No Nama Obat Lemari Gudang Meja Pelayanan Total Ket

C. PSIKOTROPIKA

1 Diazepam 2 mg 49
2 Diazepam Injeksi 2
3 Stesolid rectal tube 5 mg 3
4 Stesolid rectal tube 10 mg 5

D. OBAT-OBAT TERTENTU (OOT)

1 Amitriptilin tablet 25 mg 0

2 Haloperidol tablet 1,5 mg

3 Haloperidol tablet 0,5 mg 130

4 Haloperidol tablet 5 mg 0
5 Triheksilfenidil HCl tablet 2 mg 0
6 Klorpromazina Tablet 100 mg 0

7 Klorpromazina Tablet 25 mg 0
8 Klorpromazina Inj. 25 mg/ml, 1 ml 0

9 Klorpromazina Inj. 5 mg/ml, 1 ml 0

E. PREKURSOR

1 Antimigren tablet Kombinasi (ergotamin) 0

2 Metilergometrina tablet 0,125 mg 100
3 Metilergometrina Inj. 0.2 mg/ml 0

OBAT PROGRAM

1 Albendazol Tablet 400 mg 0

2 Albendazole Syrup 0
3 Alive Nutribion @100 100
4 Ampicilin 1 gr 0
5 Calcii Gluconas 0
6 Diazepam Injeksi 0
7 Euthyrox 0
8 Ferbion (PTM Lansia) 1800
9 Livron B Plex 2600
10 Masker Non Medis 3 Ply 0
11 MDT MB Adult 0
12 MDT MB Child 0
13 Mineral Mix 0
14 Okxytetracyclin Salep Mata 0
 15 Tablet Tambah Darah 30240
16 Taburia 0
17 Vitamin A 100.000 UI kapsul 0
18 Vitamin A 200.000 UI kapsul 0

OBAT PROGRAM VK

1 Ampicillin 1 gr Injeksi 10
2 Diazepam Injeksi 15
3 Fenobarbital Injeksi 13
4 Gentamicin Injeksi 10
5 MgSo4 40% 4
6 Oksitosin Injeksi 480
7 Phytomenadion K Injeksi 100

OBAT & ABHP P3K

1 Ambroxol 30 mg tablet 100

2 Bioplacenton 15 gr 6
3 Brochifar tablet 300
4 Cendo Cenfresh Eye Drops 5 ml 2
5 Cendo Xytrol Eye Drops 5 ml 1
6 Counterpain Cool Gel 15 gr 0
7 Counterpain Cream 15 gr 5
8 Counterpain Cream 30 gr 5
9 Daryantulle 20
10 Duk Lubang Steril 50 cm X 50 cm 10
11 3
Farsycol Cream
12 Folley Catheter no. 14 2
13 2
Folley Catheter no. 16
14 Imodium 2 mg 90
15 Mecobalamin 500 mg 90
16 Mecobalamin 500 mg ( Oxybal 500 mg ) 200
17 Mertigo 6 mg 200
18 Minyak Kayu Putih 15 ml
19 Minyak Telon Lang 60 ml 12
20 Movix 7,5 mg tablet 20
21 180
Neurobion tablet @50
22 Quantidex tablet 200
23 5
Reco Tetes Mata
24 Thrombopop Gel 1
 25 Topsy 5 % 1
26 0
Voltadex Gel
27 50
Voltaren 25 mg

OBAT & VITAMIN COVID

1 Asam Askorbat 250 mg Tab

2 Asetilsistein 200 mg (Memucil) 150

3 Azitromycin 500 mg 35
4 Azitromycin Kombipak 19
5 Becefort Syrup 2
6 Bionicom Zinc 0
7 Cholecalciferol 400 IU 0
8 Curcuma FCT 3000
9 D Trivit 230
10 Demacolin Tablet 1400
11 Erdomex Syrup 7
12 Erdostein 120
13 HB - VIT 500 Kaplet 1590
14 Imbost Kids Syrup 47
15 Imunivit Tablet 500
16 Livron B plex 0
17 Microlax Enema 4 ml 48
18 Momucil 200 mg

