PEMERINTAH KABUPATEN BONE

DINAS KESEHATAN
UPTD PUSKESMAS ……

STOK OBAT DAN PERBEKALAN KESEHATAN PER 31 DESEMBER 2018

NO NAMA OBAT SATUAN HARGA SATUAN STOK JUMLAH HARGA KET

1 Air Untuk Injeksi 25 ml (Aqua pro inj steril, Botol 2,200 -

bebas pirogen)
2 Aquadest Steril Botol 17,952 -
3 Alat Suntik Sekali Pakai 0,05 ml Set 1,404 -
4 Alat Suntik Sekali Pakai 0,5 ml Set 1,300 -
5 Alat Suntik sekali pakai 1 ml Set 893 -
6 Alat Suntik Sekali Pakai 3 ml Set 960 -
7 Alat Suntik Sekali Pakai 5 ml Set 744 -
8 Alat Suntik Sekali Pakai 10 ml Set 1,064 -
9 Alat Suntik Sekali Pakai 20 ml Set 1,725 -
10 Alat suntik Sekali Pakai 50 ml Set 3,905 -
11 Albendazol 400 mg Tablet 323 -
12 Alkohol Swab Bungkus 147 -
13 Alopurinol tab 100 mg Tablet 95 -
14 Alprazolam 0,5 mg Tablet 185 -
15 Alprazolam 1 mg Tablet 184 -
16 Ambroksol Sirup 15 mg/ml Botol 5,880 -
17 Ambroksol tab 30 mg Tablet 240 -
18 Aminofillin Injeksi 24 mg/ml Ampul 4,200 -
19 Aminofillin tab 200 mg Tablet 86 -
20 Amitriptilin tab salut 25 mg (HCl) Tablet 165 -
21 Amlodipin tablet 5 mg Tablet 90 -
22 Amoksisilin Kaplet 500 mg Tablet 233 -
23 Amoksisilin Kapsul 250 mg Tablet 220 -
24 Amoksisilin srp kering 125 mg/5ml Botol 1,920 -
25 Amonium Oksalat Botol 36,100 -
26 Anastesi topikal Kotak 219,000 -
27 Antalgin injeksi 250 mg/ml - 2 ml Ampul 1,500 -
28 Antasida DOEN II Suspensi Botol 2,106 -
29 Antasida DOEN tablet Tablet 78 -
30 Anti Skabies Tube 12,155 -
31 Antifungi DOEN (Salep Putih) Tube 2,096 -
32 Antihemoroid DOEN kombinasi Suppo 3,502 -
33 Antihemoroid Tablet Tablet 1,786 -
Antimigren :Ergotamin Tartrat 1 mg + Kofein
34 50mg Tablet 179 -

35 Asam Folat Tablet 0,4 mg Tablet 62 -

36 As. Askorbat (Vit C) tab 250 mg Tablet 142 -
37 As. Askorbat (Vit C) tab 50 mg Tablet 45 -
38 Asam klorida 0,1 N Botol 12,144 -
39 Asam Mefenamat Tablet 500 mg Tablet 122 -
40 Asam sulfasalisilat 20 % Botol 500,000 -
41 Asam Traneksamat Injesi 100mg/ml Amp 2,387 -
42 Aseptic Gel 500 ml + Dispenser Botol 26,400 -
43 Asetosal 80 mg Tablet 94 -
44 Asetosal tablet 100 mg Tablet 153 -
45 Asetosal tablet 500 mg Kpsul 178 -
46 Asiklovir krim 5% Tube 3,823 -
47 Asiklovir tablet 200 mg Tablet 272 -
48 Atropin Injeksi Ampul 1,815 -
49 Attapulgit Tablet 650 mg Tablet 230 -
50 Betahistin Tablet 6 mg Tablet 170 -
51 Betametason krim 0,1 % Tube 1,450 -
52 Bisakodil tablet 5 mg Tablet 317 -
53 Bisacodil Suppositoria 5 mg Suppo 4,990 -
54 Bisakodil Suppositoria 10 mg Suppo 5,800 -
55 Bisturi pcs 1,800 -
56 Blood Lancet Pcs 59 -
57 Bonding (TM, Master Bond) Botol 238,193 -
58 Cairan KN3B Botol 11,435 -
59 Cairan Pelunak Karang Gigi Botol 159,720 -
60 Calcii Gluconas Ampul 7,800 -
61 Captopril tab 25 mg Tablet 100 -
62 Captopril tab 12,5 mg Tablet 69 -
Catgut/benang bedah no 2/0 - 3/0 (plain
63 &chromic) Pcs 6,420 -

64 Cefotaksim Injeksi 1 g Via 5,700 -

65 Silk 5/0 (Daclon 5/0) pcs 23,055 -
66 Deksametason inj i.v 5 mg/ml Ampul 1,740 -
67 Deksametason tab 0,5 mg Tablet 45 -
68 Dentorit Kotak 200,200 -
69 Dermafix S.IV 6x7 cm Pcs 2,251 -
70 Dermafix S.IV 6x8 cm Pcs 2,461 -
71 Devitalisasi pasta (non arsen) Kotak 1,075,250 -
72 Diazepam Inj 5 mg/ml Ampul 1,913 -
73 Diazepam Rectal 5 mg/2,5 ml Tube 12,751 -
74 Diazepam Rectal 10 mg/2,5 ml Tube 18,461 -
75 Diazepam tab 2 mg Tablet 47 -
76 Diazepam tab 5 mg tablet 65 -
77 Difenhidramin Inj i.m 10 mg/ml (HCl) Ampul 1,156 -
78 Digoksin Tablet 0,25 mg tablet 103 -
79 Diltiazem HCl Tablet 30 mg Tablet 141 -
80 Dimenhidrinat Tablet 50 mg Tablet 114 -
81 Doksisiklin kapsul 100 mg kapsul 298 -
82 Domperidon sirup 5 mg/5 ml Botol 3,180 -
83 Domperidon Tablet 10 mg Tablet 133 -
84 Efedrin Tablet 25 mg (HCl) Tablet 56 -
85 Efedrin Injeksi (HCl) Ampul 8,569 -

