REKAPITULASI PEMAKAIAN

KODE PUSKESMAS : IGD

PUSKESMAS : Sungai Rumbai
KECAMATAN : Sungai Rumbai
KAB/KOTA : Dharmasraya
PROPINSI : Sumatera Barat
tanpa stripan
No. Nama Sediaan Satuan
i.awal I masuk stok Igd
1 2 3 5
1 Abochat 18 Pcs 175 138 37
2 Abochat 20 Pcs 200 35 165
3 Abochat 22 Pcs 115 70 45
4 Abochat 24 Pcs 115 76 39
5 Alat pemantau suhu pcs -
6 Alat perekam suhu pcs -
7 Alat suntik 10 ml pcs -
8 Alat suntik 20 ml pcs -
9 Alat suntik sekali pakai 1 ml Pcs 258 174 84
10 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 500 300 37 763
11 Alat suntik sekali pakai 5 ml Pcs 290 195 95
12 Albendazol syr 200mg/5 ml Botol -
13 Albendazol tablet 400 mg tablet 140 140 -
14 Alkohol Swab sachet -
15 Allopurinol 100 mg tablet 350 90 260
16 Alprazolam 1 mg tablet -
17 Ambroxol 30 mg tablet tablet -
18 Aminofilin inj 24mg/ml-10 ml ampul 5 2 7 -
19 Aminofilin tablet 200 mg tablet -
20 Amitriptilin HCl tablet salut 25 mg tablet -
21 Amlodipin 10 mg tablet 190 150 40
22 Amlodipin 5 mg tablet 360 220 140
23 Amoksisilin 250 mg tablet 200 200 300 100
24 Amoksisilin 500 mg tablet 1,080 300 240 1,140
25 Amoksisilin sirup kering 125 mg/5 ml Botol 35 35 -
26 Amoniak btl/1000 ml -
27 Amoxicillin syr forte 250mg/ml botol -
28 Antalgin injeksi 250 mg/ml-2ml ampul -
29 Antasida DOEN tablet tablet 770 10 780 -
30 Antasida sirup Botol 76 28 48
Anti Bakteri DOEN salep Kombinasi
31 (bacitrasin) Tube -
32 Anti Fungi DOEN Kombinasi Pot -
33 Anti Haemoroid DOEN kombinasi Suppos 6 6 -
34 Anti Migren (ergotamin caffein) tablet -
35 Anti Tuberkulosis Kategori I paket -
36 Anti Tuberkulosis Kategori II paket -
37 Aprazolam 0,5 mg tablet -
38 Aqua pro injeksi steril bebas pirogen vial 18 14 4
39 Aquadest steril liter -
40 Ari Sound Timer pcs -
41 Asam askorbat (Vit C) tablet 50 mg tablet 500 80 420
42 Asam Folat 0,4 mg /profolat tablet 180 300 75 405
43 Asam folat 1 mg tablet -
44 Asam mefenamat 500 mg tablet 890 340 550
45 Asam tranexamat inj 100 mg/ml ampul -
46 Asam tranexamat inj 50mg/ml ampul -
47 Asam Tranexamat tablet 500 mg tablet 5 5

48 Asam Valproat 500mg / Depakote 500 mg tablet -

Asam Valproat tab SR 250 Mg / Depakote
49 250 mg tablet -
50 Asetosal 80 mg / Miniaspi tablet -
51 Asetosal tablet 100 mg tablet -
52 Asiklovir Krim 5 % 5 gr Tube -
53 Asiklovir tablet 200 mg tablet -
54 Asiklovir tablet 400 mg tablet 350 100 380 70

55 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 5 14 19 -

56 Attapulgit (Pularex) tablet -
57 Azitromisin tab 500 mg tablet -
58 Bahan tambalan gigi sementara (mix) Botol -
59 BCG Vial -
60 Benecheck Cholesterol strip Botol 7 (7)
61 Benecheck Glucose strip Botol 30 (30)
62 Benecheck uric strip Botol 12 (12)
Berotec 0,1 mg(Fenoterol HBr aerosol
63 100mcg/dosis) Btl -
64 Betahistin mesilat tablet -
65 Betametason krim 0,1% Tube -
66 Bioplacenton tube -
67 Bisacodil (dulcolax) supp suppos -
68 Bisacodil (dulcolax) tab tablet -
69 Bisacodil supp infant 5 mg /Dulcolax Suppos -
70 Bisoprolol 5 mg tablet -
71 Blood lancet pcs 300 300
72 Blue tip box -
73 Box Slide bok -
 74 Bubuk Abate bks -
75 Ca Glukonas ampul -
76 Calcidor / Kalsium hidroksida pasta kotak -
77 CAMPAK Vial -
78 Captopril 12,5mg tablet 300 500 790 10
79 Captopril 25 mg tablet 340 200 140
80 Cartridge Gen Expert Pcs -
81 Catgut/benang bedah Chromic 2/0 set -
82 Catgut/benang bedah Chromic 3/0 set 17 12 16 13
83 Catgut/benang bedah Plain 2/0 set -
84 Catgut/benang bedah Plain 3/0 set 12 12 11 13
85 Cefadroxil tablet -
86 Cefadroxil syr forte 250mg/ml botol -
87 Cefadroxyl syr 125 mg/ml Botol 5 - 5
88 Cefiksim syr kering 100mg/5ml btl 30ml 12 7 - 19
89 Cefixime 100mg tablet 350 350
90 Cefotaxim 1,0 G inj Vial -

Cendo Lyteers Kombinasi tts mata 2,5

mg/ml; NaCl 8,664 mg; kalium klorida 1,32
91 mg botol -
92 Centrifuse Paket -
93 Cetirizin 10 mg tablet 1,000 100 1,050 50
94 Cetirizin syr 5mg/5ml btl 60ml 10 - 10
95 Cimetidin tablet -
96 Ciprofloxacin tablet 500 mg tablet 154 300 250 204
97 Clindamisin 300 mg tablet 200 200 -
98 Control CBC ST Plus-Normal-Diatron Vial/ 2,5 ml -
99 Cuticell Classic pcs -
100 Daryantulle sachet -
101 Deksametason injeksi 5 mg/ml-1 ml ampul 54 25 29
102 Deksametason tablet 0,5 mg tablet 1,350 640 710
103 DFI Cybow Box -
104 DHP-Frimal tablet -
105 Diazepam injeksi 5 mg/ml-2 ml ampul -
106 Diazepam rektal 10 mg Suppos -
107 Diazepam rektal 5 mg Suppos -
108 Diazepam tablet 2 mg tablet 300 38 262
109 Diazepam tablet 5 mg tablet 4 4
110 Dietil karbamazin sitrat tablet 100 mg tablet -
111 Difenhidramin HCl inj 10 mg/ml-1 ml ampul 24 (24)
112 Digoksin tablet 0,25 mg tablet -
113 Diltiazem tablet tablet -
114 Dimenhidrinat 50 mg tablet -
115 Dirui BF 6500 SLS Kit/500 ml -
116 Dirui BF Deterjen Kit/10 ml -
117 Dirui BF Diluent 20 liter -
118 Dirui BF FDO LYSE Kit/5 L -
119 Dirui BF FDT LYSE Kit/500 ml -
120 Doksisilin kapsul tablet -
121 Domperidon 10 mg tablet -
122 Domperidon syr Botol 30 8 22
123 D-Pieces smokerlyzer Box -
124 DT Vial -
125 EDTA 10 % Botol -
126 Efedrin HCl tablet 25 mg tablet -
127 Ekstrak Belladona tab 10 mg tablet -
128 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul -
129 Eritromisin 250 mg tablet -
130 Eritromisin 500 mg tablet 170 (170)
131 Eritromisin sirup kering Botol 9 9
132 Etakridin (rivanol) larutan 0,1% Botol 8 8 -
133 Etanol 70% Botol -
134 Etanol 96% botol -
135 Etil klorida spray Botol -
136 Eugenol cairan Botol -
137 Fe. Fumarat 300 mg Tablet -
138 Fenitoin natrium kapsul 30 mg tablet -
139 Fenobarbital inj 50 mg/ml - 2 ml ampul 30 5 25
140 Fenobarbital tablet 30 mg tablet 100 59 41
141 Fenolgliserol tetes telinga 10% Botol 7 2 5

142 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 24 24 -

143 Fitomenadion (Vit K1) tablet 10 mg tablet 300 240 60
144 Fitomenadion inj 2 mg/ml ampul -
145 Fluoksetin / Prestine tablet -
146 Food Test - Borak Test Paket -
147 Food Test - Formalin Test Paket -
148 Food Test - Rhodamin Test Paket -
149 Fouchet Botol -
150 Furosemid injeksi ampul -
151 Furosemid tablet 40 mg tablet 370 280 90
152 Gabapentin/Alpentin 100 mg kapsul -
153 Garam Oralit untuk 200 ml bungkus 100 98 2
154 Gentamicin Salp Kulit Tube -
155 Gentamisin inj ampul -
156 Gentamisin tts mata botol -
157 Gentian violet larutan 1% Botol -

158 Glassionomer Cement (GC IX) / GC. Fuji Botol -

159 Glibenklamid tablet 5 mg tablet 580 520 60
160 Glimepirid 1 mg tablet -
161 Glimepirid 2 mg tablet -
162 Gliseril Guaiakolat tablet 100 mg tablet -
163 Glukosa larutan Infus 10% steril fls 42 (42)
164 Glukosa Larutan Infus 5% steril fls 40 41 (1)
165 Griseofulvin tablet 125 mg tablet -
166 Griseofulvin tablet 500 mg tablet -
167 Haloperidol 5 mg tablet 330 (330)
168 Haloperidol inj 50mg/ml ampul -
169 Haloperidol tablet 0,5 mg tablet 350 350
170 Haloperidol tablet 1,5 mg tablet -
171 Handscoen Steril psg 7 7 -
172 Handscoend Obgyn psg -
173 handscoon psg 350 700 1,050
174 HBSAG Strip pcs -
175 HB-UNIJECT Vial 10 10
176 HCG Strip Pcs -
177 Hidrochlorotiazid (HCT) tablet 25 mg tablet -
178 Hidrogen Peroksida (H2O2) 3% Botol -
179 Hidrokortison krim 2,5% Tube 17 14 3
180 Hiosin HBr Inj (Buscopan) 20 mg ampul -
181 Hiosin N Butil bromida tablet 100 - 100
182 HIV test (R1) SD Pcs -
183 Ibuprofen suspensi 100 mg/5 ml botol -
184 Ibuprofen tablet 200 mg tablet -
185 Ibuprofen tablet 400 mg tablet 800 1,100 180 1,720
186 ichtiol salep pot -
187 Infusion set anak set 60 25 62 23
188 Infusion set dewasa set 121 18 103
189 Intec (One Step Anti-HIV 1&2) Box -
190 IPV Vial -
191 Isoniazid 100 mg/PPINH 100 mg tablet -
192 Isoniazid tablet 300 mg tablet -

