LAPORAN PENAMBAHAN OBAT / ALAT KESEHATAN

KLINIK : NAYAKA ERA HUSADA MATARAM

CABANG : MATARAM
PERIODE : 1 s/d 31 oktober 2018

Sisa TANGGAL OBAT MASUK Jml Obt Stok Awal

No Nama Obat Sedian Pabrik bln Lalu 10/1/2018 10/2/2018 10/8/2018 10/16/2018 10/22/2018 10/27/2018 Masuk + Masuk
1 Gol. Sefalosporin
Cefadroxil 500 mg Tablet Indofarma - - -
- Lostacef 500 mg Tablet Ifars 30 - 30
Cefadroxil 125 mg / 5 ml Sirup Indofarma - - -
- Lostacef 125 mg / 5 mg Sirup Ifars 19 10 10 29
Sulfadoxine Tablet Indofarma - - -
- Spasmodine Tablet Ifars 67 - 67
- - -
2 Gol. Penisillin - - -
Amoxycillin 500 mg Tablet Indofarma - - -
- Novamox 500 mg / Amostera 500 mg / Brodamox 500 mg Tablet Nova / Hufa 700 400 600 400 400 400 2,200 2,900
Amoxycillin 250 mg/ 5 ml Sirup Indofarma - - -
- Brodamox 250 mg/5 ml Sirup 12 15 10 25 37
Amoxycillin 125 mg/ 5 ml Sirup Indofarma - - -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Yusimox 125 mg/5 ml Sirup Nova / Hufa 13 24 25 25 10 15 99 112
Ampicillin 500 mg Tablet Indofarma - - -
-Duramycin 500 mg Tablet - - -
- - -
3 Gol. Kloramfenikol - - -
Klorampenikol Kapsul Indofarma - - -
Klorampenikol Syrup Sirup Errita - - -
- Novachlor 250 mg Sirup Nova - - -
Tiampenicol Tablet Indofarma - - -
- Thiamex / Dionicol Kapsul Ifars 120 - 120
- - -
4 Gol. Kuinolon - - -
Ciprofloxacin Tablet Indofarma - - -
- Hufaflox / Etaflox / Novaflox Tablet Hufa / Eta / Nov 320 200 200 400 720
- - -
5 Gol. Tetrasiklin - - -
Tetrasiklin 500 mg Tablet Indofarma - - -
- Novabiotic 500 mg Tablet Nova 250 - 250
- Doksisiklin 500 mg Tablet Errita 300 - 300
- - -
6 Antibiotik Kombinasi - - -
Cotrimoxazol 480 mg Tablet Indofarma - - -
- Primadex 480 mg / Pehatrim 480 mg / Graprima 480 mg / Wiatrim Tablet Graha 240 - 240
Cotrimoxazol 5 ml Sirup Sirup Errita - - -
 - Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Novatrim 5 ml Sirup Dexa Medika 3 10 10 20 23
Primadex forte / Sisosprim Forte Tablet Dexa Medika - - -
- - -
7 Antibiotik Lain - - -
Unkomisin Tablet Indofarma - - -
Clindamisin Tablet Indofarma - - -
- Milorin Tablet 175 - 175
- - -
8 Analgetik & Antipirentik - - -
Asam mefenamat 500 mg Tablet Indofarma - - -
- Novastan 500 mg / Grafamic 500 mg Tablet Nova 660 300 400 700 1,360
Antalgin 500 mg Tablet Indofarma - - -
Parasetamol 500 mg Tablet Indofarma - - -
- Novagesic 500 mg / Procet 500 mg / Mirasic 500 mg / Alpamol 500 mg Tablet Nova 615 400 200 500 200 500 300 2,100 2,715
Parasetamol syrup Sirup Errita - - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Fasidol 5 ml Sirup Nova 20 20 20 6 25 10 81 101
-pamol 125 supositoria supos interbat 14 - 14
- Mirasic forte 650 Drops Ifars - - -
-novagesic kaleng Tablet Kalbe Farma 839 - 839
Neuralgin Tablet Mecosin - - -
- Neurophyron V Tablet Harsen - - -
- Analpim Tablet PIM - - -
- - -
9 Anti Piretik & Anti Tusif - - -
- Alpara Tablet Molex Ayus - - -
- Bronchifar Tablet Ifars 4 - 4
- Dextral Tablet Molex Ayus - - -
- Dextral Syrup Sirup Molex Ayus - - -
- Flucadex Tablet Graha farma - - -
- Demacolin / Corhinza Tablet Coronet 450 200 400 300 200 300 1,400 1,850
- Tera F Tablet Rama Emeral - - -
- Rama Flu Tablet Rama Emeral 380 400 400 780
- Flutrop / Decotan Tablet Tropica Farma - 200 200 200
- Citocetin syrup Sirup Clublos farma - - -
- - -
10 Anti Tusif - - -
Ambroxol 30 mg Tablet Indofarma - - -
- Roverton 30 mg / Hufaxol 30 mg / Zenirex 30 mg Tablet 245 200 400 300 200 1,100 1,345
Ambroxol syrup Sirup Indofarma - - -
- Roverton syrup / Hufaxol Syrup / Erlapect syrup / Zenirex Syrup Sirup Ifars 14 15 15 29
-Bromifar Tablet - - -
- Bronkris Tablet Graha farma - - -
Dextromerthophan Tablet Indofarma - - -
- Code 15 Tablet - - -
Dextromerthophan syrup Sirup Indofarma - - -
Gliceryl Guaikolat (GG) Tablet Berlico 159 - 159
 OBH Itrasal Syrup Sirup Itrasal - - -
OBP Itrasal Syrup Sirup Itrasal - - -
- Grantusif Tablet Graha farma 340 - 340
- Graxine Tablet Graha farma 230 100 100 330
- Coparcetin Tablet Sampharindo 530 300 400 400 1,100 1,630
- Coparcetin Syrup / Remco syrup Sirup Sampharindo 14 20 20 20 22 15 97 111
- Pim-Tra-Kol syrup / Pacdin syrup Sirup PIM - - -
Kombiven 2,5 ml Ampul 3 20 20 23
- - -
11 Anti Histamin - - -
Loratadin Tablet Indofarma - - -
- Winatin Tablet 197 100 300 200 200 800 997
Cetrizin Tablet Indofarma - - -
CTM Tablet Kimia Farma - - -
- Dehista / Alleron / Alermax / Orphen / Pallerskin Tablet Berlico 315 200 200 515
-ctm kaleng Tablet Erlimplex 579 - 579
- - -
12 Antasida - - -
Antasida Tablet Kimia Farma - - -
- Novamag / Dexanta Tablet Nova 310 200 200 200 600 910
Antasida Syrup Sirup Kimia Farma - - -
- Hufamag Plus /Hufasid Syrup / Atmasid Syrup / Novamag Syrup Sirup Hufa / Nova 19 20 30 50 69
Ranitidin Tablet Indofarma - - -
- Gasela / Hufadine Tablet Hufa / Nova 385 200 300 300 800 1,185
Cimitidin Tablet Indofarma - - -
- Tidifar Tablet 10 - 10
Omeprazol Tablet Indofarma - - -
- Etagastrin / Lanzoprazole / Omekur Tablet 252 100 100 100 300 552
- - -
13 Anti Emetic - - -
Domperidone Tablet Kimia Farma - - -
- Hufadon / Rosidon / Veperum Tablet Hufa 250 100 200 300 550
Domperidon syrup Sirup Kimia Farma - - -
- Hufadon syrup / Rosidon syrup Sirup Hufa 15 10 10 20 35
Metocdopramite syrup Sirup Kimia Farma - - -
- Norvum syrup / Primpen syrup Sirup Sampharindo 3 - 3
Dimenhidranat 50 Tablet Indofarma - - -
- Omedrinat 50 / Mantino 50 Tablet Sampharindo 100 - 100
- - -
14 Anti Spasmodik - - -
Papaverin HCL Tablet Kimia Farma - - -
Papaverin Injeksi Vial/Amp Kimia Farma - - -
Spasminal Tablet Hexpharm 165 200 100 300 465
- Scopma Plus Tablet Ifars - - -
- - -
15 Anti Diare - - -
 Oralit Saset Erela - - -
- Bioralit / Ramolit Saset Mecosin 124 100 100 224
- Diaform / Corosorb / Mecodiar Tablet Indofarma 640 - 640
-akita Tablet - - -
- Novadiar syrup / Guanistrip Syrup / Kanina Syrup Sirup Itrasal 14 15 15 29
Zink Dispersible Tablet Indofarma 220 200 100 100 400 620
- - -
16 Cordiovaskuler System - - -
ISDN 5 mg Tablet Indofarma - - -
- Farsorbit 5 mg Tablet 100 - 100
Propanolol Tablet Propanolol - -
Nipedipin Tablet Kimia Farma 260 - 260
- - -
17 Anti Hipertensi - - -
Catopril 25 mg Tablet Indofarma 445 200 200 645
Catopril 50 mg Tablet Indofarma - - -
- Forten 25 mg / Forten 50 mg Tablet Mexa Medica - - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet Indofarma - - -
- Selescordion 5 mg / Selscordion 10 mg Tablet Kimia Farma 465 260 520 400 330 1,510 1,975
- - -
18 Dislipidemia (Kolesterol) - - -
Simpastatin Tablet Kimia farma - - -
- Selvim / Pontizoc Tablet Ifars 180 100 100 100 100 400 580
- - -
19 Anti Asma - - -
Aminophylin Tablet Indo Farma - - -
- Grafasma / Grafalin Tablet Graha Farma - - -
- Teosal Tablet Dexa Medika - - -
- Teosal Syrup Tablet Dexa Medika - - -
Salbutamol 2 mg / Salbutamol 4 mg Tablet Indo Farma - - -
- Salbron 2 mg / Saltam 4 mg Tablet Ifars 600 - 600
- - -
20 Anti Convulsan - - -
Phenytoin Na Tablet Ikapharmindo - - -
Amitriptilin Tablet Indofarma - - -
- - -
21 Anti Vertigo - - -
Histigo Tablet Ifars 125 100 100 200 325
- - -
22 Non Steroid Anti Inflamasin - - -