86 Ephinefrin (Adrenalin) inj 0,1 % (sebagai HCl) Ampul 1,848 -

87 Eritromisin Kapsul 500 mg Kapsul 1,023 -

88 Etakridini larutan 0,1 % Botol 3,328 -
89 Etanol 70% 100 ml Botol 2,625 -
90 Etanol 70% 1000 ml Botol 27,000 -
91 Etil klorida spray Botol 200 ml 352,000 -
92 ETSA (TM,Actinol) Botol 446,292 -
93 Eugenol cairan Botol 18,333 -
94 Fenobarbital Inj i.m/ i.v 50 mg/ml Ampul 2,265 -
95 Fenobarbital tab 100 mg Tablet 158 -
96 Fenobarbital tab 30 mg Tablet 149 -
97 Fenol Gliserol tetes telinga 10 % Botol 1,109 -
98 Fitomenadion (Vitamin K) inj 2 mg/ml Ampul 4,083 -
99 Fitomenadion (Vitamin K) inj 10 mg/ml Ampul 4,167 -
100 Fitomenadion (Vitamin K) Tab 10 mg Tablet 796 -
101 Flusinolon Asetonid krim 0,025% Tube 2,512 -
102 Foly Cateter No. 8 Set 20,630 -
103 Foly Cateter No.10 Set 20,630 -
104 Foly Cateter No.16 Set 11,132 -
105 Foly Cateter No.18 Set 9,198 -
106 Foly Cateter No. 22 Set 50,600 -
107 Foly Cateter No.24 Set 50,600 -
108 Furosemide Injeksi 10mg/ml Ampul 2,012 -
109 Furosemide tab 40 mg Tablet 91 -
110 Gameksan Lotion 1 % Botol - -
111 Garam Oralit untuk 200 ml air Sase 273 -
112 Gemfibrozil Kapsul 300 mg Kapsul 308 -
113 Gentamisin 40 mg/ml Inj Ampul 3,545 -
114 Gentamisin Salep Kulit 0,1% Tube 2,200 -
115 Gentamisin Sulfat Tetes Mata 0,3% Botol 3,513 -
116 Gentian Violet larutan 1 % Botol 2,000 -
117 Glass Ionomer Cement ART Kotak 446,292 -
118 Glibenklamida tab 5 mg Tablet 130 -
119 Glimepirid Tab 2 mg Tablet 458 -
120 Gliseril Guaikolat tab 100 mg Tablet 132 -
121 Gliserin Botol 5,867 -
122 Glukosa larutan infus 10 % Botol 6,270 -
123 Glukosa larutan infus 40 % Botol 8,000 -
124 Glukosa larutan infus 5 % Botol 6,900 -
125 Griseofulvin tab 125 mg Micronized Tablet 263 -
126 Gutta Percha No. 15-45 Kotak 100,000 -
127 Haloperidol 5 mg Tab Tablet 98 -
128 Haloperidol Injeksi 5 mg/ml Ampul 6,875 -
129 Haloperidol tab 1,5 mg Tablet 65 -
130 Hemiceal (stop pendarahan) Botol 97,405 -
131 Hidroklortiazid (HCT) tab 25 mg Tablet 171 -
132 Hidrokortison cream 2,5 % Tube 2,812 -
133 I.V. Catheter No 18 Set 8,900 -
134 I.V. Catheter No 20 Set 11,500 -
135 I.V. Catheter No 22 Set 11,500 -
136 I.V. Catheter No 24 Set 11,500 -
137 I.V. Catheter No.26 Set 14,520 -
138 Ibuprofen sirup 100mg/5 ml Botol 2,560 -
139 Ibuprofen tab 200 mg Tablet 111 -
140 Ibuprofen tab 400 mg Tablet 157 -
141 Infuset anak Set 3,848 -
142 Infuset dewasa Set 4,320 -
143 Insektisida Cair Botol 240,350 -
144 Iodina Test Botol 10,000 -
145 Isoniazid tab 300 mg Tablet 174 -
146 Isosorbid Dinitrat tab sublingual 5 mg Tablet 98 -
147 Jarum Jahit Bedah No. 9 s/d 14 Pcs 27,000 -
148 Jelly 80 g Tube 33,968 -
149 Kalsium Hidroksida Pasta Kotak 522,963 -
150 Kalsium Laktat (Kalk) tab 500 mg Tablet 69 -
151 Kapas Pembalut Adsorben 250 gr Rol 14,370 -
152 Kaporit Kg 36,300 -
153 Karbamazepin tablet 200 mg Tablet 306 -
154 Karbogliserin Tetes Telinga 10% Botol 2,500 -
155 Kasa Hydropil Steril 16 x 16 Kotak 8,651 -
156 Kasa Kompres Steril 40 x 40 Pcs 2,088 -
157 Kasa Pembalut 2 m x 80 cm Rol 10,049 -
158 Kasa pembalut 40 x 80 cm Rol 141,400 -
159 Kasa Pembalut Elastis 3 inci Rol 17,515 -
160 Kasa Pembalut Elastis 4 inci Rol 21,406 -
161 Kasa Pembalut Elastis 6 Inci Rol 29,189 -
162 Kasa pembalut hidrofil 4 m x 10 cm Rol 1,958 -
163 Kasa pembalut hidrofil 4 m x 3 cm Rol 770 -
164 Kertas Perkamen Pcs 5,000 -
165 Ketokonazol Krim 2% Tube 2,790 -
166 Ketokonazol Tablet 200 mg Tablet 297 -
167 Ketoprofen Suppo Suppo 2,858 -
168 Ketorolac injeksi 30mg/ml Ampul 1,276 -
169 K-File (Preparasi Saluran Akar) Kotak 177,100 -
170 Klindamisin Kapsul 150 mg Tablet 405 -
171 Klindamisin Kapsul 300 mg kapsul 580 -
172 Kloramfenikol kapsul 250 mg Kapsul 318 -
173 Kloramfenikol Kapsul 500 mg Kapsul 1,155 -
174 Kloramfenikol Salep Mata 1 % Tube 1,680 -
175 Kloramfenikol Salep Kulit 2% Tube 3,327 -
176 Kloramfenikol Suspensi 125 mg/5ml Botol 4,050 -
177 Kloramfenikol Tetes Mata 0,5% Botol 2,750 -
178 Kloramfenikol Tetes Telinga 3 % Botol 7,862 -
179 Klorfeniramin Maleat (CTM) tab 4 mg Tablet 45 -
180 Klorfenol kamfer Menthol (CHKM) Botol 240,000 -
181 Kloroquin fosfat tablet 250 mg Tablet 112 -
182 Klorpramazine tab salut 100 mg (HCl) Tablet 165 -
183 Klorpromazine injeksi i.m 25 mg/ml - 1 ml Ampul 1,210 -
184 Klorpromazine injeksi i.m 5 mg/ml - 2 ml Ampul 1,155 -
185 Klorpromazine tab salut 25 mg (HCl) Tablet 50 -
186 Kodein tab 10 mg Tablet 630 -

