NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN
OBAT SESUAI FORMULARIUM NASIONAL (FORNAS)
3 Amlodipin tablet 10 mg tablet
4 Amlodipin tablet 5 mg tablet
5 Amoksisilin sir 125mg/5 ml botol
6 Amoksisilin Tablet 500 mg tablet
7 Antasida DOEN I Tablet Kunyah Kombinasi tablet
8 Antasida DOEN II Suspensi Kombinasi botol
9 Antifungi DOEN Kombinasi tube
10 Antihemoroid Kombinasi sup supp
11 Antimalaria DOEN Kombinasi (Primetamin dan Sulfadoksin) tablet
12 Antimigren Komb ( Ergotamin 1mg + kafein 50 mg ) tablet
13 Asam asetil salisilat (asetosal) tablet80 mg tablet
14 Asam Askorbat (Vitamin C) Tablet 50 mg tablet
15 Asam Folat 1 mg tablet
16 Asam Mefenamat tablet 500 mg tablet
17 Asiklovir Tablet 200 mg tablet
18 Asiklovir Tablet 400 mg tablet
19 Atapulgit Tablet tablet
20 Atenolol 50 mg tablet
21 Atropin Injeksi . 0,25 mg/ml ( i.m./ i.v. / s.k) ampul
22 Bedak Salisil serbuk 2% bgks
23 Betametason Krim 0,05 % tube
24 Bisaprolol 5mg tablet
25 Deksametason Injeksi 5 mg/ml (i.v/i.m) ampul
26 Deksametason Tablet 0,5 mg tablet
27 Diazepam Injeksi 5 mg/ml ( i.v/i.m) ampul
28 Diazepam Tablet 2 mg tablet
29 Diazepam Tablet 5 mg tablet
30 Difenhidramin Injeksi 10 mg / ml (i.v/i.m) ampul
31 Digoksin Tablet 0,25 mg tablet
32 Domperidon 10 mg Tablet tablet
33 Epinefrin (Adrenalin) Injeksi 0,1 % (i.v/s.k/i.m) ampul
34 Eritromisin Kapsul 500 mg tablet
35 Eritromisin Sirup 200 mg / 5 ml sirup
36 Etanol cairan 70 % botol
37 Etil Klorida Semprot 100 ml botol
38 Eugenol cairan botol
39 Fenobarbital tablet 30 mg tablet
40 Fitomenadion (Vitamin K1) Injeksi 2mg/ml (i.m) ampul
41 Fitomenadion (Vitamin K1) Tablet Salut 10 mg tablet
42 Furosemid Tablet 40 mg tablet
43 Garam Oralit I Serbuk Kombinasi bgks
44 Glass Ionomer Cement Art Lar. set
45 Glibenklamida Tablet 5 mg tablet
46 Griseofulvin Tablet 125 mg tablet
47 Hidroklorotiazida Tablet 25 mg tablet
48 Hidrokortison Krim 2,5 % tube
49 Hyoscine -N-Butilbromide Tablet 10 mg tablet
50 Ibuprofen Sirup 100 mg/5 ml botol
51 Ibuprofen Tablet 200 mg tablet
52 Ibuprofen Tablet 400 mg tablet
53 Isosorbid Dinitrat Tablet Sublingual 5 mg tablet
54 Kalsium Hidroksida bubuk,Pasta botol
55 Kaptopril Tablet 12,5 mg tablet
56 Kaptopril Tablet 25 mg tablet
57 karbo Gliserin tetestelinga 10 % botol
58 Ketokonazol tab 200 mg tablet
59 Kloramfenikol kapsul 250 mg kapsul
60 Kloramfenikol Salep Mata 1 % tube
61 Kloramfenikol susp 125mg/5ml botol
62 Kloramfenikol Tetes Mata 1 % botol
63 Kloramfenikol tetes telinga 1% botol
64 Klorfeniramin Tablet 4 mg ( ctm) tablet
65 Klorpromazin Tablet Salut 100 mg (HCl) tablet
66 Kotrimoksazol (Dewasa ) Sulfa - Trimetoprim tablet 480 mg tablet
67 Kotrimoksazol Sulfa - Trimetoprim suspensi 240 mg/5ml botol
68 Lidokain 2% + Epineprin 1 : 80.000 injeksi 2 ml ampul
69 Loratadin 10 mg tablet tablet
70 Metformin 500 mg tablet
71 Metilergometrin Maleat Injeksi 0.2 mg - 1ml ampul
72 Metilergometrin Maleat Tablet Salut 0,125 mg Tab tablet
73 Metronidazol Tablet 250 mg tablet
74 Metronidazol tablet 500 mg tablet
75 Mikonazol Krim 2% (Nitrat) tube
76 Natrium Bikarbonat Tablet 500 mg ( Meylon ) tablet
77 Natrium Diklofenak Tablet 25 mg tablet
78 Natrium Diklofenak Tablet 50 mg tablet
79 Nifedipin Tablet 10 mg tablet
80 Obat TB ( FDC Dewasa ) Kat. 1 paket
81 Obat TB ( FDC Anak ) Kat. 2 paket