Piroxicame Tablet Indofarma - - -
- Novaxicame / Fasiden / Samrox / Wiros Tablet Nova /Ifars 230 100 100 330
Meloxicam 7,5 mg Tablet Indofarma - - -
Ibuprofen Tablet Indofarma - - -
- Novaxifen/ Bunova / Farsifen / Axofen / Novapex Tablet Nova /Ifars 420 400 400 300 1,100 1,520
Na. Diklofenat Tablet Indofarma - - -
 Renadinac 25 mg Tablet - - -
Renadinac 50 mg Tablet 280 200 300 400 200 1,100 1,380
Diclofenac Potassium Tablet - - -
- Erphaflam, Megatic Tablet - - -
Epirizol HCL Tablet - - -
- Estalex Tablet 205 - 205
- - -
23 Dioretik - - -
HCT Tablet Indofarma - - -
Furasemid Tablet Indofarma 95 - 95
- - -
24 Hyperuricemia (asam Urat) - - -
Allupurinol Tablet Indofarma - - -
- Alodan / Alofar / Linogra Tablet Ifars 55 200 100 200 500 555
- - -
25 Kortikosteroid - - -
Methyl Prenisolon Tablet Indofarma - - -
- Rhemafar 4 mg Tablet Ifars 270 200 200 200 600 870
Prednison Tablet Kimia Farma - - -
- Inflason Tablet Berlico - - -
Dexamethasane 0,5 mg Tablet Indofarma - - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmetasone 0,5 mg Tablet Graha Farma 520 400 400 200 400 1,400 1,920
-dexa kaleng Tablet Indofarma 455 - 455
- Polofar Plus Tablet Ifars - - -
- - -
26 Hasemostatik - - -
Vitamin K Tablet Kimia Farma - - -
- Danochrom Tablet Hexpharm - - -
- - -
27 Phlebilis Preparation - - -
Nuwasir Tablet Medikon - - -
Anti Hemaroid Supp Suppos - - -
Superoid Supp Suppos 11 6 12 18 29
- - -
28 Anti Viral - - -
Acyclovir Tablet Indofarma - - -
- Vipres / Acifar Tablet 120 100 100 220
Acyclovir cream Cream Indofarma - - -
- Acifar cream Tablet 36 20 20 56
- - -
29 Antelmintik - - -
Pyratel Tablet Kimia Farma 189 - 189
Combantrin Tablet - - -
Combantrin syrup Sirup - - -
- - -
30 Vitamin - - -
 - Neurodex Tablet Dexa Medika 700 - 700
- Caviplex /Selviplex /Supravit/Calfero Tablet Erela 295 300 400 400 400 1,500 1,795
- Livron B Plex Tablet Phapros - - -
- Hufabion / Novabion /fermia/ Fondazen Tablet Hufa 360 - 360
- Sulfas Ferrosus Tablet Kimia Farma - - -
Vitamin B1 Tablet Kimia Farma - - -
Vitamin B6 Tablet Kimia Farma - - -
Vitamin B12 Tablet Kimia Farma - - -
Vitamin B Komplek Tablet Kimia Farma 443 - 443
Vitamin C Tablet Kimia Farma 105 - 105
GUCOLIN serbuk 1 - 1
- Licokalk Tablet Berlico - - -
- Calcicus Lactat Tablet Erela 160 - 160
Curviplex Syrup / Tyalisin Syrup / Seltifort syrup / Solvita Syrup Syrup Graha Farma 21 20 15 15 50 71
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet Graha Farma - - -
- - -
31 Anti Fungi - - -
Ketoconazole 200 mg Tablet Kimia Farma - - -
- Solinfec 200 mg / Tokasid 200 mg / Pronazol 200 mg Tablet 70 200 200 270
Ketokonazole 2 % Salep Salep Kimia Farma - - -
- Solifec 2 % salep / Micoticum 2 salep Salep Indofarma 13 20 20 33
Metrodinazole 500 mg Tablet Indofarma - - -
- Novagil 500 mg / Selesnizol 500 mg / Farizol 500 mg Tablet Graha Farma 265 - 265
Glesilvulvine Tablet Indofarma - - -
- Omevulvin Tablet 100 - 100
- - -
32 Obat KB - - -
Pil Mikrodiol 30 Tablet Kimia farma - - -
Pil Andalan Tablet Triyasa 168 - 168
Cyclogeston Injeksi Ampul Triyasa - - -
Depogeston Injeksi 1 bln Ampul Triyasa 26 - 26
Depo Andalan injeksi 3 bln Ampul 16 20 20 40 56
Kondom Biji - - -
- - -
33 Anti TB - - -
Rifampisin 600 Tablet - - -
Etambutol 500 Tablet - - -
INH 300 Tablet - - -
Pyrazinamid 500 Tablet - - -
- - -
34 Preparat Mata - - -
Oxytetracycline salep mata Salep - - -
Erlamycetin Salep Mata Salep Erela 3 10 10 13
cindo xitrol TM Salep 4 10 10 20 24
Erlamycetin Tetes Mata/Reco TM Tetes Erela - - -
- Isotic Neolysin TM/ Allegtrol TM / Reco TM Tetes 8 - 8
 - - -
35 Preparat Telinga - - -
Erlamycetin Tetes Telinga Tetes Erela - - -
- Reco Tetes Telinga Tetes 16 - 16
- Otopain TT / Santades TT Tetes - - -
Forumen Ear Drop10 ml Tetes Sanbe 2 - 2
- - -
36 Perparat Mulut - - -
Bufacomb In Orabase Cream Bufa - - -
GOM Cito Liquid Clubros 30 - 30
- Abotil Liquid - - -
- Mycostatin drop Sirup - - -
- Degirol Permen Hisap Tablet - - -
- Minosep kumur Cair - - -
- - -
37 Preparat Kulit - - -
Gentamisin Sulfat salep Salep Indofarma - - -
- Genalten Salep Salep Hufa 17 20 18 20 58 75
Hidrocortisone salep Salep Indofarma - - -
- Vanquin Plus Cream / Solacort Cream / Bufacot N Cream Salep Hufa 22 20 20 42
Miconazole salep Salep Indofarma - - -
- Locoriz cream Salep - - -
Salep Kulit 24 Salep Clubros - - -
Oxytetracyclin salep kulit Salep Indofarma 10 - 10
- Erladerem N Cream Salep 11 20 20 40 51
- Burnazim Cream (luka barar) Salep - - -
Icthiol salep bisul Salep Clubros 8 - 8
Salycil Talk/Bedak Talkum Kimia Farma - - -
Larutan PK Liquid - - -
- - -
38 Vaksin - - -
Vaksin BCG Ampul Biofarma - - -
Vaksin Campak Ampul Biofarma - - -
Vaksin DPT Ampul Biofarma - - -
Vaksin TT Ampul Biofarma - - -
Vaksin Polio Ampul Biofarma - - -
- - -
DIGOXIN Tablet Kimia Farma - - -
- Fargoxine Tablet 100 - 100
- - -
GLIBENCLAMIDA 5 mg Tablet Kimia Farma - - -
- Latibet 5 mg Tablet Ifars 205 100 100 200 405
- - -
METFORMIN Tablet Kimia Farma 400 100 100 200 600
- - -
LUMINAL Tablet Kimia Farma - - -
 - - -
TRANEXAMIC ACID (ASAM TRANEXAMIN ) Tablet Indo Farma - - -
- Nexitra Tablet Ifars 92 - 92
- - -
39 Obat Injeksi - - -
Adimidon Injeksi Vial - - -
Aminophiline Injeksi Vial - - -
Duradril Injeksi Vial 10 - 10
DIAZEPAM Injeksi Vial - - -
EPINERPHINE Injeksi Ampul - - -
Furasemide Injeksi Vial - - -
Quininen Injeksi Vial - - -
Lidocain / Pehacain Injeksi Vial 70 - 70
Metoclhoramide Injeksi Vial - - -
Neurobion / Neuroboran Injeksi Vial 11 - 11
Scopamin Injeksi Vial - - -
TRAMADOL Injeksi Ampul - - -
Vitamin B Complek Injeksi Ampul - - -
Vitamin B 12 Injeksi Ampul - - -
Vitamin K Injeksi Vial - - -
Xilomidon Injeksi Vial - - -
Ranitidine Injeksi Ampul 13 - 13
Dexamethasone Inj Ampul 5 - 5
Ketorolac Injeksi Ampul 14 - 14
Metil prednisolon Inj Ampul - - -
Benodon Ampul 21 - 21
- - -
40 Lain-lain - - -
Abocet 18 Pcs - - -
Abocet 20 Pcs 1 - 1
Abocet 22 Pcs - - -
Abocet 24 Pcs 1 - 1
Infuset Dewasa / Anak Pcs 1 - 1
Alkohol 70 % Liquid PIM 1 - 1
Rivanol 100 ml/300ml Liquid Molex 1 - 1
Ringer Laktat (RL) Liquid Kimia Farma - - -
Glukosa 5% Liquid Kimia Farma - - -
NHCL Liquid Kimia Farma 1 - 1
Betadine 300 ml/Iodine Povidone Liquid Mahakam 1 - 1
H2O2 3% Liquid Prima Plus 1 - 1
Kasa Steril Husada Pcs Askara - - -
Kapas 250 Husada/HIDROFILL Pcs Unknown 1 - 1
Verban Pcs Unknown 1 - 1
Spuit 1 cc Pcs OneMet - - -
Spuit 3 cc Pcs OneMet 86 100 100 186
Spuit 5 cc Pcs OneMet - - -
Spuit 10 cc Pcs OneMet - - -
Needle 23 / Jarum Pcs OneMet 104 - 104
Needle komplit Pcs OneMet - - -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs Unknown 1 - 1
Silk 3/0, 4/0 (Black, White) Pcs Unknown 6 - 6
Bisturi No. 15 Pcs Unknown - - -
Handscoon S, M, L, XL Pcs Sensi Gloves 249 300 300 549
HCG Test (Test kehamilan) Pcs Care Lamson 51 - 51
Masker 3 Fly Pcs Remedi - - -
Mess Pcs 1 - 1
Lubrikan Pot - - -
Hansaplas (Plester) Liquid OneMet 1 - 1
Aquapro Inj Liquid 3 - 3
Kertas Puyer Bungkus 100 - 100
Klip Obat Bungkus 2,900 1,000 1,000 2,000 4,900
Plastik Kresek obat Bungkus - - -
Safratule / Daryantulle Bungkus 1 - 1