Kombinasi Tablet Salut : Besi (II) Sulfat 7 H₂O

187 200 mg, Asam Folat 0,25 mg (Tablet tambah Tablet 410 -
darah kombinasi)
188 Komposit Resin (TM, Master Fill) Kotak 532,000 -
189 Kotrimoksazole DOEN I (dewasa) 480 mg Tablet 158 -
190 Kotrimoksazole DOEN II (pediatrik) 120 mg Tablet 79 -
191 Kotrimoksazole suspensi Botol 2,298 -
192 Lanzoprazol kapsul 30 mg Kapsul 521 -
193 Larutan benedict Botol 200,000 -
194 Larutan Burowi Botol - -
195 Larutan eosin 2% Botol 126,000 -
196 Larutan etanol asam Botol 50,000 -
197 Larutan Giemza Stain Botol 142,000 -
198 Larutan Karbol Fuksin Botol 120,000 -

Larutan Mengandung Elektrolit (Na 130 mEq, Cl

199 109 mEq, Ca 3 mEq, Asetat 28 mEq)/Asering Botol 9,646 -

200 Larutan Metilen Biru Botol 84,000 -

201 Larutan Turk Botol 52,000 -
202 Larvasida Butiran Kg 126,500 -
203 Lidokain injeksi 2% Ampul 929 -
Lidokain kompositum injeksi 2% (+ Epinefrin 1 :
204 80.000) Ampul 3,113 -

205 Lisol 1 Liter Botol 1 L 53,505 -

206 Loperamid Tablet 2 mg Tablet 90 -
207 Loratadine Tablet 10 mg Tablet 149 -
208 Magnesium sulfat inj. (i,v) 20 %-25 ml Ampul 3,200 -
209 Magnesium sulfat inj. (i,v) 40 %-25 ml Ampul 2,629 -
210 Magnesium Sulfat Serbuk 30 g Sase 1,129 -
211 Malation Botol 230,970 -
212 Masker Pcs 506 -
213 Meloksikam 7,5 mg Tablet 795 -
214 Metanol Botol 35,000 -
215 Metformin Tab 500 mg Tablet 115 -

216 Metilergometrin Maleat injeksi 0,200 mg - 1 ml Ampul 1,639 -

217 Metilergometrin Maleat tab salut 0,125 mg Tablet 147 -

218 Metilprednisolon Tablet 4 mg Tablet 165 -
219 Metoklopramid Drop botol 10 ml Botol 5,200 -
220 Metoklopramid Injeksi 5 mg/ml Ampul 1,060 -
221 Metoklopramid Sirup 5mg/5ml Botol 2,900 -
222 Metoklopramid Tablet 10 mg Tablet 110 -
223 Metronidazol Infus 500 mg/100 ml Botol 11,000 -
224 Metronidazole tablet 250 mg Tablet 116 -
225 Metronidazole tablet 500 mg Tablet 140 -
226 Metronidazol Suspensi 125 mg/ml Botol 3,950 -
227 Mikonazol Krim 2% Tube 3,737 -
228 Multivitamin Sirup Botol 20,200 -
229 Multivitamin Tablet Tablet 260 -
230 Mummifying pasta Kotak 732,050 -
231 Na. Diklofenak Tab 25 mg Tablet 148 -
232 Na. Diklofenak Tab 50 mg Tablet 161 -
233 Natrium klorida lar.infus 0,9 % steril Botol 6,410 -
234 Nifedipin tab 10 mg Tablet 123 -
235 Nistatin 100.000 iu/g tablet vaginal Tablet 528 -
236 Nistatin 500.000 iu tablet salut Tablet 704 -
237 N Acetyl Sistein Tablet 200 mg Tablet 369 -
238 Obat Antituberkulosis FDC Anak Paket 236,500 -
239 Obat antituberkulosis FDC kategori 1 Paket 413,984 -
240 Obat antituberkulosis FDC kategori 2 Paket 1,435,180 -
241 Obat Batuk Hitam (O.B.H) Cairan Botol 8,414 -
242 Obat Batuk Kombinasi Sirup Botol 9,200 -
243 Obat Flu Kombinasi Tablet Tablet 900 -
244 Objek Gelas Pcs 238 -
245 Oil Emersi Botol 160,000 -
246 Oksitetrasiklin hcl salep mata Tube 1,680 -
247 Oksitetrasiklin salep kulit 3 % Tube 1,648 -
248 Oksitosin Inj 10 IU/ml - 1 ml Ampul 2,420 -
249 Omeperazol Kapsul 20 mg Kapsul 164 -
250 Omeperazol Injeksi Ampul 11,868 -
251 Ondansetron Tablet 8 mg Tablet 404 -
252 Papaverin Tablet 40 mg Tablet 160 -
253 Paper Point No. 15-45 Kotak 65,000 -
254 Paraformaldehid (Formalin) 1 gram Tablet - -
Parasetamol drop 100 mg/ml btl @15 ml (60
255 mg/0,6 ml) Botol 5,980 -

256 Parasetamol Tab 100 mg Tablet 35 -

257 Parasetamol Tab 500 mg Tablet 60 -
258 Parasetamol Tab 500 mg Tablet 108 -
259 Parasetamol Infus 1000 mg/100 ml Botol 16,000 -
260 Parasetamol sirup 120 mg/ 5 ml Botol 1,286 -
261 Pembalut Gypsona Rol 24,040 -
262 Perak Sulfadiazin krim 1 % Tube 20,700 -
263 Petidin hcl inj 50 mg/ml - 2 ml Ampul 15,950 -

264 Pirantel pamoat tablet Score (base) 125 mg Tablet 318 -

265 Pirantel Suspensi 125mg/5ml Botol 10 ml 10,835 -

266 Pirasetam Tablet 400 mg Tablet 540 -
267 Piridoksin (Vit B6) tab 10 mg (HCl) Tablet 52 -
268 Piroksikam Tablet 10 mg Tablet 100 -
269 Plester 1,5 yard x 2 inch Rol 6,510 -
270 Plester 2,5 cm x 4,5 cm Rol 12,076 -
271 Plester 5 yard x 2 inch Rol 35,000 -
272 Plester 7,5 cm x 4,5 cm Rol 35,532 -
273 Plester Rol Non Woven Rol 47,564 -
274 PMT Proten Sase 10,670 -
275 Polikresulen Cairan Botol 18,635 -
276 Pot dahak Pot 3,000 -
277 Prednison tab 5 mg Tablet 74 -
278 Primakuin tab 15 mg Tablet 125 -
279 Probenesid Tab/kapsul/kaplet 500 mg Tablet 2,044 -
280 Propanolol tab 40 mg (HCl) Tablet 114 -
281 Propiltiourasil tablet 100 mg Tablet 351 -
282 Ranitidin Injeksi 25 mg / 2 ml Ampul 1,600 -
283 Ranitidin Tablet 150 mg Tablet 105 -
284 Reagen Ziel Nelsen Paket 276,500 -
285 Reamer Size 15-40 Kotak 164,000 -
286 Retinol (Vitamin A) 100.000 IU Kap.lunak Kapsul 327 -
287 Retinol (vitamin A) 200.000 IU kap.lunak Kapsul 519 -
288 Ringer Laktat lar.infus Botol 7,150 -