82 Oksitosin Injeksi 10 iu/ml -1 ml ampul
83 Omeprazol tablet 20 mg tablet
84 Parasetamol Sirup 120 mg / 5 ml botol
85 Parasetamol Tablet 500 mg tablet
86 Parasetamol drops 100 mg / 1 ml botol
87 Pirantel pamoat tab 125 mg tablet
88 Piridoksin (Vitamin B6) Tablet 10 mg (HCl) tablet
89 Povidon Iodida 100 mg/ml botol
90 Povidon Iodida 100 mg/ml botol
91 Prednison Tablet 5 mg tablet
92 Prokain Benzil Penisilin G. Injeksi 3 Juta iu/Vial vial
93 Propanolol Tablet 10 mg (HCl) tablet
94 Propilitiourasil Tablet 100 mg tablet
95 Ranitidin Tablet 150 mg tablet
96 Salbutamol Tablet 2 mg (Sebagai Sulfat) tablet
97 Salbutamol Tablet 4 mg (Sebagai Sulfat) tablet
98 Salep 2 - 4 Kombinasi tube
99 Serum Anti Bisa Ular Polivalen Injeksi 5 ml (ABU I) ampul
100 Serum Anti Tetanus Injeksi. 1.500 iu / 1 ml (ATS) ampul
101 Sianokobalamin (Vitamin B12) Injeksi 500 mcg ampul
102 Simvastatin Tablet 10 mg tablet
103 Simvastatin Tablet 20 mg tablet
104 Siprofloksasin Tablet scored 500 mg tablet
105 Spironolakton 25 mg tablet tablet
106 Tetrasiklin Kapsul 500 mg kapsul
107 Tiamin (Vitamin B1) Tablet 50 mg (HCl / Nitrat) tablet
108 Vitamin B Kompleks Tablet tablet
109 Zink tablet dispersi 20 mg tablet
OBAT NON FORMULARIUM NASIONAL (FORNAS)
111 Ambroxol Sirup 15 mg/ml botol
112 Ambroxol Tablet 30 mg tablet
113 Antalgin Injeksi 250 mg ampul
114 Antibakteri DOEN Salep Kombinasi (Bacytrasin Salep) tube
115 Asiklovir Krim 5% tube
116 Efedrin Tablet 25mg ( HCL ) tablet
117 Ekstraks Belladona Tablet 10 mg tablet
118 Etakridin Larutan 0,1 botll
119 Fenol Gliserol Tetes Telinga 10 % botll
120 Gentamisin Salep Kulit 0,1 % tube
121 Gliseril Guaiakolat Tablet 100 mg tablet
122 Guafenisin tablet tablet
123 Glukosa Larutan Infus 5 % Steril kalf
124 Kalsium Laktat (Kalk) Tablet 500 mg tablet
125 Natrium Klorida Larutan Infus 0,9% botll
126 Obat Batuk Hitam (OBH) 100 ml Cairan botll
127 Oksitetrasiklin HCl Injeksi. i.m. 50 mg/ml - 10 ml vial
128 Oksitetrasiklin HCl Salep Mata 1 % tube
129 Oksitetrasiklin Salep Kulit 3 % tube
130 Piroxicam 20mg tablet
131 Ranitidin Injeksi 25 mg / 2 ml ampul
132 Ringer Laktat Larutan Infus Steril kalf
133 Setirizin Sirup 5 mg/5ml botll
134 Setirizin Tablet 10mg tablet
135 Sulfasetamida Natrium Tetes Mata 15 % tube
136 Tablet Tambah Darah tablet
137 Tiamin (Vitamin B1) Injeksi 100 mg/ml ampul
138 Ventolin ampul
BAHAN MEDIS HABIS PAKAI (BMHP)
1 Alat Suntik Sekali Pakai 1 ml pcs
2 Alat Suntik Sekali Pakai 2,5 ml pcs
3 Alat Suntik Sekali Pakai 5 ml pcs
4 Catgut / Benang bedah No. 3/0 Dengan Jarum Bedah set
5 Hanscoond no 6,5 pcs
6 Hanscoond no 7,5 pcs
7 Infusion Set Anak set
8 Infusion Set Dewasa set
9 Kapas Pembalut / Absorben 250 gr bgks
10 Kasa Pembalut 2 m x 80 cm bgks
11 Kasa Hidrofil 4 m x 15 cm bgks
12 Kasa Hidrofil 4 m x 3 cm bgks
13 Kasa Hidrofil Steril Uk. 16 cm x 16 cm bgks
14 Kasa Hidrofil Uk. 36 m x 80 cm bgks
15 Kasa Kompres 40/40 Steril bgks
16 Kasa Pembalut Hidrofil 4 m x 10 cm bgks
17 Kasa Pembalut Hidrofil 4 m x 5 cm bgk
18 Masker pcs
19 Plester 5 Yards x 2 inci roll
20 Silk (Benang Bedah Sutra) No. 3/0 Dengan Jarum Bedah set
21 alat suntik 3 ml pcs
REGISTER HARI OBAT
TAHUN : 2019
PENERIMAAN TANGGAL
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JUMLAH PEMAKAIAN SISA KET
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