Total 22,753 4,329 200 7,561 4,524 4,839 4,490 - 15 - - 25,958 48,711

Mengetahui, Mataram, 05 November 2018

Koordinator Unit Kerja Klinik Yang membuat,

Bukhari Rahmat, SE DESI RATNASARI, Amd Farm

Staf Medis Klinik
REKAP LAPORAN PENGUNAAN OBAT HARIAN

KLINIK : NAYAKA HUSADA

CABANG/UNIT : MATARAM
PERIODE : 01 s/d 31 Oktober 2018

Stock TANGGAL KELUAR OBAT Stok

No NAMA OBAT Total
Sedian 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 Akhir
1 Gol. Sefalosporin -
Cefadroxil 500 mg Tablet - - -
- Lostacef 500 mg Tablet 30 - 30
Cefadroxil 125 mg / 5 ml Sirup - - -
- Lostacef 125 mg / 5 mg Sirup 29 1 1 1 1 1 1 1 1 1 1 10 19
Sulfadoxine Tablet - - -
- Spasmodine Tablet 67 - 67
- - -
2 Gol. Penisillin - - -
Amoxycillin 500 mg Tablet - - -
- Novamox 500 mg / Amostera 500 mg / B Tablet 2,900 90 50 80 50 90 50 90 120 80 90 90 30 50 60 90 90 90 150 90 140 90 150 150 120 90 110 120 2,500 400
Amoxycillin 250 mg/ 5 ml Sirup - - -
- Brodamox 250 mg/5 ml Sirup 37 1 2 2 1 1 1 1 2 1 2 2 3 1 3 2 1 2 1 1 3 1 34 3
Amoxycillin 125 mg/ 5 ml Sirup - - -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/ Sirup 112 6 5 3 2 4 5 2 5 6 7 3 1 1 5 4 4 5 4 1 1 4 3 2 3 4 1 3 94 18
Ampicillin 500 mg Tablet - - -
-Duramycin 500 mg Tablet - - -
- - -
3 Gol. Kloramfenikol - - -
Klorampenikol Kapsul - - -
Klorampenikol Syrup Sirup - - -
- Novachlor 250 mg Sirup - - -
Tiampenicol Tablet - - -
- Thiamex / Dionicol Kapsul 120 - 120
- - -
4 Gol. Kuinolon - - -
Ciprofloxacin Tablet - - -
- Hufaflox / Etaflox / Novaflox Tablet 720 40 20 30 10 40 50 20 10 10 10 20 10 20 15 40 10 10 10 30 10 35 10 30 30 20 30 570 150
- - -
5 Gol. Tetrasiklin - - -
Tetrasiklin 500 mg Tablet - - -
- Novabiotic 500 mg Tablet 250 - 250
- Doksisiklin 500 mg Tablet 300 - 300
- - -
6 Antibiotik Kombinasi - - -
Cotrimoxazol 480 mg Tablet - - -
- Primadex 480 mg / Pehatrim 480 mg / Gr Tablet 240 15 10 10 10 10 10 10 10 10 20 10 10 135 105
Cotrimoxazol 5 ml Sirup Sirup - - -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 Sirup 23 1 1 1 1 1 1 1 1 1 1 2 1 1 14 9
Primadex forte / Sisosprim Forte Tablet - - -
- - -
7 Antibiotik Lain - - -
Unkomisin Tablet - - -
Clindamisin Tablet - - -
 - Milorin Tablet 175 - 175
- - -
8 Analgetik & Antipirentik - - -
Asam mefenamat 500 mg Tablet - - -
- Novastan 500 mg / Grafamic 500 mg Tablet 1,360 30 40 50 20 40 90 20 30 30 20 40 10 20 30 30 60 30 50 40 60 30 50 60 40 50 15 985 375
Antalgin 500 mg Tablet - - -
Parasetamol 500 mg Tablet - - -
- Novagesic 500 mg / Procet 500 mg / Mir Tablet 2,715 130 140 130 160 110 150 20 140 40 120 50 30 30 140 150 80 30 50 20 50 110 90 80 110 120 90 110 2,480 235
Parasetamol syrup Sirup - - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 Sirup 101 2 3 1 3 4 3 2 2 4 4 3 2 4 3 1 3 2 2 1 2 1 3 5 4 6 4 8 82 19
-pamol 125 supositoria supos 14 1 2 1 1 1 1 1 1 1 2 1 1 14 -
- Pamol Drops / Fasidol Drops Drops - - -
-novagesic kaleng Tablet 839 20 10 20 10 10 10 10 12 12 10 10 10 10 10 20 40 30 10 15 20 299 540
Neuralgin Tablet - - -
- Neurophyron V Tablet - - -
- Analpim Tablet - - -
- - -
9 Anti Piretik & Anti Tusif - - -
- Alpara Tablet - - -
- Bronchifar Tablet 4 - 4
- Dextral Tablet - - -
- Dextral Syrup Sirup - - -
- Flucadex Tablet - - -
- Demacolin / Corhinza Tablet 1,850 120 90 30 20 90 20 20 90 40 90 90 30 30 120 30 50 60 40 40 90 20 80 120 60 50 40 20 1,580 270
- Tera F Tablet - - -
- Rama Flu Tablet 780 10 10 20 10 20 10 20 20 10 30 20 20 40 10 40 20 30 10 90 80 20 540 240
- Flutrop / Decotan Tablet 200 - 200
- Citocetin syrup Sirup - - -
- - -
10 Anti Tusif - - -
Ambroxol 30 mg Tablet - - -
- Roverton 30 mg / Hufaxol 30 mg / Zenire Tablet 1,345 20 40 10 30 30 20 30 90 20 40 20 10 20 30 10 10 40 40 20 30 10 50 40 60 10 30 35 795 550
Ambroxol syrup Sirup - - -
- Roverton syrup / Hufaxol Syrup / Erlapec Sirup 29 1 1 2 27
-Bromifar Tablet - - -
- Bronkris Tablet - - -
Dextromerthophan Tablet - - -
- Code 15 Tablet - - -
Dextromerthophan syrup Sirup - - -
Gliceryl Guaikolat (GG) Tablet 159 2 1 2 3 3 2 1 1 1 16 143
OBH Itrasal Syrup Sirup - - -
OBP Itrasal Syrup Sirup - - -
- Grantusif Tablet 340 10 10 10 20 10 10 15 10 10 105 235
- Graxine Tablet 330 10 10 5 10 35 295
- Coparcetin Tablet 1,630 120 110 30 40 10 30 30 20 20 20 120 20 10 110 20 120 90 20 90 90 30 120 10 20 90 90 35 1,515 115
- Coparcetin Syrup / Remco syrup Sirup 111 5 3 1 4 1 2 3 4 5 6 6 8 7 5 5 2 7 6 2 2 2 2 1 4 4 6 5 108 3
- Pim-Tra-Kol syrup / Pacdin syrup Sirup - - -
Kombiven 2,5 ml Ampul 23 1 5 2 1 1 1 1 1 13 10
- - -
11 Anti Histamin - - -
Loratadin Tablet - - -
- Winatin Tablet 997 10 30 10 30 20 10 10 30 20 40 10 10 10 10 20 20 10 20 10 20 10 10 80 50 45 60 62 667 330
 Cetrizin Tablet - - -
CTM Tablet - - -
- Dehista / Alleron / Alermax / Orphen / Pal Tablet 515 10 20 10 10 10 10 10 10 10 10 10 10 15 10 20 10 10 10 205 310
-ctm kaleng Tablet 579 10 3 3 3 5 3 3 5 3 4 3 2 3 50 529
- - -
12 Antasida - - -
Antasida Tablet - - -
- Novamag / Dexanta Tablet 910 30 20 10 10 20 10 20 30 10 20 15 10 30 20 30 20 40 40 60 20 20 10 30 40 565 345
Antasida Syrup Sirup - - -
- Hufamag Plus /Hufasid Syrup / Atmasid Sirup 69 1 2 2 1 1 1 2 2 4 1 3 3 3 1 4 1 1 2 1 2 2 1 2 1 1 45 24
Ranitidin Tablet - - -
- Gasela / Hufadine Tablet 1,185 40 20 10 30 10 40 30 20 30 30 20 20 20 20 20 40 10 30 30 50 40 30 70 60 50 45 60 875 310
Cimitidin Tablet - - -
- Tidifar Tablet 10 - 10
Omeprazol Tablet - - -
- Etagastrin / Lanzoprazole / Omekur Tablet 552 20 40 10 10 20 20 20 10 20 20 20 10 30 10 12 10 5 20 15 10 10 12 16 10 10 12 402 150
- - -
13 Anti Emetic - - -
Domperidone Tablet - - -
- Hufadon / Rosidon / Veperum Tablet 550 20 20 10 10 20 20 10 10 10 20 40 10 20 10 40 10 30 20 30 30 25 30 445 105
Domperidon syrup Sirup - - -
- Hufadon syrup / Rosidon syrup Sirup 35 3 1 1 3 1 2 2 1 1 1 1 3 2 1 2 1 1 27 8
Metocdopramite syrup Sirup - - -
- Norvum syrup / Primpen syrup Sirup 3 - 3
Dimenhidranat 50 Tablet - - -
- Omedrinat 50 / Mantino 50 Tablet 100 10 10 90
- - -
14 Anti Spasmodik - - -
Papaverin HCL Tablet - - -
Papaverin Injeksi Vial/Amp - - -
Spasminal Tablet 465 20 10 10 10 20 10 20 10 25 10 20 30 10 20 40 30 10 15 320 145
- Scopma Plus Tablet - - -
- - -
15 Anti Diare - - -
Oralit Saset - - -
- Bioralit / Ramolit Saset 224 2 3 4 3 2 3 2 2 3 3 3 2 3 3 3 6 2 3 12 4 3 12 12 12 12 20 139 85
- Diaform / Corosorb / Mecodiar Tablet 640 20 10 10 20 10 10 10 10 30 10 40 20 10 40 40 20 10 30 10 10 10 30 40 25 475 165
-akita Tablet - - -
- Novadiar syrup / Guanistrip Syrup / Kani Sirup 29 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 16 13
Zink Dispersible Tablet 620 10 20 10 10 10 10 10 20 20 10 10 20 10 20 40 30 50 20 50 30 40 50 40 540 80
- - -
16 Cordiovaskuler System - - -
ISDN 5 mg Tablet - - -
- Farsorbit 5 mg Tablet 100 - 100
Propanolol Tablet - -
Nipedipin Tablet 260 10 10 250
- - -
17 Anti Hipertensi - - -
Catopril 25 mg Tablet 645 10 20 30 20 10 20 10 20 20 10 20 30 10 10 20 10 35 10 10 10 15 10 360 285
Catopril 50 mg Tablet - - -
- Forten 25 mg / Forten 50 mg Tablet - - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet - - -
 - Selescordion 5 mg / Selscordion 10 mg Tablet 1,975 130 30 120 40 20 40 90 110 50 30 120 50 90 90 30 90 30 90 20 20 80 50 95 120 120 80 120 1,955 20
- - -
18 Dislipidemia (Kolesterol) - - -
Simpastatin Tablet - - -
- Selvim / Pontizoc Tablet 580 50 40 10 20 10 20 20 10 20 20 10 20 20 10 10 20 10 20 20 10 60 10 30 30 500 80
- - -
19 Anti Asma - - -
Aminophylin Tablet - - -
- Grafasma / Grafalin Tablet - - -
- Teosal Tablet - - -
- Teosal Syrup Tablet - - -
Salbutamol 2 mg / Salbutamol 4 mg Tablet - - -
- Salbron 2 mg / Saltam 4 mg Tablet 600 10 10 10 20 10 60 540
- - -
20 Anti Convulsan - - -
Phenytoin Na Tablet - - -
