 0 0 0 0 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0 0 0 0 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0 0 0 0 0
171 2908 KLINDAMISIN 300 MG TABLET 0 0 0 0 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0 0 0 0 0
173 2922 PLESTERIN BULAT BOX 0 0 0 0 0
174 2923 EFAVIRENZ 600 MG TABLET 0 0 0 0 0
175 2924 LAMIVUDIN 150 MG TABLET 0 0 0 0 0
176 2925 KETOROLAC INJEKSI AMPUL 0 0 0 0 0
177 2928 SURGICAL GLOVES PCS 0 0 0 0 0
178 2929 HANDRUB 5 LITER BOTOL 0 0 0 0 0
179 2602 ZINK DISPERSIBEL TABLET 0 100 100 0 100
180 PROBION TABLET 267 0 267 0 267
181 CALORTUSIN TABLET 80 0 80 0 80
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 0 0 0 0 0
183 METILERGOMETRIN INJ AMPUL 0 0 0 0 0
184 OKSITOSIN INJ AMPUL 0 0 0 0 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0 0
186 URISPAS TABLET 60 0 60 0 60

Penanggung jawab
Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG FARMASI UPT PUSKESMAS KERJO

HARGA STOK
NO NAMA OBAT SATUAN
SATUAN AWAL
1 101 IV CATHETER 22 G SET 107
2 102 IV CATHETER 24 G SET 31
3 103 ACYCLOVIR CREAM TUBE 4
4 104 ACYCLOVIR TAB 200 MG TABLET 87
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0
9 110 ALOPURINOL TAB 100 MG TABLET 90
10 111 AMINOFILIN 200 MG TABLET 3
11 112 AMINOFILIN INJ 24MG/ML AMPUL 0
12 114 AMOKSISILIN 500 MG TABLET 540
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 0
14 116 AMPISILIN INJ 1 GRAM VIAL 0
15 120 METHAMPIRON TAB 500 MG TABLET 503
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 406
17 122 ANTASIDA SYR BOTOL 60 ML 8
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 159
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 1
20 128 AQUA PRO INJ STERIL BEB. PIROGEN VIAL 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0
22 131 ASAM MEFENAMAT 500 MG TABLET 412
23 140 AMOKSISILIN 1 GRAM INJ VIAL 0
24 147 ATS INJ JKN AMPUL 30
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 7
26 158 AMBROKSOL 30 MG TABLET 166
27 159 AMLODIPIN TAB 5 MG TABLET 364
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0
29 166 ARDIOS TABLET 17
30 174 ALKOHOL SWAB BOK/100 PCS 0
31 178 ASERING BOTOL/FLABOT 0
32 184 ASETYL CYSTEIN KAPSUL 80
33 202 BESI II SULFAT TABLET 150
34 205 BIOPLACENTON 15 G TUBE 5
35 206 HYOSCINE BUTILBROMIDA INJEKSI 20MG/ML AMPUL 0
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0
39 305 CIPROFLOKSASIN 500 MG TABLET 92
40 308 CEFADROKSIL 500 MG KAPSUL 123
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 0
42 404 DEKSAMETASON TAB 0,5 MG TABLET 162
43 405 DEKSTROMETORFAN SYR 10MG/5ML KOMBINASI BOTOL 60 ML 0
44 406 DEKSTROMETORFAN TAB 15 MG KOMBINASI TABLET 0
45 410 DIAZEPAM TAB 2 MG TABLET 0
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1ML AMPUL 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 33
48 418 DASABION KAPSUL 35
49 419 DIMENHIDRINAT 50 MG TABLET 117
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 5
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPROT BOTOL 100 ML 0
53 513 ERITROMISIN 500 MG KAPSUL 102
