1. Januari.xlsx

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LAPORAN JANUARI LPLPO

TOTAL PEMAKAIAN

LAP PSIKOTROPIK

PUSTU/POLINDES

TANGGAL 1

11

21

2

12

22

3

13

23

4

14

24

5

15

25

6

16

26

7

17

27

8

18

28

9

19

29

10

20

30 31

BACK

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT PUSKESMAS KODE PUSKESMAS

123

BULAN

1

Terima

PUSKESMAS KECAMATAN

SUI RAYA DALAM SUI RAYA

TAHUN

2019

No. Dok Input

KABUPATEN / KOTA

KUBU RAYA

B.A

HOME NO

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

NAMA OBAT

ALOPURINOL TABLET 100 MG ALPRAZOLAM TABLET 0,5 MG AMBROXOL TAB. 30 MG AMINOFILIN TABLET 200 MG AMITRIPTILIN HCL TABLET SALUT 25 MG AMLODIPIN 10 MG AMLODIPIN 5 MG AMOKSISILIN KAPSUL 250 MG AMOKSISILIN KAPSUL 500 MG AMPISILINA 500 MG TAB ANTALGIN (METAMPIRON) TABLET 500 MG ANTASIDA DOEN TABLET KOMB. (100) ANTI MIGRAIN DOEN TABLET KOMB. ASAM ASKORBAT(VIT.C) TAB.50 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT TAB 500MG ASETOSAL TABLET 100 MG ASETOSAL TABLET 500 MG ASIKLOVIR TABLET 200 MG ASIKLOVIR TABLET 400 MG BETAHISTIN MALEAT CEFADROXIL TABLET 500 MG CIPROFLOXACIN 500 MG CITRIZINE TABLET 10 MG CLOBAZAM TAB 10 MG CLOPIDOGREL 75 MG CO AMOXICLAV 625 MG DEXAMETASON TAB.0,5MG DIAZEPAM TABLET 2MG DIAZEPAM TABLET 5 MG DIGOKSIN TAB. 0,25 MG DOKSISIKLIN 100 MG DOMPERIDON TAB 10 MG EFEDRIN HCL TABLET 25 MG ERYTROMISIN 250 MG ERYTROMISIN 500 MG

SATUAN /

STOK

KEMASAN

AWAL

TABLET TABLET TABLET TABLET TABLET TABLET TABLET CAPSUL CAPSUL TABLET TABLET TABLET TABLET TABLET KAPLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET CAPSUL TABLET TABLET CAPSUL KAPLET

PENERIMAAN

PERSEDIAAN PEMAKAIAN SISA STOK

STOK OPT

PERMINTAAN

1 2

1 2

-

1 2

-

(1) (2)

3

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0 0 0

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0 0 0

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0 0

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0 0

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0 0

-

0 0

PEMBERIAN KETERANGAN

37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82

FENITOIN NATRIUM KAP. 100 MG CAPSUL FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET FUROSEMID TAB.40 MG TABLET GARAM ORALIT UNTUK 200 ML BUNGKUS GLIBENKELAMID TABLET 5 MG TABLET GLISERIL GUAYAKOLAT TAB.100 MG TABLET GRISEOFULVIN TAB. 125 MG TABLET HALOPERIDOL TABLET 0.5 MG TABLET HALOPERIDOL TABLET 1.5 MG TABLET HALOPERIDOL 2 MG TABLET HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET IBUPROFEN TABLET 200 MG TABLET IBUPROFEN TABLET 400 MG TABLET ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET KALIUM DIKLOFENAK TABLET 50 MG TABLET KALSIUM LAKTAT (KALK) TAB.500 MG TABLET KAPTOPRIL 12,5 MG TABLET KAPTOPRIL 25 MG TABLET KAPTOPRIL 50 MG TABLET KARBAMAZEPIN TAB.200 MG TABLET KETOKONAZOLE TAB 200 MG TABLET KLINDAMSIN 150 MG TABLET KLORAMFENIKOL KAPSUL 250 MG CAPSUL KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET KLOROKUIN TAB. 150 MG TABLET KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET KLORPROMAZIN HCL TAB.SALUT 25 MG TABLET KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 TABLET KOTRIMOKSAZOL TABLET 480 MG TABLET KOTRIMOKSAZOL TABLET PEDIATRIK TABLET KUININ SULFAT TAB.222 MG TABLET LANSOPRAZOL KAP 30 MG CAPSUL LOPERAMIDE HCL 2 MG TABLET LORATADINE TAB 10 MG TABLET METFORMIN 500 MG TABLET METHYL PREDNISOLON TAB 4 MG TABLET METILERGOMETRIN MALEAT TAB 0,125 MG TABLET METOKLOPRAMID 10 MG TABLET METRONIDAZOL TAB 500 MG TABLET METRONIDAZOL TAB.250 MG TABLET NATRIUM BICARBONAT TABLET TABLET NATRIUM DIKLOFENAK 25 MG TABLET NATRIUM DIKLOFENAK 50 MG TABLET NIFEDIPINE 10 MG TABLET NISTATIN SALUT 500.000 IU TABLET NISTATIN TABLET VAGINAL 100.000 IU/G TABLET

-

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0

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0

83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128

OMEPRAZOL KAP 20 MG PARASETAMOL TAB.100 MG PARASETAMOL TAB.500 MG PIRACETAM TAB. 400 MG PIRACETAM TAB. 800 MG PIRANTEL TABLET 125 MG PIRIDOKSIN HCL TAB. 10 MG PIROXICAM 10 MG PIROXICAM 20 MG PREDNISON TAB.5 MG PRIMAKUIN TAB.15 MG PROPANOLOL HCL TABLET 10 MG PROPANOLOL HCL TABLET 40 MG PROPILTIOURASIL TABLET 100 MG RANITIDINE TABLET 150 MG RETINOL (VIT A) KAPSUL 100.000 IU RETINOL (VIT A) KAPSUL 200.000 IU RIFAMPICIN 450 MG RIFAMPICIN 600 MG RISPERIDON TAB 2 MG SALBUTAMOL 4 MG SALBUTAMOL 2 MG SIANOKOBALAMINA ( VITB 12) TABLET SIMETIDIN TABLET SIMVASTATIN TAB. 10 MG TABLET TAMBAH DARAH KOMB. TETRASIKLIN HCL KAPSUL 250 MG TETRASIKLIN HCL KAPSUL 500 MG THIAMPHENICOL KAP. 500 MG TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TRAMADOL KAPSUL 50 MG TRIFLUOPERAZIN 5 MG TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG VITAMIN B COMPLEKS TAB ZINC TABLET AMBROXOL SYR 15 MG/ML AMOKSISILIN SIRUP KERING 125 MG/ 5ML ANTASIDA DOEN SUSPENSI CITRIZINE SYRUP DOMPERIDON SUSPENSI 5 MG/5 ML ERYTROMISIN SYRUP IBUPROFEN SUSPENSI KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML PARASETAMOL DROP PARASETAMOL SYRUP 120 MG/5 ML THIAMFENICOL SYR

CAPSUL TABLET TABLET KAPLET KAPLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET CAPSUL CAPSUL CAPSUL KAPLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET CAPSUL CAPSUL CAPSUL TABLET CAPSUL TABLET TABLET TABLET TABLET BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL

-

-

0 0

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0 0

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0 0

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0 0

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0 0

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0 0 0

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0 0

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0 0 0

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0 0

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0 0

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-

0

-

0

129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174

ZINK SYRUP AMINOFILIN INJEKSI 24 MG/ML - 10 AMPISILINA SERBUK INJ 1GR ANTALGIN INJ. 250 MG /ML-2ML ASAM TRANEXAMAT INJ ATROPIN INJEKSI I.M 0.25MG/ML DEXTROSE 5 + 1/4 NS DEXAMETASON INJ.5MG/ML-1ML DIAZEPAM INJ.5MG/ML-2ML DIFENHIDRAMIN INJ.10 MG /ML-1ML EFINEPRIN HCL/BITARTRAT INJ.0,1% FENOBARBITAL INJ. 50 MG/ML - 2 ML FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML FUROSEMID INJ 10 ML GENTAMYCIN INJEKSI 80 MG/2 ML GLUKOSA LAR,INFUS 10 % STERIL GLUKOSA LAR.INFUS 5 % STERIL HALOPERIDOL INJEKSI KETOPROFEN INJEKSI 100 MG KETOROLAC INJEKSI 30 MG KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML KUININ HIDROKLORIDA INJ.25 % -2 ML LIDOKAIN INJ. 2% LIDOKAIN KOMB.INJ. HCL 2% MAGNESIUM SULFAT 20 % INJEKSI MAGNESIUM SULFAT 40 % INJEKSI METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML NATRIUM KLORIDA LARUTAN INFUS 0,9 % OKSITOSIN INJ 10 IU/ML - 1 ML PIRACETAM INJ 1 GR RANITIDINE INJ 25 MG/ML-2ML RINGER LAKTAT LAR.INFUS STERIL SEFOTAKSIM INJEKSI 0,5 G SEFOTAKSIM SERBUK INJ. 1 G SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (A SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (AT SERUM ANTI DIFTERI 20000 UI SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML TRAMADOL INJEKSI 50 MG/ML ANTI BAKTERI DOEN SALEP ASIKLOVIR KRIM BETAMETASON KRIM 0,1 % BISAKODIL SUPPOSITORIA DIAZEPAM RECTAL 10 MG BISOPPROLOL TAB 5MG DILTIAZEM

BOTOL AMPUL VIAL AMPUL AMPUL AMPUL BOTOL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL BOTOL BOTOL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL AMPUL BOTOL AMPUL AMPUL AMPUL BOTOL VIAL VIAL VIAL AMPUL VIAL AMPUL AMPUL POT TUBE TUBE SUPP TUBE TABLET TABLET

-

-

0 0

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0 0

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0 0 0

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0 0

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0 0

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-

0 0

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0 0

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0 0

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0 0

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0 0 0

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-

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0 0

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0 0 0

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0 0 0

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0 0

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0 0

-

-

0

-

0

175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220

ASAM FOLAT 1 MG SULFASALAZINE GLICLAZID GEMFIBROZIL GLIMEPIRID MELOXICAM 15 KODEIN TABLET ISONIAZID TAB 300 MG OBAT ANTITUBERKULOSIS FDC SISIPAN GENTAMYCIN SALEP KULIT 0,1 % GENTAMYCIN SULFAT TETES MATA 0,3 % GENTIAN VIOLET LARUTAN 1 % HIDROKORTISON KRIM 2,5% IODIUM POVIDON IODIDA 30 ML 10% IODIUM POVIDON IODIDA 300 ML 10% KETOKONAZOLE KRIM 2 % KLORAMFENIKOL SALEP MATA 1% KLORAMFENIKOL TETES MATA 0,5 % KLORAMFENIKOL TETES TELINGA 3% MIKONAZOLE SALEP OKSITETRASIKLIN HCL SALEP 3 % OKSITETRASIKLIN HCL SALEP MATA 1 % SALEP 2-4 KOMB. SALISIL BEDAK 2 % OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML ANTI HAEMOROID DOEN OAT/FDC KAT I OAT/FDC KAT II OAT/FDC KAT anak DEC 100mg tablet ALBENDAZOLE TABLET 400mg PROKAIN BENZIL PENISILIN GENTAMISIN INJ 40ml GLUKONAS KALSIKUS 10% MINERAL MIX ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% SERUM ANTI BISA ULAR POLIVALEN INJ 50ML STREPTOMYCIN INJ. 1000MG ASAM FOLAT 0,4 MG GENTAMICYN SALEP MATA SUCRALFAT SIRUP BROMHEXIN 8 MG METFORMIN 850 MG KLINDAMYCIN 300 MG DULCOLAX 10 MG SUPP N ACETYLCYSTEIN 200 MG

TABLET TABLET TABLET KAPLET TABLET TABLET TABLET TABLET PAKET TUBE TUBE BOTOL TUBE BOTOL BOTOL TUBE TUBE BOTOL BOTOL TUBE TUBE TUBE POT KOTAK VIAL SUPP KOTAK KOTAK KOTAK TABLET KOTAK VIAL AMPUL AMPUL KOTAK POT VIAL VIAL TABLET TUBE BOTOL TABLET TABLET TABLET SUPP CAPSUL

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0

-

0

221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266

ISONIAZID TAB 100 MG MDT COMBI ADULT (KUSTA) AZITROMYCIN DRY SYRUP 200 MG/ML AZITHROMYCIN 500 MG MULTIVITAMIN TABLET THROMBO ASPILETS VENTOLIN NEBU SCABIMITE KRIM BRONSOLVAN AMINOFLUID ASERING COMBIVEN NEBU ATROVENT SPRAY BETHADINE GARGLE (OBAT KUMUR) AQUA GEL ARTEM INJ CITICOLLIN INJ KANDISTATIN DROPS ONDANCENTRON 4MG INJ PEHACAIN INJ HALOPERIDOL DROP/LODOMER DROP ZIRCUM KID DROP OBAT BATUK HITAM SYRUP MULTI VITAMIN SYRUP BISOLVON DROP AQUA PRO INJEKSI ETAKRIDIN/RIVANOL LAR.0,1 % ETANOL 70 % ETHIL KLORIDA SEMPROT EUGENOL CAIRAN SAMCOBION ETANOL 70% 1 LITER OBAT BATUK SIRUP KOMBINASI RAPID HIV 1 SD RAPID 2 HIV INTEC RAPID 3 HIV ONCOPROBE PYRIMETHAMIN 25 MG TAB DHP/OAM ARTESUNATE INJ.250 MG EUTHYROX 100 UG CAMABION KAPSUL FENOBARBITAL 50 MG TAB(SIBITAL) TAB OBAT FLU KOMB.TAB(MERTISAL) TAB VITAMIN NEUROTROPIK 5000 MG (MERSIBION) METAMIZOLE 500 MG/ML INJEKSI KLORAMFENICOL 500 MG

TABLET STRIP BOTOL TABLET TABLET TABLET AMPUL TUBE TABLET BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL AMPUL AMPUL BOTOL AMPUL AMPUL BOTOL BOTOL BOTOL BOTOL BOTOL VIAL BOTOL BOTOL BOTOL BOTOL CAPSUL BOTOL BOTOL SET SET SET TABLET TABLET AMPUL TABLET CAPSUL TABLET TABLET TABLET AMPUL CAPSUL

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0 0

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0

-

0

267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309

BMHP ALAT SUNTIK SEKALI PAKAI 1 ML ALAT SUNTIK SEKALI PAKAI 3 ML ALAT SUNTIK SEKALI PAKAI 5 ML ALAT SUNTIK SEKALI PAKAI 10 ML BISTURI NO. 12 (carbon steel capel) BLOOD LANCET BOX SLIDE CATGUT / BENANG BEDAH NO.2/0 - 3/0 FOLLEY CATHETHER NO.12 FOLLEY CATHETHER NO.16 FOLLEY CATHETHER NO.18 HAND SCHOEN L NON STERIL HAND SCHOEN M NON STERIL HAND SCHOEN S NON STERIL HAND SCHOEN L STERIL HAND SCHOEN M STERIL HAND SCHOEN S STERIL HAND SCHOEN OBSETRIKAL INFUS SET ANAK INFUS SET DEWASA IV CATHETER NO. 18 IV CATHETER NO. 20 IV CATHETER NO. 22 IV CATHETER NO. 24 IV CATHETER NO. 26 JARUM KULIT JARUM OTOT KACA SLIDE KAPAS ADSORBEN 500 GR KAPAS PEMBALUT ABSORBEN 250 GR KASA KOMPRES 40/40 STERIL KASA PEMBALUT 2M X 80 CM KASA PEMBALUT 36 X 80 CM KASA PEMBALUT HIDROFIL 4M X 15 CM KASA PEMBALUT HIDROFIL 4M X 3 CM KASA STERIL 16 X 16 HK LARUTAN ANISOL LARUTAN EDTA 100 ml LARUTAN EOSIN 2 % LARUTAN GIEMSA STAIN LARUTAN H2O2 LARUTAN HCL 0,1 N LARUTAN HAYEM

SET SET SET SET KOTAK KOTAK PCS SET PCS PCS PCS KOTAK KOTAK KOTAK PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS PCS KOTAK BUNGKUS BUNGKUS ROL ROL ROL ROL ROL KOTAK BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL BOTOL