289 Salbutamol Inhalasi/ aerosol 100 mcg/ dosis Botol 41,250 -

290 Salbutamol tablet 2 mg Tablet 65 -

291 Salbutamol tablet 4 mg Tablet 99 -
292 Salep 2-4 kombinasi Pot 2,200 -
293 Salisil bedak 2 % Kotak 1,066 -
294 Sarung Tangan Karet Psg 812 -
295 Sarung Tangan Obgin Psg 20,880 -
296 Sarung Tangan Steril No.6,5 Psg 5,264 -
297 Sarung Tangan Steril No.7 Psg 5,264 -
298 Sarung tangan Steril No.7,5 Psg 5,264 -
299 Sefadroksil Kapsul 500 mg Kapsul 455 -
300 Sefadroksil Syrup 125 mg/5 ml Botol 4,746 -
301 Sefixim Syrup Botol 9,400 -
302 Selang Oksigen Bayi Set 8,760 -
303 Selang Oksigen Anak Set 7,680 -
304 Selang Oksigen Dewasa Set 7,680 -
305 Selang Oksigen + Sungkup Bayi Set 16,698 -
306 Selang Oksigen + Sungkup Anak Set 13,800 -
307 Selang Oksigen + Sungkup Dewasa Set 13,800 -
308 Semen seng Fosfat serbuk dan cairan Kotak 350,000 -
309 Serum Anti Tetanus (Kuda) 15.000 IU Ampul 126,500 -
310 Setirizine Tab 10 mg Tablet 115 -
311 Setrizine Sirup 5 mg/ml Botol 8,799 -
312 Sianokobalamin (Vit B12) tablet Tablet 55 -

313 Sianokobolamin (vitamin B 12) Injeksi 500 Ampul 1,238 -

mcg/ml
314 Silk (benang bedah sutera) no 30 Set 3,514 -
315 Silver Amalgam serbuk 65 - 75% Kotak 237,540 -
316 Simetidin Tablet 200 mg Tablet 116 -
317 Simvastatin Tablet 10 mg Tablet 113 -
318 Siprofloksasin Tablet 500 mg Tablet 298 -
319 Siprofloksasin Infus 2 mg/ml 2 % Botol 9,911 -
320 Spiritus Botol 1 L 35,000 -
321 Spons Gelatin Cubicles 1x1x1 cm Pcs 24,000 -
322 Cutimed Siltec 10 x 10 cm Sase 31,756 -
323 Cutimed Sorbact 7x9 cm Sase 30,503 -
324 Cutimed Gel 15 Gram Tube 45,591 -
325 Strip Pemeriksaan Protein Urea Botol 143,200 -
326 Sukralfat Susp 500 mg/5 ml Botol 10,100 -
327 Sukralfat Tablet 500 mg Tablet 296 -
328 Tes Golongan Darah Paket 400,000 -
329 Tes Widal Paket 500,000 -
330 Tetrakain HCl tetes mata 0,5 % Botol 11,500 -
331 Tetrasiklin kap.250 mg Kapsul 174 -
332 Tetrasiklin kapsul 500 mg Kapsul 325 -
333 Tiamazol Tablet 5 mg Tablet 610 -
334 Tiamfenikol Kapsul 500 mg Kapsul 440 -
335 Tiamin (Vitamin B1) tab. 50 mg (HCl Nitrat) Tablet 91 -
336 Tiamin HCl (vitamin B1) inj.100 mg/ml Ampul 1,100 -
337 Tramadol Injeksi 50 mg/ml Ampul 1,984 -
338 Tramadol Tablet 50 mg Tablet 196 -
339 Triheksifenidil hidroklorida tablet 2 mg Tablet 638 -
340 Trikresol Formalin (TKF) Cairan Kotak 175,000 -
341 Umblical Cord Klem/ Penjepit Tali Pusat Pcs 1,495 -
342 Urine Bag Set 6,389 -
343 USG Gel 250 g Tube 15,092 -
344 USG Gel 5 Liter Galon 5 L 187,968 -
345 Vaksin Rabies Vero Flakon 174,500 -
346 Vaksin Tetanus Toxoid Vial 9,700 -
347 Vitamin B Kompleks tablet Tablet 49 -
348 Yodium Povidon 30 ml Botol 30 ml 3,480 -
349 Yodium Povidon 300 ml Botol 300 ml 21,600 -
350 Yodium Povidon 60 ml Botol 60 ml 4,440 -
351 Zink Sirup 20 mg/ 5 ml Botol 6,600 -
352 Zink Tablet 20 mg Tablet 604 -
353 Hemafort tablet Tablet 900 -
354 Framisetin Sulfat tulle 1% Pcs 9,158 -
355 Magslang No 8 (suction cateter Finger) Set 4,997 -
356 Magslang No 18 (suction cateter Finger) Set 4,997 -
357 Thre Way Stop Cock With Tube Set 3,575 -
358 Under pad / Sofpad 60x90 cm Pcs 4,787 -
359 Hb Sahli Set 105,600 -
360 Blood Set Set 5,880 -
361 b-a Zetacypermetrin 15 g/l Botol 5 L 1,201,193 -
362 Isofluran Inhalasi 100 ml Botol 367,800 -
363 Fentanil Injeksi 0,05 mg/ ml Ampul 41,600 -
364 Bupivakain Injeksi Ampul 14,664 -
365 Midazolam Injeksi 1 mg/ml Ampul 4,351 -
366 Alkazyme Sachet 25 mg Sase 897,120 -
367 Feeding Tube FR 8 Set 3,916 -
368 Stomach Tube FR 18 Set 4,081 -
369 Levofloxacin Tablet 500 mg Tablet 449 -
370 Lactulosa Sirup Botol 15,060 -
371 Asam Pipemidat Tblet 400 mg Tablet 1,400 -
372 Ondansentron Tablet 8 mg Tablet 404 -
373 Methisoprinol Tab 500 mg Tablet 1,815 -
374 Xylocain Jelly Syringe 41,600 -
375 Xylocain Spray Botol 177,216 -