54 519 ETANOL 100 ML BOTOL/100 ML 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 3
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 2
57 610 FUROSEMID TAB 40 MG TABLET 153
58 612 FOLEY CATHETER SET 0
59 614 FAMOTIDIN 20 MG TABLET 169
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 21
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 2
62 706 GLIBENKLAMID TAB 5 MG TABLET 135
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 246
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 0
65 711 GRISEOFULVIN TAB 125 MG, MICRONIZED TABLET 0
66 716 GENTAMICIN SALEP KULIT TUBE 5
67 722 GLIMEPIRID 2 MG TABLET 280
68 802 BROMHEXIN TAB 8 MG TABLET 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 58
70 804 HIDROKORTISON KRIM 2,5% TUBE 15
71 806 HYPAFIX ROL 0
72 813 HANDSCHOEN BIJI/PSG 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA 10 MG TABLET 48
74 822 HANDSCRUB BOTOL 0
75 901 IBUPROFEN TAB 400 MG TABLET 138
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 4
77 903 INFUS SET ANAK SET/KANTONG 0
78 904 INFUS SET DEWASA SET/KANTONG 0
79 908 ISONIAZID TAB.300 MG TABLET 0
80 909 ISOSORBID DINITRAT TAB SUBLINGUAL 5 MG TABLET 4
81 1101 KALIUM PERMANGANAT SERBUK POT 4
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 298
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0
84 1107 KAPTOPRIL 25 MG TABLET 319
85 1111 KASA PEMBALUT HIDROFIL 4M X 15CM ROL 0
86 1113 KLORAMFENIKOL INJ VIAL 0
87 1116 KLONIDIN HCL 0,15 MG TABLET 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 160
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 0
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 2
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 9
92 1121 KLORAMFENIKOL TETES TELINGA 1% BOTOL 5 ML 2
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 538
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/5 ML BOTOL 60 ML 5
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 360
96 1138 KETOKONAZOLE 200MG TABLET 64
97 1141 KASA GULUNG PANJANG ROL 0
98 1145 KEJI BELING KAPSUL 0
99 1146 GLUKONAS KALSILKUS FLES 0
100 1148 KLORIN LAR 4 % BOTOL 0
101 1155 CAVICUR SYRUP BOTOL 0
102 1162 KAEN - 3B INFUS BOTOL 0
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 100
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 4
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0
106 1211 LEVERTRAN POT 3
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 0
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0
109 1214 LOPERAMID TABLET 24
110 1217 LORATADIN 10 MG TABLET 250
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 165
113 1307 METOKLOPRAMID 10 MG TABLET 57
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 14
115 1314 METFORMIN 500 MG TABLET 19
116 1315 METRONIDAZOL TAB 500 MG TABLET 216
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 0
118 1320 MASKER BIJI 0
119 1331 METILPREDNISOLON 8 MG TABLET 0
120 1335 MELOKSIKAM 7,5 MG TABLET 194
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 0
123 1408 NIFEDIPIN 10 MG TABLET 0
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 89