-

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0

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0

310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355

LARUTAN KARBOL FUKSIN BOTOL LARUTAN METANOL BOTOL LARUTAN REAGENT ANTI A BOTOL LARUTAN REAGENT ANTI AB BOTOL LARUTAN REAGENT ANTI B BOTOL LARUTAN REAGENT ANTI D BOTOL LARUTAN REAGENT ZIENIL NEELSEN BOTOL LEUCOPLAST 7.5 CM X 5 CM ROL MAAG SLANG DEWASA (STOMACH TUBE NO. 16 PCS MASKER KARET KOTAK MASKER TALI KOTAK NEEDLE 23 PCS NEEDLE 24 PCS PLASTER 5 YARD X 2 INCH ROL RAPID TES PROTEIN KOTAK RDT TYPUS KOTAK SELANG OKSIGEN ANAK PCS SELANG OKSIGEN BAYI PCS TEST DENGUE DEVICE KOTAK TEST HBsAG STRIP KOTAK TEST HCG STRIP KOTAK TEST MALARIA DEVICE KOTAK TEST URINE TRIP 10 PARAMETER KOTAK THREE WAY BUAH ULTRASOUND GEL 250 ML BOTOL UNDERPAD BUNGKUS URINE BAG PCS AIR RAKSA DENTAL USE BOTOL ARTICULATING PAPER KOTAK BONDING SINGLE BOND BUAH CELLULOID STRIP BUAH COMPOSITE PASTE (SOLARE) BUAH ETCHING BUAH FUJI 9 ART (MINI) BUAH FUJI II LC BUAH FUJI IX GC BUAH FUJI VII GC WHITE BUAH MATRIX ROLL + MATRIX BOND BUAH MICRO BRUSH BUAH OCHO BUAH SALIVA EJECTOR BUAH SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH SILVER AMALGAM SERBUK 65-75% BUAH SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH TABUNG VENOJECT EDTA BUAH MASKER RESPIRATOR BUAH

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-

0 0 0

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0 0

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356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401

PIPET TETES BUAH THERMAROL BUAH LIPID PANEL TEST BUAH ALKOHOL SWAB BUAH LYSOL BOTOL JARUM AUTO CLICK PCS ALAT SUNTIK 0.05ML PCS ALAT SUNTIK 0.5ML PCS DIAMOND BOOR SET M BUAH DIAMOND BOOR SET S BUAH FEEDING TUBE BUAH FISURE LANCIP LONG BUAH LARUTAN SALMONELLA PARATYPHI H BOTOL LARUTAN SALMONELLA PARATYPHI HA BOTOL LARUTAN SALMONELLA PARATYPHI HC BOTOL LARUTAN SALMONELLA PARATYPHI O BOTOL LARUTAN SALMONELLA PARATYPHI OA BOTOL LARUTAN SALMONELLA PARATYPHI OB BOTOL LARUTAN SALMONELLA PARATYPHI OC BOTOL SUAB TENGGOROKAN BOTOL SELANG OKSIGEN DEWASA BUAH SILK(BENANG BEDAH SUTERA)NO.3/0 PCS REAGEN TEST CHLONESTERASE BCHE (DIGITAL BOTOL POLIFIX 5 CM X 5 CM ROL CATGUT PLAIN 2/0 BUNGKUS POLIBAN 5 CM X 2.7 M ROL CATGUT PLAIN 3/0 PCS CATGUT CROM 3/0 PCS SABUN ANTI SEPTIK (DETTOL) BOTOL POT SPUTUM BOTOL VERORAB REGULAR VIAL INFUS SET TIPE Y PCS CHOLESTEROL TEST PCS GLUCOSE TEST STRIP 50'S PCS URIC ACID STRIP PCS POLIFIX 10 CM X 5 CM PCS TEST HIV SET LARUTAN ICON OS BOTOL CYNOFF LITER RDT MALARIA PCS ABATE BOTOL LARVASIDA ABATE KOTAK INSEKTISIDA GOKILATH BOTOL SOFRATULLE/FRAMICETINE KOTAK SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL TEST AMPHETAMIN STRIP KOTAK

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402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432

TEST SALMONELLA IGM CASSETTE (FOKUS) TEST RPR (SEPHILIS) HAND RUB MASKER KARET HIJAB FEEDING TUBE NO. 6 FEEDING TUBE NO. 8 STOMACH TUBE NO. 16 TEST HAEMOGLOBIN STRIP RABIES IMUNO GLOBULIN (HYPERRAB)

VAKSIN VAKSIN POLIO VAKSIN CAMPAK VAKSIN BCG VAKSIN DPT HB HIB / PENTABIO VAKSIN DPT HB UNIJECT / HB O VAKSIN TT VAKSIN TD VAKSIN DT SAFETY BOX HEPATITIS B 0,5ML ADS ADS 0.05 ML ADS 0.5 ML ADS 5 ML POLIO PIN VAKSIN POLIO BOPV VAKSIN IPV VAKSIN MENINGITIS 200 Mcg VAKSIN DPT HB UNIJECT DEWASA VAKSIN MEASLES AND RUBELLA VAKSIN HUMAN PAPILOMA VIRUS (HPV)

STRIP STRIP BOTOL KOTAK PCS PCS PCS KOTAK VIAL

VIAL VIAL VIAL VIAL VIAL VIAL VIAL VIAL PCS VIAL PCS PCS PCS VIAL VIAL VIAL VIAL PCS VIAL VIAL

UMUM JUMLAH KUNJUNGAN RESEP

TIDAK BAYAR

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BPJS

BAYAR 526

JUMLAH 445

971

Mengetahui / Menyetujui Koordinator IFK Kubu Raya

Mengetahui Kepala Puskemas

Yang Meminta / Melapor Petugas Obat Puskesmas

Yang Menyerahkan Petugas IFK Kubu Raya

Erlin Dwisafitri, S.Si, Apt NIP. 19830624 201001 2 007

ERLIN NIP. 123456789

AGUS NIP. 123456789

HERU TOPO SUSILO, Amd. Farm NIP.19740909 200604 1 007

LAPORAN PENGGUNAAN OBAT PSIKO NAMA PUSKESMAS ALAMAT TELP

SUNGAI RENGAS JL. BUDI UTOMO :

HOME NO 1

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NAMA OBAT

SATUAN

SALDO AWAL

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ALPRAZOLAM TABLET 0,5 MG CLOBAZAM TAB 10 MG DIAZEPAM TABLET 2MG DIAZEPAM TABLET 5 MG FENOBARBITAL TAB. 30 MG FENOBARBITAL TAB. 100 MG DIAZEPAM INJ.5MG/ML-2ML FENOBARBITAL INJ. 50 MG/ML - 2 ML STESOLID

TABLET TABLET TABLET TABLET TABLET TABLET AMPUL AMPUL

KEPALA PUSKESMAS

RETNO HARTONO NIP. 19670909198703 1004

2 91 21

GUNAAN OBAT PSIKOTROPIKA : JANUARI : 2018

BULAN TAHUN

PEMASUKAN DARI JUMLAH 5

PENGGUNAAN UNTUK JUMLAH

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Penanggung Jawab

EMY ROHMIATI NIP. 198203 2006 04 2 009

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

ALOPURINOL TABLET 100 MG ALPRAZOLAM TABLET 0,5 MG AMBROXOL TAB. 30 MG AMINOFILIN TABLET 200 MG AMITRIPTILIN HCL TABLET SALUT 2 AMLODIPIN 10 MG AMLODIPIN 5 MG AMOKSISILIN KAPSUL 250 MG AMOKSISILIN KAPSUL 500 MG AMPISILINA 500 MG TAB ANTALGIN (METAMPIRON) TABLET 5 ANTASIDA DOEN TABLET KOMB. (10 ANTI MIGRAIN DOEN TABLET KOMB. ASAM ASKORBAT(VIT.C) TAB.50 MG ASAM MEFENAMAT 500 MG ASAM TRANEXAMAT TAB 500MG ASETOSAL TABLET 100 MG ASETOSAL TABLET 500 MG ASIKLOVIR TABLET 200 MG ASIKLOVIR TABLET 400 MG BETAHISTIN MALEAT CEFADROXIL TABLET 500 MG CIPROFLOXACIN 500 MG CITRIZINE TABLET 10 MG CLOBAZAM TAB 10 MG CLOPIDOGREL 75 MG CO AMOXICLAV 625 MG DEXAMETASON TAB.0,5MG DIAZEPAM TABLET 2MG DIAZEPAM TABLET 5 MG DIGOKSIN TAB. 0,25 MG DOKSISIKLIN 100 MG DOMPERIDON TAB 10 MG EFEDRIN HCL TABLET 25 MG ERYTROMISIN 250 MG ERYTROMISIN 500 MG FENITOIN NATRIUM KAP. 100 MG FITOMENADION (VIT.K 1) TAB.SALU

SATUAN / KEMASAN

TABLET TABLET TABLET TABLET TABLET TABLET TABLET CAPSUL CAPSUL TABLET TABLET TABLET TABLET TABLET KAPLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET CAPSUL TABLET TABLET CAPSUL KAPLET CAPSUL TABLET

39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83

FUROSEMID TAB.40 MG TABLET GARAM ORALIT UNTUK 200 ML BUNGKUS GLIBENKELAMID TABLET 5 MG TABLET GLISERIL GUAYAKOLAT TAB.100 MG TABLET GRISEOFULVIN TAB. 125 MG TABLET HALOPERIDOL TABLET 0.5 MG TABLET HALOPERIDOL TABLET 1.5 MG TABLET HALOPERIDOL 2 MG TABLET HIDROKLOROTIAZID (HCT) TAB.25 TABLET IBUPROFEN TABLET 200 MG TABLET IBUPROFEN TABLET 400 MG TABLET ISOSORBIT DINITRAT TAB.SALUT 5 TABLET KALIUM DIKLOFENAK TABLET 50 MG TABLET KALSIUM LAKTAT (KALK) TAB.500 M TABLET KAPTOPRIL 12,5 MG TABLET KAPTOPRIL 25 MG TABLET KAPTOPRIL 50 MG TABLET KARBAMAZEPIN TAB.200 MG TABLET KETOKONAZOLE TAB 200 MG TABLET KLINDAMSIN 150 MG TABLET KLORAMFENIKOL KAPSUL 250 MG CAPSUL KLORFENIRAMIN MALEAT (CTM) TA TABLET KLOROKUIN TAB. 150 MG TABLET KLORPROMAZIN HCL TAB.SALUT 10 TABLET KLORPROMAZIN HCL TAB.SALUT 25 TABLET KOM. PIRIMETAMIN 25 MG + SULFA TABLET KOTRIMOKSAZOL TABLET 480 MG TABLET KOTRIMOKSAZOL TABLET PEDIATRIK TABLET KUININ SULFAT TAB.222 MG TABLET LANSOPRAZOL KAP 30 MG CAPSUL LOPERAMIDE HCL 2 MG TABLET LORATADINE TAB 10 MG TABLET METFORMIN 500 MG TABLET METHYL PREDNISOLON TAB 4 MG TABLET METILERGOMETRIN MALEAT TAB 0, TABLET METOKLOPRAMID 10 MG TABLET METRONIDAZOL TAB 500 MG TABLET METRONIDAZOL TAB.250 MG TABLET NATRIUM BICARBONAT TABLET TABLET NATRIUM DIKLOFENAK 25 MG TABLET NATRIUM DIKLOFENAK 50 MG TABLET NIFEDIPINE 10 MG TABLET NISTATIN SALUT 500.000 IU TABLET NISTATIN TABLET VAGINAL 100.000 TABLET OMEPRAZOL KAP 20 MG CAPSUL

84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128

PARASETAMOL TAB.100 MG TABLET PARASETAMOL TAB.500 MG TABLET PIRACETAM TAB. 400 MG KAPLET PIRACETAM TAB. 800 MG KAPLET PIRANTEL TABLET 125 MG TABLET PIRIDOKSIN HCL TAB. 10 MG TABLET PIROXICAM 10 MG TABLET PIROXICAM 20 MG TABLET PREDNISON TAB.5 MG TABLET PRIMAKUIN TAB.15 MG TABLET PROPANOLOL HCL TABLET 10 MG TABLET PROPANOLOL HCL TABLET 40 MG TABLET PROPILTIOURASIL TABLET 100 MG TABLET RANITIDINE TABLET 150 MG TABLET RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL RIFAMPICIN 450 MG CAPSUL RIFAMPICIN 600 MG KAPLET RISPERIDON TAB 2 MG TABLET SALBUTAMOL 4 MG TABLET SALBUTAMOL 2 MG TABLET SIANOKOBALAMINA ( VITB 12) TABL TABLET SIMETIDIN TABLET TABLET SIMVASTATIN TAB. 10 MG TABLET TABLET TAMBAH DARAH KOMB. TABLET TETRASIKLIN HCL KAPSUL 250 MG CAPSUL TETRASIKLIN HCL KAPSUL 500 MG CAPSUL THIAMPHENICOL KAP. 500 MG CAPSUL TIAMIN HCL MONONITRAT (VIT B1) TABLET TRAMADOL KAPSUL 50 MG CAPSUL TRIFLUOPERAZIN 5 MG TABLET TRIHEKSIFENIDIL HIDROKLORIDA TA TABLET VITAMIN B COMPLEKS TAB TABLET ZINC TABLET TABLET AMBROXOL SYR 15 MG/ML BOTOL AMOKSISILIN SIRUP KERING 125 MG BOTOL ANTASIDA DOEN SUSPENSI BOTOL CITRIZINE SYRUP BOTOL DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL ERYTROMISIN SYRUP BOTOL IBUPROFEN SUSPENSI BOTOL KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL PARASETAMOL DROP BOTOL PARASETAMOL SYRUP 120 MG/5 ML BOTOL THIAMFENICOL SYR BOTOL

129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173

ZINK SYRUP BOTOL AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL AMPISILINA SERBUK INJ 1GR VIAL ANTALGIN INJ. 250 MG /ML-2ML AMPUL ASAM TRANEXAMAT INJ AMPUL ATROPIN INJEKSI I.M 0.25MG/ML AMPUL DEXTROSE 5 + 1/4 NS BOTOL DEXAMETASON INJ.5MG/ML-1ML AMPUL DIAZEPAM INJ.5MG/ML-2ML AMPUL DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL FENOBARBITAL INJ. 50 MG/ML - 2 M AMPUL FITOMENADION (VIT.K 1) INJ.10 MG AMPUL FUROSEMID INJ 10 ML AMPUL GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL GLUKOSA LAR,INFUS 10 % STERIL BOTOL GLUKOSA LAR.INFUS 5 % STERIL BOTOL HALOPERIDOL INJEKSI AMPUL KETOPROFEN INJEKSI 100 MG AMPUL KETOROLAC INJEKSI 30 MG AMPUL KLORPROMAZIN HCL INJ. 5 MG / ML AMPUL KUININ HIDROKLORIDA INJ.25 % -2 AMPUL LIDOKAIN INJ. 2% AMPUL LIDOKAIN KOMB.INJ. HCL 2% AMPUL MAGNESIUM SULFAT 20 % INJEKSI AMPUL MAGNESIUM SULFAT 40 % INJEKSI AMPUL METIL ERGOMETRIN MALEAT INJ.0, AMPUL NATRIUM KLORIDA LARUTAN INFUS BOTOL OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL PIRACETAM INJ 1 GR AMPUL RANITIDINE INJ 25 MG/ML-2ML AMPUL RINGER LAKTAT LAR.INFUS STERIL BOTOL SEFOTAKSIM INJEKSI 0,5 G VIAL SEFOTAKSIM SERBUK INJ. 1 G VIAL SERUM ANTI BISA ULAR POLIVALEN INVIAL SERUM ANTI TETANUS INJ. 1.500 IU AMPUL SERUM ANTI DIFTERI 20000 UI VIAL SIANOKOBALAMINA ( VITB 12) INJ.5 AMPUL TRAMADOL INJEKSI 50 MG/ML AMPUL ANTI BAKTERI DOEN SALEP POT ASIKLOVIR KRIM TUBE BETAMETASON KRIM 0,1 % TUBE BISAKODIL SUPPOSITORIA SUPP DIAZEPAM RECTAL 10 MG TUBE BISOPPROLOL TAB 5MG TABLET

174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218

DILTIAZEM TABLET ASAM FOLAT 1 MG TABLET SULFASALAZINE TABLET GLICLAZID TABLET GEMFIBROZIL KAPLET GLIMEPIRID TABLET MELOXICAM 15 TABLET KODEIN TABLET TABLET ISONIAZID TAB 300 MG TABLET OBAT ANTITUBERKULOSIS FDC SISI PAKET GENTAMYCIN SALEP KULIT 0,1 % TUBE GENTAMYCIN SULFAT TETES MATA 0 TUBE GENTIAN VIOLET LARUTAN 1 % BOTOL HIDROKORTISON KRIM 2,5% TUBE IODIUM POVIDON IODIDA 30 ML 10 BOTOL IODIUM POVIDON IODIDA 300 ML 1 BOTOL KETOKONAZOLE KRIM 2 % TUBE KLORAMFENIKOL SALEP MATA 1% TUBE KLORAMFENIKOL TETES MATA 0,5 % BOTOL KLORAMFENIKOL TETES TELINGA 3 BOTOL MIKONAZOLE SALEP TUBE OKSITETRASIKLIN HCL SALEP 3 % TUBE OKSITETRASIKLIN HCL SALEP MATA TUBE SALEP 2-4 KOMB. POT SALISIL BEDAK 2 % KOTAK OKSITETRASIKLIN HCL INJ. 50 MG/M VIAL ANTI HAEMOROID DOEN SUPP OAT/FDC KAT I KOTAK OAT/FDC KAT II KOTAK OAT/FDC KAT anak KOTAK DEC 100mg tablet TABLET ALBENDAZOLE TABLET 400mg KOTAK PROKAIN BENZIL PENISILIN VIAL GENTAMISIN INJ 40ml AMPUL GLUKONAS KALSIKUS 10% AMPUL MINERAL MIX KOTAK ANTIFUNGI DOEN KOMB : ASAM BE POT SERUM ANTI BISA ULAR POLIVALEN VIAL STREPTOMYCIN INJ. 1000MG VIAL ASAM FOLAT 0,4 MG TABLET GENTAMICYN SALEP MATA TUBE SUCRALFAT SIRUP BOTOL BROMHEXIN 8 MG TABLET METFORMIN 850 MG TABLET KLINDAMYCIN 300 MG TABLET