Amitriptilin Tablet - - -
- - -
21 Anti Vertigo - - -
Histigo Tablet 325 20 10 10 10 10 10 20 10 20 10 20 10 15 10 10 10 10 10 10 235 90
- - -
22 Non Steroid Anti Inflamasin - - -
Piroxicame Tablet - - -
- Novaxicame / Fasiden / Samrox / Wiros Tablet 330 10 20 10 10 10 20 10 10 10 10 120 210
Meloxicam 7,5 mg Tablet - - -
Ibuprofen Tablet - - -
- Novaxifen/ Bunova / Farsifen / Axofen / Tablet 1,520 30 30 20 60 20 40 30 40 40 30 30 40 50 40 50 30 20 60 40 40 60 70 50 90 90 40 80 1,220 300
Na. Diklofenat Tablet - - -
Renadinac 25 mg Tablet - - -
Renadinac 50 mg Tablet 1,380 60 30 40 30 30 40 40 80 30 60 30 50 20 50 30 90 40 90 10 80 60 30 30 70 10 50 20 1,200 180
Diclofenac Potassium Tablet - - -
- Erphaflam, Megatic Tablet - - -
Epirizol HCL Tablet - - -
- Estalex Tablet 205 10 10 5 10 10 10 12 12 10 10 10 10 10 11 140 65
- - -
23 Dioretik - - -
HCT Tablet - - -
Furasemid Tablet 95 - 95
- - -
24 Hyperuricemia (asam Urat) - - -
Allupurinol Tablet - - -
- Alodan / Alofar / Linogra Tablet 555 10 10 20 10 10 10 20 20 20 10 10 10 10 10 10 10 15 20 20 255 300
- - -
25 Kortikosteroid - - -
Methyl Prenisolon Tablet - - -
- Rhemafar 4 mg Tablet 870 30 30 20 10 10 20 30 40 20 40 10 10 20 30 20 40 10 40 40 50 10 30 20 20 10 25 30 665 205
Prednison Tablet - - -
- Inflason Tablet - - -
Dexamethasane 0,5 mg Tablet - - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Ca Tablet 1,920 120 120 70 30 30 40 90 60 90 120 90 150 60 90 30 50 50 60 40 90 40 90 20 90 70 30 15 1,835 85
-kaleng dexa Tablet 455 10 50 10 5 40 10 5 10 10 10 20 10 20 10 30 20 20 20 20 36 366 89
- Polofar Plus Tablet - - -
 - - -
26 Hasemostatik - - -
Vitamin K Tablet - - -
- Danochrom Tablet - - -
- - -
27 Phlebilis Preparation - - -
Nuwasir Tablet - - -
Anti Hemaroid Supp Suppos - - -
Superoid Supp Suppos 29 2 1 2 1 1 1 1 1 2 1 1 1 1 1 17 12
- - -
28 Anti Viral - - -
Acyclovir Tablet - - -
- Vipres / Acifar Tablet 220 10 10 10 20 10 10 10 20 10 10 10 10 10 20 10 10 10 20 220 -
Acyclovir cream Cream - - -
- Acifar cream Tablet 56 3 2 1 3 2 2 1 1 1 2 1 1 1 2 1 1 25 31
- - -
29 Antelmintik - - -
Pyratel Tablet 189 1 1 1 2 2 1 1 1 1 2 1 1 2 2 19 170
Combantrin Tablet - - -
Combantrin syrup Sirup - - -
- - -
30 Vitamin - - -
- Neurodex Tablet 700 - 700
- Caviplex /Selviplex /Supravit/Calfero Tablet 1,795 80 90 40 50 40 70 30 80 20 90 30 40 50 90 30 90 30 90 20 90 90 90 20 50 25 50 60 1,535 260
- Livron B Plex Tablet - - -
- Hufabion / Novabion /Etabian/ Fondazen Tablet 360 10 10 10 10 10 30 20 10 10 10 10 30 50 10 10 10 20 30 40 340 20
- Sulfas Ferrosus Tablet - - -
Vitamin B1 Tablet - - -
Vitamin B6 Tablet - - -
Vitamin B12 Tablet - - -
Vitamin B Komplek Tablet 443 4 5 10 3 3 2 3 1 3 2 3 4 4 3 4 3 4 3 64 379
Vitamin C Tablet 105 14 1 3 10 6 3 3 6 4 4 8 7 6 5 4 3 2 2 3 3 5 2 1 105 -
GLUCOLIN serbuk 1 - 1
- Licokalk Tablet - - -
- Calcicus Lactat Tablet 160 - 160
Curviplex Syrup / Tyalisin Syrup / Seltifort Syrup 71 2 3 1 3 4 1 1 3 1 2 5 1 2 5 3 4 3 3 1 2 3 2 1 56 15
Vastarel (B1, B6, B12), Zecaneuron / GrahaTablet - - -
- - -
31 Anti Fungi - - -
Ketoconazole 200 mg Tablet - - -
- Solinfec 200 mg / Tokasid 200 mg / Pro Tablet 270 10 10 10 10 20 10 10 10 10 10 10 10 130 140
Ketokonazole 2 % Salep Salep - - -
- Solifec 2 % salep / Micoticum 2 salep Salep 33 1 2 1 1 2 1 2 1 11 22
Metrodinazole 500 mg Tablet - - -
- Novagil 500 mg / Selesnizol 500 mg / Far Tablet 265 20 10 10 20 10 10 10 10 10 10 10 10 10 10 160 105
Glesilvulvine Tablet - - -
- Omevulvin Tablet 100 - 100
- - -
32 Obat KB - - -
Pil Mikrodiol 30 Tablet - - -
Pil Andalan Tablet 168 - 168
Cyclogeston Injeksi Ampul - - -
 Depogeston Injeksi 1 bln Ampul 26 1 1 1 1 1 1 1 1 1 1 10 16
Depo Andalan injeksi 3 bln Ampul 56 1 3 2 2 2 2 1 3 3 1 1 2 3 3 3 2 2 3 39 17
Kondom Biji - - -
- - -
33 Anti TB - - -
Rifampisin 600 Tablet - - -
Etambutol 500 Tablet - - -
INH 300 Tablet - - -
Pyrazinamid 500 Tablet - - -
- - -
34 Preparat Mata - - -
Oxytetracycline salep mata Salep - - -
Erlamycetin Salep Mata Salep 13 1 1 1 2 2 1 2 1 2 13 -
Cindo xitrol TM Salep 24 1 2 3 3 1 1 1 2 2 1 1 1 19 5
Erlamycetin Tetes Mata/Reco TM Tetes - - -
- Isotic Neolysin TM/ Allegtrol TM / Reco T Tetes 8 1 1 1 1 1 1 1 1 8 -
- - -
35 Preparat Telinga - - -
Erlamycetin Tetes Telinga Tetes - - -
- Reco Tetes Telinga Tetes 16 1 1 1 3 13
- Otopain TT / Santades TT Tetes - - -
Forumen Ear Drop10 ml Tetes 2 1 1 1
- - -
36 Perparat Mulut - - -
Bufacomb In Orabase Cream - - -
GOM Cito Liquid 30 1 1 1 1 1 1 3 3 2 3 2 1 20 10
- Abotil Liquid - - -
- Mycostatin drop Sirup - - -
- Degirol Permen Hisap Tablet - - -
- Minosep kumur Cair - - -
- - -
37 Preparat Kulit - - -
Gentamisin Sulfat salep Salep - - -
- Genalten Salep Salep 75 2 2 3 1 1 1 2 2 1 2 1 2 1 7 2 7 2 2 1 6 6 3 2 59 16
Hidrocortisone salep Salep - - -
- Vanquin Plus Cream / Solacort Cream / Salep 42 2 1 1 2 1 2 2 2 1 1 1 1 1 2 1 3 2 2 2 2 32 10
Miconazole salep Salep - - -
- Locoriz cream Salep - - -
Salep Kulit 24 Salep - - -
Oxytetracyclin salep kulit Salep 10 - 10
- Erladerem N Cream Salep 51 3 2 1 1 2 2 2 2 2 1 1 1 3 2 2 2 1 30 21
- Burnazim Cream (luka barar) Salep - - -
Icthiol salep bisul Salep 8 - 8
Salycil Talk/Bedak Talkum - - -
Larutan PK Liquid - - -
- - -
38 Vaksin - - -
Vaksin BCG Ampul - - -
Vaksin Campak Ampul - - -
Vaksin DPT Ampul - - -
Vaksin TT Ampul - - -
Vaksin Polio Ampul - - -
 - - -
DIGOXIN Tablet - - -
- Fargoxine Tablet 100 - 100
- - -
GLIBENCLAMIDA 5 mg Tablet - - -
- Latibet 5 mg Tablet 405 20 10 20 10 20 10 10 10 10 10 30 40 10 10 15 10 245 160
- - -
METFORMIN Tablet 600 10 10 10 10 20 10 20 10 10 20 10 10 10 40 50 50 20 40 20 30 410 190
- - -
LUMINAL Tablet - - -
- - -
TRANEXAMIC ACID (ASAM TRANEXAMINTablet - - -
- Nexitra Tablet 92 6 6 6 4 6 4 32 60
- - -
39 Obat Injeksi - - -
Adimidon Injeksi Vial - - -
Aminophiline Injeksi Vial - - -
Duradril Injeksi Vial 10 - 10
DIAZEPAM Injeksi Vial - - -
EPINERPHINE Injeksi Ampul - - -
Furasemide Injeksi Vial - - -
Quininen Injeksi Vial - - -
Lidocain / Pehacain Injeksi Vial 70 1 1 2 68
Metoclhoramide Injeksi Vial - - -
Neurobion / Neuroboran Injeksi Vial 11 - 11
Scopamin Injeksi Vial - - -
TRAMADOL Injeksi Ampul - - -
Vitamin B Complek Injeksi Ampul - - -
Vitamin B 12 Injeksi Ampul - - -
Vitamin K Injeksi Vial - - -
Xilomidon Injeksi Vial - - -
Ranitidine Injeksi Ampul 13 1 1 1 3 10
Dexamethasone Inj Ampul 5 1 1 4
Ketorolac Injeksi Ampul 14 - 14
Metil prednisolon Inj Ampul - - -
Benodon Ampul 21 1 1 1 1 2 3 9 12
- - -
40 Lain-lain - - -
Abocet 18 Pcs - - -
Abocet 20 Pcs 1 - 1
Abocet 22 Pcs - - -
Abocet 24 Pcs 1 - 1
Infuset Dewasa / Anak Pcs 1 - 1
Alkohol 70 % Liquid 1 - 1
Rivanol 100 ml/300ml Liquid 1 - 1
Ringer Laktat (RL) Liquid - - -
Glukosa 5% Liquid - - -
NHCL Liquid 1 - 1
Betadine 300 ml/Iodine Povidone Liquid 1 - 1
H2O2 3% Liquid 1 - 1
Kasa Steril Husada Pcs - - -
Kapas 250 Husada/HIDROFILL Pcs 1 - 1
Verban Pcs 1 - 1
Spuit 1 cc Pcs - - -
Spuit 3 cc Pcs 186 5 5 2 1 5 5 6 6 5 5 4 6 4 2 4 3 6 1 3 1 5 2 3 89 97
Spuit 5 cc Pcs - - -
Spuit 10 cc Pcs - - -
Needle 23 / Jarum Pcs 104 5 2 2 2 11 93
Needle komplit Pcs - - -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs 1 - 1
Silk 3/0, 4/0 (Black, White) Pcs 6 - 6
Bisturi No. 15 Pcs - - -
Handscoon S, M, L, XL Pcs 549 8 6 7 8 4 5 7 5 5 50 5 10 30 3 20 1 7 8 189 360
HCG Test (Test kehamilan) Pcs 51 3 5 4 2 2 2 4 3 2 5 3 4 3 4 3 1 50 1
Masker 3 Fly Pcs - - -
Mess Pot 1 - 1
Lubrikan Liquid - - -
Hansaplas (Plester) Liquid 1 - 1
Aquapro Inj Bungkus 3 - 3
Kertas Puyer Bungkus 100 - 100
Klip Obat Bungkus 4,900 600 300 500 400 100 300 200 100 100 400 200 500 100 100 400 300 4,600 300
Plastik Kresek obat Bungkus - - -
Safratule / Daryantulle Bungkus 1 - 1