125 1417 NEUROBION 5000 INJ AMPUL 0
126 1430 KAOTIN SYRUP BOTOL 5
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 MG TABLET 366
128 1465 PARASETAMOL DROP BOTOL 0
129 1501 OAT KATEGORI 1 PAKET 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 1
131 1509 OKSITETRASIKLIN HCL SALEP MATA 1% TUBE 5
132 1516 OMEPRAZOL 20 MG KAPSUL 74
133 1604 PARASETAMOL SYR BOTOL 60 ML 8
134 1605 PARASETAMOL 100MG TABLET 175
135 1606 PARASETAMOL TAB 500 MG TABLET 828
136 1614 PIROKSIKAM 10 MG TABLET 10
137 1616 PLESTER 5 YD X 2 INCH ROL 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0
139 1619 PREDNISON 5 MG TABLET 154
140 1635 PIRACETAM 400 MG KAPSUL 149
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 0
142 1645 POVIDON IODIDA KUMUR BOTOL 6
143 1807 RINGER LAKTAT BOTOL 500 ML 0
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 0
145 1901 SALBUTAMOL TABLET 2 MG TABLET 6
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1
147 1903 SALISIL BEDAK 2% KOTAK 8
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0
149 1907 SILK 3/0 BIJI 0
150 1914 SULFASETAMID NA. TETES MATA 15% BOTOL 5 ML 9
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATULLE) LEMBAR 0
153 1927 SALBUTAMOL LARUTAN RESPIRATOR UNTUK NEBULIZ BOTOL 0
154 1936 SIMVASTATIN 20 MG TABLET 137
155 2004 TETRASIKLIN 500 MG KAPSUL 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLET TABLET 0
157 2103 URIN BAG BIJI 0
158 2202 VIT. B KOMPLEKS TABLET 513
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 359
160 2205 VIT. B12 INJ AMPUL 0
161 2206 VIT. B12 TABLET 50 MG TABLET 359
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 244
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML DAK AMPUL 484
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 63
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 241
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 180
166 2221 ASAM TRANEKSAMAT 500 MG TABLET TABLET 100
167 2903 Duviral (Lamivudin 150 mg + Zidovudin 300 mg) Tab 0
168 2904 Nevirapine 200 mg Tablet 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0
171 2908 KLINDAMISIN 300 MG TABLET 55
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0
173 2922 PLESTERIN BULAT BOX 0
174 2923 EFAVIRENZ 600 MG TABLET 0
175 2924 LAMIVUDIN 150 MG TABLET 0
176 2925 KETOROLAC INJEKSI AMPUL 0
177 2928 SURGICAL GLOVES PCS 0
178 2929 HANDRUB 5 LITER BOTOL 0
179 2602 ZINK DISPERSIBEL TABLET 0
180 PROBION TABLET 246
181 CALORTUSIN TABLET 36
182 VIT. K1 (FITOMENADION) INJ 10 MG/ML-1ML JKN AMPUL 90
183 METILERGOMETRIN INJ AMPUL 200
184 OKSITOSIN INJ AMPUL 300
185 KLORAMFENIKOL SALEP KULIT TUBE 0
186 URISPAS TABLET 50
KESMAS KERJO

PENERIMA PERSEDIA JUMLAH


MUTASI SISA STOK
AN AN HARGA
190 297 297
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Penanggung jawab

Hartini
NIP. 19680805 199203 2 013
KARTU STOK RUANG RAWAT INAP UPT PUSKESMAS KERJO

HARGA STOK JUMLAH


NO NAMA OBAT SATUAN PENERIMAAN PERSEDIAAN MUTASI SISA STOK
SATUAN AWAL HARGA
1 101 IV CATHETER 22 G SET 184 184 87 97