219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263

DULCOLAX 10 MG SUPP SUPP N ACETYLCYSTEIN 200 MG CAPSUL ISONIAZID TAB 100 MG TABLET MDT COMBI ADULT (KUSTA) STRIP AZITROMYCIN DRY SYRUP 200 MG/M BOTOL AZITHROMYCIN 500 MG TABLET MULTIVITAMIN TABLET TABLET THROMBO ASPILETS TABLET VENTOLIN NEBU AMPUL SCABIMITE KRIM TUBE BRONSOLVAN TABLET AMINOFLUID BOTOL ASERING BOTOL COMBIVEN NEBU BOTOL ATROVENT SPRAY BOTOL BETHADINE GARGLE (OBAT KUMUR BOTOL AQUA GEL BOTOL ARTEM INJ AMPUL CITICOLLIN INJ AMPUL KANDISTATIN DROPS BOTOL ONDANCENTRON 4MG INJ AMPUL PEHACAIN INJ AMPUL HALOPERIDOL DROP/LODOMER DR BOTOL ZIRCUM KID DROP BOTOL OBAT BATUK HITAM SYRUP BOTOL MULTI VITAMIN SYRUP BOTOL BISOLVON DROP BOTOL AQUA PRO INJEKSI VIAL ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL ETANOL 70 % BOTOL ETHIL KLORIDA SEMPROT BOTOL EUGENOL CAIRAN BOTOL SAMCOBION CAPSUL ETANOL 70% 1 LITER BOTOL OBAT BATUK SIRUP KOMBINASI BOTOL RAPID HIV 1 SD SET RAPID 2 HIV INTEC SET RAPID 3 HIV ONCOPROBE SET PYRIMETHAMIN 25 MG TAB TABLET DHP/OAM TABLET ARTESUNATE INJ.250 MG AMPUL EUTHYROX 100 UG TABLET CAMABION KAPSUL CAPSUL FENOBARBITAL 50 MG TAB(SIBITAL) TABLET OBAT FLU KOMB.TAB(MERTISAL) TA TABLET

264 VITAMIN NEUROTROPIK 5000 MG (M TABLET 265 METAMIZOLE 500 MG/ML INJEKSI AMPUL 266 KLORAMFENICOL 500 MG CAPSUL

267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303

BMHP ALAT SUNTIK SEKALI PAKAI 1 ML SET ALAT SUNTIK SEKALI PAKAI 3 ML SET ALAT SUNTIK SEKALI PAKAI 5 ML SET ALAT SUNTIK SEKALI PAKAI 10 M SET BISTURI NO. 12 (carbon steel cap KOTAK BLOOD LANCET KOTAK BOX SLIDE PCS CATGUT / BENANG BEDAH NO.2/0 SET FOLLEY CATHETHER NO.12 PCS FOLLEY CATHETHER NO.16 PCS FOLLEY CATHETHER NO.18 PCS HAND SCHOEN L NON STERIL KOTAK HAND SCHOEN M NON STERIL KOTAK HAND SCHOEN S NON STERIL KOTAK HAND SCHOEN L STERIL PCS HAND SCHOEN M STERIL PCS HAND SCHOEN S STERIL PCS HAND SCHOEN OBSETRIKAL PCS INFUS SET ANAK PCS INFUS SET DEWASA PCS IV CATHETER NO. 18 PCS IV CATHETER NO. 20 PCS IV CATHETER NO. 22 PCS IV CATHETER NO. 24 PCS IV CATHETER NO. 26 PCS JARUM KULIT PCS JARUM OTOT PCS KACA SLIDE KOTAK KAPAS ADSORBEN 500 GR BUNGKUS KAPAS PEMBALUT ABSORBEN 25BUNGKUS KASA KOMPRES 40/40 STERIL ROL KASA PEMBALUT 2M X 80 CM ROL KASA PEMBALUT 36 X 80 CM ROL KASA PEMBALUT HIDROFIL 4M X ROL KASA PEMBALUT HIDROFIL 4M X ROL KASA STERIL 16 X 16 HK KOTAK LARUTAN ANISOL BOTOL

304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346

LARUTAN EDTA 100 ml BOTOL LARUTAN EOSIN 2 % BOTOL LARUTAN GIEMSA STAIN BOTOL LARUTAN H2O2 BOTOL LARUTAN HCL 0,1 N BOTOL LARUTAN HAYEM BOTOL LARUTAN KARBOL FUKSIN BOTOL LARUTAN METANOL BOTOL LARUTAN REAGENT ANTI A BOTOL LARUTAN REAGENT ANTI AB BOTOL LARUTAN REAGENT ANTI B BOTOL LARUTAN REAGENT ANTI D BOTOL LARUTAN REAGENT ZIENIL NEEL BOTOL LEUCOPLAST 7.5 CM X 5 CM ROL MAAG SLANG DEWASA (STOMACH PCS MASKER KARET KOTAK MASKER TALI KOTAK NEEDLE 23 PCS NEEDLE 24 PCS PLASTER 5 YARD X 2 INCH ROL RAPID TES PROTEIN KOTAK RDT TYPUS KOTAK SELANG OKSIGEN ANAK PCS SELANG OKSIGEN BAYI PCS TEST DENGUE DEVICE KOTAK TEST HBsAG STRIP KOTAK TEST HCG STRIP KOTAK TEST MALARIA DEVICE KOTAK TEST URINE TRIP 10 PARAMETER KOTAK THREE WAY BUAH ULTRASOUND GEL 250 ML BOTOL UNDERPAD BUNGKUS URINE BAG PCS AIR RAKSA DENTAL USE BOTOL ARTICULATING PAPER KOTAK BONDING SINGLE BOND BUAH CELLULOID STRIP BUAH COMPOSITE PASTE (SOLARE) BUAH ETCHING BUAH FUJI 9 ART (MINI) BUAH FUJI II LC BUAH FUJI IX GC BUAH FUJI VII GC WHITE BUAH

347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389

MATRIX ROLL + MATRIX BOND BUAH MICRO BRUSH BUAH OCHO BUAH SALIVA EJECTOR BUAH SEMEN SENG FOSFAT SERBUK DA BUAH SILVER AMALGAM SERBUK 65-7 BUAH SPONS GELATIN CUBICLES 1 X 1 BUAH TABUNG VENOJECT EDTA BUAH MASKER RESPIRATOR BUAH PIPET TETES BUAH THERMAROL BUAH LIPID PANEL TEST BUAH ALKOHOL SWAB BUAH LYSOL BOTOL JARUM AUTO CLICK PCS ALAT SUNTIK 0.05ML PCS ALAT SUNTIK 0.5ML PCS DIAMOND BOOR SET M BUAH DIAMOND BOOR SET S BUAH FEEDING TUBE BUAH FISURE LANCIP LONG BUAH LARUTAN SALMONELLA PARATYPHBOTOL LARUTAN SALMONELLA PARATYPHBOTOL LARUTAN SALMONELLA PARATYPHBOTOL LARUTAN SALMONELLA PARATYPHBOTOL LARUTAN SALMONELLA PARATYPHBOTOL LARUTAN SALMONELLA PARATYPHBOTOL LARUTAN SALMONELLA PARATYPHBOTOL SUAB TENGGOROKAN BOTOL SELANG OKSIGEN DEWASA BUAH SILK(BENANG BEDAH SUTERA)NO PCS REAGEN TEST CHLONESTERASE BBOTOL POLIFIX 5 CM X 5 CM ROL CATGUT PLAIN 2/0 BUNGKUS POLIBAN 5 CM X 2.7 M ROL CATGUT PLAIN 3/0 PCS CATGUT CROM 3/0 PCS SABUN ANTI SEPTIK (DETTOL) BOTOL POT SPUTUM BOTOL VERORAB REGULAR VIAL INFUS SET TIPE Y PCS CHOLESTEROL TEST PCS GLUCOSE TEST STRIP 50'S PCS

390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412

URIC ACID STRIP POLIFIX 10 CM X 5 CM TEST HIV LARUTAN ICON OS CYNOFF RDT MALARIA ABATE LARVASIDA ABATE INSEKTISIDA GOKILATH SOFRATULLE/FRAMICETINE SERUM ANTI RABIES (SAR) INJ 20 TEST AMPHETAMIN STRIP TEST SALMONELLA IGM CASSETT TEST RPR (SEPHILIS) HAND RUB MASKER KARET HIJAB FEEDING TUBE NO. 6 FEEDING TUBE NO. 8 STOMACH TUBE NO. 16

PCS PCS SET BOTOL

LITER PCS BOTOL KOTAK BOTOL KOTAK VIAL KOTAK STRIP STRIP BOTOL KOTAK PCS PCS PCS TEST HAEMOGLOBIN STRIP KOTAK RABIES IMUNO GLOBULIN (HYPERRA VIAL

VAKSIN 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432

VAKSIN POLIO VAKSIN CAMPAK VAKSIN BCG VAKSIN DPT HB HIB / PENTABIO VAKSIN DPT HB UNIJECT / HB O VAKSIN TT VAKSIN TD VAKSIN DT SAFETY BOX HEPATITIS B 0,5ML ADS ADS 0.05 ML ADS 0.5 ML ADS 5 ML POLIO PIN VAKSIN POLIO BOPV VAKSIN IPV VAKSIN MENINGITIS 200 Mcg VAKSIN DPT HB UNIJECT DEWASA VAKSIN MEASLES AND RUBELLA VAKSIN HUMAN PAPILOMA VIRUS (HPV)

VIAL VIAL VIAL VIAL VIAL VIAL VIAL VIAL PCS VIAL PCS PCS PCS VIAL VIAL VIAL VIAL PCS VIAL VIAL

PUSTU/POLINDES

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN

1 ALOPURINOL TABLET 100 MG

TABLET

2 ALPRAZOLAM TABLET 0,5 MG

TABLET

3 AMBROXOL TAB. 30 MG

TABLET

4 AMINOFILIN TABLET 200 MG

TABLET

5 AMITRIPTILIN HCL TABLET SALUT 25 MG

TABLET

6 AMLODIPIN 10 MG

TABLET

7 AMLODIPIN 5 MG

TABLET

8 AMOKSISILIN KAPSUL 250 MG

CAPSUL

9 AMOKSISILIN KAPSUL 500 MG

CAPSUL

10 AMPISILINA 500 MG TAB

TABLET

11 ANTALGIN (METAMPIRON) TABLET 500 M

TABLET

12 ANTASIDA DOEN TABLET KOMB. (100)

TABLET

13 ANTI MIGRAIN DOEN TABLET KOMB.

TABLET

14 ASAM ASKORBAT(VIT.C) TAB.50 MG

TABLET

15 ASAM MEFENAMAT 500 MG

KAPLET

16 ASAM TRANEXAMAT TAB 500MG

TABLET

17 ASETOSAL TABLET 100 MG

TABLET

18 ASETOSAL TABLET 500 MG

TABLET

19 ASIKLOVIR TABLET 200 MG

TABLET

20 ASIKLOVIR TABLET 400 MG

TABLET

21 BETAHISTIN MALEAT

TABLET

22 CEFADROXIL TABLET 500 MG

TABLET

23 CIPROFLOXACIN 500 MG

TABLET

24 CITRIZINE TABLET 10 MG

TABLET

25 CLOBAZAM TAB 10 MG

TABLET

26 CLOPIDOGREL 75 MG

TABLET

27 CO AMOXICLAV 625 MG

TABLET

28 DEXAMETASON TAB.0,5MG

TABLET

29 DIAZEPAM TABLET 2MG

TABLET

30 DIAZEPAM TABLET 5 MG

TABLET

31 DIGOKSIN TAB. 0,25 MG

TABLET

32 DOKSISIKLIN 100 MG

CAPSUL

33 DOMPERIDON TAB 10 MG

TABLET

34 EFEDRIN HCL TABLET 25 MG

TABLET

35 ERYTROMISIN 250 MG

CAPSUL

36 ERYTROMISIN 500 MG

KAPLET

37 FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38 FITOMENADION (VIT.K 1) TAB.SALUT 10

TABLET

39 FUROSEMID TAB.40 MG

TABLET

40 GARAM ORALIT UNTUK 200 ML

BUNGKUS

41 GLIBENKELAMID TABLET 5 MG

TABLET

42 GLISERIL GUAYAKOLAT TAB.100 MG

TABLET

43 GRISEOFULVIN TAB. 125 MG

TABLET

44 HALOPERIDOL TABLET 0.5 MG

TABLET

45 HALOPERIDOL TABLET 1.5 MG

TABLET

46 HALOPERIDOL 2 MG

TABLET

47 HIDROKLOROTIAZID (HCT) TAB.25 MG

TABLET

48 IBUPROFEN TABLET 200 MG

TABLET

49 IBUPROFEN TABLET 400 MG

TABLET

50 ISOSORBIT DINITRAT TAB.SALUT 5 MG

TABLET

51 KALIUM DIKLOFENAK TABLET 50 MG

TABLET

52 KALSIUM LAKTAT (KALK) TAB.500 MG

TABLET

53 KAPTOPRIL 12,5 MG

TABLET

54 KAPTOPRIL 25 MG

TABLET

55 KAPTOPRIL 50 MG

TABLET

56 KARBAMAZEPIN TAB.200 MG

TABLET

57 KETOKONAZOLE TAB 200 MG

TABLET

58 KLINDAMSIN 150 MG

TABLET

59 KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60 KLORFENIRAMIN MALEAT (CTM) TAB.4 M

TABLET

61 KLOROKUIN TAB. 150 MG

TABLET

62 KLORPROMAZIN HCL TAB.SALUT 100 MG

TABLET

63 KLORPROMAZIN HCL TAB.SALUT 25 MG

TABLET

64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN

TABLET

65 KOTRIMOKSAZOL TABLET 480 MG

TABLET

66 KOTRIMOKSAZOL TABLET PEDIATRIK

TABLET

67 KUININ SULFAT TAB.222 MG

TABLET

68 LANSOPRAZOL KAP 30 MG

CAPSUL

69 LOPERAMIDE HCL 2 MG

TABLET

70 LORATADINE TAB 10 MG

TABLET

71 METFORMIN 500 MG

TABLET

72 METHYL PREDNISOLON TAB 4 MG

TABLET

73 METILERGOMETRIN MALEAT TAB 0,125 M

TABLET

74 METOKLOPRAMID 10 MG

TABLET

75 METRONIDAZOL TAB 500 MG

TABLET

76 METRONIDAZOL TAB.250 MG

TABLET

77 NATRIUM BICARBONAT TABLET

TABLET

78 NATRIUM DIKLOFENAK 25 MG

TABLET

79 NATRIUM DIKLOFENAK 50 MG

TABLET

80 NIFEDIPINE 10 MG

TABLET

81 NISTATIN SALUT 500.000 IU

TABLET

82 NISTATIN TABLET VAGINAL 100.000 IU/G

TABLET

83 OMEPRAZOL KAP 20 MG

CAPSUL

84 PARASETAMOL TAB.100 MG

TABLET

85 PARASETAMOL TAB.500 MG

TABLET

86 PIRACETAM TAB. 400 MG

KAPLET

87 PIRACETAM TAB. 800 MG

KAPLET

88 PIRANTEL TABLET 125 MG

TABLET

89 PIRIDOKSIN HCL TAB. 10 MG

TABLET

90 PIROXICAM 10 MG

TABLET

91 PIROXICAM 20 MG

TABLET

92 PREDNISON TAB.5 MG

TABLET

93 PRIMAKUIN TAB.15 MG

TABLET

94 PROPANOLOL HCL TABLET 10 MG

TABLET

95 PROPANOLOL HCL TABLET 40 MG

TABLET

96 PROPILTIOURASIL TABLET 100 MG

TABLET

97 RANITIDINE TABLET 150 MG

TABLET

98 RETINOL (VIT A) KAPSUL 100.000 IU

CAPSUL

99 RETINOL (VIT A) KAPSUL 200.000 IU

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TABLET

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1) TAB.5

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 ML

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 M

BOTOL

126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 ML

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1ML

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1%

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2 ML

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2 ML

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0,200 M

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS 0,9 %

BOTOL

157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU / AMP

AMPUL

165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.500 MC

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SISIPAN

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 0,3 % 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 10%