19 OBH Nelco Syrup 0

20 Ondansentron 4 mg tab 150
21 Oseltamivir 20
22 Pafivirapir 0
23 Sucralfate Syrup 71
24 Zink Syrup 5

ABHP TBC

1 8
Masker Surgical @50
2 49
Masker Kain 3 ply
3 Masker N95 @20 500

Obat BLUD

Obat Generik

1 Allopurinol 100 mg Tab 0

2 Allopurinol 300 mg Tab 0
 3 Amlodipin 10 mg 0
4 Amlodipin 5 mg 0
5 Asam Folat 100
6 Asam Mefenamat 500 mg 0
7 Asetilsistein 200 mg 0
8 Bedak Salisil 0
9 Burnazin Cream 0
10 Captopril 25mg 900
11 Cetirizin Syrup 0
12 Ciprofloxacin 500 mg 200
13 0
Daryantulle
14 0
Etil Klorid
15 Gentamisin Tetes Mata 0
16 600
Dexametason 0,5 mg
17 0
Domperidone Syrup
18 0
Glimepiride 2 mg
19 100
ISDN 5mg
20 Ibuprofen 400 mg 0
21 Kalsium Laktat 500 mg Tab 0
22 Ketokonazole Cream 10
23 Ketokonazole 200 mg 0
24 Loratadin 10 mg 0
25 400
Metformin 500 mg Tab
26 600
Metronidazole 500 mg Tab
27 0
MGSO4
28 100
Nifedipin 10 mg Tab
29 Omeprazole 20 mg Tab 0
30 0
Omeprazole Injeksi
31 Phenol Glyserol 24
32 Ranitidin 100
33 Salbutamol 2 mg 1400
34 Salbutamol 4 mg 0
35 Simvastatin 10 mg 0
36 Vitamin B 6 200
37 Lidocain HCL Injeksi 80
38 0
Vitamin B complex

Obat Non Generik

1 Burnazin Cream 25 gr 2
 2 Cazetin Drop 1
3 0
Dulcolax Suppo 10 mg Tab
4 40
Dulcolax tablet 5 mg
5 Farsycol Cream ( Kloramfenikol cream ) 3
6 Genoint Tetes Mata (gentamisin tetes mata) 0
7 0
Lecozinc 20 mg
8 Reco Tetes mata 0
9 Reco Tetes Telinga 0
10 Scabimite Salep 30 gr 0
11 Ventolin Nebulizer 170

ABHP

1 Bisturi no.11 64
2
Catgut Silk 3/0 0
3
Catgut Plain 3/0 24
4
Foley Catheter no.18 20
5
H2O2 800 ml 3
6 Handscoon Size S 0
7 Infuset Dewasa 18
8 Kassa Hidrofil 40 x 80 cm 0
9 Kertas CTG 80mm x 90mm EKG 0
10 Kertas Lakmus Merah 0
11
Masker Earloop 0
12
Masker Headloop 0
13 25
Masker O2 Dewasa
14 9
Povidone Iodine 1 liter
15 Selang Oxygen Anak 0
16
Selang Oxygen Dewasa 0
17 Pot Salep 30 gr 150
18 Masker Nebu Anak 25
No Nama Obat Lemari Gudang Lemari Putar Meja Pelayanan Total Ket

A. OBAT GENERIK
1 Acyclovir tablet 200 mg
2 Acyclovir tablet 400 mg
3 Albendazol Tablet 400 mg
4 Allopurinol tablet 100 mg
5 Allopurinol tablet 300 mg
6 Ambroxol 30mg Tablet
7 Ambroxol Syrup
8 Amlodipin tablet 10 mg
9 Amlodipin tablet 5 mg
10 Amoksisilin 125 mg Sirup Kering
11 Amoksisilin 250 mg Sirup Kering
12 Amoksisilin Drop

13 Amoksisilin kaplet 500 mg

14 Amoksisilin kapsul 250 mg

15 Antasida DOEN Tablet Komb.100's

16 Antasida DOEN Suspensi

17 Anti Hemoroid Supositoria
18 Aqua pro injeksi 25 ml

19 Aqua pro injeksi 100 ml

20 Asam Askorbat (Vit C) Tablet 50 mg

21 Asam Askorbat (Vit C) Tablet 250 mg

22 Asam Folat 0,4 mg
23 Asam Mefenamat kaplet 500 mg
24 Asam Traneksamat 250 mg/5ml injeksi
25 Asetil Sistein kapsul 200 mg 60's
26 Atrofin Sulfas Injeksi 0,25 mg
27 Ats Inj. 1.500 IU