TOTAL -

Watampone, Tanggal Bulan Tahun

Mengetahui
Kepala UPTD Puskesmas Pengelola Obat

Nama Nama
Nip Nip
 PEMERINTAH KABUPATEN BONE
DINAS KESEHATAN
UPTD PUSKESMAS ……

KEBUTUHAN OBAT DAN PERBEKALAN KESEHATAN 2019

NO NAMA OBAT SATUAN HARGA SATUAN KEBUTUHAN JUMLAH HARGA KET

1 Air Untuk Injeksi 25 ml (Aqua pro inj steril, Botol 2,200 -

bebas pirogen)
2 Aquadest Steril Botol 17,952 -
3 Alat Suntik Sekali Pakai 0,05 ml Set 1,404 -
4 Alat Suntik Sekali Pakai 0,5 ml Set 1,300 -
5 Alat Suntik sekali pakai 1 ml Set 893 -
6 Alat Suntik Sekali Pakai 3 ml Set 960 -
7 Alat Suntik Sekali Pakai 5 ml Set 744 -
8 Alat Suntik Sekali Pakai 10 ml Set 1,064 -
9 Alat Suntik Sekali Pakai 20 ml Set 1,725 -
10 Alat suntik Sekali Pakai 50 ml Set 3,905 -
11 Albendazol 400 mg Tablet 323 -
12 Alkohol Swab Bungkus 147 -
13 Alopurinol tab 100 mg Tablet 95 -
14 Alprazolam 0,5 mg Tablet 185 -
15 Alprazolam 1 mg Tablet 184 -
16 Ambroksol Sirup 15 mg/ml Botol 5,880 -
17 Ambroksol tab 30 mg Tablet 240 -
18 Aminofillin Injeksi 24 mg/ml Ampul 4,200 -
19 Aminofillin tab 200 mg Tablet 86 -
20 Amitriptilin tab salut 25 mg (HCl) Tablet 165 -
21 Amlodipin tablet 5 mg Tablet 90 -
22 Amoksisilin Kaplet 500 mg Tablet 233 -
23 Amoksisilin Kapsul 250 mg Tablet 220 -
24 Amoksisilin srp kering 125 mg/5ml Botol 1,920 -
25 Amonium Oksalat Botol 36,100 -
26 Anastesi topikal Kotak 219,000 -
27 Antalgin injeksi 250 mg/ml - 2 ml Ampul 1,500 -
28 Antasida DOEN II Suspensi Botol 2,106 -
29 Antasida DOEN tablet Tablet 78 -
30 Anti Skabies Tube 12,155 -
31 Antifungi DOEN (Salep Putih) Tube 2,096 -
32 Antihemoroid DOEN kombinasi Suppo 3,502 -
33 Antihemoroid Tablet Tablet 1,786 -
Antimigren :Ergotamin Tartrat 1 mg + Kofein
34 50mg Tablet 179 -

35 Asam Folat Tablet 0,4 mg Tablet 62 -

36 As. Askorbat (Vit C) tab 250 mg Tablet 142 -
37 As. Askorbat (Vit C) tab 50 mg Tablet 45 -
38 Asam klorida 0,1 N Botol 12,144 -
39 Asam Mefenamat Tablet 500 mg Tablet 122 -
40 Asam sulfasalisilat 20 % Botol 500,000 -
41 Asam Traneksamat Injesi 100mg/ml Amp 2,387 -
42 Aseptic Gel 500 ml + Dispenser Botol 26,400 -
43 Asetosal 80 mg Tablet 94 -
44 Asetosal tablet 100 mg Tablet 153 -
45 Asetosal tablet 500 mg Kpsul 178 -
46 Asiklovir krim 5% Tube 3,823 -
47 Asiklovir tablet 200 mg Tablet 272 -
48 Atropin Injeksi Ampul 1,815 -
49 Attapulgit Tablet 650 mg Tablet 230 -
50 Betahistin Tablet 6 mg Tablet 170 -
51 Betametason krim 0,1 % Tube 1,450 -
52 Bisakodil tablet 5 mg Tablet 317 -
53 Bisacodil Suppositoria 5 mg Suppo 4,990 -
54 Bisakodil Suppositoria 10 mg Suppo 5,800 -
55 Bisturi pcs 1,800 -
56 Blood Lancet Pcs 59 -
57 Bonding (TM, Master Bond) Botol 238,193 -
58 Cairan KN3B Botol 11,435 -
59 Cairan Pelunak Karang Gigi Botol 159,720 -
60 Calcii Gluconas Ampul 7,800 -
61 Captopril tab 25 mg Tablet 100 -
62 Captopril tab 12,5 mg Tablet 69 -
Catgut/benang bedah no 2/0 - 3/0 (plain
63 &chromic) Pcs 6,420 -

64 Cefotaksim Injeksi 1 g Via 5,700 -

65 Silk 5/0 (Daclon 5/0) pcs 23,055 -
66 Deksametason inj i.v 5 mg/ml Ampul 1,740 -
67 Deksametason tab 0,5 mg Tablet 45 -
68 Dentorit Kotak 200,200 -
69 Dermafix S.IV 6x7 cm Pcs 2,251 -
70 Dermafix S.IV 6x8 cm Pcs 2,461 -
71 Devitalisasi pasta (non arsen) Kotak 1,075,250 -
72 Diazepam Inj 5 mg/ml Ampul 1,913 -
73 Diazepam Rectal 5 mg/2,5 ml Tube 12,751 -
74 Diazepam Rectal 10 mg/2,5 ml Tube 18,461 -
75 Diazepam tab 2 mg Tablet 47 -
76 Diazepam tab 5 mg tablet 65 -
77 Difenhidramin Inj i.m 10 mg/ml (HCl) Ampul 1,156 -
78 Digoksin Tablet 0,25 mg tablet 103 -
79 Diltiazem HCl Tablet 30 mg Tablet 141 -
80 Dimenhidrinat Tablet 50 mg Tablet 114 -
81 Doksisiklin kapsul 100 mg kapsul 298 -
82 Domperidon sirup 5 mg/5 ml Botol 3,180 -
83 Domperidon Tablet 10 mg Tablet 133 -
84 Efedrin Tablet 25 mg (HCl) Tablet 56 -
85 Efedrin Injeksi (HCl) Ampul 8,569 -