BOTOL

189 IODIUM POVIDON IODIDA 300 ML 10%

BOTOL

190 KETOKONAZOLE KRIM 2 % 191 KLORAMFENIKOL SALEP MATA 1%

TUBE TUBE

192 KLORAMFENIKOL TETES MATA 0,5 %

BOTOL

193 KLORAMFENIKOL TETES TELINGA 3%

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA 1 %

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT

POT

211 SERUM ANTI BISA ULAR POLIVALEN INJ 5

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG/ML

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMUR)

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER DROP

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB

TABLET

263 OBAT FLU KOMB.TAB(MERTISAL) TAB

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (MERSIB

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel capel)

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 - 3/0

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 GR

BUNGKUS

297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 15 CM

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3 CM

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELSEN

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH TUBE N

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN CAIRA

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1 X 1 CM

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI H

BOTOL

369 LARUTAN SALMONELLA PARATYPHI HA

BOTOL

370 LARUTAN SALMONELLA PARATYPHI HC

BOTOL

371 LARUTAN SALMONELLA PARATYPHI O

BOTOL

372 LARUTAN SALMONELLA PARATYPHI OA

BOTOL

373 LARUTAN SALMONELLA PARATYPHI OB

BOTOL

374 LARUTAN SALMONELLA PARATYPHI OC

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.3/0 378 REAGEN TEST CHLONESTERASE BCHE (DI 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

PCS BOTOL ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV

SET

393 LARUTAN ICON OS

BOTOL

394 CYNOFF

LITER

395 RDT MALARIA 396 ABATE

PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200 IU 5 M

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE (FOKU

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERRAB) 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (HPV)

VIAL

NOMOR RESEP

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1B

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2B

3B

4B

5B

6B

7B

8B

9B

10B 11B 12B 13B 14B 15B

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16B 17B 18B

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1C

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2C

3C

4C

5C

6C

7C

8C

9C

10C 11C 12C 13C 14C 15C

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16C 17C 18C 19C 20C 21C 22C 23C 24C 25C 26C 27C 28C 29C 30C 31C 32C 33C 34C 35C 36C 37C 38C 39C 40C 41C

42C 43C 44C 45C 46C 47C 48C 49C 50C

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1D

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2D

3D

4D

5D

6D

7D

8D

9D

10D 11D 12D 13D 14D 15D

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16D 17D 18D 19D 20D 21D 22D 23D 24D 25D 26D 27D 28D 29D 30D 31D 32D 33D 34D 35D 36D 37D 38D 39D

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1E

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2E

3E

4E

5E

6E

7E

8E

9E

10E 11E 12E 13E 14E 15E

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16E 17E 18E 19E 20E 21E 22E 23E 24E 25E 26E 27E 28E 29E 30E 31E 32E 33E 34E 35E 36E 37E 38E

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1F

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2F

3F

4F

5F

6F

7F

8F

9F

10F 11F 12F 13F 14F 15F

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16F 17F 18F 19F 20F 21E 22E 23E 24E 25E

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP

JUMLAH 0 0

ergotamin : 1

0

natrium diklofenak : 10

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

R7 R11

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1A

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2A

3A

4A

5A

6A

7A

8A

9A

10A 11A 12A1 13A 14A 15A

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16A 17A 18A 19A 20A 21A 22A 23A 24A 25A 26A 27A 28A 29A 30A 31A 32A 33A 34A 35A 36A 37A 38A 39A 40A

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 batas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1B

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2B

3B

4B

5B

6B

7B

8B

9B

10B 11B 12B 13B 14B 15B

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16B 17B 18B 19B 20B 21B 22B 23B 24B 25B 26B 27B 28B 29B 30B 31B 32B 33B 34B 35B 36B 37B 38B 39B 40B 41B

42B 43B 44B

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1C

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2C

3C

4C

5C

6C

7C

8C

9C

10C 11C 12C 13C 14C 15C

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16C 17C 18C 19C 20C 21C 22C 23C

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1D

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2D

3D

4D

5D

6D

7D

8D

9D

10D 11D 12D 13D 14D 15D

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16D 17D 18D 19D 20D 21D 22D 23D 24D 25D 26D 27D 28D 29D 30D 31D 32D 33D 34D 35D 36D 37D 38D 39D 40D 41D

42D 43D

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1E

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2E

3E

4E

5E

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1F

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2F

3F

4F

5F

6F

7F

8F

9F

10F 11F 12F 13F 14F 15F

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16F 17F 18F 19F

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1A

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2A

3A

4A

5A

6A

7A

8A

9A

10A 11A 12A 13A 14A 15A

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16A 17A 18A 19A 20A 21A 22A 23A 24A 25A 26A 27A 28A 29A 30A 31A 32A 33A 34A 35A 36A 37A 38A 39A 40A 41A

42A 43A 44A 45A 46A 47A 48A

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1B

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2B

3B

4B

5B

6B

7B

8B

9B

10B 11B 12B 13B 14B 15B

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16B 17B 18B 19B 20B 21B 22B 23B 24B 25B 26B 27B 28B 29B 30B 31B 32B 33B 34B 35B 36B 37B 38B 39B 40B 41B

42B 43B 44B 45B 46B 47B 48B

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1C

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2C

3C

4C

5C

6C

7C

8C

9C

10C 11C 12C 13C 14C 15C

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16C 17C 18C 19C 20C 21C 22C 23C 24C 25C 26C 27C 28C 29C 30C 31C 32C 33C 34C 35C 36C 37C 38C 39C 40C 41C

42C 43C 44C 45C 46C 47C 48C 49C 50C

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 s 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1D

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2D

3D

4D

5D

6D

7D

8D

9D

10D 11D 12D 13D 14D 15D

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16D 17D 18D 19D 20D 21D 22D 23D 24D 25D 26D 27D 28D 29D 30D 31D 32D 33D 34D 35D 36D 37D 38D 39D 40D 41D

42D 43D 44D 45D 46D 47D

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1E

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2E

3E

4E

5E

6E

7E

8E

9E

10E 11E 12E 13E 14E 15E

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16E 17E 18E 19E 20E 21E 22E 23E 24E 25E 26E

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT 25 MG

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET 500 MG

TABLET

12

ANTASIDA DOEN TABLET KOMB. (100)

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB.

TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 MG

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SALUT 10 MG

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 MG

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

1F

2F

3F

4F

5F

6F

7F

8F

9F

10F

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25 MG

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5 MG

TABLET

51

KALIUM DIKLOFENAK TABLET 50 MG

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500 MG

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) TAB.4 MG

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 100 MG

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 25 MG

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 MG

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATRIK

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0,125 MG

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 IU/G

TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000 IU

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000 IU

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TABLET

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 ML

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML

BOTOL

126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 ML

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1ML

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1%

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2 ML

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2 ML

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS 0,9 %

BOTOL

157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU I) 164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ATS) 165 SERUM ANTI DIFTERI 20000 UI

VIAL AMPUL VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SISIPAN

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 0,3 % 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 10%

BOTOL

189 IODIUM POVIDON IODIDA 300 ML 10%

BOTOL

190 KETOKONAZOLE KRIM 2 % 191 KLORAMFENIKOL SALEP MATA 1%

TUBE TUBE

192 KLORAMFENIKOL TETES MATA 0,5 %

BOTOL

193 KLORAMFENIKOL TETES TELINGA 3%

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA 1 %

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6%

POT

211 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG/ML

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMUR)

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER DROP

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB

TABLET

263 OBAT FLU KOMB.TAB(MERTISAL) TAB

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (MERSIBION)

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel capel)

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 - 3/0

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 GR

BUNGKUS

297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 15 CM

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3 CM

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELSEN

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH TUBE NO. 16)

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN CAIRAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1 X 1 CM

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI H

BOTOL

369 LARUTAN SALMONELLA PARATYPHI HA

BOTOL

370 LARUTAN SALMONELLA PARATYPHI HC

BOTOL

371 LARUTAN SALMONELLA PARATYPHI O

BOTOL

372 LARUTAN SALMONELLA PARATYPHI OA

BOTOL

373 LARUTAN SALMONELLA PARATYPHI OB

BOTOL

374 LARUTAN SALMONELLA PARATYPHI OC

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.3/0 378 REAGEN TEST CHLONESTERASE BCHE (DIGITAL) 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

PCS BOTOL ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE (FOKUS)

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERRAB) 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (HPV)

VIAL

NOMOR RESEP 11F 12F 13F 14F 15F 16F 17F 18F 19F 20F

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1A

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2A

3A

4A

5A

6A

7A

8A

9A

10A 11A 12A 13A 14A 15A

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16A 17A 18A 19A 20A 21A 22A 23A 24A 25A 26A 27A 28A 29A 30A 31A 32A 33A 34A 35A 36A 37A 38A 39A 40A 41A

42A 43A 44A 45A 46A 47A

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1B

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT 25 MG

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET 500 MG

TABLET

12

ANTASIDA DOEN TABLET KOMB. (100)

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB.

TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 MG

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SALUT 10 MG

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 MG

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2B

3B

4B

5B

6B

7B

8B

9B

10B 11B 12B 13B

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25 MG

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5 MG

TABLET

51

KALIUM DIKLOFENAK TABLET 50 MG

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500 MG

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) TAB.4 MG

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 100 MG

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 25 MG

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULFADOXIN

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATRIK

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0,125 MG

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 IU/G

TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000 IU

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000 IU

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TABLET

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG TABLET 116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 ML

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML

BOTOL

126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 ML

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1ML

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1%

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2 ML

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2 ML

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0,200 MG

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS 0,9 %

BOTOL

157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 M

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPU

AMPUL

165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SISIPAN

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 0,3 % 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 10%

BOTOL

189 IODIUM POVIDON IODIDA 300 ML 10%

BOTOL

190 KETOKONAZOLE KRIM 2 % 191 KLORAMFENIKOL SALEP MATA 1%

TUBE TUBE

192 KLORAMFENIKOL TETES MATA 0,5 %

BOTOL

193 KLORAMFENIKOL TETES TELINGA 3%

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA 1 %

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 M

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT

POT

211 SERUM ANTI BISA ULAR POLIVALEN INJ 50

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG/ML

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMUR)

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER DROP

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB

TABLET

263 OBAT FLU KOMB.TAB(MERTISAL) TAB

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (MERSIBI

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel capel)

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 - 3/0

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 GR

BUNGKUS

297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 15 CM

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3 CM

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELSEN

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH TUBE NO.

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN CAIRAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1 X 1 CM

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI H

BOTOL

369 LARUTAN SALMONELLA PARATYPHI HA

BOTOL

370 LARUTAN SALMONELLA PARATYPHI HC

BOTOL

371 LARUTAN SALMONELLA PARATYPHI O

BOTOL

372 LARUTAN SALMONELLA PARATYPHI OA

BOTOL

373 LARUTAN SALMONELLA PARATYPHI OB

BOTOL

374 LARUTAN SALMONELLA PARATYPHI OC

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.3/0

PCS

378 REAGEN TEST CHLONESTERASE BCHE (DIGI BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE (FOKUS)

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERRAB) 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (HPV)

VIAL

NOMOR RESEP 14B 15B 16B 17B 18B 19B 20B 21B 22B 23B 24B 25B 26B 27B 28B 29B 30B 31B 32B 33B 34B 35B 36B 37B 38B 39B

40B 41B 42B 43B 44B 45B 46B

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1C

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2C

3C

4C

5C

6C

7C

8C

9C

10C 11C 12C 13C 14C 15C

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16C 17C 18C 19C 20C 21C 22C 23C 24C 25C 26C 27C 28C 29C 30C 31C 32C 33C 34C 35C 36C 37C 38C 39C 40C

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1D

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2D

3D

4D

5D

6D

7D

8D

9D

10D 11D 12D 13D 14D 15D

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16D 17D 18D 19D 20D 21D 22D 23D 24D 25D 26D 27D 28D 29D 30D 31D 32D 33D 34D 35D 36D 37D

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1E

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT 25 MG

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET 500

TABLET

12

ANTASIDA DOEN TABLET KOMB. (100)

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB.

TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 MG

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SALUT 10

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 MG

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2E

3E

4E

5E

6E

7E

8E

9E

10E 11E 12E 13E 14E

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25 MG

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5 MG

TABLET

51

KALIUM DIKLOFENAK TABLET 50 MG

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500 MG

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) TAB.4

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 100 M

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 25 MG

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULFADOXI

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATRIK

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0,125

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 IU/G

TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000 IU

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000 IU

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TABLET

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1) TAB.

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 MG/ 5

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 ML

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5

BOTOL

126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 ML

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1ML

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1%

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2 ML

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / ML-2M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2 ML

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0,200

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS 0,9

BOTOL

157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN INJ.

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU / AM

AMPUL

165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.500

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SISIPAN

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 0,3 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 10%

BOTOL

189 IODIUM POVIDON IODIDA 300 ML 10%

BOTOL

190 KETOKONAZOLE KRIM 2 % 191 KLORAMFENIKOL SALEP MATA 1%

TUBE TUBE

192 KLORAMFENIKOL TETES MATA 0,5 %

BOTOL

193 KLORAMFENIKOL TETES TELINGA 3%

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA 1 %

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM BENZO

POT

211 SERUM ANTI BISA ULAR POLIVALEN INJ

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG/ML

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMUR)

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER DROP

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB

TABLET

263 OBAT FLU KOMB.TAB(MERTISAL) TAB

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (MERS

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel capel)

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 - 3/0

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 GR

BUNGKUS

297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 15 CM

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3 CM

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELSEN

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH TUBE

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN CAI

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1 X 1 C

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI H

BOTOL

369 LARUTAN SALMONELLA PARATYPHI HA

BOTOL

370 LARUTAN SALMONELLA PARATYPHI HC

BOTOL

371 LARUTAN SALMONELLA PARATYPHI O

BOTOL

372 LARUTAN SALMONELLA PARATYPHI OA

BOTOL

373 LARUTAN SALMONELLA PARATYPHI OB

BOTOL

374 LARUTAN SALMONELLA PARATYPHI OC

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.3/0

PCS

378 REAGEN TEST CHLONESTERASE BCHE (D BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200 IU 5

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE (FOK

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERRAB) 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (HPV)

VIAL

NOMOR RESEP 15E 16E 17E 18E 19E 20E 21E 22E 23E 24E 25E 26E 27E 28E 29E 30E 31E 32E 33E 34E 35E 36E 37E 38E 39E 40E

41E

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1F

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2F

3F

4F

5F

6F

7F

8F

9F

10F 11F 12F 13F 14F 15F

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16F 17F 18F 19F 20F 21F 22F 23F 24F 25F 26F 27F 28F 29F 30F

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1A

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SAL

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2A

3A

4A

5A

6A

7A

8A

9A

10A 11A 12A 13A 14A 15A

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000 TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL 157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL 165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel cape

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS 297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