28 Attapulgit tablet 600 mg

29 Betahistin 6 mg
30 Betametason krim
31 Bisakodil 5 mg
32 Captopril tablet 12,5 mg
33 Captopril tablet 25 mg
34 Captopril tablet 50 mg
35 Carbamazepin tablet 200 mg
36 Cefadroxil 500 mg
37 Cetirizine Syrup 5mg/5ml
38 Cetirizine tablet 10 mg
39 Ciprofloksasin tablet 500 mg
40 Deksametason 0,5 mg tablet 100"s
41 Deksametason Injeksi
42 Dextrose 5%
43 Difenhidramin Inj.
44 Diltiazem tablet 30 mg
45 Dimenhidrinat Tablet 50 mg
46 Domperidon Susp
47 Domperidon Tablet
48 Epinefrina Inj. 0,1% 1 ml
49 Eritromisin Sirup
50 Eritromisin tablet 250 mg
51 Etanol 70%/100 ml
52 Etanol 70%/1000 ml
53 Etanol 70%/ 5 liter
54 Etil Klorida Semprot
55 Fenol Gliserol Tetes Tlg. 10%
56 Fletcher Serbuk
57 Flukonazol Kapsul 150 mg
58 Furosemida tablet 40 mg

59 Garam Oralit

60 Gentamisin Salep Mata

61 Gentamisin Tetes Mata 0,3%
62 Glibenklamida tablet 5 mg
63 Glimepirid tablet 2 mg
64 Glimepirid tablet 1 mg

65 Griseofulvin tablet 125 mg

66 Hidroklorotiazid tablet 25 mg

67 Hidrokortison Krim 2,5 %

68 Hyoscin N Tablet 10 mg
69 Ibuprofen Susp. 100 mg/5 ml
70 Ibuprofen Susp. 200 mg/5 ml
71 Ibuprofen tablet 200 mg

72 Ibuprofen tablet 400 mg

73 Isoniazid (INH) 100 mg Tablet 100's

74 Isoniazid (INH) 300 mg Tablet 100's

75 Isosorbide dinitrat tablet 5 mg
76 Kalsium Laktat 500 mg Tablet 100's
77 Ketokonazol krim
78 Ketokonazol tablet 200 mg
79 Ketorolac Injeksi
80 Kloramfenikol 250 mg Kapsul
81 Kloramfenikol 0.5 % tetes mata
82 Kloramfenikol Salep Mata 1%
83 Kloramfenikol sirup
84 Kloramfenikol Tetes Telinga 3%

85 Klorfeniramin Maleat tablet 4 mg

86 Kotrimoksazol Susp
87 Kotrimoksazol Tab 480 mg
88 Lidocain Injeksi 2% (HCl)
89 Lidocain Injeksi 2% (HCL) + Epinefrin
90 Loratadin tablet
91 Magnesium Sulfat Injeksi 20%
92 Magnesium Sulfat Injeksi 40%
93 Metformin tab 500 mg
94 Metil Prednisolon tablet 4 mg

95 Metoklorpramide tablet 10 mg

96 Metronidazol tablet 250 mg

97 Metronidazol tablet 500 mg

98 MGSO4 40% Injeksi

99 Mikonazol Krim

100 Na. Diklofenak 25 mg

101 Na. Diklofenak 50 mg

102 Natrium Klorida Infus 0.9%
103 Nifedipin tablet 10 mg
104 Nistatin susp 100.000 IU/mL
105 Nistatin Vaginal tablet salut 100.000 IU/g
106 OAT FDC Kategori 1
107 OAT FDC Kategori 2
108 OAT FDC Kategori Anak
109 OAT FDC Kategori Sisipan
110 Oksitetrasiklina Salep Mata 1%
111 Oksitosin injeksi
112 Omeprazol Injeksi 40mg /10ml
113 Omeprazol kapsul 20 mg
114 Parasetamol 500 mg Tablet 100's
115 Parasetamol drops
116 Parasetamol Sirup 120 mg/5 ml
117 Permetrin Krim 5%
118 Phytomenadion (Vit K) Tablet 10 mg
119 Phytomenadion (Vit K1) Inj 10 mg/ml