86 Ephinefrin (Adrenalin) inj 0,1 % (sebagai HCl) Ampul 1,848 -

87 Eritromisin Kapsul 500 mg Kapsul 1,023 -

88 Etakridini larutan 0,1 % Botol 3,328 -
89 Etanol 70% 100 ml Botol 2,625 -
90 Etanol 70% 1000 ml Botol 27,000 -
91 Etil klorida spray Botol 200 ml 352,000 -
92 ETSA (TM,Actinol) Botol 446,292 -
93 Eugenol cairan Botol 18,333 -
94 Fenobarbital Inj i.m/ i.v 50 mg/ml Ampul 2,265 -
95 Fenobarbital tab 100 mg Tablet 158 -
96 Fenobarbital tab 30 mg Tablet 149 -
97 Fenol Gliserol tetes telinga 10 % Botol 1,109 -
98 Fitomenadion (Vitamin K) inj 2 mg/ml Ampul 4,083 -
99 Fitomenadion (Vitamin K) inj 10 mg/ml Ampul 4,167 -
100 Fitomenadion (Vitamin K) Tab 10 mg Tablet 796 -
101 Flusinolon Asetonid krim 0,025% Tube 2,512 -
102 Foly Cateter No. 8 Set 20,630 -
103 Foly Cateter No.10 Set 20,630 -
104 Foly Cateter No.16 Set 11,132 -
105 Foly Cateter No.18 Set 9,198 -
106 Foly Cateter No. 22 Set 50,600 -
107 Foly Cateter No.24 Set 50,600 -
108 Furosemide Injeksi 10mg/ml Ampul 2,012 -
109 Furosemide tab 40 mg Tablet 91 -
110 Gameksan Lotion 1 % Botol - -
111 Garam Oralit untuk 200 ml air Sase 273 -
112 Gemfibrozil Kapsul 300 mg Kapsul 308 -
113 Gentamisin 40 mg/ml Inj Ampul 3,545 -
114 Gentamisin Salep Kulit 0,1% Tube 2,200 -
115 Gentamisin Sulfat Tetes Mata 0,3% Botol 3,513 -
116 Gentian Violet larutan 1 % Botol 2,000 -
117 Glass Ionomer Cement ART Kotak 446,292 -
118 Glibenklamida tab 5 mg Tablet 130 -
119 Glimepirid Tab 2 mg Tablet 458 -
120 Gliseril Guaikolat tab 100 mg Tablet 132 -
121 Gliserin Botol 5,867 -
122 Glukosa larutan infus 10 % Botol 6,270 -
123 Glukosa larutan infus 40 % Botol 8,000 -
124 Glukosa larutan infus 5 % Botol 6,900 -
125 Griseofulvin tab 125 mg Micronized Tablet 263 -
126 Gutta Percha No. 15-45 Kotak 100,000 -
127 Haloperidol 5 mg Tab Tablet 98 -
128 Haloperidol Injeksi 5 mg/ml Ampul 6,875 -
129 Haloperidol tab 1,5 mg Tablet 65 -
130 Hemiceal (stop pendarahan) Botol 97,405 -
131 Hidroklortiazid (HCT) tab 25 mg Tablet 171 -
132 Hidrokortison cream 2,5 % Tube 2,812 -
133 I.V. Catheter No 18 Set 8,900 -
134 I.V. Catheter No 20 Set 11,500 -
135 I.V. Catheter No 22 Set 11,500 -
136 I.V. Catheter No 24 Set 11,500 -
137 I.V. Catheter No.26 Set 14,520 -
138 Ibuprofen sirup 100mg/5 ml Botol 2,560 -
139 Ibuprofen tab 200 mg Tablet 111 -
140 Ibuprofen tab 400 mg Tablet 157 -
141 Infuset anak Set 3,848 -
142 Infuset dewasa Set 4,320 -
143 Insektisida Cair Botol 240,350 -
144 Iodina Test Botol 10,000 -
145 Isoniazid tab 300 mg Tablet 174 -
146 Isosorbid Dinitrat tab sublingual 5 mg Tablet 98 -
147 Jarum Jahit Bedah No. 9 s/d 14 Pcs 27,000 -
148 Jelly 80 g Tube 33,968 -
149 Kalsium Hidroksida Pasta Kotak 522,963 -
150 Kalsium Laktat (Kalk) tab 500 mg Tablet 69 -
151 Kapas Pembalut Adsorben 250 gr Rol 14,370 -
152 Kaporit Kg 36,300 -
153 Karbamazepin tablet 200 mg Tablet 306 -
154 Karbogliserin Tetes Telinga 10% Botol 2,500 -
155 Kasa Hydropil Steril 16 x 16 Kotak 8,651 -
156 Kasa Kompres Steril 40 x 40 Pcs 2,088 -
157 Kasa Pembalut 2 m x 80 cm Rol 10,049 -
158 Kasa pembalut 40 x 80 cm Rol 141,400 -
159 Kasa Pembalut Elastis 3 inci Rol 17,515 -
160 Kasa Pembalut Elastis 4 inci Rol 21,406 -
161 Kasa Pembalut Elastis 6 Inci Rol 29,189 -
162 Kasa pembalut hidrofil 4 m x 10 cm Rol 1,958 -
163 Kasa pembalut hidrofil 4 m x 3 cm Rol 770 -
164 Kertas Perkamen Pcs 5,000 -
165 Ketokonazol Krim 2% Tube 2,790 -
166 Ketokonazol Tablet 200 mg Tablet 297 -
167 Ketoprofen Suppo Suppo 2,858 -
168 Ketorolac injeksi 30mg/ml Ampul 1,276 -
169 K-File (Preparasi Saluran Akar) Kotak 177,100 -
170 Klindamisin Kapsul 150 mg Tablet 405 -
171 Klindamisin Kapsul 300 mg kapsul 580 -
172 Kloramfenikol kapsul 250 mg Kapsul 318 -
173 Kloramfenikol Kapsul 500 mg Kapsul 1,155 -
174 Kloramfenikol Salep Mata 1 % Tube 1,680 -
175 Kloramfenikol Salep Kulit 2% Tube 3,327 -
176 Kloramfenikol Suspensi 125 mg/5ml Botol 4,050 -
177 Kloramfenikol Tetes Mata 0,5% Botol 2,750 -
178 Kloramfenikol Tetes Telinga 3 % Botol 7,862 -
179 Klorfeniramin Maleat (CTM) tab 4 mg Tablet 45 -
180 Klorfenol kamfer Menthol (CHKM) Botol 240,000 -
181 Kloroquin fosfat tablet 250 mg Tablet 112 -
182 Klorpramazine tab salut 100 mg (HCl) Tablet 165 -
183 Klorpromazine injeksi i.m 25 mg/ml - 1 ml Ampul 1,210 -
184 Klorpromazine injeksi i.m 5 mg/ml - 2 ml Ampul 1,155 -
185 Klorpromazine tab salut 25 mg (HCl) Tablet 50 -
186 Kodein tab 10 mg Tablet 630 -