JUMLAH 48,711 34,185 14,526

Mengetahui, Mataram,05 November 2018

Koordinator Unit Kerja Klinik Yang membuat,

BUKHARI RAHMAT, SE DESI RATNASARI, Amd Farm

Staf Medis Klinik
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14,526
PEMERIKSAAN FISIK AKHIR OBAT

KLINIK : NAYAKA ERA HUSADA

UNIT : MATARAM MALL
PERIODE TANGGAL : 1 s/d. 31 OKTOBER 2018

No Nama Obat Sedian Pabrik Sisa Obat

1 Gol. Sefalosporin
Cefadroxil 500 mg Tablet Indofarma -
- Lostacef 500 mg Tablet Ifars 30
Cefadroxil 125 mg / 5 ml Sirup Indofarma -
- Lostacef 125 mg / 5 mg Sirup Ifars 19
Sulfadoxine Tablet Indofarma -
- Spasmodine Tablet Ifars 67
-
2 Gol. Penisillin -
Amoxycillin 500 mg Tablet Indofarma -
- Novamox 500 mg / Amostera 500 mg / Broda Tablet Nova / Hufa 400
Amoxycillin 250 mg/ 5 ml Sirup Indofarma -
- Brodamox 250 mg/5 ml Sirup 3
Amoxycillin 125 mg/ 5 ml Sirup Indofarma -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Sirup Nova / Hufa 18
Ampicillin 500 mg Tablet Indofarma -
-Duramycin 500 mg Tablet -
-
3 Gol. Kloramfenikol -
Klorampenikol Kapsul Indofarma -
Klorampenikol Syrup Sirup Errita -
- Novachlor 250 mg Sirup Nova -
Tiampenicol Tablet Indofarma -
- Thiamex / Dionicol Kapsul Ifars 120
-
4 Gol. Kuinolon -
Ciprofloxacin Tablet Indofarma -
- Hufaflox / Etaflox / Novaflox Tablet Hufa / Eta / Nova 150
-
5 Gol. Tetrasiklin -
Tetrasiklin 500 mg Tablet Indofarma -
- Novabiotic 500 mg Tablet Nova 250
- Doksisiklin 500 mg Tablet Errita 300
-
6 Antibiotik Kombinasi -
Cotrimoxazol 480 mg Tablet Indofarma -
- Primadex 480 mg / Pehatrim 480 mg / GraprimTablet Graha 105
Cotrimoxazol 5 ml Sirup Sirup Errita -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Sirup Dexa Medika 9
Primadex forte / Sisosprim Forte Tablet Dexa Medika -
-
7 Antibiotik Lain -
Unkomisin Tablet Indofarma -
Clindamisin Tablet Indofarma -
- Milorin Tablet 175
-
8 Analgetik & Antipirentik -
Asam mefenamat 500 mg Tablet Indofarma -
- Novastan 500 mg / Grafamic 500 mg Tablet Nova 375
Antalgin 500 mg Tablet Indofarma -
Parasetamol 500 mg Tablet Indofarma -
- Novagesic 500 mg / Procet 500 mg / Mirasic Tablet Nova 235
Parasetamol syrup Sirup Errita -
 - Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Sirup Nova 19
-pamol 125 supositoria supos interbat -
- Pamol Drops / Fasidol Drops Drops Ifars -
Neuralgin Tablet Kalbe Farma 540
- Neuromec Tablet Mecosin -
- Neurophyron V Tablet Harsen -
- Analpim Tablet PIM -
-
9 Anti Piretik & Anti Tusif -
- Alpara Tablet Molex Ayus -
- Bronchifar Tablet Ifars 4
- Dextral Tablet Molex Ayus -
- Dextral Syrup Sirup Molex Ayus -
- Flucadex Tablet Graha farma -
- Demacolin / Corhinza Tablet Coronet 270
- Tera F Tablet Rama Emeral -
- Rama Flu Tablet Rama Emeral 240
- Flutrop / Decotan Tablet Tropica Farma 200
- Citocetin syrup Sirup Clublos farma -
-
10 Anti Tusif -
Ambroxol 30 mg Tablet Indofarma -
- Roverton 30 mg / Hufaxol 30 mg / Zenirex 30 Tablet 550
Ambroxol syrup Sirup Indofarma -
- Roverton syrup / Hufaxol Syrup / Erlapect syru Sirup Ifars 27
-Bromifar Tablet -
- Bronkris Tablet Graha farma -
Dextromerthophan Tablet Indofarma -
- Code 15 Tablet -
Dextromerthophan syrup Sirup Indofarma -
Gliceryl Guaikolat (GG) Tablet Berlico 143
OBH Itrasal Syrup Sirup Itrasal -
OBP Itrasal Syrup Sirup Itrasal -
- Grantusif Tablet Graha farma 235
- Graxine Tablet Graha farma 295
- Coparcetin Tablet Sampharindo 115
- Coparcetin Syrup / Remco syrup Sirup Sampharindo 3
- Pim-Tra-Kol syrup / Pacdin syrup Sirup PIM -
Kombiven 2,5 ml Ampul 10
-
11 Anti Histamin -
Loratadin Tablet Indofarma -
- Winatin Tablet 330
Cetrizin Tablet Indofarma -
CTM Tablet Kimia Farma -
- Dehista / Alleron / Alermax / Orphen / Pallerski Tablet Berlico 310
-ctm kaleng Tablet Erlimplex 529
-
12 Antasida -
Antasida Tablet Kimia Farma -
- Novamag / Dexanta Tablet Nova 345
Antasida Syrup Sirup Kimia Farma -
- Hufamag Plus /Hufasid Syrup / Atmasid Syru Sirup Hufa / Nova 24
Ranitidin Tablet Indofarma -
- Gasela / Hufadine Tablet Hufa / Nova 310
Cimitidin Tablet Indofarma -
- Tidifar Tablet 10
Omeprazol Tablet Indofarma -
- Etagastrin / Lanzoprazole / Omekur Tablet 150
-
13 Anti Emetic -
Domperidone Tablet Kimia Farma -
 - Hufadon / Rosidon / Veperum Tablet Hufa 105
Domperidon syrup Sirup Kimia Farma -
- Hufadon syrup / Rosidon syrup Sirup Hufa 8
Metocdopramite syrup Sirup Kimia Farma -
- Norvum syrup / Primpen syrup Sirup Sampharindo 3
Dimenhidranat 50 Tablet Indofarma -
- Omedrinat 50 / Mantino 50 Tablet Sampharindo 90
-
14 Anti Spasmodik -
Papaverin HCL Tablet Kimia Farma -
Papaverin Injeksi Vial/Amp Kimia Farma -
Spasminal Tablet Hexpharm 145
- Scopma Plus Tablet Ifars -
-
15 Anti Diare -
Oralit Saset Erela -
- Bioralit / Ramolit Saset Mecosin 85
- Diaform / Corosorb / Mecodiar Tablet Indofarma 165
-akita Tablet -
- Novadiar syrup / Guanistrip Syrup / Kanina Sy Sirup Itrasal 13
Zink Dispersible Tablet Indofarma 80
-
16 Cordiovaskuler System -
ISDN 5 mg Tablet Indofarma -
- Farsorbit 5 mg Tablet 100
Propanolol Tablet Propanolol -
Nipedipin Tablet Kimia Farma 250
-
17 Anti Hipertensi -
Catopril 25 mg Tablet Indofarma 285
Catopril 50 mg Tablet Indofarma -
- Forten 25 mg / Forten 50 mg Tablet Mexa Medica -
Amlodifine 5 mg / Amlodifine 10 mg Tablet Indofarma -
- Selescordion 5 mg / Selscordion 10 mg Tablet Kimia Farma 20
-
18 Dislipidemia (Kolesterol) -
Simpastatin Tablet Kimia farma -
- Selvim / Pontizoc Tablet Ifars 80
-
19 Anti Asma -
Aminophylin Tablet Indo Farma -
- Grafasma / Grafalin Tablet Graha Farma -
- Teosal Tablet Dexa Medika -
- Teosal Syrup Tablet Dexa Medika -
Salbutamol 2 mg / Salbutamol 4 mg Tablet Indo Farma -
- Salbron 2 mg / Saltam 4 mg Tablet Ifars 540
-
20 Anti Convulsan -
Phenytoin Na Tablet Ikapharmindo -
Amitriptilin Tablet Indofarma -
-
21 Anti Vertigo -
Histigo Tablet Ifars 90
-
22 Non Steroid Anti Inflamasin -