2 102 IV CATHETER 24 G SET 16 50 66 12 54
3 103 ACYCLOVIR CREAM TUBE 3 3 1 2
4 104 ACYCLOVIR TAB 200 MG TABLET 87 87 80 7
5 106 ALAT SUNTIK SEKALI PAKAI 1 ML SET 0 0 0 0
6 107 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 0 0 0 0
7 108 ALAT SUNTIK SEKALI PAKAI 5 ML SET 0 0 0 0
8 109 ALBENDAZOL TAB 400 MG TABLET 0 0 0 0
9 110 ALOPURINOL TAB 100 MG TABLET 68 100 168 24 144
10 111 AMINOFILIN 200 MG TABLET 127 127 38 89
11 112 AMINOFILIN INJ 24MG/ML AMPUL 30 30 0 30
12 114 AMOKSISILIN 500 MG TABLET 276 500 776 296 480
13 115 AMOKSISILIN SYR. 125 MG/5ML BOTOL 60 ML 11 10 21 7 14
14 116 AMPISILIN INJ 1 GRAM VIAL 74 150 224 79 145
15 120 METHAMPIRON TAB 500 MG TABLET 294 294 138 156
16 121 ANTASIDA DOEN TAB KOMBINASI TABLET 42 500 542 269 273
17 122 ANTASIDA SYR BOTOL 60 ML 29 29 0 29
18 124 ANTI HEMOROID DOEN KOMB. SUPP SUPP 0 0 0 0
19 125 ANTIFUNGI DOEN KOMB SALEP POT 30 G 0 0 0 0
20 128 AQUA PRO INJ STERIL BEB. PIROGE VIAL 0 0 0 0
21 129 AQUADEST STERIL 500 CC BOTOL 500 ML 0 0 0 0
22 131 ASAM MEFENAMAT 500 MG TABLET 313 400 713 351 362
23 140 AMOKSISILIN 1 GRAM INJ VIAL 12 70 82 4 78
24 147 ATS INJ JKN AMPUL 2 10 12 4 8
25 157 AMBROXOL SIRUP 15 MG/ML BOTOL 60 ML 12 10 22 1 21
26 158 AMBROKSOL 30 MG TABLET 131 500 631 145 486
27 159 AMLODIPIN TAB 5 MG TABLET 81 81 14 67
28 162 ALAT SUNTIK SEKALI PAKAI 3 ML SET 0 0 0 0
29 166 ARDIOS TABLET 54 54 0 54
30 174 ALKOHOL SWAB BOK/100 PCS 0 0 0 0
31 178 ASERING BOTOL/FLABOT 0 100 100 35 65
32 184 ASETYL CYSTEIN KAPSUL 288 0 288 2 286
33 202 BESI II SULFAT TABLET 51 24 75 1 74
34 205 BIOPLACENTON 15 G TUBE 5 28 33 0 33
35 206 HYOSCINE BUTILBROMIDA INJEKSI AMPUL 22 0 22 20 2
36 221 BETAMETASON SALEP KULIT 0,1 % TUBE 8 8 0 8
37 301 CAT GUT/BENANG BEDAH 2/0 BIJI 0 0 0 0
38 302 CAT GUT/BENANG BEDAH 3/0 BIJI 0 0 0 0
39 305 CIPROFLOKSASIN 500 MG TABLET 222 100 322 131 191
40 308 CEFADROKSIL 500 MG KAPSUL 190 190 16 174
41 403 DEKSAMETASON INJ 5 MG/ML-1 ML AMPUL 140 140 13 127
42 404 DEKSAMETASON TAB 0,5 MG TABLET 295 300 595 169 426
43 405 DEKSTROMETORFAN SYR 10MG/5ML BOTOL 60 ML 8 20 28 8 20
44 406 DEKSTROMETORFAN TAB 15 MG KOM TABLET 0 0 0 0
45 410 DIAZEPAM TAB 2 MG TABLET 8 30 38 39 -1
46 413 DIFENHIDRAMIN HCL INJ 10MG/ML-1 AMPUL 0 0 0 0
47 414 DIGOKSIN TAB 0,25 MG TABLET 28 28 0 28
48 418 DASABION KAPSUL 0 0 0 0
49 419 DIMENHIDRINAT 50 MG TABLET 233 233 54 179
50 426 DOMPERIDON SYR 5 MG/5ML BOTOL 11 11 4 7
51 506 EPINEFRINA HCL/BITARTRAT INJ 0,1 AMPUL 0 0 0 0
52 511 ETHYL KLORIDA (KLORETIL) SEMPR BOTOL 100 ML 0 0 0 0
53 513 ERITROMISIN 500 MG KAPSUL 96 96 0 96
54 519 ETANOL 100 ML BOTOL/100 ML 0 0 0 0
55 520 ERITROMISIN SIRUP 200 MG/ML BOTOL 5 5 0 5
56 607 FENOL GLISEROL TTS TELINGA 10% BOTOL 5 5 0 5
57 610 FUROSEMID TAB 40 MG TABLET 81 81 24 57
58 612 FOLEY CATHETER SET 0 10 10 1 9
59 614 FAMOTIDIN 20 MG TABLET 406 406 254 152
60 702 GARAM ORALIT UNTUK 200 ML AIR KANTONG 55 55 4 51
61 704 GENTIAN VIOLET LARUTAN 1% BOTOL 10 ML 5 5 2 3
62 706 GLIBENKLAMID TAB 5 MG TABLET 20 20 0 20
63 707 GLISERIL GUAIAKOLAT TAB 100 MG TABLET 307 300 607 138 469