Kombinasi Tablet Salut : Besi (II) Sulfat 7 H₂O

187 200 mg, Asam Folat 0,25 mg (Tablet tambah Tablet 410 -
darah kombinasi)
188 Komposit Resin (TM, Master Fill) Kotak 532,000 -
189 Kotrimoksazole DOEN I (dewasa) 480 mg Tablet 158 -
190 Kotrimoksazole DOEN II (pediatrik) 120 mg Tablet 79 -
191 Kotrimoksazole suspensi Botol 2,298 -
192 Lanzoprazol kapsul 30 mg Kapsul 521 -
193 Larutan benedict Botol 200,000 -
194 Larutan Burowi Botol - -
195 Larutan eosin 2% Botol 126,000 -
196 Larutan etanol asam Botol 50,000 -
197 Larutan Giemza Stain Botol 142,000 -
198 Larutan Karbol Fuksin Botol 120,000 -

Larutan Mengandung Elektrolit (Na 130 mEq, Cl

199 109 mEq, Ca 3 mEq, Asetat 28 mEq)/Asering Botol 9,646 -

200 Larutan Metilen Biru Botol 84,000 -

201 Larutan Turk Botol 52,000 -
202 Larvasida Butiran Kg 126,500 -
203 Lidokain injeksi 2% Ampul 929 -
Lidokain kompositum injeksi 2% (+ Epinefrin 1 :
204 80.000) Ampul 3,113 -

205 Lisol 1 Liter Botol 1 L 53,505 -

206 Loperamid Tablet 2 mg Tablet 90 -
207 Loratadine Tablet 10 mg Tablet 149 -
208 Magnesium sulfat inj. (i,v) 20 %-25 ml Ampul 3,200 -
209 Magnesium sulfat inj. (i,v) 40 %-25 ml Ampul 2,629 -
210 Magnesium Sulfat Serbuk 30 g Sase 1,129 -
211 Malation Botol 230,970 -
212 Masker Pcs 506 -
213 Meloksikam 7,5 mg Tablet 795 -
214 Metanol Botol 35,000 -
215 Metformin Tab 500 mg Tablet 115 -

216 Metilergometrin Maleat injeksi 0,200 mg - 1 ml Ampul 1,639 -

217 Metilergometrin Maleat tab salut 0,125 mg Tablet 147 -

218 Metilprednisolon Tablet 4 mg Tablet 165 -
219 Metoklopramid Drop botol 10 ml Botol 5,200 -
220 Metoklopramid Injeksi 5 mg/ml Ampul 1,060 -
221 Metoklopramid Sirup 5mg/5ml Botol 2,900 -
222 Metoklopramid Tablet 10 mg Tablet 110 -
223 Metronidazol Infus 500 mg/100 ml Botol 11,000 -
224 Metronidazole tablet 250 mg Tablet 116 -
225 Metronidazole tablet 500 mg Tablet 140 -
226 Metronidazol Suspensi 125 mg/ml Botol 3,950 -
227 Mikonazol Krim 2% Tube 3,737 -
228 Multivitamin Sirup Botol 20,200 -
229 Multivitamin Tablet Tablet 260 -
230 Mummifying pasta Kotak 732,050 -
231 Na. Diklofenak Tab 25 mg Tablet 148 -
232 Na. Diklofenak Tab 50 mg Tablet 161 -
233 Natrium klorida lar.infus 0,9 % steril Botol 6,410 -
234 Nifedipin tab 10 mg Tablet 123 -
235 Nistatin 100.000 iu/g tablet vaginal Tablet 528 -
236 Nistatin 500.000 iu tablet salut Tablet 704 -
237 N Acetyl Sistein Tablet 200 mg Tablet 369 -
238 Obat Antituberkulosis FDC Anak Paket 236,500 -
239 Obat antituberkulosis FDC kategori 1 Paket 413,984 -
240 Obat antituberkulosis FDC kategori 2 Paket 1,435,180 -
241 Obat Batuk Hitam (O.B.H) Cairan Botol 8,414 -
242 Obat Batuk Kombinasi Sirup Botol 9,200 -
243 Obat Flu Kombinasi Tablet Tablet 900 -
244 Objek Gelas Pcs 238 -
245 Oil Emersi Botol 160,000 -
246 Oksitetrasiklin hcl salep mata Tube 1,680 -
247 Oksitetrasiklin salep kulit 3 % Tube 1,648 -
248 Oksitosin Inj 10 IU/ml - 1 ml Ampul 2,420 -
249 Omeperazol Kapsul 20 mg Kapsul 164 -
250 Omeperazol Injeksi Ampul 11,868 -
251 Ondansetron Tablet 8 mg Tablet 404 -
252 Papaverin Tablet 40 mg Tablet 160 -
253 Paper Point No. 15-45 Kotak 65,000 -
254 Paraformaldehid (Formalin) 1 gram Tablet - -
Parasetamol drop 100 mg/ml btl @15 ml (60
255 mg/0,6 ml) Botol 5,980 -

256 Parasetamol Tab 100 mg Tablet 35 -

257 Parasetamol Tab 500 mg Tablet 60 -
258 Parasetamol Tab 500 mg Tablet 108 -
259 Parasetamol Infus 1000 mg/100 ml Botol 16,000 -
260 Parasetamol sirup 120 mg/ 5 ml Botol 1,286 -
261 Pembalut Gypsona Rol 24,040 -
262 Perak Sulfadiazin krim 1 % Tube 20,700 -
263 Petidin hcl inj 50 mg/ml - 2 ml Ampul 15,950 -

264 Pirantel pamoat tablet Score (base) 125 mg Tablet 318 -

265 Pirantel Suspensi 125mg/5ml Botol 10 ml 10,835 -

266 Pirasetam Tablet 400 mg Tablet 540 -
267 Piridoksin (Vit B6) tab 10 mg (HCl) Tablet 52 -
268 Piroksikam Tablet 10 mg Tablet 100 -
269 Plester 1,5 yard x 2 inch Rol 6,510 -
270 Plester 2,5 cm x 4,5 cm Rol 12,076 -
271 Plester 5 yard x 2 inch Rol 35,000 -
272 Plester 7,5 cm x 4,5 cm Rol 35,532 -
273 Plester Rol Non Woven Rol 47,564 -
274 PMT Proten Sase 10,670 -
275 Polikresulen Cairan Botol 18,635 -
276 Pot dahak Pot 3,000 -
277 Prednison tab 5 mg Tablet 74 -
278 Primakuin tab 15 mg Tablet 125 -
279 Probenesid Tab/kapsul/kaplet 500 mg Tablet 2,044 -
280 Propanolol tab 40 mg (HCl) Tablet 114 -
281 Propiltiourasil tablet 100 mg Tablet 351 -
282 Ranitidin Injeksi 25 mg / 2 ml Ampul 1,600 -
283 Ranitidin Tablet 150 mg Tablet 105 -
284 Reagen Ziel Nelsen Paket 276,500 -
285 Reamer Size 15-40 Kotak 164,000 -
286 Retinol (Vitamin A) 100.000 IU Kap.lunak Kapsul 327 -
287 Retinol (vitamin A) 200.000 IU kap.lunak Kapsul 519 -
288 Ringer Laktat lar.infus Botol 7,150 -