193 Isosorbid dinitrat tablet sublingual 5 mg tablet 80 80

194 Jarum jahit / bedah no. 9 s/d 14 Pcs -
195 Jelly Dopler btl -
196 Jelly USG btl -
197 Kaca Slide pcs -
198 Kaca Tutup pcs -
199 Kalsium laktat (Klak) tablet 500 mg tablet 1,000 120 880
200 Kapas pembalut / absorben 250 g roll 5 5
201 Karbamazepin tablet 200 mg tablet -
202 Kasa kompres 40/40 steril lbr -
203 Kasa pembalut 2 m x 80 cm roll -
204 Kasa pembalut elastis 3 inchi roll -
205 Kasa pembalut elastis 4 inchi roll -

206 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll -

207 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll -

208 Kasa steril 16/16 kotak -
209 Kassa gulung Besar 80cm x 40 m roll 4 1 3
210 Kertas lakmus biru pack -
211 Kertas Lakmus merah pack -
212 Kertas pH Universal Kotak -
213 Ketokonazol cream Tube 5 (5)
214 Ketokonazol tab tablet 419 400 19
215 Ketoprofen 100mg tablet -
216 Ketoprofen Supp suppos -
217 kit gol. Darah A, B, AB set -
218 Kit gol. Darah Anti-D Kit -
219 Klindamisin 150 mg tablet -
220 Klopidogrel 75 mg Tablet -
221 Kloramfenikol kapsul 250 mg tablet -
222 Kloramfenikol salep Kulit Tube -
223 Kloramfenikol salep mata 1 % Tube 15 (15)
224 Kloramfenikol suspensi 125 mg/5 ml Botol -
225 Kloramfenikol tetes telinga 3 % Botol 4 (4)
226 Kloramphenicol tts mata Botol -

227 Klorfeniramin maleat (CTM) tablet 4 mg tablet 500 500 20 980

228 Klorfenol kamfer menthol (CHKM) Botol -
229 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul 11 (11)
230 Klorpromazin HCl tablet salut 100 mg tablet -
231 Kodein HCl tablet 10 mg tablet -
232 Kolkisin 500 mcg tablet -
233 Kotrimoksazol suspensi kombinasi Botol 61 32 29

234 Kotrimoksazol tablet dewasa kombinasi tablet 200 180 20

235 Labstrip (urinalis) tube -
236 Lansoprazole tablet -
237 Lar. HCl 0,1 N Botol 1 - 1
238 Lar. Natrium Hipoklorid Botol/ 500ml -
239 Lar. Ress Ecker Botol/ 100 ml -
240 Lar.Na citrat Botol -
241 Lar.Ph 7,2 Botol -
242 Larutan Asam Asetat 6 % Botol -
243 Larutan barium klorida Botol -
244 Larutan benedict Botol -
245 Larutan buffer Ph 6,1 Botol -
246 Larutan eosin 2% Botol -
247 Larutan giemsa stain Botol -
248 Larutan H2O2 3% Botol 1 L -
249 Larutan Hayem Botol -
250 Larutan karbolfuksin Botol -
251 Larutan metilen biru Botol -
252 Larutan turk Botol -
253 Larutan Wright Botol -
254 Levofloksasin tetes mata 0,5% botol -
255 Lidocain komp.inj ampul 180 75 105
256 Lidocain.inj ampul -
257 Lisol Botol -
258 Loperamid Hcl tablet 220 120 100
259 Loratadin 10mg tablet 200 190 10
260 Magnesium sulfat inj (IV) 20%-25 ml vial 8 - 8
261 Magnesium sulfat inj (IV) 40%-25 ml vial 12 8 4
262 Malaria test ktk -
263 Masker pcs 280 50 170 160
264 Masker 3M N95 medikal respirator pcs -
265 MDT MD Dewasa Paket -
266 Meloksikam 15 mg tablet 80 (80)
267 Mess pcs 100 100
268 Metanol 100 ml Botol -
269 Metanol 1000 ml botol -
270 Metformin tablet 200 - 200
271 Methyl Prednisolon 8mg tablet 210 (210)
Metil ergometrin maleat tablet salut 0,125
272 mg tablet -

273 Metil ergometrin maleat inj 0,200mg-1ml ampul 15 15

274 Metil prednisolon 4 mg tablet -
275 Metildopa 250mg tablet -
276 Metoclopramid 10 gr tablet 110 240 (130)
277 Metoclopramid injeksi ampul -
278 Metronidazol 500 mg tablet 320 140 180
279 Metronidazol supositoria 500 mg suppos -
280 Metronidazole ovula 500mg ovula -
Microlit tips for micropipettes MT-up to 1
281 ml pack -
282 Mikonazol krim Tube 20 20 -
283 Mineral Mix sachet -
284 Minyak Imersi Botol -
285 Mouth Pieces smokerlyzer Box -
286 Multivitamin syr Botol 44 31 13
287 Multivitamin tab tablet 100 - 100
288 Napza Kit 5 Parameter ktk/10 -
289 N-asetil sistein tablet 111 480 - 591
290 Natrium bicarbonat tablet 500 mg tablet 500 (500)
291 natrium Diklofenak 50 mg tablet 100 90 10
292 Natrium klorida larutan infus 0,9% fls 20 - 20
293 Nifedipin 10 mg tablet -
294 Nistatin suspensi botol -
295 Nistatin tablet salut 500.000 IU tablet -
296 Nistatin tablet vaginal 100.000 IU/g tablet -
297 OAT (Kombipak) anak paket -
298 Obat anti malaria tablet -
299 Obat batuk hitam (OBH) cairan Botol -
300 Oksitetrasiklin HCl salep kulit 3% Tube -
301 Oksitetrasiklin HCl salep mata 1% Tube -
302 Oksitosin inj 10 IU / ml - 1 ml ampul 40 15 12 43
303 Omeprazole 20mg tablet 450 350 100
304 One ject 0,05 ml pcs -
305 One ject 0,5 ml pcs -
306 One ject 5 ml pcs -
307 Pantocain tts mata btl -
308 Papaverin tablet 40 mg tablet 640 280 360
309 Parasetamol Drop Botol 9 5 - 14
310 Parasetamol rektal 125 mg (dumin) suppos 7 - 7
311 Parasetamol rektal 250 mg (dumin) suppos 7 - 7
312 Parasetamol sirup 120mg/ml Botol 30 45 - 75
313 Parasetamol tablet 100 mg tablet - -
314 Parasetamol tablet 500 mg tablet 1,500 1,600 140 2,960
315 Pembalut gips 3 inch Roll -
316 Pembalut gips 4 inch Roll -
317 Pembalut gips 6 inch Roll -
318 PENTABIO Vial -
319 Permetrin krim 5% (Scabimite) tube -
320 Petidin inj 50mg/ml ampul -
321 Piracetam inj 3g/15ml ampul -
322 Pirantel tablet 125 mg tablet -
323 Pirasetam 800mg tablet -
324 Piroxicam 10 mg tablet -
325 Piroxicam 20 mg tablet -
326 planotest pcs 2 (2)
327 Plester 5 yard x 2 inch roll - -
328 Plester bulat non woven box -
329 Poli Kateter pcs 12 6 6
330 POLIO Vial -
331 Pot Sputum Pcs -
332 Povidon iodida 10% 30 ml Botol -
333 Povidon iodida 10% 300 ml Botol 5 1 - 6
334 Povidon iodida 10% 60 ml Botol -
335 Povidon Iodine 1 L Botol 1 1 -
336 Prednison tablet 5 mg tablet 530 510 20
337 Primakuin tablet 15 mg tablet 110 (110)
338 Prokain benzil penisilin vial -
339 Propanolol HCl tablet 10 mg tablet -
340 Propanolol HCl tablet 40 mg tablet -
341 Propiltiourasil tablet 100 mg tablet -
342 Pyridoksin HCL ( Vit B6 ) tab 10 mg tablet 550 (550)
343 Ramipril tablet -
344 Ranitidin inj. 25mg/ml ampul 40 - 40
345 Ranitidin tablet 150 mg tablet 500 800 80 1,220
346 Rapid Test (HIV 1 & 2 Anti Body) Box -
Rapid Test (HIV 1 & 2 Anti Body)
347 oncoprobe test -

348 Reagen (Bio-rad) Level 2 (Urine Kontrol) kit/ 12x12 ml -

349 Reagen dan Bahan alat lab.Malaria paket -
Reagen Fotometer Kimia Klinik Randox
350 Albumin kit -
Reagen Fotometer Kimia Klinik Randox
351 Glukosa kit -
Reagen Fotometer Kimia Klinik Randox
352 HDL kit -
Reagen Fotometer Kimia Klinik Randox
353 Kolesterol darah kit -
Reagen Fotometer Kimia Klinik Randox
354 Kreatinin kit -