NOMOR RESEP 16A 17A 18A 19A 20A 21A 22A 23A 24A 25A 26A 27A 28A 29A 30A 31A 32A 33A 34A 35A 36A 37A 38A 39A 40A 41A

42A 43A 44A

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1B

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT 2

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10

AMPISILINA 500 MG TAB

TABLET

11

ANTALGIN (METAMPIRON) TABLET

TABLET

12

ANTASIDA DOEN TABLET KOMB. (10 TABLET

13

ANTI MIGRAIN DOEN TABLET KOMB

TABLET

14

ASAM ASKORBAT(VIT.C) TAB.50 MG

TABLET

15

ASAM MEFENAMAT 500 MG

KAPLET

16

ASAM TRANEXAMAT TAB 500MG

TABLET

17

ASETOSAL TABLET 100 MG

TABLET

18

ASETOSAL TABLET 500 MG

TABLET

19

ASIKLOVIR TABLET 200 MG

TABLET

20

ASIKLOVIR TABLET 400 MG

TABLET

21

BETAHISTIN MALEAT

TABLET

22

CEFADROXIL TABLET 500 MG

TABLET

23

CIPROFLOXACIN 500 MG

TABLET

24

CITRIZINE TABLET 10 MG

TABLET

25

CLOBAZAM TAB 10 MG

TABLET

26

CLOPIDOGREL 75 MG

TABLET

27

CO AMOXICLAV 625 MG

TABLET

28

DEXAMETASON TAB.0,5MG

TABLET

29

DIAZEPAM TABLET 2MG

TABLET

30

DIAZEPAM TABLET 5 MG

TABLET

31

DIGOKSIN TAB. 0,25 MG

TABLET

32

DOKSISIKLIN 100 MG

CAPSUL

33

DOMPERIDON TAB 10 MG

TABLET

34

EFEDRIN HCL TABLET 25 MG

TABLET

35

ERYTROMISIN 250 MG

CAPSUL

36

ERYTROMISIN 500 MG

KAPLET

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

38

FITOMENADION (VIT.K 1) TAB.SALU

TABLET

39

FUROSEMID TAB.40 MG

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

41

GLIBENKELAMID TABLET 5 MG

TABLET

42

GLISERIL GUAYAKOLAT TAB.100 MG TABLET

43

GRISEOFULVIN TAB. 125 MG

TABLET

44

HALOPERIDOL TABLET 0.5 MG

TABLET

TABLET

2B

3B

4B

5B

6B

7B

8B

9B

10B 11B 12B 13B 14B 15B

45

HALOPERIDOL TABLET 1.5 MG

TABLET

46

HALOPERIDOL 2 MG

TABLET

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

48

IBUPROFEN TABLET 200 MG

TABLET

49

IBUPROFEN TABLET 400 MG

TABLET

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

52

KALSIUM LAKTAT (KALK) TAB.500 M

TABLET

53

KAPTOPRIL 12,5 MG

TABLET

54

KAPTOPRIL 25 MG

TABLET

55

KAPTOPRIL 50 MG

TABLET

56

KARBAMAZEPIN TAB.200 MG

TABLET

57

KETOKONAZOLE TAB 200 MG

TABLET

58

KLINDAMSIN 150 MG

TABLET

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60

KLORFENIRAMIN MALEAT (CTM) TA

TABLET

61

KLOROKUIN TAB. 150 MG

TABLET

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

63

KLORPROMAZIN HCL TAB.SALUT 25 TABLET

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

66

KOTRIMOKSAZOL TABLET PEDIATRI

TABLET

67

KUININ SULFAT TAB.222 MG

TABLET

68

LANSOPRAZOL KAP 30 MG

CAPSUL

69

LOPERAMIDE HCL 2 MG

TABLET

70

LORATADINE TAB 10 MG

TABLET

71

METFORMIN 500 MG

TABLET

72

METHYL PREDNISOLON TAB 4 MG

TABLET

73

METILERGOMETRIN MALEAT TAB 0,

TABLET

74

METOKLOPRAMID 10 MG

TABLET

75

METRONIDAZOL TAB 500 MG

TABLET

76

METRONIDAZOL TAB.250 MG

TABLET

77

NATRIUM BICARBONAT TABLET

TABLET

78

NATRIUM DIKLOFENAK 25 MG

TABLET

79

NATRIUM DIKLOFENAK 50 MG

TABLET

80

NIFEDIPINE 10 MG

TABLET

81

NISTATIN SALUT 500.000 IU

TABLET

82

NISTATIN TABLET VAGINAL 100.000

TABLET

83

OMEPRAZOL KAP 20 MG

CAPSUL

84

PARASETAMOL TAB.100 MG

TABLET

85

PARASETAMOL TAB.500 MG

TABLET

86

PIRACETAM TAB. 400 MG

KAPLET

87

PIRACETAM TAB. 800 MG

KAPLET

88

PIRANTEL TABLET 125 MG

TABLET

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

90

PIROXICAM 10 MG

TABLET

91

PIROXICAM 20 MG

TABLET

92

PREDNISON TAB.5 MG

TABLET

93

PRIMAKUIN TAB.15 MG

TABLET

94

PROPANOLOL HCL TABLET 10 MG

TABLET

95

PROPANOLOL HCL TABLET 40 MG

TABLET

96

PROPILTIOURASIL TABLET 100 MG

TABLET

97

RANITIDINE TABLET 150 MG

TABLET

98

RETINOL (VIT A) KAPSUL 100.000 I

CAPSUL

99

RETINOL (VIT A) KAPSUL 200.000 I

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA T

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL 126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 ML

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1%

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2 M

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0,

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS

BOTOL

157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN I 164 SERUM ANTI TETANUS INJ. 1.500 IU 165 SERUM ANTI DIFTERI 20000 UI

VIAL AMPUL VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SISI

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

TUBE BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

190 KETOKONAZOLE KRIM 2 %

TUBE

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

193 KLORAMFENIKOL TETES TELINGA 3

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

212 STREPTOMYCIN INJ. 1000MG 213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

VIAL TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG

TABLET

219 DULCOLAX 10 MG SUPP

SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG/

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMUR BOTOL 235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER D

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL) TABLET 263 OBAT FLU KOMB.TAB(MERTISAL) TA

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel capel

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250

BUNGKUS

297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELSE

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH T

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD 336 URINE BAG

BUNGKUS PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1 X

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.3

PCS

378 REAGEN TEST CHLONESTERASE BCH BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV 393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA 396 ABATE

SET BOTOL LITER PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16 409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR 411 412

PCS KOTAK VIAL

VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (H

VIAL

NOMOR RESEP 16B 17B 18B 19B 20B 21B 22B 23B 24B 25B 26B 27B 28B 29B 30B 31B 32B 33B 34B 35B 36B 37B 38B 39B 40B 41B

42B 43B 44B 45B

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP HARIAN PUSKESMAS PUSKESMAS

:

HARI

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN 1C

1

ALOPURINOL TABLET 100 MG

TABLET

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

3

AMBROXOL TAB. 30 MG

TABLET

4

AMINOFILIN TABLET 200 MG

TABLET

5

AMITRIPTILIN HCL TABLET SALUT 25 MG

TABLET

6

AMLODIPIN 10 MG

TABLET

7

AMLODIPIN 5 MG

TABLET

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

10 AMPISILINA 500 MG TAB

TABLET

11 ANTALGIN (METAMPIRON) TABLET 500 MG

TABLET

12 ANTASIDA DOEN TABLET KOMB. (100)

TABLET

13 ANTI MIGRAIN DOEN TABLET KOMB.

TABLET

14 ASAM ASKORBAT(VIT.C) TAB.50 MG

TABLET

15 ASAM MEFENAMAT 500 MG

KAPLET

16 ASAM TRANEXAMAT TAB 500MG

TABLET

17 ASETOSAL TABLET 100 MG

TABLET

18 ASETOSAL TABLET 500 MG

TABLET

19 ASIKLOVIR TABLET 200 MG

TABLET

20 ASIKLOVIR TABLET 400 MG

TABLET

21 BETAHISTIN MALEAT

TABLET

22 CEFADROXIL TABLET 500 MG

TABLET

23 CIPROFLOXACIN 500 MG

TABLET

24 CITRIZINE TABLET 10 MG

TABLET

25 CLOBAZAM TAB 10 MG

TABLET

26 CLOPIDOGREL 75 MG

TABLET

27 CO AMOXICLAV 625 MG

TABLET

28 DEXAMETASON TAB.0,5MG

TABLET

29 DIAZEPAM TABLET 2MG

TABLET

30 DIAZEPAM TABLET 5 MG

TABLET

31 DIGOKSIN TAB. 0,25 MG

TABLET

32 DOKSISIKLIN 100 MG

CAPSUL

33 DOMPERIDON TAB 10 MG

TABLET

34 EFEDRIN HCL TABLET 25 MG

TABLET

35 ERYTROMISIN 250 MG

CAPSUL

36 ERYTROMISIN 500 MG

KAPLET

37 FENITOIN NATRIUM KAP. 100 MG

CAPSUL

2C

3C

4C

5C

6C

7C

8C

9C

10C 11C 12C

38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG

TABLET

39 FUROSEMID TAB.40 MG

TABLET

40 GARAM ORALIT UNTUK 200 ML

BUNGKUS

41 GLIBENKELAMID TABLET 5 MG

TABLET

42 GLISERIL GUAYAKOLAT TAB.100 MG

TABLET

43 GRISEOFULVIN TAB. 125 MG

TABLET

44 HALOPERIDOL TABLET 0.5 MG

TABLET

45 HALOPERIDOL TABLET 1.5 MG

TABLET

46 HALOPERIDOL 2 MG

TABLET

47 HIDROKLOROTIAZID (HCT) TAB.25 MG

TABLET

48 IBUPROFEN TABLET 200 MG

TABLET

49 IBUPROFEN TABLET 400 MG

TABLET

50 ISOSORBIT DINITRAT TAB.SALUT 5 MG

TABLET

51 KALIUM DIKLOFENAK TABLET 50 MG

TABLET

52 KALSIUM LAKTAT (KALK) TAB.500 MG

TABLET

53 KAPTOPRIL 12,5 MG

TABLET

54 KAPTOPRIL 25 MG

TABLET

55 KAPTOPRIL 50 MG

TABLET

56 KARBAMAZEPIN TAB.200 MG

TABLET

57 KETOKONAZOLE TAB 200 MG

TABLET

58 KLINDAMSIN 150 MG

TABLET

59 KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

60 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG

TABLET

61 KLOROKUIN TAB. 150 MG

TABLET

62 KLORPROMAZIN HCL TAB.SALUT 100 MG

TABLET

63 KLORPROMAZIN HCL TAB.SALUT 25 MG

TABLET

64 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 50

TABLET

65 KOTRIMOKSAZOL TABLET 480 MG

TABLET

66 KOTRIMOKSAZOL TABLET PEDIATRIK

TABLET

67 KUININ SULFAT TAB.222 MG

TABLET

68 LANSOPRAZOL KAP 30 MG

CAPSUL

69 LOPERAMIDE HCL 2 MG

TABLET

70 LORATADINE TAB 10 MG

TABLET

71 METFORMIN 500 MG

TABLET

72 METHYL PREDNISOLON TAB 4 MG

TABLET

73 METILERGOMETRIN MALEAT TAB 0,125 MG

TABLET

74 METOKLOPRAMID 10 MG

TABLET

75 METRONIDAZOL TAB 500 MG

TABLET

76 METRONIDAZOL TAB.250 MG

TABLET

77 NATRIUM BICARBONAT TABLET

TABLET

78 NATRIUM DIKLOFENAK 25 MG

TABLET

79 NATRIUM DIKLOFENAK 50 MG

TABLET

80 NIFEDIPINE 10 MG

TABLET

81 NISTATIN SALUT 500.000 IU

TABLET

82 NISTATIN TABLET VAGINAL 100.000 IU/G

TABLET

83 OMEPRAZOL KAP 20 MG

CAPSUL

84 PARASETAMOL TAB.100 MG

TABLET

85 PARASETAMOL TAB.500 MG

TABLET

86 PIRACETAM TAB. 400 MG

KAPLET

87 PIRACETAM TAB. 800 MG

KAPLET

88 PIRANTEL TABLET 125 MG

TABLET

89 PIRIDOKSIN HCL TAB. 10 MG

TABLET

90 PIROXICAM 10 MG

TABLET

91 PIROXICAM 20 MG

TABLET

92 PREDNISON TAB.5 MG

TABLET

93 PRIMAKUIN TAB.15 MG

TABLET

94 PROPANOLOL HCL TABLET 10 MG

TABLET

95 PROPANOLOL HCL TABLET 40 MG

TABLET

96 PROPILTIOURASIL TABLET 100 MG

TABLET

97 RANITIDINE TABLET 150 MG

TABLET

98 RETINOL (VIT A) KAPSUL 100.000 IU

CAPSUL

99 RETINOL (VIT A) KAPSUL 200.000 IU

CAPSUL

100 RIFAMPICIN 450 MG

CAPSUL

101 RIFAMPICIN 600 MG

KAPLET

102 RISPERIDON TAB 2 MG

TABLET

103 SALBUTAMOL 4 MG

TABLET

104 SALBUTAMOL 2 MG

TABLET

105 SIANOKOBALAMINA ( VITB 12) TABLET

TABLET

106 SIMETIDIN TABLET

TABLET

107 SIMVASTATIN TAB. 10 MG

TABLET

108 TABLET TAMBAH DARAH KOMB.

TABLET

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

112 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 M

TABLET

113 TRAMADOL KAPSUL 50 MG

CAPSUL

114 TRIFLUOPERAZIN 5 MG

TABLET

115 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG

TABLET

116 VITAMIN B COMPLEKS TAB

TABLET

117 ZINC TABLET

TABLET

118 AMBROXOL SYR 15 MG/ML

BOTOL

119 AMOKSISILIN SIRUP KERING 125 MG/ 5ML

BOTOL

120 ANTASIDA DOEN SUSPENSI

BOTOL

121 CITRIZINE SYRUP

BOTOL

122 DOMPERIDON SUSPENSI 5 MG/5 ML

BOTOL

123 ERYTROMISIN SYRUP

BOTOL

124 IBUPROFEN SUSPENSI

BOTOL

125 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML

BOTOL

126 PARASETAMOL DROP

BOTOL

127 PARASETAMOL SYRUP 120 MG/5 ML

BOTOL

128 THIAMFENICOL SYR

BOTOL

129 ZINK SYRUP

BOTOL

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

131 AMPISILINA SERBUK INJ 1GR

VIAL

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

133 ASAM TRANEXAMAT INJ

AMPUL

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

135 DEXTROSE 5 + 1/4 NS

BOTOL

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

138 DIFENHIDRAMIN INJ.10 MG /ML-1ML

AMPUL

139 EFINEPRIN HCL/BITARTRAT INJ.0,1%

AMPUL

140 FENOBARBITAL INJ. 50 MG/ML - 2 ML

AMPUL

141 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML

AMPUL

142 FUROSEMID INJ 10 ML

AMPUL

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

146 HALOPERIDOL INJEKSI

AMPUL

147 KETOPROFEN INJEKSI 100 MG

AMPUL

148 KETOROLAC INJEKSI 30 MG

AMPUL

149 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML

AMPUL

150 KUININ HIDROKLORIDA INJ.25 % -2 ML

AMPUL

151 LIDOKAIN INJ. 2%

AMPUL

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

155 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1

AMPUL

156 NATRIUM KLORIDA LARUTAN INFUS 0,9 %

BOTOL

157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

158 PIRACETAM INJ 1 GR

AMPUL

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

163 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML

VIAL

164 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL

AMPUL

165 SERUM ANTI DIFTERI 20000 UI

VIAL

166 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./

AMPUL

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

168 ANTI BAKTERI DOEN SALEP

POT

169 ASIKLOVIR KRIM

TUBE

170 BETAMETASON KRIM 0,1 %

TUBE

171 BISAKODIL SUPPOSITORIA

SUPP

172 DIAZEPAM RECTAL 10 MG

TUBE

173 BISOPPROLOL TAB 5MG

TABLET

174 DILTIAZEM

TABLET

175 ASAM FOLAT 1 MG

TABLET

176 SULFASALAZINE

TABLET

177 GLICLAZID

TABLET

178 GEMFIBROZIL

KAPLET

179 GLIMEPIRID

TABLET

180 MELOXICAM 15

TABLET

181 KODEIN TABLET

TABLET

182 ISONIAZID TAB 300 MG

TABLET

183 OBAT ANTITUBERKULOSIS FDC SISIPAN

PAKET

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

185 GENTAMYCIN SULFAT TETES MATA 0,3 %

TUBE

186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

BOTOL TUBE

188 IODIUM POVIDON IODIDA 30 ML 10%

BOTOL

189 IODIUM POVIDON IODIDA 300 ML 10%

BOTOL

190 KETOKONAZOLE KRIM 2 % 191 KLORAMFENIKOL SALEP MATA 1%

TUBE TUBE

192 KLORAMFENIKOL TETES MATA 0,5 %

BOTOL

193 KLORAMFENIKOL TETES TELINGA 3%

BOTOL

194 MIKONAZOLE SALEP

TUBE

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

196 OKSITETRASIKLIN HCL SALEP MATA 1 %

TUBE

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

POT KOTAK

199 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML

VIAL

200 ANTI HAEMOROID DOEN

SUPP

201 OAT/FDC KAT I

KOTAK

202 OAT/FDC KAT II

KOTAK

203 OAT/FDC KAT anak

KOTAK

204 DEC 100mg tablet

TABLET

205 ALBENDAZOLE TABLET 400mg

KOTAK

206 PROKAIN BENZIL PENISILIN

VIAL

207 GENTAMISIN INJ 40ml

AMPUL

208 GLUKONAS KALSIKUS 10%

AMPUL

209 MINERAL MIX

KOTAK

210 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6%

POT

211 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML

VIAL

212 STREPTOMYCIN INJ. 1000MG

VIAL

213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

TABLET TUBE

215 SUCRALFAT SIRUP

BOTOL

216 BROMHEXIN 8 MG

TABLET

217 METFORMIN 850 MG

TABLET

218 KLINDAMYCIN 300 MG 219 DULCOLAX 10 MG SUPP

TABLET SUPP

220 N ACETYLCYSTEIN 200 MG

CAPSUL

221 ISONIAZID TAB 100 MG

TABLET

222 MDT COMBI ADULT (KUSTA)

STRIP

223 AZITROMYCIN DRY SYRUP 200 MG/ML

BOTOL

224 AZITHROMYCIN 500 MG

TABLET

225 MULTIVITAMIN TABLET

TABLET

226 THROMBO ASPILETS

TABLET

227 VENTOLIN NEBU

AMPUL

228 SCABIMITE KRIM

TUBE

229 BRONSOLVAN

TABLET

230 AMINOFLUID

BOTOL

231 ASERING

BOTOL

232 COMBIVEN NEBU

BOTOL

233 ATROVENT SPRAY

BOTOL

234 BETHADINE GARGLE (OBAT KUMUR)

BOTOL

235 AQUA GEL

BOTOL

236 ARTEM INJ

AMPUL

237 CITICOLLIN INJ

AMPUL

238 KANDISTATIN DROPS

BOTOL

239 ONDANCENTRON 4MG INJ

AMPUL

240 PEHACAIN INJ

AMPUL

241 HALOPERIDOL DROP/LODOMER DROP

BOTOL

242 ZIRCUM KID DROP

BOTOL

243 OBAT BATUK HITAM SYRUP

BOTOL

244 MULTI VITAMIN SYRUP

BOTOL

245 BISOLVON DROP

BOTOL

246 AQUA PRO INJEKSI

VIAL

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

248 ETANOL 70 %

BOTOL

249 ETHIL KLORIDA SEMPROT

BOTOL

250 EUGENOL CAIRAN

BOTOL

251 SAMCOBION

CAPSUL

252 ETANOL 70% 1 LITER

BOTOL

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

254 RAPID HIV 1 SD

SET

255 RAPID 2 HIV INTEC

SET

256 RAPID 3 HIV ONCOPROBE

SET

257 PYRIMETHAMIN 25 MG TAB

TABLET

258 DHP/OAM

TABLET

259 ARTESUNATE INJ.250 MG

AMPUL

260 EUTHYROX 100 UG

TABLET

261 CAMABION KAPSUL

CAPSUL

262 FENOBARBITAL 50 MG TAB(SIBITAL) TAB

TABLET

263 OBAT FLU KOMB.TAB(MERTISAL) TAB

TABLET

264 VITAMIN NEUROTROPIK 5000 MG (MERSIBION TABLET 265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

266 KLORAMFENICOL 500 MG

CAPSUL

BMHP 267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

271 BISTURI NO. 12 (carbon steel capel)

KOTAK

272 BLOOD LANCET

KOTAK

273 BOX SLIDE

PCS

274 CATGUT / BENANG BEDAH NO.2/0 - 3/0

SET

275 FOLLEY CATHETHER NO.12

PCS

276 FOLLEY CATHETHER NO.16

PCS

277 FOLLEY CATHETHER NO.18

PCS

278 HAND SCHOEN L NON STERIL

KOTAK

279 HAND SCHOEN M NON STERIL

KOTAK

280 HAND SCHOEN S NON STERIL

KOTAK

281 HAND SCHOEN L STERIL

PCS

282 HAND SCHOEN M STERIL

PCS

283 HAND SCHOEN S STERIL

PCS

284 HAND SCHOEN OBSETRIKAL

PCS

285 INFUS SET ANAK

PCS

286 INFUS SET DEWASA

PCS

287 IV CATHETER NO. 18

PCS

288 IV CATHETER NO. 20

PCS

289 IV CATHETER NO. 22

PCS

290 IV CATHETER NO. 24

PCS

291 IV CATHETER NO. 26

PCS

292 JARUM KULIT

PCS

293 JARUM OTOT

PCS

294 KACA SLIDE

KOTAK

295 KAPAS ADSORBEN 500 GR

BUNGKUS

296 KAPAS PEMBALUT ABSORBEN 250 GR

BUNGKUS

297 KASA KOMPRES 40/40 STERIL

ROL

298 KASA PEMBALUT 2M X 80 CM

ROL

299 KASA PEMBALUT 36 X 80 CM

ROL

300 KASA PEMBALUT HIDROFIL 4M X 15 CM

ROL

301 KASA PEMBALUT HIDROFIL 4M X 3 CM

ROL

302 KASA STERIL 16 X 16 HK

KOTAK

303 LARUTAN ANISOL

BOTOL

304 LARUTAN EDTA 100 ml

BOTOL

305 LARUTAN EOSIN 2 %

BOTOL

306 LARUTAN GIEMSA STAIN

BOTOL

307 LARUTAN H2O2

BOTOL

308 LARUTAN HCL 0,1 N

BOTOL

309 LARUTAN HAYEM

BOTOL

310 LARUTAN KARBOL FUKSIN

BOTOL

311 LARUTAN METANOL

BOTOL

312 LARUTAN REAGENT ANTI A

BOTOL

313 LARUTAN REAGENT ANTI AB

BOTOL

314 LARUTAN REAGENT ANTI B

BOTOL

315 LARUTAN REAGENT ANTI D

BOTOL

316 LARUTAN REAGENT ZIENIL NEELSEN

BOTOL

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

318 MAAG SLANG DEWASA (STOMACH TUBE NO.

PCS

319 MASKER KARET

KOTAK

320 MASKER TALI

KOTAK

321 NEEDLE 23

PCS

322 NEEDLE 24

PCS

323 PLASTER 5 YARD X 2 INCH

ROL

324 RAPID TES PROTEIN

KOTAK

325 RDT TYPUS

KOTAK

326 SELANG OKSIGEN ANAK

PCS

327 SELANG OKSIGEN BAYI

PCS

328 TEST DENGUE DEVICE

KOTAK

329 TEST HBsAG STRIP

KOTAK

330 TEST HCG STRIP

KOTAK

331 TEST MALARIA DEVICE

KOTAK

332 TEST URINE TRIP 10 PARAMETER

KOTAK

333 THREE WAY

BUAH

334 ULTRASOUND GEL 250 ML

BOTOL

335 UNDERPAD

BUNGKUS

336 URINE BAG

PCS

337 AIR RAKSA DENTAL USE

BOTOL

338 ARTICULATING PAPER

KOTAK

339 BONDING SINGLE BOND

BUAH

340 CELLULOID STRIP

BUAH

341 COMPOSITE PASTE (SOLARE)

BUAH

342 ETCHING

BUAH

343 FUJI 9 ART (MINI)

BUAH

344 FUJI II LC

BUAH

345 FUJI IX GC

BUAH

346 FUJI VII GC WHITE

BUAH

347 MATRIX ROLL + MATRIX BOND

BUAH

348 MICRO BRUSH

BUAH

349 OCHO

BUAH

350 SALIVA EJECTOR

BUAH

351 SEMEN SENG FOSFAT SERBUK DAN CAIRAN

BUAH

352 SILVER AMALGAM SERBUK 65-75%

BUAH

353 SPONS GELATIN CUBICLES 1 X 1 X 1 CM

BUAH

354 TABUNG VENOJECT EDTA

BUAH

355 MASKER RESPIRATOR

BUAH

356 PIPET TETES

BUAH

357 THERMAROL

BUAH

358 LIPID PANEL TEST

BUAH

359 ALKOHOL SWAB

BUAH

360 LYSOL

BOTOL

361 JARUM AUTO CLICK

PCS

362 ALAT SUNTIK 0.05ML

PCS

363 ALAT SUNTIK 0.5ML

PCS

364 DIAMOND BOOR SET M

BUAH

365 DIAMOND BOOR SET S

BUAH

366 FEEDING TUBE

BUAH

367 FISURE LANCIP LONG

BUAH

368 LARUTAN SALMONELLA PARATYPHI H

BOTOL

369 LARUTAN SALMONELLA PARATYPHI HA

BOTOL

370 LARUTAN SALMONELLA PARATYPHI HC

BOTOL

371 LARUTAN SALMONELLA PARATYPHI O

BOTOL

372 LARUTAN SALMONELLA PARATYPHI OA

BOTOL

373 LARUTAN SALMONELLA PARATYPHI OB

BOTOL

374 LARUTAN SALMONELLA PARATYPHI OC

BOTOL

375 SUAB TENGGOROKAN

BOTOL

376 SELANG OKSIGEN DEWASA

BUAH

377 SILK(BENANG BEDAH SUTERA)NO.3/0

PCS

378 REAGEN TEST CHLONESTERASE BCHE (DIGITA BOTOL 379 POLIFIX 5 CM X 5 CM 380 CATGUT PLAIN 2/0

ROL BUNGKUS

381 POLIBAN 5 CM X 2.7 M

ROL

382 CATGUT PLAIN 3/0

PCS

383 CATGUT CROM 3/0

PCS

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

385 POT SPUTUM

BOTOL

386 VERORAB REGULAR

VIAL

387 INFUS SET TIPE Y

PCS

388 CHOLESTEROL TEST

PCS

389 GLUCOSE TEST STRIP 50'S

PCS

390 URIC ACID STRIP

PCS

391 POLIFIX 10 CM X 5 CM

PCS

392 TEST HIV

SET

393 LARUTAN ICON OS

BOTOL

394 CYNOFF

LITER

395 RDT MALARIA 396 ABATE

PCS BOTOL

397 LARVASIDA ABATE

KOTAK

398 INSEKTISIDA GOKILATH

BOTOL

399 SOFRATULLE/FRAMICETINE

KOTAK

400 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML

VIAL

401 TEST AMPHETAMIN STRIP

KOTAK

402 TEST SALMONELLA IGM CASSETTE (FOKUS)

STRIP

403 TEST RPR (SEPHILIS)

STRIP

404 HAND RUB

BOTOL

405 MASKER KARET HIJAB

KOTAK

406 FEEDING TUBE NO. 6

PCS

407 FEEDING TUBE NO. 8

PCS

408 STOMACH TUBE NO. 16

PCS

409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERRAB)

KOTAK VIAL

411 412 VAKSIN 413 VAKSIN POLIO

VIAL

414 VAKSIN CAMPAK

VIAL

415 VAKSIN BCG

VIAL

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

418 VAKSIN TT

VIAL

419 VAKSIN TD

VIAL

420 VAKSIN DT

VIAL

421 SAFETY BOX

PCS

422 HEPATITIS B 0,5ML ADS

VIAL

423 ADS 0.05 ML

PCS

424 ADS 0.5 ML

PCS

425 ADS 5 ML

PCS

426 POLIO PIN

VIAL

427 VAKSIN POLIO BOPV

VIAL

428 VAKSIN IPV

VIAL

429 VAKSIN MENINGITIS 200 Mcg

VIAL

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

431 VAKSIN MEASLES AND RUBELLA

VIAL

432 VAKSIN HUMAN PAPILOMA VIRUS (HPV)

VIAL

NOMOR RESEP 13C 14C 15C 16C 17C 18C 19C 20C 21C 22C 23C 24C 25C 26C 27C 28C 29C 30C 31C 32C 33C 34C

JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

RESEP BULANAN PUSKESMAS PUSKESMAS

:

BULAN

:

TAHUN

:

HOME NO

NAMA OBAT

SATUAN / KEMASAN

1

2

3

4

5

6

7

8

9

10

11

1

ALOPURINOL TABLET 100 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

2

ALPRAZOLAM TABLET 0,5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

3

AMBROXOL TAB. 30 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

4

AMINOFILIN TABLET 200 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

5

AMITRIPTILIN HCL TABLET SALUT

TABLET

0

6

AMLODIPIN 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

7

AMLODIPIN 5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

8

AMOKSISILIN KAPSUL 250 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

9

AMOKSISILIN KAPSUL 500 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

AMPISILINA 500 MG TAB

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

10 11

ANTALGIN (METAMPIRON) TABLET

TABLET

0

12

ANTASIDA DOEN TABLET KOMB. (1

TABLET

0

0

0

0

0

0

0

0

0

0

0

13

ANTI MIGRAIN DOEN TABLET KOMB TABLET

0

0

0

0

0

0

0

0

0

0

0

14

ASAM ASKORBAT(VIT.C) TAB.50 M

TABLET

0

0

0

0

0

0

0

0

0

0

0

15

ASAM MEFENAMAT 500 MG

KAPLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

16

ASAM TRANEXAMAT TAB 500MG

TABLET

0

17

ASETOSAL TABLET 100 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

18

ASETOSAL TABLET 500 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

19

ASIKLOVIR TABLET 200 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

20

ASIKLOVIR TABLET 400 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

21

BETAHISTIN MALEAT

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

22

CEFADROXIL TABLET 500 MG

TABLET

0

23

CIPROFLOXACIN 500 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

24

CITRIZINE TABLET 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

25

CLOBAZAM TAB 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

26

CLOPIDOGREL 75 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

27

CO AMOXICLAV 625 MG

TABLET

0

28

DEXAMETASON TAB.0,5MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

29

DIAZEPAM TABLET 2MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

30

DIAZEPAM TABLET 5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

31

DIGOKSIN TAB. 0,25 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

32

DOKSISIKLIN 100 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

TABLET

0

0

0

0

0

0

0

0

0

0

0

33

DOMPERIDON TAB 10 MG

34

EFEDRIN HCL TABLET 25 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

35

ERYTROMISIN 250 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

36

ERYTROMISIN 500 MG

KAPLET

0

0

0

0

0

0

0

0

0

0

0

37

FENITOIN NATRIUM KAP. 100 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

TABLET

0

0

0

0

0

0

0

0

0

0

0

38

FITOMENADION (VIT.K 1) TAB.SAL

39

FUROSEMID TAB.40 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

40

GARAM ORALIT UNTUK 200 ML

BUNGKUS

0

0

0

0

0

0

0

0

0

0

0

41

GLIBENKELAMID TABLET 5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

42

GLISERIL GUAYAKOLAT TAB.100 M

TABLET

0

0

0

0

0

0

0

0

0

0

0

43

GRISEOFULVIN TAB. 125 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

TABLET

0

0

0

0

0

0

0

0

0

0

0

44

HALOPERIDOL TABLET 0.5 MG

45

HALOPERIDOL TABLET 1.5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

46

HALOPERIDOL 2 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

47

HIDROKLOROTIAZID (HCT) TAB.25

TABLET

0

0

0

0

0

0

0

0

0

0

0

48

IBUPROFEN TABLET 200 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

49

IBUPROFEN TABLET 400 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

50

ISOSORBIT DINITRAT TAB.SALUT 5

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

51

KALIUM DIKLOFENAK TABLET 50 M

TABLET

0

52

KALSIUM LAKTAT (KALK) TAB.500

TABLET

0

0

0

0

0

0

0

0

0

0

0

53

KAPTOPRIL 12,5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

54

KAPTOPRIL 25 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

55

KAPTOPRIL 50 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

56

KARBAMAZEPIN TAB.200 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

57

KETOKONAZOLE TAB 200 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

58

KLINDAMSIN 150 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

59

KLORAMFENIKOL KAPSUL 250 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

60

KLORFENIRAMIN MALEAT (CTM) T

TABLET

0

0

0

0

0

0

0

0

0

0

0

61

KLOROKUIN TAB. 150 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

62

KLORPROMAZIN HCL TAB.SALUT 1

TABLET

0

63

KLORPROMAZIN HCL TAB.SALUT 2

TABLET

0

0

0

0

0

0

0

0

0

0

0

64

KOM. PIRIMETAMIN 25 MG + SULF

TABLET

0

0

0

0

0

0

0

0

0

0

0

65

KOTRIMOKSAZOL TABLET 480 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

66

KOTRIMOKSAZOL TABLET PEDIATR

TABLET

0

0

0

0

0

0

0

0

0

0

0

67

KUININ SULFAT TAB.222 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

68

LANSOPRAZOL KAP 30 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

69

LOPERAMIDE HCL 2 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

70

LORATADINE TAB 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

71

METFORMIN 500 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

72

METHYL PREDNISOLON TAB 4 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

73

METILERGOMETRIN MALEAT TAB 0

TABLET

0

74

METOKLOPRAMID 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

75

METRONIDAZOL TAB 500 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

76

METRONIDAZOL TAB.250 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

77

NATRIUM BICARBONAT TABLET

TABLET

0

0

0

0

0

0

0

0

0

0

0

78

NATRIUM DIKLOFENAK 25 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

79

NATRIUM DIKLOFENAK 50 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

80

NIFEDIPINE 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

81

NISTATIN SALUT 500.000 IU

TABLET

0

0

0

0

0

0

0

0

0

0

0

82

NISTATIN TABLET VAGINAL 100.000 TABLET

0

0

0

0

0

0

0

0

0

0

0

83

OMEPRAZOL KAP 20 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

TABLET

0

0

0

0

0

0

0

0

0

0

0

84

PARASETAMOL TAB.100 MG

85

PARASETAMOL TAB.500 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

86

PIRACETAM TAB. 400 MG

KAPLET

0

0

0

0

0

0

0

0

0

0

0

87

PIRACETAM TAB. 800 MG

KAPLET

0

0

0

0

0

0

0

0

0

0

0

88

PIRANTEL TABLET 125 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

89

PIRIDOKSIN HCL TAB. 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

90

PIROXICAM 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

91

PIROXICAM 20 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

92

PREDNISON TAB.5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

93

PRIMAKUIN TAB.15 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

94

PROPANOLOL HCL TABLET 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

95

PROPANOLOL HCL TABLET 40 MG

TABLET

0

96

PROPILTIOURASIL TABLET 100 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

97

RANITIDINE TABLET 150 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

98

RETINOL (VIT A) KAPSUL 100.000

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

99

RETINOL (VIT A) KAPSUL 200.000

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

100 RIFAMPICIN 450 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

101 RIFAMPICIN 600 MG

KAPLET

0

0

0

0

0

0

0

0

0

0

0

102 RISPERIDON TAB 2 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

103 SALBUTAMOL 4 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

104 SALBUTAMOL 2 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

105 SIANOKOBALAMINA ( VITB 12) TAB

TABLET

0

0

0

0

0

0

0

0

0

0

0

106 SIMETIDIN TABLET

TABLET

0

0

0

0

0

0

0

0

0

0

0

107 SIMVASTATIN TAB. 10 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

108 TABLET TAMBAH DARAH KOMB.

TABLET

0

0

0

0

0

0

0

0

0

0

0

109 TETRASIKLIN HCL KAPSUL 250 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

110 TETRASIKLIN HCL KAPSUL 500 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

111 THIAMPHENICOL KAP. 500 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

112 TIAMIN HCL MONONITRAT (VIT B1)

TABLET

0

0

0

0

0

0

0

0

0

0

0

113 TRAMADOL KAPSUL 50 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

114 TRIFLUOPERAZIN 5 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

115 TRIHEKSIFENIDIL HIDROKLORIDA

TABLET

0

0

0

0

0

0

0

0

0

0

0

116 VITAMIN B COMPLEKS TAB

TABLET

0

0

0

0

0

0

0

0

0

0

0

117 ZINC TABLET

TABLET

0

0

0

0

0

0

0

0

0

0

0

118 AMBROXOL SYR 15 MG/ML

BOTOL

0

0

0

0

0

0

0

0

0

0

0

119 AMOKSISILIN SIRUP KERING 125 M

BOTOL

0

0

0

0

0

0

0

0

0

0

0

120 ANTASIDA DOEN SUSPENSI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

121 CITRIZINE SYRUP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

122 DOMPERIDON SUSPENSI 5 MG/5 M

BOTOL

0

0

0

0

0

0

0

0

0

0

0

123 ERYTROMISIN SYRUP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

124 IBUPROFEN SUSPENSI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

125 KOTRIMOKSAZOL SUSPENSI 240 MG BOTOL

0

0

0

0

0

0

0

0

0

0

0

126 PARASETAMOL DROP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

127 PARASETAMOL SYRUP 120 MG/5 M

BOTOL

0

0

0

0

0

0

0

0

0

0

0

128 THIAMFENICOL SYR

BOTOL

0

0

0

0

0

0

0

0

0

0

0

129 ZINK SYRUP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

130 AMINOFILIN INJEKSI 24 MG/ML - 10

AMPUL

0

0

0

0

0

0

0

0

0

0

0

VIAL

0

0

0

0

0

0

0

0

0

0

0

132 ANTALGIN INJ. 250 MG /ML-2ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

133 ASAM TRANEXAMAT INJ

AMPUL

0

0

0

0

0

0

0

0

0

0

0

134 ATROPIN INJEKSI I.M 0.25MG/ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

135 DEXTROSE 5 + 1/4 NS

BOTOL

0

0

0

0

0

0

0

0

0

0

0

136 DEXAMETASON INJ.5MG/ML-1ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

137 DIAZEPAM INJ.5MG/ML-2ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

138 DIFENHIDRAMIN INJ.10 MG /ML-1M

AMPUL

0

0

0

0

0

0

0

0

0

0

0

139 EFINEPRIN HCL/BITARTRAT INJ.0,1

AMPUL

0

0

0

0

0

0

0

0

0

0

0

140 FENOBARBITAL INJ. 50 MG/ML - 2

AMPUL

0

0

0

0

0

0

0

0

0

0

0

141 FITOMENADION (VIT.K 1) INJ.10 M

AMPUL

0

0

0

0

0

0

0

0

0

0

0

142 FUROSEMID INJ 10 ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

143 GENTAMYCIN INJEKSI 80 MG/2 ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

144 GLUKOSA LAR,INFUS 10 % STERIL

BOTOL

0

0

0

0

0

0

0

0

0

0

0

145 GLUKOSA LAR.INFUS 5 % STERIL

BOTOL

0

0

0

0

0

0

0

0

0

0

0

146 HALOPERIDOL INJEKSI

AMPUL

0

0

0

0

0

0

0

0

0

0

0

147 KETOPROFEN INJEKSI 100 MG

AMPUL

0

0

0

0

0

0

0

0

0

0

0

148 KETOROLAC INJEKSI 30 MG

AMPUL

0

0

0

0

0

0

0

0

0

0

0

149 KLORPROMAZIN HCL INJ. 5 MG / M

AMPUL

0

0

0

0

0

0

0

0

0

0

0

150 KUININ HIDROKLORIDA INJ.25 % -2

AMPUL

0

0

0

0

0

0

0

0

0

0

0

131 AMPISILINA SERBUK INJ 1GR

151 LIDOKAIN INJ. 2%

AMPUL

0

0

0

0

0

0

0

0

0

0

0

152 LIDOKAIN KOMB.INJ. HCL 2%

AMPUL

0

0

0

0

0

0

0

0

0

0

0

153 MAGNESIUM SULFAT 20 % INJEKSI

AMPUL

0

0

0

0

0

0

0

0

0

0

0

154 MAGNESIUM SULFAT 40 % INJEKSI

AMPUL

0

0

0

0

0

0

0

0

0

0

0

155 METIL ERGOMETRIN MALEAT INJ.0

AMPUL

0

0

0

0

0

0

0

0

0

0

0

156 NATRIUM KLORIDA LARUTAN INFUS BOTOL

0

0

0

0

0

0

0

0

0

0

0

157 OKSITOSIN INJ 10 IU/ML - 1 ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

158 PIRACETAM INJ 1 GR

AMPUL

0

0

0

0

0

0

0

0

0

0

0

159 RANITIDINE INJ 25 MG/ML-2ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

160 RINGER LAKTAT LAR.INFUS STERIL

BOTOL

0

0

0

0

0

0

0

0

0

0

0

161 SEFOTAKSIM INJEKSI 0,5 G

VIAL

0

0

0

0

0

0

0

0

0

0

0

162 SEFOTAKSIM SERBUK INJ. 1 G

VIAL

0

0

0

0

0

0

0

0

0

0

0

163 SERUM ANTI BISA ULAR POLIVALEN

VIAL

0

0

0

0

0

0

0

0

0

0

0

164 SERUM ANTI TETANUS INJ. 1.500 IU AMPUL

0

0

0

0

0

0

0

0

0

0

0

165 SERUM ANTI DIFTERI 20000 UI

VIAL

0

0

0

0

0

0

0

0

0

0

0

166 SIANOKOBALAMINA ( VITB 12) INJ.

AMPUL

0

0

0

0

0

0

0

0

0

0

0

167 TRAMADOL INJEKSI 50 MG/ML

AMPUL

0

0

0

0

0

0

0

0

0

0

0

POT

0

0

0

0

0

0

0

0

0

0

0

169 ASIKLOVIR KRIM

TUBE

0

0

0

0

0

0

0

0

0

0

0

170 BETAMETASON KRIM 0,1 %

TUBE

0

0

0

0

0

0

0

0

0

0

0

171 BISAKODIL SUPPOSITORIA

SUPP

0

0

0

0

0

0

0

0

0

0

0

172 DIAZEPAM RECTAL 10 MG

TUBE

0

0

0

0

0

0

0

0

0

0

0

173 BISOPPROLOL TAB 5MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

174 DILTIAZEM

TABLET

0

0

0

0

0

0

0

0

0

0

0

175 ASAM FOLAT 1 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

176 SULFASALAZINE

TABLET

0

0

0

0

0

0

0

0

0

0

0

177 GLICLAZID

TABLET

0

0

0

0

0

0

0

0

0

0

0

178 GEMFIBROZIL

KAPLET

0

0

0

0

0

0

0

0

0

0

0

179 GLIMEPIRID

TABLET

0

0

0

0

0

0

0

0

0

0

0

180 MELOXICAM 15

TABLET

0

0

0

0

0

0

0

0

0

0

0

181 KODEIN TABLET

TABLET

0

0

0

0

0

0

0

0

0

0

0

182 ISONIAZID TAB 300 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

183 OBAT ANTITUBERKULOSIS FDC SIS

PAKET

0

0

0

0

0

0

0

0

0

0

0

184 GENTAMYCIN SALEP KULIT 0,1 %

TUBE

0

0

0

0

0

0

0

0

0

0

0

168 ANTI BAKTERI DOEN SALEP

TUBE

0

0

0

0

0

0

0

0

0

0

0

BOTOL

0

0

0

0

0

0

0

0

0

0

0

TUBE

0

0

0

0

0

0

0

0

0

0

0

188 IODIUM POVIDON IODIDA 30 ML 1

BOTOL

0

0

0

0

0

0

0

0

0

0

0

189 IODIUM POVIDON IODIDA 300 ML

BOTOL

0

0

0

0

0

0

0

0

0

0

0

TUBE

0

0

0

0

0

0

0

0

0

0

0

191 KLORAMFENIKOL SALEP MATA 1%

TUBE

0

0

0

0

0

0

0

0

0

0

0

192 KLORAMFENIKOL TETES MATA 0,5

BOTOL

0

0

0

0

0

0

0

0

0

0

0

193 KLORAMFENIKOL TETES TELINGA

BOTOL

0

0

0

0

0

0

0

0

0

0

0

194 MIKONAZOLE SALEP

TUBE

0

0

0

0

0

0

0

0

0

0

0

195 OKSITETRASIKLIN HCL SALEP 3 %

TUBE

0

0

0

0

0

0

0

0

0

0

0

196 OKSITETRASIKLIN HCL SALEP MATA

TUBE

0

0

0

0

0

0

0

0

0

0

0

POT

0

0

0

0

0

0

0

0

0

0

0

KOTAK

0

0

0

0

0

0

0

0

0

0

0

199 OKSITETRASIKLIN HCL INJ. 50 MG/

VIAL

0

0

0

0

0

0

0

0

0

0

0

200 ANTI HAEMOROID DOEN

SUPP

0

0

0

0

0

0

0

0

0

0

0

201 OAT/FDC KAT I

KOTAK

0

0

0

0

0

0

0

0

0

0

0

202 OAT/FDC KAT II

KOTAK

0

0

0

0

0

0

0

0

0

0

0

203 OAT/FDC KAT anak

KOTAK

0

0

0

0

0

0

0

0

0

0

0

185 GENTAMYCIN SULFAT TETES MATA 186 GENTIAN VIOLET LARUTAN 1 % 187 HIDROKORTISON KRIM 2,5%

190 KETOKONAZOLE KRIM 2 %

197 SALEP 2-4 KOMB. 198 SALISIL BEDAK 2 %

204 DEC 100mg tablet

TABLET

0

0

0

0

0

0

0

0

0

0

0

205 ALBENDAZOLE TABLET 400mg

KOTAK

0

0

0