64 710 GLUKOSA LARUTAN INFUS 5% BOTOL 500 ML 60 60 12 48
65 711 GRISEOFULVIN TAB 125 MG, MICRON TABLET 0 0 0 0
66 716 GENTAMICIN SALEP KULIT TUBE 3 3 1 2
67 722 GLIMEPIRID 2 MG TABLET 126 126 0 126
68 802 BROMHEXIN TAB 8 MG TABLET 0 0 0 0
69 803 HIDROKLORTIAZID (HCT) TAB 25 MG TABLET 38 38 0 38
70 804 HIDROKORTISON KRIM 2,5% TUBE 2 2 1 1
71 806 HYPAFIX ROL 0 0 0 0
72 813 HANDSCHOEN BIJI/PSG 0 0 0 0
73 814 HYOSCINE BUTYLBROMIDE/SCOPMA TABLET 164 200 364 81 283
74 822 HANDSCRUB BOTOL 0 0 0 0
75 901 IBUPROFEN TAB 400 MG TABLET 43 43 0 43
76 902 ICHTYOL/ICHTAMOLUM 10 % POT 0 0 0 0
77 903 INFUS SET ANAK SET/KANTONG 14 14 2 12
78 904 INFUS SET DEWASA SET/KANTONG 100 100 200 73 127
79 908 ISONIAZID TAB.300 MG TABLET 0 0 0 0
80 909 ISOSORBID DINITRAT TAB SUBLINGU TABLET 28 28 0 28
81 1101 KALIUM PERMANGANAT SERBUK POT 0 0 0 0
82 1103 KALSIUM LAKTAS TAB 500 MG TABLET 294 294 6 288
83 1106 KAPAS PEMBALUT 250 G BUNGKUS 0 0 0 0
84 1107 KAPTOPRIL 25 MG TABLET 299 299 84 215
85 1111 KASA PEMBALUT HIDROFIL 4M X 15 ROL 0 0 0 0
86 1113 KLORAMFENIKOL INJ VIAL 83 100 183 63 120
87 1116 KLONIDIN HCL 0,15 MG TABLET 0 0 0 0
88 1117 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 671 671 264 407
89 1118 KLORAMFENIKOL SALEP MATA 1% TUBE 5 G 1 1 0 1
90 1119 KLORAMFENIKOL SYR 125 MG/5ML BOTOL 60 ML 3 10 13 1 12
91 1120 KLORAMFENIKOL TETES MATA 0,5% BOTOL 5 ML 5 5 2 3
92 1121 KLORAMFENIKOL TETES TELINGA 1 BOTOL 5 ML 4 4 0 4
93 1122 KLORFENIRAMIN MALEAT TAB 4 MG TABLET 148 300 448 173 275
94 1133 KOTRIMOKSAZOL SUSPENSI 240 MG/ BOTOL 60 ML 12 12 2 10
95 1135 KOTRIMOKSAZOL TAB 480 MG TABLET 278 278 74 204
96 1138 KETOKONAZOLE 200MG TABLET 0 0 0 0
97 1141 KASA GULUNG PANJANG ROL 0 0 0 0
98 1145 KEJI BELING KAPSUL 0 0 0 0
99 1146 GLUKONAS KALSILKUS FLES 0 0 0 0
100 1148 KLORIN LAR 4 % BOTOL 0 0 0 0
101 1155 CAVICUR SYRUP BOTOL 0 20 20 0 20
102 1162 KAEN - 3B INFUS BOTOL 0 180 180 138 42
103 1165 KALIUM DIKLOFENAK 50 MG TABLET 0 0 0 0
104 1168 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0
105 1210 BISAKODIL (LAXAMEX) 5 MG TABLET 0 0 0 0
106 1211 LEVERTRAN POT 0 0 0 0
107 1212 LIDOKAIN INJ /PEHACAIN INJ AMPUL 26 26 14 12
108 1213 LISOL MENGANDUNG KRESOL 50 % BOTOL 0 0 0 0
109 1214 LOPERAMID TABLET 139 139 55 84
110 1217 LORATADIN 10 MG TABLET 125 100 225 56 169
111 1224 LEUKOMED I.V FILM BOX/50 PCS 0 0 0 0
112 1303 BETAHISTIN MALEAT 6 MG TABLET 287 287 187 100
113 1307 METOKLOPRAMID 10 MG TABLET 195 400 595 134 461
114 1310 MIKONAZOL SALEP 2% TUBE 10 G 5 5 0 5
115 1314 METFORMIN 500 MG TABLET 70 70 19 51
116 1315 METRONIDAZOL TAB 500 MG TABLET 0 0 0 0
117 1316 METOKLOPRAMID INJ 5 MG/ML AMPUL 75 30 105 99 6
118 1320 MASKER BIJI 0 0 0 0
119 1331 METILPREDNISOLON 8 MG TABLET 0 0 0 0
120 1335 MELOKSIKAM 7,5 MG TABLET 124 124 16 108
121 1403 NATRIUM KLORIDA LAR. INFUS 0,9% BOTOL 500 ML 0 18 18 6 12
122 1405 NEO DIAFORM (KAOLIN PEKTIN) TABLET 42 100 142 42 100
123 1408 NIFEDIPIN 10 MG TABLET 100 100 0 100
124 1410 NISTATIN VAGINA 100.000 UI/G TAB VAGINAL 0 0 0 0
125 1417 NEUROBION 5000 INJ AMPUL 25 25 11 14