355 Reagen Fotometer Kimia Klinik Randox LDL kit -

Reagen Fotometer Kimia Klinik Randox
356 Protein total kit -
Reagen Fotometer Kimia Klinik Randox
357 SGOT kit -
Reagen Fotometer Kimia Klinik Randox
358 SGPT kit -
Reagen Fotometer Kimia Klinik Randox
359 total bilirubin kit -
Reagen Fotometer Kimia Klinik Randox
360 triglyserida kit -
Reagen Fotometer Kimia Klinik Randox
361 ureum kit -
 Reagen Fotometer Kimia Klinik Randox
362 Uric asid kit -
Reagen hematology analyzer Cointender
363 20 SFRI Clair 31 btl 60ml -
Reagen hematology analyzer Cointender
364 20 SFRI clean EZ 31 btl 60ml -
Reagen hematology analyzer Cointender
365 20 SFRI cliner 31 btl 5 L -
Reagen hematology analyzer Cointender
366 20 SFRI diluent 31 btl 20 L -
Reagen hematology analyzer Cointender
367 20 SFRI Lyse 31 botol 500ml -
368 Reagen Human Bilirubin Total Direct kit/ 12x12 ml -
369 Reagen Human Cholesterol Kit/ 4x30 ml -
370 Reagen Human Combina 11,S Kit/150 s -
371 Reagen Human Creatinin Kit/ 200 ml -
372 Reagen Human GOT kit/ 10x10 ml -
373 Reagen Human GPT kit/ 10x10 ml -
374 Reagen Human HDL Cholesterol kit/ 4 x 80 ml -
Reagen Human Humatrol N (Serum
375 kontrol) Kit/ 6x5 ml -
376 Reagen Human Test Ca/ Kalsium kit/ 200 ml -
377 Reagen Human Test Glukosa darah kit/ 4x100 ml -
378 Reagen Human Total Protein kit/ 4 x 100 ml -
379 Reagen Human Triglycerides kit/ 9x15 ml -
380 Reagen Human Urea Liquicolor kit/ 2x100 ml -
381 Reagen Human Uric Acid Kit -
Reagen kimia klinik potometer 5010
382 albumin - Rajawali 1000ml -
Reagen kimia klinik potometer 5010 alkali
383 phospatase - Rajawali kit 10x10ml -
Reagen kimia klinik potometer 5010 asam
384 urat - Rajawali kit 4x30ml -
Reagen kimia klinik potometer 5010
385 bilirubin T/D - Rajawali kit 2x100ml -
Reagen kimia klinik potometer 5010 CK
386 NAC Activated - Rajawali kit 20x3ml -
Reagen kimia klinik potometer 5010 CK-
387 MB - Rajawali kit 20x3ml -
Reagen kimia klinik potometer 5010
388 gamma GT - Rajawali kit 10x10ml -
Reagen kimia klinik potometer 5010
389 glukosa - Rajawali kit 4x100ml -
Reagen kimia klinik potometer 5010
390 haemoglobin - Rajawali kit 10x500ml -
 Reagen kimia klinik potometer 5010
391 kalsium - Rajawali kit 2x100ml -
Reagen kimia klinik potometer 5010
392 kolesterol HDL - Rajawali kit -
Reagen kimia klinik potometer 5010
393 kolesterol LDL - Rajawali kit 80ml -
Reagen kimia klinik potometer 5010
394 kolesterol total - Rajawali kit 4x100ml -
Reagen kimia klinik potometer 5010
395 kreatinin - Rajawali btl 200ml -
Reagen kimia klinik potometer 5010 LDH -
396 Rajawali kit 20X5ml -
Reagen kimia klinik potometer 5010 SGOT
397 - Rajawali kit 20X5ml -
Reagen kimia klinik potometer 5010 SGPT -
398 Rajawali kit 20X5ml -
Reagen kimia klinik potometer 5010 total
399 protein - Rajawali btl 1000ml -
Reagen kimia klinik potometer 5010
400 trigliserida - Rajawali kit 4x100ml -
Reagen kimia klinik potometer 5010
401 UREUM - Rajawali kit 2x100ml -
402 Reagen TB kit -
403 Reagen widal H Vial -
404 Reagen widal O Vial -
405 Risperidon 1 mg tablet -
406 Risperidon 2 mg tablet -
407 RL larutan infus fls 200 86 114
408 Safety box pcs -
409 Salbutamol inhalasi 100 mcq/dosis botol -
410 Salbutamol nebulizer Kotak 2 1 1
411 Salbutamol tablet 2 mg tablet -
412 Salbutamol tablet 4 mg tablet 200 130 70
413 Salep 2-4 kombinasi pot -
414 Salep luka bakar (Levertran) Tube -
415 Salisil bedak 2% bungkus -
416 Seftriakson Injeksi vial -
417 Seretide Diskus ih 100 mcg/puff botol -
418 Seretide Diskus ih 250 mcg/puff botol -

Seretide inhaler Kombinasi: salmeterol 25

419 mcg;flutikason propionat 50 mcg botol -
420 Serum Anti Bisa Ular polivalen inj 5 ml vial 2 2 -
421 Serum Anti Tetanus inj 1500 IU/ampul ampul - -
422 Sianokobalamin (Vit B12) inj 500mcg-ml ampul 27 (27)
423 Sianokobalamin tab 50 mcg tablet 20 27 (7)
424 Silk no.3/0 dengan jarum bedah set 36 34 2
425 Simvastatin 10 mg tablet 160 150 220 90
426 spironolacton 25 mg tablet 100 100 200 -
427 Spongestan Hemospon ktk -
428 Spritus Botol -
429 Stomach tube FR 12 pcs -
430 Stomach tube FR 14 pcs -
431 Stomach tube FR 16 pcs -
432 Strip asam urat (UA SURE) Botol -
433 Sukralfat / Ulsidex tablet -
434 Tablet Tambah darah tablet -
435 Td Vial -
436 Temporary stopping fletcher Set -
437 Tetagam ampul -
438 Tetrasiklin HCL kapsul 500 mg tablet -
439 Thiamfenikol 500 mg tab tablet -
440 Thiamin HCl (Vit B1) tablet 50 mg tablet 500 350 150
441 TKF botol -
442 Tramadol inj ampul -
443 Trifluoperazin 5mg tablet -
444 Triheksiphenidil HCl tablet 2 mg tablet 6 30 (24)
445 Trombophop gel tube -
446 TT Vial -
447 Tube EDTA Box -
448 Urin Bag pcs 12 8 4
449 Vacum cup gel lot activator Bok -
450 Vacum Tube EDTA 0,5 ml Bok -
451 Vaksin carrier pcs -
452 Vaksin Rabies Vero kuur 1 1
453 Valsartan 160mg tablet -
454 Vitamin A 100.000 IU tablet -
455 Vitamin A 200.000 IU tablet -
456 Vitamin B komplek tablet tablet 600 300 300
457 White Tip Bks -
458 wing needle 21 G pcs -
459 wing needle 23 G pcs -
460 wing needle 25 G pcs -
461 wing needle 27 G pcs -
462 Xylol Botol -
463 Yellow Tip bks -
464 Yodiol Test Botol -
465 Zinc syr botol 5 5
466 Zinc tab 20 mg tablet 130 (130)

Tdk. Bayar BPJS

Mengetahui,
Kepala Unit Layanan Puskesmas.........

............................................................

NIP. .....................................................
 REKAPITULASI PEMAKAIAN

KODE PUSKESMAS : IGD

PUSKESMAS : Sungai Rumbai
KECAMATAN : Sungai Rumbai
KAB/KOTA : Dharmasraya
PROPINSI : Sumatera Barat
tanpa stripan
No. Nama Sediaan Satuan
i.awal I masuk stok Igd
1 2 3 5
1 Abochat 18 Pcs 138 50 188 -
2 Abochat 20 Pcs 35 100 92 43
3 Abochat 22 Pcs 70 100 129 41
4 Abochat 24 Pcs 76 100 148 28
5 Alat pemantau suhu pcs - -
6 Alat perekam suhu pcs - -
7 Alat suntik 10 ml pcs - -
8 Alat suntik 20 ml pcs - -
9 Alat suntik sekali pakai 1 ml Pcs 174 126 48
10 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 37 400 213 224
11 Alat suntik sekali pakai 5 ml Pcs 195 100 209 86
12 Albendazol syr 200mg/5 ml Botol - -
13 Albendazol tablet 400 mg tablet 140 120 20
14 Alkohol Swab sachet - -
15 Allopurinol 100 mg tablet 90 75 15
16 Alprazolam 1 mg tablet - 200 190 10
17 Ambroxol 30 mg tablet tablet - -
18 Aminofilin inj 24mg/ml-10 ml ampul 7 4 3
19 Aminofilin tablet 200 mg tablet - -
20 Amitriptilin HCl tablet salut 25 mg tablet - -
21 Amlodipin 10 mg tablet 150 240 240 150
22 Amlodipin 5 mg tablet 220 150 330 40
23 Amoksisilin 250 mg tablet 300 260 40
24 Amoksisilin 500 mg tablet 240 900 460 680
25 Amoksisilin sirup kering 125 mg/5 ml Botol 35 12 23
26 Amoniak btl/1000 - -
27 Amoxicillin syr forte 250mg/ml botol - -
28 Antalgin injeksi 250 mg/ml-2ml ampul - -
29 Antasida DOEN tablet tablet 780 480 300
30 Antasida sirup Botol 28 28
Anti Bakteri DOEN salep Kombinasi
31 (bacitrasin) Tube - 8 (8)
32 Anti Fungi DOEN Kombinasi Pot - -
33 Anti Haemoroid DOEN kombinasi Suppos 6 6 12
34 Anti Migren (ergotamin caffein) tablet - -
35 Anti Tuberkulosis Kategori I paket - -
36 Anti Tuberkulosis Kategori II paket - -
37 Aprazolam 0,5 mg tablet - -
38 Aqua pro injeksi steril bebas pirogen vial 14 9 5
39 Aquadest steril liter - -
40 Ari Sound Timer pcs - -
41 Asam askorbat (Vit C) tablet 50 mg tablet 80 1,300 790 590
42 Asam Folat 0,4 mg /profolat tablet 75 75
43 Asam folat 1 mg tablet - 400 400
44 Asam mefenamat 500 mg tablet 340 700 700 340
45 Asam tranexamat inj 100 mg/ml ampul - 6 (6)
46 Asam tranexamat inj 50mg/ml ampul - -
47 Asam Tranexamat tablet 500 mg tablet - -

48 Asam Valproat 500mg / Depakote 500 mg tablet - -

Asam Valproat tab SR 250 Mg / Depakote
49 250 mg tablet - -
50 Asetosal 80 mg / Miniaspi tablet - -
51 Asetosal tablet 100 mg tablet - -
52 Asiklovir Krim 5 % 5 gr Tube - -
53 Asiklovir tablet 200 mg tablet - -
54 Asiklovir tablet 400 mg tablet 380 330 50

55 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 19 21 (2)