Piroxicame Tablet Indofarma -
- Novaxicame / Fasiden / Samrox / Wiros Tablet Nova /Ifars 210
Meloxicam 7,5 mg Tablet Indofarma -
Ibuprofen Tablet Indofarma -
- Novaxifen/ Bunova / Farsifen / Axofen / Novap Tablet Nova /Ifars 300
Na. Diklofenat Tablet Indofarma -
Renadinac 25 mg Tablet -
 Renadinac 50 mg Tablet 180
Diclofenac Potassium Tablet -
- Erphaflam, Megatic Tablet -
Epirizol HCL Tablet -
- Estalex Tablet 65
-
23 Dioretik -
HCT Tablet Indofarma -
Furasemid Tablet Indofarma 95
-
24 Hyperuricemia (asam Urat) -
Allupurinol Tablet Indofarma -
- Alodan / Alofar / Linogra Tablet Ifars 300
-
25 Kortikosteroid -
Methyl Prenisolon Tablet Indofarma -
- Rhemafar 4 mg Tablet Ifars 205
Prednison Tablet Kimia Farma -
- Inflason Tablet Berlico -
Dexamethasane 0,5 mg Tablet Indofarma -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmeta Tablet Graha Farma 85
-dexa kaleng Tablet Indofarma 89
- Polofar Plus Tablet Ifars -
-
26 Hasemostatik -
Vitamin K Tablet Kimia Farma -
- Danochrom Tablet Hexpharm -
-
27 Phlebilis Preparation -
Nuwasir Tablet Medikon -
Anti Hemaroid Supp Suppos -
Superoid Supp Suppos 12
-
28 Anti Viral -
Acyclovir Tablet Indofarma -
- Vipres / Acifar Tablet -
Acyclovir cream Cream Indofarma -
- Acifar cream Tablet 31
-
29 Antelmintik -
Pyratel Tablet Kimia Farma 170
Combantrin Tablet -
Combantrin syrup Sirup -
-
30 Vitamin -
- Neurodex Tablet Dexa Medika 700
- Caviplex /Selviplex /Supravit/Calfero Tablet Erela 260
- Livron B Plex Tablet Phapros -
- Hufabion / Novabion /Etabian/ Fondazen Tablet Hufa 20
- Sulfas Ferrosus Tablet Kimia Farma -
Vitamin B1 Tablet Kimia Farma -
Vitamin B6 Tablet Kimia Farma -
Vitamin B12 Tablet Kimia Farma -
Vitamin B Komplek Tablet Kimia Farma 379
Vitamin C Tablet Kimia Farma -
GUCOLIN serbuk 1
- Licokalk Tablet Berlico -
- Calcicus Lactat Tablet Erela 160
Curviplex Syrup / Tyalisin Syrup / Seltifort syrup Syrup Graha Farma 15
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet Graha Farma -
-
31 Anti Fungi -
 Ketoconazole 200 mg Tablet Kimia Farma -
- Solinfec 200 mg / Tokasid 200 mg / Pronazol Tablet 140
Ketokonazole 2 % Salep Salep Kimia Farma -
- Solifec 2 % salep / Micoticum 2 salep Salep Indofarma 22
Metrodinazole 500 mg Tablet Indofarma -
- Novagil 500 mg / Selesnizol 500 mg / Farizol Tablet Graha Farma 105
Glesilvulvine Tablet Indofarma -
- Omevulvin Tablet 100
-
32 Obat KB -
Pil Mikrodiol 30 Tablet Kimia farma -
Pil Andalan Tablet Triyasa 168
Cyclogeston Injeksi Ampul Triyasa -
Depogeston Injeksi 1 bln Ampul Triyasa 16
Depo Andalan injeksi 3 bln Ampul 17
Kondom Biji -
-
33 Anti TB -
Rifampisin 600 Tablet -
Etambutol 500 Tablet -
INH 300 Tablet -
Pyrazinamid 500 Tablet -
-
34 Preparat Mata -
Oxytetracycline salep mata Salep -
Erlamycetin Salep Mata Salep Erela -
Cendo xitrol TM Salep 5
Erlamycetin Tetes Mata/Reco TM Tetes Erela -
- Isotic Neolysin TM/ Allegtrol TM / Reco TM Tetes -
-
35 Preparat Telinga -
Erlamycetin Tetes Telinga Tetes Erela -
- Reco Tetes Telinga Tetes 13
- Otopain TT / Santades TT Tetes -
Forumen Ear Drop10 ml Tetes Sanbe 1
-
36 Perparat Mulut -
Bufacomb In Orabase Cream Bufa -
GOM Cito Liquid Clubros 10
- Abotil Liquid -
- Mycostatin drop Sirup -
- Degirol Permen Hisap Tablet -
- Minosep kumur Cair -
-
37 Preparat Kulit -
Gentamisin Sulfat salep Salep Indofarma -
- Genalten Salep Salep Hufa 16
Hidrocortisone salep Salep Indofarma -
- Vanquin Plus Cream / Solacort Cream / Bufac Salep Hufa 10
Miconazole salep Salep Indofarma -
- Locoriz cream Salep -
Salep Kulit 24 Salep Clubros -
Oxytetracyclin salep kulit Salep Indofarma 10
- Erladerem N Cream Salep 21
- Burnazim Cream (luka barar) Salep -
Icthiol salep bisul Salep Clubros 8
Salycil Talk/Bedak Talkum Kimia Farma -
Larutan PK Liquid -
-
38 Vaksin -
Vaksin BCG Ampul Biofarma -
Vaksin Campak Ampul Biofarma -
 Vaksin DPT Ampul Biofarma -
Vaksin TT Ampul Biofarma -
Vaksin Polio Ampul Biofarma -
-
DIGOXIN Tablet Kimia Farma -
- Fargoxine Tablet 100
-
GLIBENCLAMIDA 5 mg Tablet Kimia Farma -
- Latibet 5 mg Tablet Ifars 160
-
METFORMIN Tablet Kimia Farma 190
-
LUMINAL Tablet Kimia Farma -
-
TRANEXAMIC ACID (ASAM TRANEXAMIN ) Tablet Indo Farma -
- Nexitra Tablet Ifars 60
-
39 Obat Injeksi -
Adimidon Injeksi Vial -
Aminophiline Injeksi Vial -
Duradril Injeksi Vial 10
DIAZEPAM Injeksi Vial -
EPINERPHINE Injeksi Ampul -
Furasemide Injeksi Vial -
Quininen Injeksi Vial -
Lidocain / Pehacain Injeksi Vial 68
Metoclhoramide Injeksi Vial -
Neurobion / Neuroboran Injeksi Vial 11
Scopamin Injeksi Vial -
TRAMADOL Injeksi Ampul -
Vitamin B Complek Injeksi Ampul -
Vitamin B 12 Injeksi Ampul -
Vitamin K Injeksi Vial -
Xilomidon Injeksi Vial -
Ranitidine Injeksi Ampul 10
Dexamethasone Inj Ampul 4
Ketorolac Injeksi Ampul 14
Metil prednisolon Inj Ampul -
Benodon Ampul 12
-
40 Lain-lain -
Abocet 18 Pcs -
Abocet 20 Pcs 1
Abocet 22 Pcs -
Abocet 24 Pcs 1
Infuset Dewasa / Anak Pcs 1
Alkohol 70 % Liquid PIM 1
Rivanol 100 ml/300ml Liquid Molex 1
Ringer Laktat (RL) Liquid Kimia Farma -
Glukosa 5% Liquid Kimia Farma -
NHCL Liquid Kimia Farma 1
Betadine 300 ml/Iodine Povidone Liquid Mahakam 1
H2O2 3% Liquid Prima Plus 1
Kasa Steril Husada Pcs Askara -
Kapas 250 Husada/HIDROFILL Pcs Unknown 1
Verban Pcs Unknown 1
Spuit 1 cc Pcs OneMet -
Spuit 3 cc Pcs OneMet 97
Spuit 5 cc Pcs OneMet -
Spuit 10 cc Pcs OneMet -
Needle 23 / Jarum Pcs OneMet 93
Needle komplit Pcs OneMet -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs Unknown 1
Silk 3/0, 4/0 (Black, White) Pcs Unknown 6
Bisturi No. 15 Pcs Unknown -
Handscoon S, M, L, XL Pcs Sensi Gloves 360
HCG Test (Test kehamilan) Pcs Care Lamson 1
Masker 3 Fly Pcs Remedi -
Mess Pcs 1
Lubrikan Pot -
Hansaplas (Plester) Liquid OneMet 1
Aquapro Inj Liquid 3
Kertas Puyer Bungkus 100
Klip Obat Bungkus 300
Plastik Kresek obat Bungkus -
Safratule / Daryantulle Bungkus 1