289 Salbutamol Inhalasi/ aerosol 100 mcg/ dosis Botol 41,250 -

290 Salbutamol tablet 2 mg Tablet 65 -

291 Salbutamol tablet 4 mg Tablet 99 -
292 Salep 2-4 kombinasi Pot 2,200 -
293 Salisil bedak 2 % Kotak 1,066 -
294 Sarung Tangan Karet Psg 812 -
295 Sarung Tangan Obgin Psg 20,880 -
296 Sarung Tangan Steril No.6,5 Psg 5,264 -
297 Sarung Tangan Steril No.7 Psg 5,264 -
298 Sarung tangan Steril No.7,5 Psg 5,264 -
299 Sefadroksil Kapsul 500 mg Kapsul 455 -
300 Sefadroksil Syrup 125 mg/5 ml Botol 4,746 -
301 Sefixim Syrup Botol 9,400 -
302 Selang Oksigen Bayi Set 8,760 -
303 Selang Oksigen Anak Set 7,680 -
304 Selang Oksigen Dewasa Set 7,680 -
305 Selang Oksigen + Sungkup Bayi Set 16,698 -
306 Selang Oksigen + Sungkup Anak Set 13,800 -
307 Selang Oksigen + Sungkup Dewasa Set 13,800 -
308 Semen seng Fosfat serbuk dan cairan Kotak 350,000 -
309 Serum Anti Tetanus (Kuda) 15.000 IU Ampul 126,500 -
310 Setirizine Tab 10 mg Tablet 115 -
311 Setrizine Sirup 5 mg/ml Botol 8,799 -
312 Sianokobalamin (Vit B12) tablet Tablet 55 -

313 Sianokobolamin (vitamin B 12) Injeksi 500 Ampul 1,238 -

mcg/ml
314 Silk (benang bedah sutera) no 30 Set 3,514 -
315 Silver Amalgam serbuk 65 - 75% Kotak 237,540 -
316 Simetidin Tablet 200 mg Tablet 116 -
317 Simvastatin Tablet 10 mg Tablet 113 -
318 Siprofloksasin Tablet 500 mg Tablet 298 -
319 Siprofloksasin Infus 2 mg/ml 2 % Botol 9,911 -
320 Spiritus Botol 1 L 35,000 -
321 Spons Gelatin Cubicles 1x1x1 cm Pcs 24,000 -
322 Cutimed Siltec 10 x 10 cm Sase 31,756 -
323 Cutimed Sorbact 7x9 cm Sase 30,503 -
324 Cutimed Gel 15 Gram Tube 45,591 -
325 Strip Pemeriksaan Protein Urea Botol 143,200 -
326 Sukralfat Susp 500 mg/5 ml Botol 10,100 -
327 Sukralfat Tablet 500 mg Tablet 296 -
328 Tes Golongan Darah Paket 400,000 -
329 Tes Widal Paket 500,000 -
330 Tetrakain HCl tetes mata 0,5 % Botol 11,500 -
331 Tetrasiklin kap.250 mg Kapsul 174 -
332 Tetrasiklin kapsul 500 mg Kapsul 325 -
333 Tiamazol Tablet 5 mg Tablet 610 -
334 Tiamfenikol Kapsul 500 mg Kapsul 440 -
335 Tiamin (Vitamin B1) tab. 50 mg (HCl Nitrat) Tablet 91 -
336 Tiamin HCl (vitamin B1) inj.100 mg/ml Ampul 1,100 -
337 Tramadol Injeksi 50 mg/ml Ampul 1,984 -
338 Tramadol Tablet 50 mg Tablet 196 -
339 Triheksifenidil hidroklorida tablet 2 mg Tablet 638 -
340 Trikresol Formalin (TKF) Cairan Kotak 175,000 -
341 Umblical Cord Klem/ Penjepit Tali Pusat Pcs 1,495 -
342 Urine Bag Set 6,389 -
343 USG Gel 250 g Tube 15,092 -
344 USG Gel 5 Liter Galon 5 L 187,968 -
345 Vaksin Rabies Vero Flakon 174,500 -
346 Vaksin Tetanus Toxoid Vial 9,700 -
347 Vitamin B Kompleks tablet Tablet 49 -
348 Yodium Povidon 30 ml Botol 30 ml 3,480 -
349 Yodium Povidon 300 ml Botol 300 ml 21,600 -
350 Yodium Povidon 60 ml Botol 60 ml 4,440 -
351 Zink Sirup 20 mg/ 5 ml Botol 6,600 -
352 Zink Tablet 20 mg Tablet 604 -
353 Hemafort tablet Tablet 900 -
354 Framisetin Sulfat tulle 1% Pcs 9,158 -
355 Magslang No 8 (suction cateter Finger) Set 4,997 -
356 Magslang No 18 (suction cateter Finger) Set 4,997 -
357 Thre Way Stop Cock With Tube Set 3,575 -
358 Under pad / Sofpad 60x90 cm Pcs 4,787 -
359 Hb Sahli Set 105,600 -
360 Blood Set Set 5,880 -
361 b-a Zetacypermetrin 15 g/l Botol 5 L 1,201,193 -
362 Isofluran Inhalasi 100 ml Botol 367,800 -
363 Fentanil Injeksi 0,05 mg/ ml Ampul 41,600 -
364 Bupivakain Injeksi Ampul 14,664 -
365 Midazolam Injeksi 1 mg/ml Ampul 4,351 -
366 Alkazyme Sachet 25 mg Sase 897,120 -
367 Feeding Tube FR 8 Set 3,916 -
368 Stomach Tube FR 18 Set 4,081 -
369 Levofloxacin Tablet 500 mg Tablet 449 -
370 Lactulosa Sirup Botol 15,060 -
371 Asam Pipemidat Tblet 400 mg Tablet 1,400 -
372 Ondansentron Tablet 8 mg Tablet 404 -
373 Methisoprinol Tab 500 mg Tablet 1,815 -
374 Xylocain Jelly Syringe 41,600 -
375 Xylocain Spray Botol 177,216 -

TOTAL -

Tempat, Tanggal Bulan Tahun

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Kepala UPTD Puskesmas ….. Pengelola Obat

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