56 Attapulgit (Pularex) tablet - 200 380 (180)
57 Azitromisin tab 500 mg tablet - -
58 Bahan tambalan gigi sementara (mix) Botol - -
59 BCG Vial - -
60 Benecheck Cholesterol strip Botol 7 1 2 6
61 Benecheck Glucose strip Botol 30 1 2 29
62 Benecheck uric strip Botol 12 1 11
Berotec 0,1 mg(Fenoterol HBr aerosol
63 100mcg/dosis) Btl - -
64 Betahistin mesilat tablet - 150 40 110
65 Betametason krim 0,1% Tube - 9 (9)
66 Bioplacenton tube - -
67 Bisacodil (dulcolax) supp suppos - -
68 Bisacodil (dulcolax) tab tablet - -
69 Bisacodil supp infant 5 mg /Dulcolax Suppos - -
70 Bisoprolol 5 mg tablet - -
71 Blood lancet pcs - 210 (210)
72 Blue tip box - -
73 Box Slide bok - -
 74 Bubuk Abate bks - -
75 Ca Glukonas ampul - -
76 Calcidor / Kalsium hidroksida pasta kotak - -
77 CAMPAK Vial - -
78 Captopril 12,5mg tablet 790 500 690 600
79 Captopril 25 mg tablet 200 510 (310)
80 Cartridge Gen Expert Pcs - -
81 Catgut/benang bedah Chromic 2/0 set - -
82 Catgut/benang bedah Chromic 3/0 set 16 12 18 10
83 Catgut/benang bedah Plain 2/0 set - -
84 Catgut/benang bedah Plain 3/0 set 11 21 52 (20)
85 Cefadroxil tablet - -
86 Cefadroxil syr forte 250mg/ml botol - -
87 Cefadroxyl syr 125 mg/ml Botol - 5 (5)
88 Cefiksim syr kering 100mg/5ml btl 30ml - 5 5
89 Cefixime 100mg tablet - 150 200 (50)
90 Cefotaxim 1,0 G inj Vial - -

Cendo Lyteers Kombinasi tts mata 2,5

mg/ml; NaCl 8,664 mg; kalium klorida 1,32
91 mg botol - -
92 Centrifuse Paket - -
93 Cetirizin 10 mg tablet 1,050 950 100
94 Cetirizin syr 5mg/5ml btl 60ml - 4 4
95 Cimetidin tablet - -
96 Ciprofloxacin tablet 500 mg tablet 250 400 (150)
97 Clindamisin 300 mg tablet 200 190 10
98 Control CBC ST Plus-Normal-Diatron Vial/ 2,5 - -
99 Cuticell Classic pcs - -
100 Daryantulle sachet - -
101 Deksametason injeksi 5 mg/ml-1 ml ampul 25 10 15
102 Deksametason tablet 0,5 mg tablet 640 260 380
103 DFI Cybow Box - -
104 DHP-Frimal tablet - -
105 Diazepam injeksi 5 mg/ml-2 ml ampul - -
106 Diazepam rektal 10 mg Suppos - -
107 Diazepam rektal 5 mg Suppos - 4 (4)
108 Diazepam tablet 2 mg tablet 38 100 100 38
109 Diazepam tablet 5 mg tablet - -
110 Dietil karbamazin sitrat tablet 100 mg tablet - -
111 Difenhidramin HCl inj 10 mg/ml-1 ml ampul 24 24 -
112 Digoksin tablet 0,25 mg tablet - -
113 Diltiazem tablet tablet - -
114 Dimenhidrinat 50 mg tablet - 69 (69)
115 Dirui BF 6500 SLS Kit/500 ml - -
116 Dirui BF Deterjen Kit/10 ml - -
117 Dirui BF Diluent 20 liter - -
118 Dirui BF FDO LYSE Kit/5 L - -
119 Dirui BF FDT LYSE Kit/500 ml - -
120 Doksisilin kapsul tablet - -
121 Domperidon 10 mg tablet - 150 (150)
122 Domperidon syr Botol 8 15 23
123 D-Pieces smokerlyzer Box - -
124 DT Vial - -
125 EDTA 10 % Botol - -
126 Efedrin HCl tablet 25 mg tablet - -
127 Ekstrak Belladona tab 10 mg tablet - -
128 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul - -
129 Eritromisin 250 mg tablet - -
130 Eritromisin 500 mg tablet 170 150 20
131 Eritromisin sirup kering Botol - 7 (7)
132 Etakridin (rivanol) larutan 0,1% Botol 8 8
133 Etanol 70% Botol - -
134 Etanol 96% botol - -
135 Etil klorida spray Botol - -
136 Eugenol cairan Botol - -
137 Fe. Fumarat 300 mg Tablet - -
138 Fenitoin natrium kapsul 30 mg tablet - -
139 Fenobarbital inj 50 mg/ml - 2 ml ampul 5 100 5 100
140 Fenobarbital tablet 30 mg tablet 59 85 (26)
141 Fenolgliserol tetes telinga 10% Botol 2 2

142 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 24 9 15

143 Fitomenadion (Vit K1) tablet 10 mg tablet 240 180 60
144 Fitomenadion inj 2 mg/ml ampul - -
145 Fluoksetin / Prestine tablet - -
146 Food Test - Borak Test Paket - -
147 Food Test - Formalin Test Paket - -
148 Food Test - Rhodamin Test Paket - -
149 Fouchet Botol - -
150 Furosemid injeksi ampul - -
151 Furosemid tablet 40 mg tablet 280 460 (180)
152 Gabapentin/Alpentin 100 mg kapsul - -
153 Garam Oralit untuk 200 ml bungkus 98 83 15
154 Gentamicin Salp Kulit Tube - -
155 Gentamisin inj ampul - 21 (21)
156 Gentamisin tts mata botol - -
157 Gentian violet larutan 1% Botol - -

158 Glassionomer Cement (GC IX) / GC. Fuji Botol - -

159 Glibenklamid tablet 5 mg tablet 520 500 20
160 Glimepirid 1 mg tablet - -
161 Glimepirid 2 mg tablet - 230 (230)
162 Gliseril Guaiakolat tablet 100 mg tablet - -
163 Glukosa larutan Infus 10% steril fls 42 41 1
164 Glukosa Larutan Infus 5% steril fls 41 21 20
165 Griseofulvin tablet 125 mg tablet - -
166 Griseofulvin tablet 500 mg tablet - -
167 Haloperidol 5 mg tablet 330 330 -
168 Haloperidol inj 50mg/ml ampul - -
169 Haloperidol tablet 0,5 mg tablet - -
170 Haloperidol tablet 1,5 mg tablet - -
171 Handscoen Steril psg 7 50 (43)
172 Handscoend Obgyn psg - -
173 handscoon psg - 12 12
174 HBSAG Strip pcs - -
175 HB-UNIJECT Vial - -
176 HCG Strip Pcs - -
177 Hidrochlorotiazid (HCT) tablet 25 mg tablet - -
178 Hidrogen Peroksida (H2O2) 3% Botol - -
179 Hidrokortison krim 2,5% Tube 14 9 5
180 Hiosin HBr Inj (Buscopan) 20 mg ampul - -
181 Hiosin N Butil bromida tablet - 150 (150)
182 HIV test (R1) SD Pcs - -
183 Ibuprofen suspensi 100 mg/5 ml botol - 42 30 12
184 Ibuprofen tablet 200 mg tablet - -
185 Ibuprofen tablet 400 mg tablet 180 1,200 560 820
186 ichtiol salep pot - -
187 Infusion set anak set 62 35 27
188 Infusion set dewasa set 18 53 37 34
189 Intec (One Step Anti-HIV 1&2) Box - -
190 IPV Vial - -
191 Isoniazid 100 mg/PPINH 100 mg tablet - -
192 Isoniazid tablet 300 mg tablet - -

193 Isosorbid dinitrat tablet sublingual 5 mg tablet - 80 (80)

194 Jarum jahit / bedah no. 9 s/d 14 Pcs - -
195 Jelly Dopler btl - -
196 Jelly USG btl - -
197 Kaca Slide pcs - -
198 Kaca Tutup pcs - -
199 Kalsium laktat (Klak) tablet 500 mg tablet 120 500 250 370
200 Kapas pembalut / absorben 250 g roll - 4 4
201 Karbamazepin tablet 200 mg tablet - -
202 Kasa kompres 40/40 steril lbr - -
203 Kasa pembalut 2 m x 80 cm roll - -
204 Kasa pembalut elastis 3 inchi roll - -
205 Kasa pembalut elastis 4 inchi roll - -

206 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll - -

207 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll - -

208 Kasa steril 16/16 kotak - -
209 Kassa gulung Besar 80cm x 40 m roll 1 2 (1)
210 Kertas lakmus biru pack - -
211 Kertas Lakmus merah pack - -
212 Kertas pH Universal Kotak - -
213 Ketokonazol cream Tube 5 5
214 Ketokonazol tab tablet 400 390 10
215 Ketoprofen 100mg tablet - -
216 Ketoprofen Supp suppos - -
217 kit gol. Darah A, B, AB set - -
218 Kit gol. Darah Anti-D Kit - -
219 Klindamisin 150 mg tablet - -
220 Klopidogrel 75 mg Tablet - -
221 Kloramfenikol kapsul 250 mg tablet - -
222 Kloramfenikol salep Kulit Tube - -
223 Kloramfenikol salep mata 1 % Tube 15 8 7
224 Kloramfenikol suspensi 125 mg/5 ml Botol - 48 42 6
225 Kloramfenikol tetes telinga 3 % Botol 4 2 2
226 Kloramphenicol tts mata Botol - -

227 Klorfeniramin maleat (CTM) tablet 4 mg tablet 20 1,200 1,220

228 Klorfenol kamfer menthol (CHKM) Botol - -
229 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul 11 15 (4)
230 Klorpromazin HCl tablet salut 100 mg tablet - -
231 Kodein HCl tablet 10 mg tablet - -
232 Kolkisin 500 mcg tablet - -
233 Kotrimoksazol suspensi kombinasi Botol 32 25 7

234 Kotrimoksazol tablet dewasa kombinasi tablet 180 200 200 180
235 Labstrip (urinalis) tube - -
236 Lansoprazole tablet - -
237 Lar. HCl 0,1 N Botol - -
238 Lar. Natrium Hipoklorid Botol/ 50 - -
239 Lar. Ress Ecker Botol/ 100 - -
240 Lar.Na citrat Botol - -
241 Lar.Ph 7,2 Botol - -
242 Larutan Asam Asetat 6 % Botol - -
243 Larutan barium klorida Botol - -
244 Larutan benedict Botol - -
245 Larutan buffer Ph 6,1 Botol - -
246 Larutan eosin 2% Botol - -
247 Larutan giemsa stain Botol - -
248 Larutan H2O2 3% Botol 1 L - -
249 Larutan Hayem Botol - -
250 Larutan karbolfuksin Botol - -
251 Larutan metilen biru Botol - -
252 Larutan turk Botol - -
253 Larutan Wright Botol - -
254 Levofloksasin tetes mata 0,5% botol - -
255 Lidocain komp.inj ampul 75 75
256 Lidocain.inj ampul - -
257 Lisol Botol - -
258 Loperamid Hcl tablet 120 120
259 Loratadin 10mg tablet 190 140 50
260 Magnesium sulfat inj (IV) 20%-25 ml vial - -
261 Magnesium sulfat inj (IV) 40%-25 ml vial 8 9 (1)
262 Malaria test ktk - -
263 Masker pcs 170 100 70
264 Masker 3M N95 medikal respirator pcs - -
265 MDT MD Dewasa Paket - -
266 Meloksikam 15 mg tablet 80 100 120 60
267 Mess pcs - 80 (80)
268 Metanol 100 ml Botol - -
269 Metanol 1000 ml botol - 4 4
270 Metformin tablet - 200 140 60
271 Methyl Prednisolon 8mg tablet 210 100 80 230
Metil ergometrin maleat tablet salut 0,125
272 mg tablet - 180 (180)