Total 14,526

Mengetahui, Mataram, 05 Novembe 2018

Koordinator Unit Kerja Klinik

BUKHARI RAHMAT, SE Desi Ratnasari, Amd. Farm

Ast Apoteker
REKAP LAPORAN PENGUNAAN OBAT HARIAN (POLI GIGI)

KLINIK : NAYAKA ERA HUSADA MATARAM

CABANG : MATARAM
PERIODE : 1 s/d 31 Oktober, 2018

Stock Awal TANGGAL KELUAR OBAT Scock

No NAMA OBAT Total
Sedian Lama+ Baru 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 Akhir

1 Gol. Penisillin
Amoxycillin 500 mg Tablet - -
- Novamox 500 mg / Amostera 500 mg / Tablet 550 16 20 40 20 10 50 40 16 10 6 10 30 20 10 30 20 30 10 30 10 10 10 20 10 12 490 60
Amoxycillin 250 mg/ 5 ml Sirup - -
- Brodamox 250 mg/5 ml Sirup - -
Amoxycillin 125 mg/ 5 ml Sirup - -
- Novamox 125 mg/5 ml Hufanoxil 125 m Sirup 2 1 1 1
Ampicillin 500 mg Tablet - -
-Duramycin 500 mg Tablet 80 10 5 10 10 35 45
- -
2 Gol. Kuinolon - -
Ciprofloxacin Tablet - -
- Hufaflox / Etaflox / Novaflox Tablet - -
- -
3 Gol. Tetrasiklin - -
Tetrasiklin 500 mg Tablet - -
- Novabiotic 500 mg Tablet - -
- Doksisiklin 500 mg Tablet 100 10 10 20 80
- -
4 Antibiotik Kombinasi - -
Cotrimoxazol 480 mg Tablet - -
- Primadex 480 mg / Pehatrim 480 mg / Tablet - -
Cotrimoxazol 5 ml Sirup Sirup - -
- Primadex 5 ml / Graprima 5 ml / Aditrim Sirup - -
- -
5 Antibiotik Lain - -
Unkomisin Tablet - -
Clindamisin Tablet - -
- Milorin Tablet - -
- -
6 Analgetik & Antipirentik - -
Asam mefenamat 500 mg Tablet - -
- Novastan 500 mg / Grafamic 500 mg Tablet 615 6 20 30 17 20 50 30 26 16 10 30 10 10 30 20 20 10 30 10 20 10 40 20 20 50 555 60
Parasetamol 500 mg Tablet - -
- Novagesic 500 mg / Procet 500 mg / M Tablet 165 20 10 10 10 10 6 20 10 9 10 10 20 145 20
Parasetamol syrup Sirup - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol Sirup 2 1 1 1
- Pamol 125 supositoria supos - -
- Pamol Drops / Fasidol Drops Drops - -
Neuralgin Tablet - -
- Neuromec Tablet - -
- Neurophyron V Tablet - -
 - -
7 Anti Histamin - -
CTM Tablet - -
- Dehista / Alleron / Alermax / Orphen / P Tablet 110 - 110
- -
8 Cordiovaskuler System - -
ISDN 5 mg Tablet - -
- Farsorbit 5 mg Tablet - -
Propanolol Tablet - -
Nipedipin Tablet - -
- -
9 Anti Hipertensi - -
Catopril 25 mg Tablet - -
Catopril 50 mg Tablet - -
- Forten 25 mg / Forten 50 mg Tablet - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet - -
- Selescordion 5 mg / Selscordion 10 mg Tablet - -
- -
10 Non Steroid Anti Inflamasin - -
Na. Diklofenat Tablet - -
Renadinac 25 mg Tablet - -
Renadinac 50 mg Tablet 100 10 10 20 80
novaxipen Tablet 60 10 10 10 30 30
- Erphaflam, Megatic Tablet - -
Epirizol HCL Tablet - -
- Estalex Tablet - -
- -
11 Kortikosteroid - -
Dexamethasane 0,5 mg Tablet - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Tablet 530 10 30 10 10 50 32 30 10 10 20 5 10 20 10 20 10 30 10 10 40 20 10 20 427 103
Dexamethasane 0,5 mg + Dexchlorpenira Tablet - -
- -
12 Hasemostatik - -
Vitamin K Tablet - -
- Danochrom Tablet - -
- -
13 Vitamin - -
Vitamin B1 Tablet - -
Vitamin B6 Tablet - -
Vitamin B12 Tablet - -
Vitamin B Komplek Tablet 20 - 20
Vitamin C Tablet 40 10 10 20 20
Vastarel (B1, B6, B12), Zecaneuron / Gra Tablet 20 10 10 10
- -
14 Anti Fungi - -
Metrodinazole 500 mg Tablet - -
- Novagil 500 mg / Selesnizol 500 mg / F Tablet - -
- -
15 Perparat Mulut - -
Bufacomb In Orabase Cream - -
GOM Cito Liquid - -
 - Abotil Liquid - -
- Mycostatin drop Sirup - -
- Minosep kumur Cair - -
- -
16 GLIBENCLAMIDA 5 mg Tablet - -
- Latibet 5 mg Tablet - -
- -
17 TRANEXAMIC ACID Tablet - -
- Asam tranexamin - -
- Nexitra Tablet 50 10 10 40
- -
18 Obat Injeksi - -
Lidocain / Pehacain Injeksi Vial 6 - 6
Vitamin K Injeksi Vial - -
Dexamethasone Inj Ampul - -
- -
19 Lain-lain - -
NHCL Liquid - -
Betadine 300 ml/Iodine Povidone Liquid - -
H2O2 3% Liquid - -
Kasa Steril Husada Pcs - -
Kapas 250 Husada/HIDROFILL Pcs - -
Verban Pcs - -
Spuit 1 cc Pcs 1 - 1
Spuit 3 cc Pcs - -
Handscoon S, M, L, XL Pcs 100 3 3 5 5 7 5 6 12 4 10 60 40
Masker 3 Fly Pcs 100 2 2 2 2 2 2 2 2 2 2 2 1 4 27 73
Hansaplas (Plester) Liquid - -
Aquapro Inj Bungkus - -
Klip Obat Bungkus 300 50 70 20 12 13 12 13 12 10 30 242 58
Plastik Kresek obat Bungkus - -

JUMLAH 2,951 2,093 858

Mengetahui, Mataram, 04 November 2018

Koordinator Unit Kerja Klinik Yang membuat,

BUKHARI RAHMAT, SE DESI RATNASARI, Amd Farm

Staf Medis Klinik
@SUM( . ) ENTER
60

45

80

60

20

1
110

80
30

103

20
20
10
 40

40
73

58

858
PEMERIKSAAN FISIK AKHIR OBAT (POLI GIGI)

CABANG : MATARAM
PERIODE : 1 -31 0ktober 2018

No NAMA OBAT
Sedian

1 Gol. Penisillin
Amoxycillin 500 mg Tablet
- Novamox 500 mg / Amostera 500 mg / Brodamox 500 mg Tablet
Amoxycillin 250 mg/ 5 ml Sirup
- Brodamox 250 mg/5 ml Sirup
Amoxycillin 125 mg/ 5 ml Sirup
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Yusimox 125 mg Sirup
Ampicillin 500 mg Tablet
-Duramycin 500 mg Tablet

2 Gol. Kuinolon
Ciprofloxacin Tablet
- Hufaflox / Etaflox / Novaflox Tablet

3 Gol. Tetrasiklin
Tetrasiklin 500 mg Tablet
- Novabiotic 500 mg Tablet
- Doksisiklin 500 mg Tablet

4 Antibiotik Kombinasi
Cotrimoxazol 480 mg Tablet
- Primadex 480 mg / Pehatrim 480 mg / Graprima 480 mg / Wiatr Tablet
Cotrimoxazol 5 ml Sirup Sirup
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Novatrim 5 ml Sirup

5 Antibiotik Lain
Unkomisin Tablet
Clindamisin Tablet
- Milorin Tablet

6 Analgetik & Antipirentik

Asam mefenamat 500 mg Tablet
- Novastan 500 mg / Grafamic 500 mg Tablet
Parasetamol 500 mg Tablet
- Novagesic 500 mg / Procet 500 mg / Mirasic 500 mg / Alpamol Tablet
Parasetamol syrup Sirup
 - Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Fasidol 5 ml Sirup
- Pamol 125 supositoria supos
- Pamol Drops / Fasidol Drops Drops
Neuralgin Tablet
- Neuromec Tablet
- Neurophyron V Tablet

7 Anti Histamin
CTM Tablet
- Dehista / Alleron / Alermax / Orphen / Pallerskin Tablet

8 Cordiovaskuler System
ISDN 5 mg Tablet
- Farsorbit 5 mg Tablet
Propanolol Tablet
Nipedipin Tablet

9 Anti Hipertensi
Catopril 25 mg Tablet
Catopril 50 mg Tablet
- Forten 25 mg / Forten 50 mg Tablet
Amlodifine 5 mg / Amlodifine 10 mg Tablet
- Selescordion 5 mg / Selscordion 10 mg Tablet

10 Non Steroid Anti Inflamasin

Na. Diklofenat Tablet
Renadinac 25 mg Tablet
Renadinac 50 mg Tablet
novaxipen Tablet
- Erphaflam, Megatic Tablet
Epirizol HCL Tablet
- Estalex Tablet

11 Kortikosteroid
Dexamethasane 0,5 mg Tablet
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmetasone 0,5 mg Tablet
Dexamethasane 0,5 mg + Dexchlorpeniramine Maleate Tablet

12 Hasemostatik
Vitamin K Tablet
- Danochrom Tablet

13 Vitamin
Vitamin B1 Tablet
Vitamin B6 Tablet
 Vitamin B12 Tablet
Vitamin B Komplek Tablet
Vitamin C Tablet
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet

14 Anti Fungi
Metrodinazole 500 mg Tablet
- Novagil 500 mg / Selesnizol 500 mg / Farizol 500 mg Tablet

15 Perparat Mulut
Bufacomb In Orabase Cream
GOM Cito Liquid
- Abotil Liquid
- Mycostatin drop Sirup
- Minosep kumur Cair

16 GLIBENCLAMIDA 5 mg Tablet
- Latibet 5 mg Tablet

17 TRANEXAMIC ACID Tablet

- Asam tranexamin
- Nexitra Tablet

18 Obat Injeksi
Lidocain / Pehacain Injeksi Vial
Vitamin K Injeksi Vial
Dexamethasone Inj Ampul

19 Lain-lain
NHCL Liquid
Betadine 300 ml/Iodine Povidone Liquid
H2O2 3% Liquid
Kasa Steril Husada Pcs
Kapas 250 Husada/HIDROFILL Pcs
Verban Pcs
Spuit 1 cc Pcs
Spuit 3 cc Pcs
Handscoon S, M, L, XL Pcs
Masker 3 Fly Pcs
Hansaplas (Plester) Liquid
Aquapro Inj Bungkus
Klip Obat Bungkus
Plastik Kresek obat Bungkus

JUMLAH
Mengetahui,

BUKHARI RAHMAT, SE
1 0ktober 2018

Nama Sisa
Pabrik obat

Indofarma -
Nova / Hufa 60
Indofarma -
-
Indofarma -
Nova / Hufa 1
Indofarma -
45
-
-
Indofarma -
Hufa / Eta / Nov -
-
-
Indofarma -
Nova -
Errita 80
-
-
Indofarma -
Graha -
Errita -
Dexa Medika -
Dexa Medika -
-
-
Indofarma -
Indofarma -
-
-
Indofarma -
Nova 60
Indofarma -
Nova 20
Errita -
Nova 1
interbat -
Ifars -
Kalbe Farma -
Mecosin -
Harsen -
-
-
Kimia Farma -
Berlico 110
-
-
Indofarma -
-
Propanolol -
Kimia Farma -
-
-
Indofarma -
Indofarma -
Mexa Medica -
Indofarma -
Kimia Farma -
-
-
Indofarma -
-
80
30
-
-
-
-
-
Indofarma -
Graha Farma 103
Indofarma -
-
-
Kimia Farma -
Hexpharm -
-
-
Kimia Farma -
Kimia Farma -
Kimia Farma -
Kimia Farma 20
Kimia Farma 20
Graha Farma 10
-
-
Indofarma -
Graha Farma -
-
-
Bufa -
Clubros -
-
-
-
-
-
-
-
-
-
40
-
-
6
-
-
-
-
-
-
-
-
-
-
1
-
40
73
-
-
58
-