0

0

0

0

0

0

0

0

VIAL

0

0

0

0

0

0

0

0

0

0

0

207 GENTAMISIN INJ 40ml

AMPUL

0

0

0

0

0

0

0

0

0

0

0

208 GLUKONAS KALSIKUS 10%

AMPUL

0

0

0

0

0

0

0

0

0

0

0

209 MINERAL MIX

KOTAK

0

0

0

0

0

0

0

0

0

0

0

210 ANTIFUNGI DOEN KOMB : ASAM B

POT

0

0

0

0

0

0

0

0

0

0

0

211 SERUM ANTI BISA ULAR POLIVALEN

VIAL

0

0

0

0

0

0

0

0

0

0

0

212 STREPTOMYCIN INJ. 1000MG

VIAL

0

0

0

0

0

0

0

0

0

0

0

TABLET

0

0

0

0

0

0

0

0

0

0

0

TUBE

0

0

0

0

0

0

0

0

0

0

0

215 SUCRALFAT SIRUP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

216 BROMHEXIN 8 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

217 METFORMIN 850 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

218 KLINDAMYCIN 300 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

SUPP

0

0

0

0

0

0

0

0

0

0

0

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

TABLET

0

0

0

0

0

0

0

0

0

0

0

222 MDT COMBI ADULT (KUSTA)

STRIP

0

0

0

0

0

0

0

0

0

0

0

223 AZITROMYCIN DRY SYRUP 200 MG

BOTOL

0

0

0

0

0

0

0

0

0

0

0

224 AZITHROMYCIN 500 MG

TABLET

0

0

0

0

0

0

0

0

0

0

0

225 MULTIVITAMIN TABLET

TABLET

0

0

0

0

0

0

0

0

0

0

0

226 THROMBO ASPILETS

TABLET

0

0

0

0

0

0

0

0

0

0

0

227 VENTOLIN NEBU

AMPUL

0

0

0

0

0

0

0

0

0

0

0

228 SCABIMITE KRIM

TUBE

0

0

0

0

0

0

0

0

0

0

0

229 BRONSOLVAN

TABLET

0

0

0

0

0

0

0

0

0

0

0

230 AMINOFLUID

BOTOL

0

0

0

0

0

0

0

0

0

0

0

231 ASERING

BOTOL

0

0

0

0

0

0

0

0

0

0

0

232 COMBIVEN NEBU

BOTOL

0

0

0

0

0

0

0

0

0

0

0

233 ATROVENT SPRAY

BOTOL

0

0

0

0

0

0

0

0

0

0

0

234 BETHADINE GARGLE (OBAT KUMU

BOTOL

0

0

0

0

0

0

0

0

0

0

0

235 AQUA GEL

BOTOL

0

0

0

0

0

0

0

0

0

0

0

236 ARTEM INJ

AMPUL

0

0

0

0

0

0

0

0

0

0

0

237 CITICOLLIN INJ

AMPUL

0

0

0

0

0

0

0

0

0

0

0

238 KANDISTATIN DROPS

BOTOL

0

0

0

0

0

0

0

0

0

0

0

239 ONDANCENTRON 4MG INJ

AMPUL

0

0

0

0

0

0

0

0

0

0

0

240 PEHACAIN INJ

AMPUL

0

0

0

0

0

0

0

0

0

0

0

241 HALOPERIDOL DROP/LODOMER D

BOTOL

0

0

0

0

0

0

0

0

0

0

0

242 ZIRCUM KID DROP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

243 OBAT BATUK HITAM SYRUP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

244 MULTI VITAMIN SYRUP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

245 BISOLVON DROP

BOTOL

0

0

0

0

0

0

0

0

0

0

0

VIAL

0

0

0

0

0

0

0

0

0

0

0

247 ETAKRIDIN/RIVANOL LAR.0,1 %

BOTOL

0

0

0

0

0

0

0

0

0

0

0

248 ETANOL 70 %

BOTOL

0

0

0

0

0

0

0

0

0

0

0

249 ETHIL KLORIDA SEMPROT

BOTOL

0

0

0

0

0

0

0

0

0

0

0

250 EUGENOL CAIRAN

BOTOL

0

0

0

0

0

0

0

0

0

0

0

251 SAMCOBION

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

252 ETANOL 70% 1 LITER

BOTOL

0

0

0

0

0

0

0

0

0

0

0

253 OBAT BATUK SIRUP KOMBINASI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

254 RAPID HIV 1 SD

SET

0

0

0

0

0

0

0

0

0

0

0

255 RAPID 2 HIV INTEC

SET

0

0

0

0

0

0

0

0

0

0

0

256 RAPID 3 HIV ONCOPROBE

SET

0

0

0

0

0

0

0

0

0

0

0

206 PROKAIN BENZIL PENISILIN

213 ASAM FOLAT 0,4 MG 214 GENTAMICYN SALEP MATA

219 DULCOLAX 10 MG SUPP 220 N ACETYLCYSTEIN 200 MG 221 ISONIAZID TAB 100 MG

246 AQUA PRO INJEKSI

257 PYRIMETHAMIN 25 MG TAB

TABLET

0

0

0

0

0

0

0

0

0

0

0

258 DHP/OAM

TABLET

0

0

0

0

0

0

0

0

0

0

0

259 ARTESUNATE INJ.250 MG

AMPUL

0

0

0

0

0

0

0

0

0

0

0

260 EUTHYROX 100 UG

TABLET

0

0

0

0

0

0

0

0

0

0

0

261 CAMABION KAPSUL

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

262 FENOBARBITAL 50 MG TAB(SIBITAL TABLET

0

0

0

0

0

0

0

0

0

0

0

263 OBAT FLU KOMB.TAB(MERTISAL) T

TABLET

0

0

0

0

0

0

0

0

0

0

0

264 VITAMIN NEUROTROPIK 5000 MG (

TABLET

0

0

0

0

0

0

0

0

0

0

0

265 METAMIZOLE 500 MG/ML INJEKSI

AMPUL

0

0

0

0

0

0

0

0

0

0

0

266 KLORAMFENICOL 500 MG

CAPSUL

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

267 ALAT SUNTIK SEKALI PAKAI 1 ML

SET

0

0

0

0

0

0

0

0

0

0

0

268 ALAT SUNTIK SEKALI PAKAI 3 ML

SET

0

0

0

0

0

0

0

0

0

0

0

269 ALAT SUNTIK SEKALI PAKAI 5 ML

SET

0

0

0

0

0

0

0

0

0

0

0

270 ALAT SUNTIK SEKALI PAKAI 10 ML

SET

0

0

0

0

0

0

0

0

0

0

0

271 BISTURI NO. 12 (carbon steel cape

KOTAK

0

0

0

0

0

0

0

0

0

0

0

272 BLOOD LANCET

BMHP

KOTAK

0

0

0

0

0

0

0

0

0

0

0

273 BOX SLIDE

PCS

0

0

0

0

0

0

0

0

0

0

0

274 CATGUT / BENANG BEDAH NO.2/0 -

SET

0

0

0

0

0

0

0

0

0

0

0

275 FOLLEY CATHETHER NO.12

PCS

0

0

0

0

0

0

0

0

0

0

0

276 FOLLEY CATHETHER NO.16

PCS

0

0

0

0

0

0

0

0

0

0

0

PCS

0

0

0

0

0

0

0

0

0

0

0

278 HAND SCHOEN L NON STERIL

KOTAK

0

0

0

0

0

0

0

0

0

0

0

279 HAND SCHOEN M NON STERIL

KOTAK

0

0

0

0

0

0

0

0

0

0

0

280 HAND SCHOEN S NON STERIL

KOTAK

0

0

0

0

0

0

0

0

0

0

0

PCS

0

0

0

0

0

0

0

0

0

0

0

282 HAND SCHOEN M STERIL

PCS

0

0

0

0

0

0

0

0

0

0

0

283 HAND SCHOEN S STERIL

PCS

0

0

0

0

0

0

0

0

0

0

0

284 HAND SCHOEN OBSETRIKAL

PCS

0

0

0

0

0

0

0

0

0

0

0

285 INFUS SET ANAK

PCS

0

0

0

0

0

0

0

0

0

0

0

286 INFUS SET DEWASA

PCS

0

0

0

0

0

0

0

0

0

0

0

287 IV CATHETER NO. 18

PCS

0

0

0

0

0

0

0

0

0

0

0

288 IV CATHETER NO. 20

PCS

0

0

0

0

0

0

0

0

0

0

0

289 IV CATHETER NO. 22

PCS

0

0

0

0

0

0

0

0

0

0

0

290 IV CATHETER NO. 24

PCS

0

0

0

0

0

0

0

0

0

0

0

291 IV CATHETER NO. 26

PCS

0

0

0

0

0

0

0

0

0

0

0

292 JARUM KULIT

PCS

0

0

0

0

0

0

0

0

0

0

0

PCS

0

0

0

0

0

0

0

0

0

0

0

277 FOLLEY CATHETHER NO.18

281 HAND SCHOEN L STERIL

293 JARUM OTOT

KOTAK

0

0

0

0

0

0

0

0

0

0

0

BUNGKUS

0

0

0

0

0

0

0

0

0

0

0

296 KAPAS PEMBALUT ABSORBEN 250 BUNGKUS

0

0

0

0

0

0

0

0

0

0

0

297 KASA KOMPRES 40/40 STERIL

ROL

0

0

0

0

0

0

0

0

0

0

0

298 KASA PEMBALUT 2M X 80 CM

ROL

0

0

0

0

0

0

0

0

0

0

0

299 KASA PEMBALUT 36 X 80 CM

ROL

0

0

0

0

0

0

0

0

0

0

0

300 KASA PEMBALUT HIDROFIL 4M X 1

ROL

0

0

0

0

0

0

0

0

0

0

0

301 KASA PEMBALUT HIDROFIL 4M X 3

ROL

0

0

0

0

0

0

0

0

0

0

0

302 KASA STERIL 16 X 16 HK

KOTAK

0

0

0

0

0

0

0

0

0

0

0

303 LARUTAN ANISOL

BOTOL

0

0

0

0

0

0

0

0

0

0

0

304 LARUTAN EDTA 100 ml

BOTOL

0

0

0

0

0

0

0

0

0

0

0

305 LARUTAN EOSIN 2 %

BOTOL

0

0

0

0

0

0

0

0

0

0

0

306 LARUTAN GIEMSA STAIN

BOTOL

0

0

0

0

0

0

0

0

0

0

0

294 KACA SLIDE 295 KAPAS ADSORBEN 500 GR

307 LARUTAN H2O2

BOTOL

0

0

0

0

0

0

0

0

0

0

0

308 LARUTAN HCL 0,1 N

BOTOL

0

0

0

0

0

0

0

0

0

0

0

309 LARUTAN HAYEM

BOTOL

0

0

0

0

0

0

0

0

0

0

0

310 LARUTAN KARBOL FUKSIN

BOTOL

0

0

0

0

0

0

0

0

0

0

0

311 LARUTAN METANOL

BOTOL

0

0

0

0

0

0

0

0

0

0

0

312 LARUTAN REAGENT ANTI A

BOTOL

0

0

0

0

0

0

0

0

0

0

0

313 LARUTAN REAGENT ANTI AB

BOTOL

0

0

0

0

0

0

0

0

0

0

0

314 LARUTAN REAGENT ANTI B

BOTOL

0

0

0

0

0

0

0

0

0

0

0

315 LARUTAN REAGENT ANTI D

BOTOL

0

0

0

0

0

0

0

0

0

0

0

316 LARUTAN REAGENT ZIENIL NEELS

BOTOL

0

0

0

0

0

0

0

0

0

0

0

317 LEUCOPLAST 7.5 CM X 5 CM

ROL

0

0

0

0

0

0

0

0

0

0

0

318 MAAG SLANG DEWASA (STOMACH T

PCS

0

0

0

0

0

0

0

0

0

0

0

319 MASKER KARET

KOTAK

0

0

0

0

0

0

0

0

0

0

0

320 MASKER TALI

KOTAK

0

0

0

0

0

0

0

0

0

0

0

321 NEEDLE 23

PCS

0

0

0

0

0

0

0

0

0

0

0

322 NEEDLE 24

PCS

0

0

0

0

0

0

0

0

0

0

0

323 PLASTER 5 YARD X 2 INCH

ROL

0

0

0

0

0

0

0

0

0

0

0

324 RAPID TES PROTEIN

KOTAK

0

0

0

0

0

0

0

0

0

0

0

325 RDT TYPUS

KOTAK

0

0

0

0

0

0

0

0

0

0

0

326 SELANG OKSIGEN ANAK

PCS

0

0

0

0

0

0

0

0

0

0

0

327 SELANG OKSIGEN BAYI

PCS

0

0

0

0

0

0

0

0

0

0

0

328 TEST DENGUE DEVICE

KOTAK

0

0

0

0

0

0

0

0

0

0

0

329 TEST HBsAG STRIP

KOTAK

0

0

0

0

0

0

0

0

0

0

0

330 TEST HCG STRIP

KOTAK

0

0

0

0

0

0

0

0

0

0

0

331 TEST MALARIA DEVICE

KOTAK

0

0

0

0

0

0

0

0

0

0

0

332 TEST URINE TRIP 10 PARAMETER

KOTAK

0

0

0

0

0

0

0

0

0

0

0

333 THREE WAY

BUAH

0

0

0

0

0

0

0

0

0

0

0

334 ULTRASOUND GEL 250 ML

BOTOL

0

0

0

0

0

0

0

0

0

0

0

BUNGKUS

0

0

0

0

0

0

0

0

0

0

0

335 UNDERPAD

PCS

0

0

0

0

0

0

0

0

0

0

0

337 AIR RAKSA DENTAL USE

BOTOL

0

0

0

0

0

0

0

0

0

0

0

338 ARTICULATING PAPER

KOTAK

0

0

0

0

0

0

0

0

0

0

0

339 BONDING SINGLE BOND

BUAH

0

0

0

0

0

0

0

0

0

0

0

340 CELLULOID STRIP

BUAH

0

0

0

0

0

0

0

0

0

0

0

341 COMPOSITE PASTE (SOLARE)

BUAH

0

0

0

0

0

0

0

0

0

0

0

342 ETCHING

BUAH

0

0

0

0

0

0

0

0

0

0

0

343 FUJI 9 ART (MINI)

BUAH

0

0

0

0

0

0

0

0

0

0

0

344 FUJI II LC

BUAH

0

0

0

0

0

0

0

0

0

0

0

345 FUJI IX GC

BUAH

0

0

0

0

0

0

0

0

0

0

0

346 FUJI VII GC WHITE

BUAH

0

0

0

0

0

0

0

0

0

0

0

347 MATRIX ROLL + MATRIX BOND

BUAH

0

0

0

0

0

0

0

0

0

0

0

348 MICRO BRUSH

BUAH

0

0

0

0

0

0

0

0

0

0

0

349 OCHO

BUAH

0

0

0

0

0

0

0

0

0

0

0

350 SALIVA EJECTOR

BUAH

0

0

0

0

0

0

0

0

0

0

0

351 SEMEN SENG FOSFAT SERBUK DAN

BUAH

0

0

0

0

0

0

0

0

0

0

0

352 SILVER AMALGAM SERBUK 65-75%

BUAH

0

0

0

0

0

0

0

0

0

0

0

353 SPONS GELATIN CUBICLES 1 X 1

BUAH

0

0

0

0

0

0

0

0

0

0

0

354 TABUNG VENOJECT EDTA

BUAH

0

0

0

0

0

0

0

0

0

0

0

355 MASKER RESPIRATOR

BUAH

0

0

0

0

0

0

0

0

0

0

0

356 PIPET TETES

BUAH

0

0

0

0

0

0

0

0

0

0

0

357 THERMAROL

BUAH

0

0

0

0

0

0

0

0

0

0

0

358 LIPID PANEL TEST

BUAH

0

0

0

0

0

0

0

0

0

0

0

359 ALKOHOL SWAB

BUAH

0

0

0

0

0

0

0

0

0

0

0

336 URINE BAG

BOTOL

0

0

0

0

0

0

0

0

0

0

0

361 JARUM AUTO CLICK

PCS

0

0

0

0

0

0

0

0

0

0

0

362 ALAT SUNTIK 0.05ML

PCS

0

0

0

0

0

0

0

0

0

0

0

363 ALAT SUNTIK 0.5ML

PCS

0

0

0

0

0

0

0

0

0

0

0

364 DIAMOND BOOR SET M

BUAH

0

0

0

0

0

0

0

0

0

0

0

365 DIAMOND BOOR SET S

BUAH

0

0

0

0

0

0

0

0

0

0

0

BUAH

0

0

0

0

0

0

0

0

0

0

0

367 FISURE LANCIP LONG

BUAH

0

0

0

0

0

0

0

0

0

0

0

368 LARUTAN SALMONELLA PARATYPHI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

369 LARUTAN SALMONELLA PARATYPHI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

370 LARUTAN SALMONELLA PARATYPHI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

371 LARUTAN SALMONELLA PARATYPHI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

372 LARUTAN SALMONELLA PARATYPHI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

373 LARUTAN SALMONELLA PARATYPHI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

374 LARUTAN SALMONELLA PARATYPHI

BOTOL

0

0

0

0

0

0

0

0

0

0

0

375 SUAB TENGGOROKAN

BOTOL

0

0

0

0

0

0

0

0

0

0

0

376 SELANG OKSIGEN DEWASA

BUAH

0

0

0

0

0

0

0

0

0

0

0

PCS

0

0

0

0

0

0

0

0

0

0

0

378 REAGEN TEST CHLONESTERASE BCH BOTOL

0

0

0

0

0

0

0

0

0

0

0

379 POLIFIX 5 CM X 5 CM

ROL

0

0

0

0

0

0

0

0

0

0

0

BUNGKUS

0

0

0

0

0

0

0

0

0

0

0

381 POLIBAN 5 CM X 2.7 M

ROL

0

0

0

0

0

0

0

0

0

0

0

382 CATGUT PLAIN 3/0

PCS

0

0

0

0

0

0

0

0

0

0

0

360 LYSOL

366 FEEDING TUBE

377 SILK(BENANG BEDAH SUTERA)NO.

380 CATGUT PLAIN 2/0

PCS

0

0

0

0

0

0

0

0

0

0

0

384 SABUN ANTI SEPTIK (DETTOL)

BOTOL

0

0

0

0

0

0

0

0

0

0

0

385 POT SPUTUM

BOTOL

0

0

0

0

0

0

0

0

0

0

0

386 VERORAB REGULAR

VIAL

0

0

0

0

0

0

0

0

0

0

0

387 INFUS SET TIPE Y

PCS

0

0

0

0

0

0

0

0

0

0

0

388 CHOLESTEROL TEST

PCS

0

0

0

0

0

0

0

0

0

0

0

389 GLUCOSE TEST STRIP 50'S

PCS

0

0

0

0

0

0

0

0

0

0

0

390 URIC ACID STRIP

PCS

0

0

0

0

0

0

0

0

0

0

0

391 POLIFIX 10 CM X 5 CM

PCS

0

0

0

0

0

0

0

0

0

0

0

392 TEST HIV

SET

0

0

0

0

0

0

0

0

0

0

0

BOTOL

0

0

0

0

0

0

0

0

0

0

0

LITER

0

0

0

0

0

0

0

0

0

0

0

PCS

0

0

0

0

0

0

0

0

0

0

0

396 ABATE

BOTOL

0

0

0

0

0

0

0

0

0

0

0

397 LARVASIDA ABATE

KOTAK

0

0

0

0

0

0

0

0

0

0

0

398 INSEKTISIDA GOKILATH

BOTOL

0

0

0

0

0

0

0

0

0

0

0

KOTAK

0

0

0

0

0

0

0

0

0

0

0

383 CATGUT CROM 3/0

393 LARUTAN ICON OS 394 CYNOFF 395 RDT MALARIA

399 SOFRATULLE/FRAMICETINE

VIAL

0

0

0

0

0

0

0

0

0

0

0

401 TEST AMPHETAMIN STRIP

KOTAK

0

0

0

0

0

0

0

0

0

0

0

402 TEST SALMONELLA IGM CASSETTE

STRIP

0

0

0

0

0

0

0

0

0

0

0

403 TEST RPR (SEPHILIS)

STRIP

0

0

0

0

0

0

0

0

0

0

0

404 HAND RUB

BOTOL

0

0

0

0

0

0

0

0

0

0

0

405 MASKER KARET HIJAB

KOTAK

0

0

0

0

0

0

0

0

0

0

0

406 FEEDING TUBE NO. 6

PCS

0

0

0

0

0

0

0

0

0

0

0

407 FEEDING TUBE NO. 8

PCS

0

0

0

0

0

0

0

0

0

0

0

408 STOMACH TUBE NO. 16

PCS

0

0

0

0

0

0

0

0

0

0

0

KOTAK

0

0

0

0

0

0

0

0

0

0

0

VIAL

0

0

0

0

0

0

0

0

0

0

0

411

0

0

0

0

0

0

0

0

0

0

0

412

0

0

0

0

0

0

0

0

0

0

0

400 SERUM ANTI RABIES (SAR) INJ 200

409 TEST HAEMOGLOBIN STRIP 410 RABIES IMUNO GLOBULIN (HYPERR

VAKSIN

0

0

0

0

0

0

0

0

0

0

0

413 VAKSIN POLIO

VIAL

0

0

0

0

0

0

0

0

0

0

0

414 VAKSIN CAMPAK

VIAL

0

0

0

0

0

0

0

0

0

0

0

415 VAKSIN BCG

VIAL

0

0

0

0

0

0

0

0

0

0

0

416 VAKSIN DPT HB HIB / PENTABIO

VIAL

0

0

0

0

0

0

0

0

0

0

0

417 VAKSIN DPT HB UNIJECT / HB O

VIAL

0

0

0

0

0

0

0

0

0

0

0

418 VAKSIN TT

VIAL

0

0

0

0

0

0

0

0

0

0

0

419 VAKSIN TD

VIAL

0

0

0

0

0

0

0

0

0

0

0

420 VAKSIN DT

VIAL

0

0

0

0

0

0

0

0

0

0

0

421 SAFETY BOX

PCS

0

0

0

0

0

0

0

0

0

0

0

422 HEPATITIS B 0,5ML ADS

VIAL

0

0

0

0

0

0

0

0

0

0

0

423 ADS 0.05 ML

PCS

0

0

0

0

0

0

0

0

0

0

0

424 ADS 0.5 ML

PCS

0

0

0

0

0

0

0

0

0

0

0

425 ADS 5 ML

PCS

0

0

0

0

0

0

0

0

0

0

0

426 POLIO PIN

VIAL

0

0

0

0

0

0

0

0

0

0

0

427 VAKSIN POLIO BOPV

VIAL

0

0

0

0

0

0

0

0

0

0

0

428 VAKSIN IPV

VIAL

0

0

0

0

0

0

0

0

0

0

0

429 VAKSIN MENINGITIS 200 Mcg

VIAL

0

0

0

0

0

0

0

0

0

0

0

430 VAKSIN DPT HB UNIJECT DEWASA

PCS

0

0

0

0

0

0

0

0

0

0

0

431 VAKSIN MEASLES AND RUBELLA

VIAL

0

0

0

0

0

0

0

0

0

0

0

432 VAKSIN HUMAN PAPILOMA VIRUS (

VIAL

0

0

0

0

0

0

0

0

0

0

0

TANGGAL 12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

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JUMLAH

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1. Januari.xlsx

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