273 Metil ergometrin maleat inj 0,200mg-1ml ampul - 10 (10)

274 Metil prednisolon 4 mg tablet - - -
275 Metildopa 250mg tablet - -
276 Metoclopramid 10 gr tablet 240 60 180
277 Metoclopramid injeksi ampul - 25 4 21
278 Metronidazol 500 mg tablet 140 500 490 150
279 Metronidazol supositoria 500 mg suppos - 18 18
280 Metronidazole ovula 500mg ovula - -
Microlit tips for micropipettes MT-up to 1
281 ml pack - -
282 Mikonazol krim Tube 20 15 5
283 Mineral Mix sachet - -
284 Minyak Imersi Botol - -
285 Mouth Pieces smokerlyzer Box - -
286 Multivitamin syr Botol 31 18 13
287 Multivitamin tab tablet - 400 230 170
288 Napza Kit 5 Parameter ktk/10 - -
289 N-asetil sistein tablet - 900 300 600
290 Natrium bicarbonat tablet 500 mg tablet 500 600 (100)
291 natrium Diklofenak 50 mg tablet 90 90
292 Natrium klorida larutan infus 0,9% fls - 20 28 (8)
293 Nifedipin 10 mg tablet - 500 490 10
294 Nistatin suspensi botol - -
295 Nistatin tablet salut 500.000 IU tablet - -
296 Nistatin tablet vaginal 100.000 IU/g tablet - -
297 OAT (Kombipak) anak paket - -
298 Obat anti malaria tablet - -
299 Obat batuk hitam (OBH) cairan Botol - -
300 Oksitetrasiklin HCl salep kulit 3% Tube - -
301 Oksitetrasiklin HCl salep mata 1% Tube - -
302 Oksitosin inj 10 IU / ml - 1 ml ampul 12 35 17 30
303 Omeprazole 20mg tablet 350 350
304 One ject 0,05 ml pcs - -
305 One ject 0,5 ml pcs - -
306 One ject 5 ml pcs - -
307 Pantocain tts mata btl - -
308 Papaverin tablet 40 mg tablet 280 140 140
309 Parasetamol Drop Botol - 15 6 9
310 Parasetamol rektal 125 mg (dumin) suppos - 10 5 5
311 Parasetamol rektal 250 mg (dumin) suppos - 5 5 -
312 Parasetamol sirup 120mg/ml Botol - 30 3 27
313 Parasetamol tablet 100 mg tablet - -
314 Parasetamol tablet 500 mg tablet 140 1,700 210 1,630
315 Pembalut gips 3 inch Roll - -
316 Pembalut gips 4 inch Roll - -
317 Pembalut gips 6 inch Roll - -
318 PENTABIO Vial - -
319 Permetrin krim 5% (Scabimite) tube - 1 (1)
320 Petidin inj 50mg/ml ampul - -
321 Piracetam inj 3g/15ml ampul - -
322 Pirantel tablet 125 mg tablet - -
323 Pirasetam 800mg tablet - -
324 Piroxicam 10 mg tablet - -
325 Piroxicam 20 mg tablet - -
326 planotest pcs 2 2
327 Plester 5 yard x 2 inch roll - 8 8
328 Plester bulat non woven box - -
329 Poli Kateter pcs 6 9 8 7
330 POLIO Vial - -
331 Pot Sputum Pcs - -
332 Povidon iodida 10% 30 ml Botol - -
333 Povidon iodida 10% 300 ml Botol - -
334 Povidon iodida 10% 60 ml Botol - -
335 Povidon Iodine 1 L Botol 1 1 2
336 Prednison tablet 5 mg tablet 510 310 200
337 Primakuin tablet 15 mg tablet 110 110 -
338 Prokain benzil penisilin vial - -
339 Propanolol HCl tablet 10 mg tablet - -
340 Propanolol HCl tablet 40 mg tablet - -
341 Propiltiourasil tablet 100 mg tablet - -
342 Pyridoksin HCL ( Vit B6 ) tab 10 mg tablet 550 500 50
343 Ramipril tablet - -
344 Ranitidin inj. 25mg/ml ampul - 60 60
345 Ranitidin tablet 150 mg tablet 80 1,400 400 1,080
346 Rapid Test (HIV 1 & 2 Anti Body) Box - -
Rapid Test (HIV 1 & 2 Anti Body)
347 oncoprobe test - -

348 Reagen (Bio-rad) Level 2 (Urine Kontrol) kit/ 12x12 - -

349 Reagen dan Bahan alat lab.Malaria paket - -
Reagen Fotometer Kimia Klinik Randox
350 Albumin kit - -
Reagen Fotometer Kimia Klinik Randox
351 Glukosa kit - -
Reagen Fotometer Kimia Klinik Randox
352 HDL kit - -
Reagen Fotometer Kimia Klinik Randox
353 Kolesterol darah kit - -
Reagen Fotometer Kimia Klinik Randox
354 Kreatinin kit - -

355 Reagen Fotometer Kimia Klinik Randox LDL kit - -

Reagen Fotometer Kimia Klinik Randox
356 Protein total kit - -
Reagen Fotometer Kimia Klinik Randox
357 SGOT kit - -
Reagen Fotometer Kimia Klinik Randox
358 SGPT kit - -
Reagen Fotometer Kimia Klinik Randox
359 total bilirubin kit - -
Reagen Fotometer Kimia Klinik Randox
360 triglyserida kit - -
Reagen Fotometer Kimia Klinik Randox
361 ureum kit - -
 Reagen Fotometer Kimia Klinik Randox
362 Uric asid kit - -
Reagen hematology analyzer Cointender
363 20 SFRI Clair 31 btl 60ml - -
Reagen hematology analyzer Cointender
364 20 SFRI clean EZ 31 btl 60ml - -
Reagen hematology analyzer Cointender
365 20 SFRI cliner 31 btl 5 L - -
Reagen hematology analyzer Cointender
366 20 SFRI diluent 31 btl 20 L - -
Reagen hematology analyzer Cointender
367 20 SFRI Lyse 31 botol 500 - -
368 Reagen Human Bilirubin Total Direct kit/ 12x12 - -
369 Reagen Human Cholesterol Kit/ 4x30 - -
370 Reagen Human Combina 11,S Kit/150 s - -
371 Reagen Human Creatinin Kit/ 200 m - -
372 Reagen Human GOT kit/ 10x10 - -
373 Reagen Human GPT kit/ 10x10 - -
374 Reagen Human HDL Cholesterol kit/ 4 x 80 - -
Reagen Human Humatrol N (Serum
375 kontrol) Kit/ 6x5 m - -
376 Reagen Human Test Ca/ Kalsium kit/ 200 m - -
377 Reagen Human Test Glukosa darah kit/ 4x100 - -
378 Reagen Human Total Protein kit/ 4 x 1 - -
379 Reagen Human Triglycerides kit/ 9x15 - -
380 Reagen Human Urea Liquicolor kit/ 2x100 - -
381 Reagen Human Uric Acid Kit - -
Reagen kimia klinik potometer 5010
382 albumin - Rajawali 1000ml - -
Reagen kimia klinik potometer 5010 alkali
383 phospatase - Rajawali kit 10x10 - -
Reagen kimia klinik potometer 5010 asam
384 urat - Rajawali kit 4x30ml - -
Reagen kimia klinik potometer 5010
385 bilirubin T/D - Rajawali kit 2x100 - -
Reagen kimia klinik potometer 5010 CK
386 NAC Activated - Rajawali kit 20x3ml - -
Reagen kimia klinik potometer 5010 CK-
387 MB - Rajawali kit 20x3ml - -
Reagen kimia klinik potometer 5010
388 gamma GT - Rajawali kit 10x10 - -
Reagen kimia klinik potometer 5010
389 glukosa - Rajawali kit 4x100 - -
Reagen kimia klinik potometer 5010
390 haemoglobin - Rajawali kit 10x50 - -
 Reagen kimia klinik potometer 5010
391 kalsium - Rajawali kit 2x100 - -
Reagen kimia klinik potometer 5010
392 kolesterol HDL - Rajawali kit - -
Reagen kimia klinik potometer 5010
393 kolesterol LDL - Rajawali kit 80ml - -
Reagen kimia klinik potometer 5010
394 kolesterol total - Rajawali kit 4x100 - -
Reagen kimia klinik potometer 5010
395 kreatinin - Rajawali btl 200ml - -
Reagen kimia klinik potometer 5010 LDH -
396 Rajawali kit 20X5m - -
Reagen kimia klinik potometer 5010 SGOT
397 - Rajawali kit 20X5m - -
Reagen kimia klinik potometer 5010 SGPT -
398 Rajawali kit 20X5m - -
Reagen kimia klinik potometer 5010 total
399 protein - Rajawali btl 1000m - -
Reagen kimia klinik potometer 5010
400 trigliserida - Rajawali kit 4x100 - -
Reagen kimia klinik potometer 5010
401 UREUM - Rajawali kit 2x100 - -
402 Reagen TB kit - -
403 Reagen widal H Vial - -
404 Reagen widal O Vial - -
405 Risperidon 1 mg tablet - -
406 Risperidon 2 mg tablet - -
407 RL larutan infus fls 86 390 295 181
408 Safety box pcs - 6 6
409 Salbutamol inhalasi 100 mcq/dosis botol - -
410 Salbutamol nebulizer Kotak 1 28 (27)
411 Salbutamol tablet 2 mg tablet - 100 100 -
412 Salbutamol tablet 4 mg tablet 130 200 280 50
413 Salep 2-4 kombinasi pot - -
414 Salep luka bakar (Levertran) Tube - -
415 Salisil bedak 2% bungkus - -
416 Seftriakson Injeksi vial - -
417 Seretide Diskus ih 100 mcg/puff botol - -
418 Seretide Diskus ih 250 mcg/puff botol - -