126 1430 KAOTIN SYRUP BOTOL 11 11 1 10
127 1432 NATRIUM/SODIUM DIKLOFENAK 25 TABLET 155 150 305 78 227
128 1465 PARASETAMOL DROP BOTOL 0 0 0 0
129 1501 OAT KATEGORI 1 PAKET 0 0 0 0
130 1507 OBAT BATUK HITAM (OBH) CAIRAN BOTOL 100 ML 0 10 10 2 8
131 1509 OKSITETRASIKLIN HCL SALEP MATA TUBE 0 0 0 0
132 1516 OMEPRAZOL 20 MG KAPSUL 83 83 27 56
133 1604 PARASETAMOL SYR BOTOL 60 ML 4 10 14 14 0
134 1605 PARASETAMOL 100MG TABLET 0 0 0 0
135 1606 PARASETAMOL TAB 500 MG TABLET 738 1000 1738 857 881
136 1614 PIROKSIKAM 10 MG TABLET 308 308 12 296
137 1616 PLESTER 5 YD X 2 INCH ROL 0 0 0 0
138 1618 POVIDON IODIDA 10% BOTOL 30 ML 0 0 0 0
139 1619 PREDNISON 5 MG TABLET 59 59 43 16
140 1635 PIRACETAM 400 MG KAPSUL 236 236 45 191
141 1640 PIRACETAM INJEKSI 1 G/5ML AMPUL 4 4 0 4
142 1645 POVIDON IODIDA KUMUR BOTOL 1 1 0 1
143 1807 RINGER LAKTAT BOTOL 500 ML 148 180 328 184 144
144 1810 RANITIDIN INJEKSI 25 MG/ML AMPUL 448 448 214 234
145 1901 SALBUTAMOL TABLET 2 MG TABLET 78 200 278 65 213
146 1902 SALEP 2-4 KOMBINASI POT 30 G 1 1 0 1
147 1903 SALISIL BEDAK 2% KOTAK 2 2 0 2
148 1906 SERUM ANTI BISA ULAR POLIVALEN VIAL 0 0 0 0
149 1907 SILK 3/0 BIJI 0 0 0 0
150 1914 SULFASETAMID NA. TETES MATA 15 BOTOL 5 ML 2 2 0 2
151 1915 DIAZEPAM SUPP (STESOLID) SUPP 0 0 0 0
152 1917 FRAMISETIN SULFAT 1 % (SUFRATUL LEMBAR 10 10 4 6
153 1927 SALBUTAMOL LARUTAN RESPIRATOR BOTOL 18 20 38 12 26
154 1936 SIMVASTATIN 20 MG TABLET 119 119 25 94
155 2004 TETRASIKLIN 500 MG KAPSUL 0 0 0 0
156 2007 ASAM TRANEKSAMAT 500 MG TABLE TABLET 30 30 1 29
157 2103 URIN BAG BIJI 5 5 1 4
158 2202 VIT. B KOMPLEKS TABLET 311 311 115 196
159 2204 VIT. B1 (TIAMIN HCL) TAB 50 MG TABLET 361 361 52 309
160 2205 VIT. B12 INJ AMPUL 0 0 0 0
161 2206 VIT. B12 TABLET 50 MG TABLET 307 307 28 279
162 2208 VIT. C (ASAM ASKORBAT) TAB 50 MG TABLET 54 54 22 32
163 2209 VIT. K1 (FITOMENADION) INJ 10 MG/ AMPUL 0 0 0 0
164 2210 VIT. K1 (FITOMENADION) TAB 10 MG TABLET 0 0 0 0
2221 VIT B6 25 MG ( PYRIDOXIN HCL ) TABLET 43 200 243 169 74
165 2213 DOMPERIDON/VOMETA 10 MG TABLET 20 20 0 20
166 2221 ASAM TRANEKSAMAT 500 MG TABLE TABLET 40 40 3 37
167 2903 Duviral (Lamivudin 150 mg + Zidovudin Tab 0 0 0 0
168 2904 Nevirapine 200 mg Tablet 0 0 0 0
169 2905 FDC Kombinasi (TDF + 3TC + EFV) Tablet 0 0 0 0
170 2907 PROVAGIN VAGINAL SUPP SUPP 0 0 0 0
171 2908 KLINDAMISIN 300 MG TABLET 0 0 0 0
172 2921 MAGNESIUM SULFAT INJEKSI 20% AMPUL 0 0 0 0
173 2922 PLESTERIN BULAT BOX 0 0 0 0
174 2923 EFAVIRENZ 600 MG TABLET 0 0 0 0
175 2924 LAMIVUDIN 150 MG TABLET 0 0 0 0
176 2925 KETOROLAC INJEKSI AMPUL 0 0 0 0
177 2928 SURGICAL GLOVES PCS 0 0 0 0
178 2929 HANDRUB 5 LITER BOTOL 0 0 0 0
179 2602 ZINK DISPERSIBEL TABLET 0 0 0 0
180 PROBION TABLET 124 124 118 6
181 CALORTUSIN TABLET 99 99 63 36
182 VIT. K1 (FITOMENADION) INJ 10 MG/ AMPUL 0 0 0 0
183 METILERGOMETRIN INJ AMPUL 0 0 0 0
184 OKSITOSIN INJ AMPUL 0 0 0 0
185 KLORAMFENIKOL SALEP KULIT TUBE 0 0 0 0
186 URISPAS TABLET 60 60 60 0

Penanggung jawab
Hartini
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