120 Phytomenadion (Vit K1) Inj 2 mg/ml

121 Pirantel Pamoat Tab.125 mg

122 Prednison 5 mg Tablet 100's

123 Primakuin Tablet 15 mg

124 Propiltiourasil tablet 100 mg

125 Pyridoksin (Vit B6) Tablet 10 mg
126 Quinin tablet
127 Ranitidin Tablet
128 Ranitidin Injeksi
129 Reserpina 0.25 mg Tablet 100's
130 Ringer Laktat

131 Risperidon Tablet 2 mg

132 Rivanol Lar 0.1% 100 ml

133 Rivanol Lar 0.1% 300 ml
134 Sabu Inj. 5 ml
135 Salbutamol cairan ih 0,1%
136 Salbutamol tablet 2 mg
137 Salbutamol tablet 4 mg
138 Salisil Bedak 2% 50 gram
139 Salisilat + Belerang Salep
140 Simvastatin tablet 10 mg
141 Simvastatin tablet 20 mg
142 Spon Gelatin
143 Sulfadiazin Silver Krim 1% 35 gr (Burnazin)
144 Tablet Tambah Darah
145 Thiamin (Vit B1) Tablet 50 mg
146 TKF Cairan
147 Vit. B Kompleks tablet
148 Vitamin A 100.000 UI kapsul
149 Vitamin A 200.000 UI kapsul
150 Water Irigation larutan
151 Yodium Povidon Lar 10% 15 ml
152 Yodium Povidon Lar 10% 30 ml
153 Yodium Povidon Lar 10% 300 ml
154 Yodium Povidon Lar 10% 60 ml
155 Yodium Povidon Lar 10% 1 liter
156 Zinc Tab 20 mg

B. OBAT NON GENERIK

1 Afolat Tablet 1 mg
2 Bufacetin Salep Kulit
3 Burnazin Cream
4 Curcuma FCT
5 Dulcolax supp 5 mg
6 Dulcolax supp 10 mg
7 Dulcolax/Bisacodyl tablet 5 mg
8 Erlamycetin Tetes Telinga
9 Guanistrep Syrup
10 Herbakof Syrup
11 Histigo 6 mg
12 Trifason 0,5 mg
13 LidiaStop (Attapulgite)
14 Livron B Plex
15 Lytacur Syrup
16 Novatusin Sirup
17 OBH Nellco
18 Pulmicort
19 Ramvit C 500 mg
20 Reco Tetes Telinga
21 Reco Tetes Mata
22 Scabicid Krim
23 Stimuno Syrup
24 Vaksin Anti Rabies
25 BMHP Vaksin Anti Rabies

26 Ventolin Nebulizer
Check
SO Tanggal :

No Nama Jumlah Keterangan

F. BMHP
1 Alkazyme 25 mg
2 Alkohol Swab
3 Apron
4 Aseptic Gel 500 cc + dispenser
5 Blood Lancet @100
6 Blood Tranfusion Set
7 Catgut Chromic 2/0
8 Catgut Chromic 3/0
9 Catgut Plain 2/0
10 Catgut Plain 3/0
11 Daryantullle
12 Dermafix-S IV
13 Disposible 1 cc
14 Disposible 10 cc
15 Disposible 3 cc
16 Disposible 5 cc
17 Duo Band Series-12 (PINK)
18 Duo Band Series-18 (BLUE)
19 Folley Catheter No. 14
20 Folley Catheter No. 16
21 Folley Catheter No. 18
22 H2O2 3%
23 Handschoon Non Steril L @100
24 Handschoon Non Steril M