Seretide inhaler Kombinasi: salmeterol 25

419 mcg;flutikason propionat 50 mcg botol - -
420 Serum Anti Bisa Ular polivalen inj 5 ml vial 2 2
421 Serum Anti Tetanus inj 1500 IU/ampul ampul - 10 1 9
422 Sianokobalamin (Vit B12) inj 500mcg-ml ampul 27 27 -
423 Sianokobalamin tab 50 mcg tablet 27 190 (163)
424 Silk no.3/0 dengan jarum bedah set 34 24 5 53
425 Simvastatin 10 mg tablet 220 210 410 20
426 spironolacton 25 mg tablet 200 190 10
427 Spongestan Hemospon ktk - -
428 Spritus Botol - -
429 Stomach tube FR 12 pcs - -
430 Stomach tube FR 14 pcs - -
431 Stomach tube FR 16 pcs - -
432 Strip asam urat (UA SURE) Botol - -
433 Sukralfat / Ulsidex tablet - -
434 Tablet Tambah darah tablet - 1,800 1,170 630
435 Td Vial - -
436 Temporary stopping fletcher Set - -
437 Tetagam ampul - -
438 Tetrasiklin HCL kapsul 500 mg tablet - -
439 Thiamfenikol 500 mg tab tablet - -
440 Thiamin HCl (Vit B1) tablet 50 mg tablet 350 170 180
441 TKF botol - -
442 Tramadol inj ampul - -
443 Trifluoperazin 5mg tablet - -
444 Triheksiphenidil HCl tablet 2 mg tablet 30 20 10
445 Trombophop gel tube - -
446 TT Vial - -
447 Tube EDTA Box - -
448 Urin Bag pcs 8 10 18
449 Vacum cup gel lot activator Bok - -
450 Vacum Tube EDTA 0,5 ml Bok - -
451 Vaksin carrier pcs - -
452 Vaksin Rabies Vero kuur - 2 1 1
453 Valsartan 160mg tablet - -
454 Vitamin A 100.000 IU tablet - -
455 Vitamin A 200.000 IU tablet - -
456 Vitamin B komplek tablet tablet 300 1,200 710 790
457 White Tip Bks - -
458 wing needle 21 G pcs - -
459 wing needle 23 G pcs - -
460 wing needle 25 G pcs - -
461 wing needle 27 G pcs - -
462 Xylol Botol - -
463 Yellow Tip bks - -
464 Yodiol Test Botol - -
465 Zinc syr botol - 2 2
466 Zinc tab 20 mg tablet 130 110 20

Tdk. Bayar BPJS

Mengetahui,
Kepala Unit Layanan Puskesmas.........

............................................................

NIP. .....................................................
 REKAPITULASI PEMAKAIAN

KODE PUSKESMAS : IGD

PUSKESMAS : Sungai Rumbai
KECAMATAN : Sungai Rumbai
KAB/KOTA : Dharmasraya
PROPINSI : Sumatera Barat
tanpa stripan
mgg1 mgg2 mgg3 mgg4
No. Nama Sediaan Satuan
i.awal
1 2 3
1 Abochat 18 Pcs 188
2 Abochat 20 Pcs 92
3 Abochat 22 Pcs 129
4 Abochat 24 Pcs 148
5 Alat pemantau suhu pcs -
6 Alat perekam suhu pcs -
7 Alat suntik 10 ml pcs -
8 Alat suntik 20 ml pcs -
9 Alat suntik sekali pakai 1 ml Pcs 126
10 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 213
11 Alat suntik sekali pakai 5 ml Pcs 209
12 Albendazol syr 200mg/5 ml Botol -
13 Albendazol tablet 400 mg tablet 120
14 Alkohol Swab sachet -
15 Allopurinol 100 mg tablet 75
16 Alprazolam 1 mg tablet 190
17 Ambroxol 30 mg tablet tablet -
18 Aminofilin inj 24mg/ml-10 ml ampul 4
19 Aminofilin tablet 200 mg tablet -
20 Amitriptilin HCl tablet salut 25 mg tablet -
21 Amlodipin 10 mg tablet 240
22 Amlodipin 5 mg tablet 330
23 Amoksisilin 250 mg tablet 260
24 Amoksisilin 500 mg tablet 460
25 Amoksisilin sirup kering 125 mg/5 ml Botol 12
26 Amoniak btl/1000 ml -
27 Amoxicillin syr forte 250mg/ml botol -
28 Antalgin injeksi 250 mg/ml-2ml ampul -
29 Antasida DOEN tablet tablet 480
30 Antasida sirup Botol -
Anti Bakteri DOEN salep Kombinasi
31 (bacitrasin) Tube 8
32 Anti Fungi DOEN Kombinasi Pot -
33 Anti Haemoroid DOEN kombinasi Suppos -
34 Anti Migren (ergotamin caffein) tablet -
35 Anti Tuberkulosis Kategori I paket -
36 Anti Tuberkulosis Kategori II paket -
37 Aprazolam 0,5 mg tablet -
38 Aqua pro injeksi steril bebas pirogen vial 9
39 Aquadest steril liter -
40 Ari Sound Timer pcs -
41 Asam askorbat (Vit C) tablet 50 mg tablet 790
42 Asam Folat 0,4 mg /profolat tablet -
43 Asam folat 1 mg tablet -
44 Asam mefenamat 500 mg tablet 700
45 Asam tranexamat inj 100 mg/ml ampul 6
46 Asam tranexamat inj 50mg/ml ampul -
47 Asam Tranexamat tablet 500 mg tablet -

48 Asam Valproat 500mg / Depakote 500 mg tablet -

Asam Valproat tab SR 250 Mg / Depakote
49 250 mg tablet -
50 Asetosal 80 mg / Miniaspi tablet -
51 Asetosal tablet 100 mg tablet -
52 Asiklovir Krim 5 % 5 gr Tube -
53 Asiklovir tablet 200 mg tablet -
54 Asiklovir tablet 400 mg tablet 330

55 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 21

56 Attapulgit (Pularex) tablet 380
57 Azitromisin tab 500 mg tablet -
58 Bahan tambalan gigi sementara (mix) Botol -
59 BCG Vial -
60 Benecheck Cholesterol strip Botol 2
61 Benecheck Glucose strip Botol 2
62 Benecheck uric strip Botol 1
Berotec 0,1 mg(Fenoterol HBr aerosol
63 100mcg/dosis) Btl -
64 Betahistin mesilat tablet 40
65 Betametason krim 0,1% Tube 9
66 Bioplacenton tube -
67 Bisacodil (dulcolax) supp suppos -
68 Bisacodil (dulcolax) tab tablet -
69 Bisacodil supp infant 5 mg /Dulcolax Suppos -
70 Bisoprolol 5 mg tablet -
71 Blood lancet pcs 210
72 Blue tip box -
73 Box Slide bok -
 74 Bubuk Abate bks -
75 Ca Glukonas ampul -
76 Calcidor / Kalsium hidroksida pasta kotak -
77 CAMPAK Vial -
78 Captopril 12,5mg tablet 690
79 Captopril 25 mg tablet 510
80 Cartridge Gen Expert Pcs -
81 Catgut/benang bedah Chromic 2/0 set -
82 Catgut/benang bedah Chromic 3/0 set 18
83 Catgut/benang bedah Plain 2/0 set -
84 Catgut/benang bedah Plain 3/0 set 52
85 Cefadroxil tablet -
86 Cefadroxil syr forte 250mg/ml botol -
87 Cefadroxyl syr 125 mg/ml Botol 5
88 Cefiksim syr kering 100mg/5ml btl 30ml -
89 Cefixime 100mg tablet 200
90 Cefotaxim 1,0 G inj Vial -

Cendo Lyteers Kombinasi tts mata 2,5

mg/ml; NaCl 8,664 mg; kalium klorida 1,32
91 mg botol -
92 Centrifuse Paket -
93 Cetirizin 10 mg tablet 950
94 Cetirizin syr 5mg/5ml btl 60ml -
95 Cimetidin tablet -
96 Ciprofloxacin tablet 500 mg tablet 400
97 Clindamisin 300 mg tablet 190
98 Control CBC ST Plus-Normal-Diatron Vial/ 2,5 ml -
99 Cuticell Classic pcs -
100 Daryantulle sachet -
101 Deksametason injeksi 5 mg/ml-1 ml ampul 10
102 Deksametason tablet 0,5 mg tablet 260
103 DFI Cybow Box -
104 DHP-Frimal tablet -
105 Diazepam injeksi 5 mg/ml-2 ml ampul -
106 Diazepam rektal 10 mg Suppos -
107 Diazepam rektal 5 mg Suppos 4
108 Diazepam tablet 2 mg tablet 100
109 Diazepam tablet 5 mg tablet -
110 Dietil karbamazin sitrat tablet 100 mg tablet -
111 Difenhidramin HCl inj 10 mg/ml-1 ml ampul 24
112 Digoksin tablet 0,25 mg tablet -
113 Diltiazem tablet tablet -
114 Dimenhidrinat 50 mg tablet 69
115 Dirui BF 6500 SLS Kit/500 ml -
116 Dirui BF Deterjen Kit/10 ml -
117 Dirui BF Diluent 20 liter -
118 Dirui BF FDO LYSE Kit/5 L -
119 Dirui BF FDT LYSE Kit/500 ml -
120 Doksisilin kapsul tablet -
121 Domperidon 10 mg tablet 150
122 Domperidon syr Botol -
123 D-Pieces smokerlyzer Box -
124 DT Vial -
125 EDTA 10 % Botol -
126 Efedrin HCl tablet 25 mg tablet -
127 Ekstrak Belladona tab 10 mg tablet -
128 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul -
129 Eritromisin 250 mg tablet -
130 Eritromisin 500 mg tablet 150
131 Eritromisin sirup kering Botol 7
132 Etakridin (rivanol) larutan 0,1% Botol -
133 Etanol 70% Botol -
134 Etanol 96% botol -
135 Etil klorida spray Botol -
136 Eugenol cairan Botol -
137 Fe. Fumarat 300 mg Tablet -
138 Fenitoin natrium kapsul 30 mg tablet -
139 Fenobarbital inj 50 mg/ml - 2 ml ampul 5
140 Fenobarbital tablet 30 mg tablet 85
141 Fenolgliserol tetes telinga 10% Botol -

142 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9

143 Fitomenadion (Vit K1) tablet 10 mg tablet 180
144 Fitomenadion inj 2 mg/ml ampul -
145 Fluoksetin / Prestine tablet -
146 Food Test - Borak Test Paket -
147 Food Test - Formalin Test Paket -
148 Food Test - Rhodamin Test Paket -
149 Fouchet Botol -
150 Furosemid injeksi ampul -
151 Furosemid tablet 40 mg tablet 460
152 Gabapentin/Alpentin 100 mg kapsul -
153 Garam Oralit untuk 200 ml bungkus 83
154 Gentamicin Salp Kulit Tube -
155 Gentamisin inj ampul 21
156 Gentamisin tts mata botol -
157 Gentian violet larutan 1% Botol -

158 Glassionomer Cement (GC IX) / GC. Fuji Botol -

159 Glibenklamid tablet 5 mg tablet 500
160 Glimepirid 1 mg tablet -
161 Glimepirid 2 mg tablet 230
162 Gliseril Guaiakolat tablet 100 mg tablet -
163 Glukosa larutan Infus 10% steril fls 41
164 Glukosa Larutan Infus 5% steril fls 21
165 Griseofulvin tablet 125 mg tablet -
166 Griseofulvin tablet 500 mg tablet -
167 Haloperidol 5 mg tablet 330
168 Haloperidol inj 50mg/ml ampul -
169 Haloperidol tablet 0,5 mg tablet -
170 Haloperidol tablet 1,5 mg tablet -
171 Handscoen Steril psg 50
172 Handscoend Obgyn psg -
173 handscoon psg -
174 HBSAG Strip pcs -
175 HB-UNIJECT Vial -
176 HCG Strip Pcs -
177 Hidrochlorotiazid (HCT) tablet 25 mg tablet -
178 Hidrogen Peroksida (H2O2) 3% Botol -
179 Hidrokortison krim 2,5% Tube 9
180 Hiosin HBr Inj (Buscopan) 20 mg ampul -
181 Hiosin N Butil bromida tablet 150
182 HIV test (R1) SD Pcs -
183 Ibuprofen suspensi 100 mg/5 ml botol 30
184 Ibuprofen tablet 200 mg tablet -
185 Ibuprofen tablet 400 mg tablet 560
186 ichtiol salep pot -
187 Infusion set anak set 35
188 Infusion set dewasa set 37
189 Intec (One Step Anti-HIV 1&2) Box -
190 IPV Vial -
191 Isoniazid 100 mg/PPINH 100 mg tablet -
192 Isoniazid tablet 300 mg tablet -

193 Isosorbid dinitrat tablet sublingual 5 mg tablet 80

194 Jarum jahit / bedah no. 9 s/d 14 Pcs -
195 Jelly Dopler btl -
196 Jelly USG btl -
197 Kaca Slide pcs -
198 Kaca Tutup pcs -
199 Kalsium laktat (Klak) tablet 500 mg tablet 250
200 Kapas pembalut / absorben 250 g roll -
201 Karbamazepin tablet 200 mg tablet -
202 Kasa kompres 40/40 steril lbr -
203 Kasa pembalut 2 m x 80 cm roll -
204 Kasa pembalut elastis 3 inchi roll -
205 Kasa pembalut elastis 4 inchi roll -

206 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll -

207 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll -

208 Kasa steril 16/16 kotak -
209 Kassa gulung Besar 80cm x 40 m roll 2
210 Kertas lakmus biru pack -
211 Kertas Lakmus merah pack -
212 Kertas pH Universal Kotak -
213 Ketokonazol cream Tube -
214 Ketokonazol tab tablet 390
215 Ketoprofen 100mg tablet -
216 Ketoprofen Supp suppos -
217 kit gol. Darah A, B, AB set -
218 Kit gol. Darah Anti-D Kit -
219 Klindamisin 150 mg tablet -
220 Klopidogrel 75 mg Tablet -
221 Kloramfenikol kapsul 250 mg tablet -
222 Kloramfenikol salep Kulit Tube -
223 Kloramfenikol salep mata 1 % Tube 8
224 Kloramfenikol suspensi 125 mg/5 ml Botol 42
225 Kloramfenikol tetes telinga 3 % Botol 2
226 Kloramphenicol tts mata Botol -

227 Klorfeniramin maleat (CTM) tablet 4 mg tablet -

228 Klorfenol kamfer menthol (CHKM) Botol -
229 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul 15
230 Klorpromazin HCl tablet salut 100 mg tablet -
231 Kodein HCl tablet 10 mg tablet -
232 Kolkisin 500 mcg tablet -
233 Kotrimoksazol suspensi kombinasi Botol 25

234 Kotrimoksazol tablet dewasa kombinasi tablet 200

235 Labstrip (urinalis) tube -
236 Lansoprazole tablet -
237 Lar. HCl 0,1 N Botol -
238 Lar. Natrium Hipoklorid Botol/ 500ml -
239 Lar. Ress Ecker Botol/ 100 ml -
240 Lar.Na citrat Botol -
241 Lar.Ph 7,2 Botol -
242 Larutan Asam Asetat 6 % Botol -
243 Larutan barium klorida Botol -
244 Larutan benedict Botol -
245 Larutan buffer Ph 6,1 Botol -
246 Larutan eosin 2% Botol -
247 Larutan giemsa stain Botol -
248 Larutan H2O2 3% Botol 1 L -
249 Larutan Hayem Botol -
250 Larutan karbolfuksin Botol -
251 Larutan metilen biru Botol -
252 Larutan turk Botol -
253 Larutan Wright Botol -
254 Levofloksasin tetes mata 0,5% botol -
255 Lidocain komp.inj ampul -
256 Lidocain.inj ampul -
257 Lisol Botol -
258 Loperamid Hcl tablet -
259 Loratadin 10mg tablet 140
260 Magnesium sulfat inj (IV) 20%-25 ml vial -
261 Magnesium sulfat inj (IV) 40%-25 ml vial 9
262 Malaria test ktk -
263 Masker pcs 100
264 Masker 3M N95 medikal respirator pcs -
265 MDT MD Dewasa Paket -
266 Meloksikam 15 mg tablet 120
267 Mess pcs 80
268 Metanol 100 ml Botol -
269 Metanol 1000 ml botol -
270 Metformin tablet 140
271 Methyl Prednisolon 8mg tablet 80
Metil ergometrin maleat tablet salut 0,125
272 mg tablet 180

273 Metil ergometrin maleat inj 0,200mg-1ml ampul 10

274 Metil prednisolon 4 mg tablet -
275 Metildopa 250mg tablet -
276 Metoclopramid 10 gr tablet 60
277 Metoclopramid injeksi ampul 4
278 Metronidazol 500 mg tablet 490
279 Metronidazol supositoria 500 mg suppos -
280 Metronidazole ovula 500mg ovula -
Microlit tips for micropipettes MT-up to 1
281 ml pack -
282 Mikonazol krim Tube 15
283 Mineral Mix sachet -
284 Minyak Imersi Botol -
285 Mouth Pieces smokerlyzer Box -
286 Multivitamin syr Botol 18
287 Multivitamin tab tablet 230
288 Napza Kit 5 Parameter ktk/10 -
289 N-asetil sistein tablet 300
290 Natrium bicarbonat tablet 500 mg tablet 600
291 natrium Diklofenak 50 mg tablet -
292 Natrium klorida larutan infus 0,9% fls 28
293 Nifedipin 10 mg tablet 490
294 Nistatin suspensi botol -
295 Nistatin tablet salut 500.000 IU tablet -
296 Nistatin tablet vaginal 100.000 IU/g tablet -
297 OAT (Kombipak) anak paket -
298 Obat anti malaria tablet -
299 Obat batuk hitam (OBH) cairan Botol -
300 Oksitetrasiklin HCl salep kulit 3% Tube -
301 Oksitetrasiklin HCl salep mata 1% Tube -
302 Oksitosin inj 10 IU / ml - 1 ml ampul 17
303 Omeprazole 20mg tablet -
304 One ject 0,05 ml pcs -
305 One ject 0,5 ml pcs -
306 One ject 5 ml pcs -
307 Pantocain tts mata btl -
308 Papaverin tablet 40 mg tablet 140
309 Parasetamol Drop Botol 6
310 Parasetamol rektal 125 mg (dumin) suppos 5
311 Parasetamol rektal 250 mg (dumin) suppos 5
312 Parasetamol sirup 120mg/ml Botol 3
313 Parasetamol tablet 100 mg tablet -
314 Parasetamol tablet 500 mg tablet 210
315 Pembalut gips 3 inch Roll -
316 Pembalut gips 4 inch Roll -
317 Pembalut gips 6 inch Roll -
318 PENTABIO Vial -
319 Permetrin krim 5% (Scabimite) tube 1
320 Petidin inj 50mg/ml ampul -
321 Piracetam inj 3g/15ml ampul -
322 Pirantel tablet 125 mg tablet -
323 Pirasetam 800mg tablet -
324 Piroxicam 10 mg tablet -
325 Piroxicam 20 mg tablet -
326 planotest pcs -
327 Plester 5 yard x 2 inch roll -
328 Plester bulat non woven box -
329 Poli Kateter pcs 8
330 POLIO Vial -
331 Pot Sputum Pcs -
332 Povidon iodida 10% 30 ml Botol -
333 Povidon iodida 10% 300 ml Botol -
334 Povidon iodida 10% 60 ml Botol -
335 Povidon Iodine 1 L Botol -
336 Prednison tablet 5 mg tablet 310
337 Primakuin tablet 15 mg tablet 110
338 Prokain benzil penisilin vial -
339 Propanolol HCl tablet 10 mg tablet -
340 Propanolol HCl tablet 40 mg tablet -
341 Propiltiourasil tablet 100 mg tablet -
342 Pyridoksin HCL ( Vit B6 ) tab 10 mg tablet 500
343 Ramipril tablet -
344 Ranitidin inj. 25mg/ml ampul -
345 Ranitidin tablet 150 mg tablet 400
346 Rapid Test (HIV 1 & 2 Anti Body) Box -
Rapid Test (HIV 1 & 2 Anti Body)
347 oncoprobe test -

348 Reagen (Bio-rad) Level 2 (Urine Kontrol) kit/ 12x12 ml -

349 Reagen dan Bahan alat lab.Malaria paket -
Reagen Fotometer Kimia Klinik Randox
350 Albumin kit -
Reagen Fotometer Kimia Klinik Randox
351 Glukosa kit -
Reagen Fotometer Kimia Klinik Randox
352 HDL kit -
Reagen Fotometer Kimia Klinik Randox
353 Kolesterol darah kit -
Reagen Fotometer Kimia Klinik Randox
354 Kreatinin kit -