25 Handschoon Non Steril S Powdered @100

26 Handschoon Non Steril S PF @100

27 Handschoon Steril 6
28 Handschoon Steril 6,5
29 Handschoon Panjang Siku 6,5
30 Handschoon Steril 7
31 HCG Test
32 Hibiscrup
33 Hypafix 10 x 5
34 Hypafix 15 x 5
35 Hypafix 5 x 5
36 Infus Set Anak
37 Infus Set Dewasa
38 Iodium Test
39 IV. Catheter No. 18
40 IV. Catheter No. 20
41 IV. Catheter No. 22
42 IV. Catheter No. 24
43 IV. Catheter No. 26
44 Jarum Heating No. 10
45 Jarum Heating No. 12
46 Jarum Heating No. 14
47 Jarum Heating No. 15
48 Jelly USG
49 Kapas Pembalut 250 gr
50 Kapas Pembalut 500 gr
51 Kasa Kompres 40/40 Steril
52 Kasa Kotak Steril
53 Kasa Pemb. Hid 4 M X 15 Cm
54 Kasa Pemb. Hid 4 M X 3 Cm
55 Kasa Pembalut 2 x 80 cm
56 Kasa Pembalut 36 x 80 cm
57 Kerta Puyer
58 Leukoplast 2,5cm x 4,5 cm
59 Lisol 50%
60 Masker Hijab @50
61 Masker Karet @50
62 Masker Non Medis 3 Ply

63 Nurse cap @50

64 Nylon No. 3/0 (Benang wajah)

65 Nylon No. 6/0 (Benang Wajah)

Pembalut Elastis 10 cm x 4,55 m (PRO

66
CREPE)
Pembalut Elastis 15 cm x 4,55 m (PRO
67
CREPE)
 Pembalut Elastis 7,5 cm x 4,55 m (PRO
68
CREPE)
Plesterin Bulat Non Woven 24mm x 24mm
69
200's

70 Polyprepilene 3/0 D3 19 mm

71 Pot Salep 30gr

72 Pot Salep 50gr

73 Selang Oksigen Bayi
74 Selang Oksigen Anak
75 Selang Oksigen Dewasa
76 Softaman
77 Steril Surgical Blades (Aesculaps) 100's
78 Stomach Tube No. 12
79 Stomach Tube No. 14
80 Stik Urinalis 3P
81 Strip asam urat
82 Strip glucose
83 Strip kolesterol (Humases) '20s
84 Strip trigliserid
85 Suction Catheter No 10
86 Suction Catheter No 8
87 Sungkup Nebu Anak
88 Sungkup Nebu Dewasa
89 Suture Silk 2/0
90 Suture Silk 3/0
91 Umbilical Cord Clamps
92 Under Pad
93 Urine bag
94 Under Pad
95 Urine bag

96 Yodium Povidon 5 ml

97 Yodium Povidon Lar 10% 30 ml

98 Yodium Povidon Lar 10% 300 ml
99 Yodium Povidon Lar 10% 60 ml
100 Yodium Povidon Lar 10% 1 liter
101 Ringer Laktat
102 Nacl
ABHP TBC
1 Masker Surgical @50 8
2 Masker Kain 3 ply 49
3 Masker N95 @20 500

ABHP
1 Bisturi no.11 64
2 Catgut Silk 3/0 0
3 Catgut Plain 3/0 24
4 Foley Catheter no.18 20
5 H2O2 800 ml 3
6 Handscoon Size S 0
7 Infuset Dewasa 18
8 Kassa Hidrofil 40 x 80 cm 0
9 Kertas CTG 80mm x 90mm EKG 0
10 Kertas Lakmus Merah 0
11 Masker Earloop 0
12 Masker Headloop 0
13 Masker O2 Dewasa 25
14 Povidone Iodine 1 liter 9
15 Selang Oxygen Anak 0
16 Selang Oxygen Dewasa 0
17 Pot Salep 30 gr 150
18 Masker Nebu Anak 25
No Nama Jumlah

1 Asam Askorbat 250 mg Tab

2 Azitromycin 500 mg

3 Bionicom Zinc

4 Cholecalciferol 400 IU

5 Curcuma FCT

6 Demacolin Tablet

7 D-Trivit

8 Erdostein Caps

9 Erdostein Sirup

10 HB - VIT 500 Kaplet

11 Imbost Kids Syrup

12 Imunivit Tablet

13 Livron B plex

14 Nact Caps (Memucil)

15 Neurobion Tab

16 OBH Nelco Syrup

17 Pavifiravir

18 Sucralfate Syrup