355 Reagen Fotometer Kimia Klinik Randox LDL kit -

Reagen Fotometer Kimia Klinik Randox
356 Protein total kit -
Reagen Fotometer Kimia Klinik Randox
357 SGOT kit -
Reagen Fotometer Kimia Klinik Randox
358 SGPT kit -
Reagen Fotometer Kimia Klinik Randox
359 total bilirubin kit -
Reagen Fotometer Kimia Klinik Randox
360 triglyserida kit -
Reagen Fotometer Kimia Klinik Randox
361 ureum kit -
 Reagen Fotometer Kimia Klinik Randox
362 Uric asid kit -
Reagen hematology analyzer Cointender
363 20 SFRI Clair 31 btl 60ml -
Reagen hematology analyzer Cointender
364 20 SFRI clean EZ 31 btl 60ml -
Reagen hematology analyzer Cointender
365 20 SFRI cliner 31 btl 5 L -
Reagen hematology analyzer Cointender
366 20 SFRI diluent 31 btl 20 L -
Reagen hematology analyzer Cointender
367 20 SFRI Lyse 31 botol 500ml -
368 Reagen Human Bilirubin Total Direct kit/ 12x12 ml -
369 Reagen Human Cholesterol Kit/ 4x30 ml -
370 Reagen Human Combina 11,S Kit/150 s -
371 Reagen Human Creatinin Kit/ 200 ml -
372 Reagen Human GOT kit/ 10x10 ml -
373 Reagen Human GPT kit/ 10x10 ml -
374 Reagen Human HDL Cholesterol kit/ 4 x 80 ml -
Reagen Human Humatrol N (Serum
375 kontrol) Kit/ 6x5 ml -
376 Reagen Human Test Ca/ Kalsium kit/ 200 ml -
377 Reagen Human Test Glukosa darah kit/ 4x100 ml -
378 Reagen Human Total Protein kit/ 4 x 100 ml -
379 Reagen Human Triglycerides kit/ 9x15 ml -
380 Reagen Human Urea Liquicolor kit/ 2x100 ml -
381 Reagen Human Uric Acid Kit -
Reagen kimia klinik potometer 5010
382 albumin - Rajawali 1000ml -
Reagen kimia klinik potometer 5010 alkali
383 phospatase - Rajawali kit 10x10ml -
Reagen kimia klinik potometer 5010 asam
384 urat - Rajawali kit 4x30ml -
Reagen kimia klinik potometer 5010
385 bilirubin T/D - Rajawali kit 2x100ml -
Reagen kimia klinik potometer 5010 CK
386 NAC Activated - Rajawali kit 20x3ml -
Reagen kimia klinik potometer 5010 CK-
387 MB - Rajawali kit 20x3ml -
Reagen kimia klinik potometer 5010
388 gamma GT - Rajawali kit 10x10ml -
Reagen kimia klinik potometer 5010
389 glukosa - Rajawali kit 4x100ml -
Reagen kimia klinik potometer 5010
390 haemoglobin - Rajawali kit 10x500ml -
 Reagen kimia klinik potometer 5010
391 kalsium - Rajawali kit 2x100ml -
Reagen kimia klinik potometer 5010
392 kolesterol HDL - Rajawali kit -
Reagen kimia klinik potometer 5010
393 kolesterol LDL - Rajawali kit 80ml -
Reagen kimia klinik potometer 5010
394 kolesterol total - Rajawali kit 4x100ml -
Reagen kimia klinik potometer 5010
395 kreatinin - Rajawali btl 200ml -
Reagen kimia klinik potometer 5010 LDH -
396 Rajawali kit 20X5ml -
Reagen kimia klinik potometer 5010 SGOT
397 - Rajawali kit 20X5ml -
Reagen kimia klinik potometer 5010 SGPT -
398 Rajawali kit 20X5ml -
Reagen kimia klinik potometer 5010 total
399 protein - Rajawali btl 1000ml -
Reagen kimia klinik potometer 5010
400 trigliserida - Rajawali kit 4x100ml -
Reagen kimia klinik potometer 5010
401 UREUM - Rajawali kit 2x100ml -
402 Reagen TB kit -
403 Reagen widal H Vial -
404 Reagen widal O Vial -
405 Risperidon 1 mg tablet -
406 Risperidon 2 mg tablet -
407 RL larutan infus fls 295
408 Safety box pcs -
409 Salbutamol inhalasi 100 mcq/dosis botol -
410 Salbutamol nebulizer Kotak 28
411 Salbutamol tablet 2 mg tablet 100
412 Salbutamol tablet 4 mg tablet 280
413 Salep 2-4 kombinasi pot -
414 Salep luka bakar (Levertran) Tube -
415 Salisil bedak 2% bungkus -
416 Seftriakson Injeksi vial -
417 Seretide Diskus ih 100 mcg/puff botol -
418 Seretide Diskus ih 250 mcg/puff botol -

Seretide inhaler Kombinasi: salmeterol 25

419 mcg;flutikason propionat 50 mcg botol -
420 Serum Anti Bisa Ular polivalen inj 5 ml vial -
421 Serum Anti Tetanus inj 1500 IU/ampul ampul 1
422 Sianokobalamin (Vit B12) inj 500mcg-ml ampul 27
423 Sianokobalamin tab 50 mcg tablet 190
424 Silk no.3/0 dengan jarum bedah set 5
425 Simvastatin 10 mg tablet 410
426 spironolacton 25 mg tablet 190
427 Spongestan Hemospon ktk -
428 Spritus Botol -
429 Stomach tube FR 12 pcs -
430 Stomach tube FR 14 pcs -
431 Stomach tube FR 16 pcs -
432 Strip asam urat (UA SURE) Botol -
433 Sukralfat / Ulsidex tablet -
434 Tablet Tambah darah tablet 1,170
435 Td Vial -
436 Temporary stopping fletcher Set -
437 Tetagam ampul -
438 Tetrasiklin HCL kapsul 500 mg tablet -
439 Thiamfenikol 500 mg tab tablet -
440 Thiamin HCl (Vit B1) tablet 50 mg tablet 170
441 TKF botol -
442 Tramadol inj ampul -
443 Trifluoperazin 5mg tablet -
444 Triheksiphenidil HCl tablet 2 mg tablet 20
445 Trombophop gel tube -
446 TT Vial -
447 Tube EDTA Box -
448 Urin Bag pcs -
449 Vacum cup gel lot activator Bok -
450 Vacum Tube EDTA 0,5 ml Bok -
451 Vaksin carrier pcs -
452 Vaksin Rabies Vero kuur 1
453 Valsartan 160mg tablet -
454 Vitamin A 100.000 IU tablet -
455 Vitamin A 200.000 IU tablet -
456 Vitamin B komplek tablet tablet 710
457 White Tip Bks -
458 wing needle 21 G pcs -
459 wing needle 23 G pcs -
460 wing needle 25 G pcs -
461 wing needle 27 G pcs -
462 Xylol Botol -
463 Yellow Tip bks -
464 Yodiol Test Botol -
465 Zinc syr botol -
466 Zinc tab 20 mg tablet 110

Tdk. Bayar

Mengetahui,
Kepala Unit Layanan Puskesmas.........

............................................................

NIP. .....................................................
mgg5
I masuk stok Igd
5
- 188
- 92
- 129
- 148
- -
- -
- -
- -
- 126
- 213
- 209
- -
- 120
- -
- 75
- 190
- -
- 4
- -
- -
- 240
- 330
- 260
- 460
- 12
- -
- -
- -
- 480
- -

- 8
- -
- -
- -
- -
- -
- -
- 9
- -
- -
- 790
- -
- -
- 700
- 6
- -
- -

- -

- -
- -
- -
- -
- -
- 330

- 21
- 380
- -
- -
- -
- 2
- 2
- 1

- -
- 40
- 9
- -
- -
- -
- -
- -
- 210
- -
- -
- -
- -
- -
- -
- 690
- 510
- -
- -
- 18
- -
- 52
- -
- -
- 5
- -
- 200
- -

- -
- -
- 950
- -
- -
- 400
- 190
- -
- -
- -
- 10
- 260
- -
- -
- -
- -
- 4
- 100
- -
- -
- 24
- -
- -
- 69
- -
- -
- -
- -
- -
- -
- 150
- -
- -
- -
- -
- -
- -
- -
- -
- 150
- 7
- -
- -
- -
- -
- -
- -
- -
- 5
- 85
- -

- 9
- 180
- -
- -
- -
- -
- -
- -
- -
- 460
- -
- 83
- -
- 21
- -
- -

- -
- 500
- -
- 230
- -
- 41
- 21
- -
- -
- 330
- -
- -
- -
- 50
- -
- -
- -
- -
- -
- -
- -
- 9
- -
- 150
- -
- 30
- -
- 560
- -
- 35
- 37
- -
- -
- -
- -

- 80
- -
- -
- -
- -
- -
- 250
- -
- -
- -
- -
- -
- -

- -

- -
- -
- 2
- -
- -
- -
- -
- 390
- -
- -
- -
- -
- -
- -
- -
- -
- 8
- 42
- 2
- -

- -
- -
- 15
- -
- -
- -
- 25

- 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 140
- -
- 9
- -
- 100
- -
- -
- 120
- 80
- -
- -
- 140
- 80

- 180

- 10
- -
- -
- 60
- 4
- 490
- -
- -

- -
- 15
- -
- -
- -
- 18
- 230
- -
- 300
- 600
- -
- 28
- 490
- -
- -
- -
- -
- -
- -
- -
- -
- 17
- -
- -
- -
- -
- -
- 140
- 6
- 5
- 5
- 3
- -
- 210
- -
- -
- -
- -
- 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 8
- -
- -
- -
- -
- -
- -
- 310
- 110
- -
- -
- -
- -
- 500
- -
- -
- 400
- -

- -

- -
- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -
- -

- -

- -

- -

- -

- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -

- -

- -

- -

- -

- -

- -

- -

- -

- -
- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -
- -
- -
- -
- -
- -
- 295
- -
- -
- 28
- 100
- 280
- -
- -
- -
- -
- -
- -

- -
- -
- 1
- 27
- 190
- 5
- 410
- 190
- -
- -
- -
- -
- -
- -
- -
- 1,170
- -
- -
- -
- -
- -
- 170
- -
- -
- -
- 20
- -
- -
- -
- -
- -
- -
- -
- 1
- -
- -
- -
- 710
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 110

BPJS