858
Mataram, 05 November 2018
Yang membuat,

Desi Ratnasari, Amd. Farm

Ast Apoteker
LAPORAN STOK OPNAME OBAT / ALAT KESEHATAN

KLINIK : NAYAKA HUSADA MATARAM

PERIODE : 01 Oktober s/d 31 Oktober 2018

Sisa Penambahan Jumlah Pemakaian Sisa Harga satuan Total Harga Pemk
No Nama Obat Sedian Pabrik bln Lalu bln ini bln ini bln ini bulan ini HNA + PPN Stok Obat Pemakaian Sisa Obat Expire Fisik Selisih Keterangan
1 2 3 4 5 6 7=5+6 8 9=7-8 10 11=7x10 12=8x10 13=9x10 14 15 16=9-15 17
1 Gol. Sefalosporin
Cefadroxil 500 mg Tablet Indofarma - - - - - - - - - -
- Lostacef 500 mg Tablet Ifars 30 - 30 - 30 780 23,400 - 23,400 Juni 2020 30 -
Cefadroxil 125 mg / 5 ml Sirup Indofarma - - - - - - - - - -
- Lostacef 125 mg / 5 mg Sirup Ifars 19 20 29 7 19 4,400 127,600 30,800 83,600 19 -
Sulfadoxine Tablet Indofarma - - - - - - - - - -
- Spasmodine Tablet Ifars 67 - 67 - 67 195 13,065 - 13,065 67 -
- - - - - - - -
2 Gol. Penisillin - - - - - - - -
Amoxycillin 500 mg Tablet Indofarma - - - - - - - - - - -
- Novamox 500 mg / Amostera 500 mg / Brod Tablet Nova / Hufa 700 3,000 2,900 3,120 400 2,700 7,830,000 8,424,000 1,080,000 Mei 2021 400 -
Amoxycillin 250 mg/ 5 ml Sirup Indofarma - - - - - - - - - - -
- Brodamox 250 mg/5 ml Sirup 12 45 37 31 3 5,800 214,600 179,800 17,400 3 -
Amoxycillin 125 mg/ 5 ml Sirup Indofarma - - - - - - - - - -
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 mlSirup Nova / Hufa 13 100 112 90 18 4,200 470,400 378,000 75,600 18 -
Ampicillin 500 mg Tablet Indofarma - - - - - - - - - - -
-Duramycin 500 mg Tablet - - - - - - - - - - -
- - - - - - - -
3 Gol. Kloramfenikol - - - - - - - -
Klorampenikol Kapsul Indofarma - - - - - - - - - -
Klorampenikol Syrup Sirup Errita - - - - - - - - - - -
- Novachlor 250 mg Sirup Nova - - - - - - - - - - -
Tiampenicol Tablet Indofarma - - - - - - - - - - -
- Thiamex / Dionicol Kapsul Ifars 120 - 120 - 120 250 30,000 - 30,000 120 -
- - - - - - - - - -
4 Gol. Kuinolon - - - - - - - - - -
Ciprofloxacin Tablet Indofarma - - - - - - - - - -
- Hufaflox / Etaflox / Novaflox Tablet Hufa / Eta / 320 500 720 395 150 450 324,000 177,750 67,500 150 -
- - - - - - - - - -
5 Gol. Tetrasiklin - - - - - - - - - -
Tetrasiklin 500 mg Tablet Indofarma - - - - - - - - - -
- Novabiotic 500 mg Tablet Nova 250 - 250 - 250 460 115,000 - 115,000 250 -
- Doksisiklin 500 mg Tablet Errita 300 - 300 - 300 350 105,000 - 105,000 300 -
- - - - - - - - - -
6 Antibiotik Kombinasi - - - - - - - - - -
Cotrimoxazol 480 mg Tablet Indofarma - - - - - - - - - -
- Primadex 480 mg / Pehatrim 480 mg / Grapri Tablet Graha 240 - 240 30 105 350 84,000 10,500 36,750 105 -
Cotrimoxazol 5 ml Sirup Sirup Errita - - - - - - - - - -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml Sirup Dexa Medika 3 20 23 20 9 3,800 87,400 76,000 34,200 9 -
 Primadex forte / Sisosprim Forte Tablet Dexa Medika - - - - - - - - - -
- - - - - - - - - -
7 Antibiotik Lain - - - - - - - - - -
Unkomisin Tablet Indofarma - - - - - - - - - -
Clindamisin Tablet Indofarma - - - - - - - - - -
- Milorin Tablet 175 - 175 - 175 125 21,875 - 21,875 175 -
- - - - - - - - - -
8 Analgetik & Antipirentik - - - - - - - - - -
Asam mefenamat 500 mg Tablet Indofarma - - - - - - - - - -
- Novastan 500 mg / Grafamic 500 mg Tablet Nova 660 1,200 1,360 1,360 375 190 258,400 258,400 71,250 375 -
Antalgin 500 mg Tablet Indofarma - - - - - - - - - -
Parasetamol 500 mg Tablet Indofarma - - - - - - - - - -
- Novagesic 500 mg / Procet 500 mg / Mirasic Tablet Nova 615 1,600 2,715 2,340 235 135 366,525 315,900 31,725 235 -
Parasetamol syrup Sirup Errita - - - - - - - - - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Sirup Nova 20 70 101 114 19 3,500 353,500 399,000 66,500 19 -
-pamol 125 supositoria supos interbat 14 24 14 1 - 11,500 161,000 11,500 - - -
- Pamol Drops / Fasidol Drops Drops Ifars - - - - - - - - - -
-noagesic tab Tablet Kalbe Farma 839 - 839 17 540 80 67,120 1,360 43,200 540 -
- Neuromec Tablet Mecosin - - - - - - - - - -
- Neurophyron V Tablet Harsen - - - - - - - - - -
- Analpim Tablet PIM - - - - - - - - - -
- - - - - - - - - -
9 Anti Piretik & Anti Tusif - - - - - - - - - -
- Alpara Tablet Molex Ayus - - - - - - - - - -
- Bronchifar Tablet Ifars 4 - 4 - 4 120 480 - 480 4 -
- Dextral Tablet Molex Ayus - - - - - - - - - -
- Dextral Syrup Sirup Molex Ayus - - - - - - - - - -
- Flucadex Tablet Graha farma - - - - - - - - - -
- Demacolin / Corhinza Tablet Coronet 450 800 1,850 1,400 270 365 675,250 511,000 98,550 270 -
- Tera F Tablet Rama Emeral - 200 - 350 - 350 - 122,500 - - -
- Rama Flu Tablet Rama Emeral 380 600 780 385 240 280 218,400 107,800 67,200 240 -
- Flutrop / Decotan Tablet Tropica Farm - 200 200 180 200 120 24,000 21,600 24,000 200 -
- Citocetin syrup Sirup Clublos farma - - - - - - - - - -
- - - - - - - - - -
10 Anti Tusif - - - - - - - - - -
Ambroxol 30 mg Tablet Indofarma - - - - - - - - - -
- Roverton 30 mg / Hufaxol 30 mg / Zenirex 30 Tablet 245 800 1,345 540 550 150 201,750 81,000 82,500 550 -
Ambroxol syrup Sirup Indofarma - - - - - - - - - -
- Roverton syrup / Hufaxol Syrup / Erlapect syr Sirup Ifars 14 - 29 1 27 5,800 168,200 5,800 156,600 27 -
-Bromifar Tablet - - - - - 120 - - - - -
- Bronkris Tablet Graha farma - - - - - - - - - -
Dextromerthophan Tablet Indofarma - - - - - - - - - -
- Code 15 Tablet - - - - - - - - - -
Dextromerthophan syrup Sirup Indofarma - - - - - - - - - -
Gliceryl Guaikolat (GG) Tablet Berlico 159 - 159 93 143 80 12,720 7,440 11,440 143 -
OBH Itrasal Syrup Sirup Itrasal - - - - - - - - - -
OBP Itrasal Syrup Sirup Itrasal - - - - - - - - - -
- Grantusif Tablet Graha farma 340 200 340 265 235 320 108,800 84,800 75,200 235 -
 - Graxine Tablet Graha farma 230 - 330 50 295 185 61,050 9,250 54,575 295 -
- Coparcetin Tablet Sampharindo 530 1,300 1,630 1,255 115 350 570,500 439,250 40,250 115 -
- Coparcetin Syrup / Remco syrup Sirup Sampharindo 14 85 111 83 3 5,800 643,800 481,400 17,400 3 -
- Pim-Tra-Kol syrup / Pacdin syrup Sirup PIM - - - - - - - - - -
Kombiven 2,5 ml Ampul 3 20 23 4 10 15,650 359,950 62,600 156,500 10 -
- - - - - - - - - -
11 Anti Histamin - - - - - - - - - -
Loratadin Tablet Indofarma - - - - - - - - - -
- Winatin Tablet 197 800 997 854 330 290 289,130 247,660 95,700 330 -
Cetrizin Tablet Indofarma - - - - - - - - - -
CTM Tablet Kimia Farma - - - - - - - - - -
- Dehista / Alleron / Alermax / Orphen / PallerskTablet Berlico 315 - 515 180 310 83 42,488 14,850 25,575 310 -
- CTM kaleng Tablet Erlimplex 579 - 579 50 529 55 31,845 2,750 29,095 529 -
- - - - - - - - - -
12 Antasida - - - - - - - - - -
Antasida Tablet Kimia Farma - - - - - - - - - -
- Novamag / Dexanta Tablet Nova 310 1,200 910 1,070 345 190 172,900 203,300 65,550 345 -
Antasida Syrup Sirup Kimia Farma - - - - - - - - - -
- Hufamag Plus /Hufasid Syrup / Atmasid Syr Sirup Hufa / Nova 19 15 69 44 24 3,500 241,500 154,000 84,000 24 -
Ranitidin Tablet Indofarma - - - - - - - - - -
- Gasela / Hufadine Tablet Hufa / Nova 385 600 1,185 690 310 200 237,000 138,000 62,000 310 -
Cimitidin Tablet Indofarma - - - - - - - - - -
- Tidifar Tablet 10 - 10 122 10 200 2,000 24,400 2,000 10 -
Omeprazol Tablet Indofarma - - - - - - - - - -
- Etagastrin / Lanzoprazole / Omekur Tablet 252 350 552 325 150 500 276,000 162,500 75,000 150 -
- - - - - - - - - -
13 Anti Emetic - - - - - - - - - -
Domperidone Tablet Kimia Farma - - - - - - - - - -
- Hufadon / Rosidon / Veperum Tablet Hufa 250 200 550 225 105 220 121,000 49,500 23,100 105 -
Domperidon syrup Sirup Kimia Farma - - - - - - - - - -
- Hufadon syrup / Rosidon syrup Sirup Hufa 15 20 35 20 8 4,500 157,500 90,000 36,000 8 -
Metocdopramite syrup Sirup Kimia Farma - - - - - - - - - -
- Norvum syrup / Primpen syrup Sirup Sampharindo 3 - 3 7 3 4,500 13,500 31,500 13,500 3 -
Dimenhidranat 50 Tablet Indofarma - - - - - - - - - -
- Omedrinat 50 / Mantino 50 Tablet Sampharindo 100 - 100 10 90 195 19,500 1,950 17,550 90 -
- - - - - - - - - -
14 Anti Spasmodik - - - - - - - - - -
Papaverin HCL Tablet Kimia Farma - - - - - - - - - -
Papaverin Injeksi Vial/Amp Kimia Farma - - - - - - - - - -
Spasminal Tablet Hexpharm 165 - 465 305 145 650 302,250 198,250 94,250 145 -
- Scopma Plus Tablet Ifars - - - - - - - - - -
- - - - - - - - - -
15 Anti Diare - - - - - - - - - -
Oralit Saset Erela - - - - - - - - - -
- Bioralit / Ramolit Saset Mecosin 124 100 224 245 85 540 120,960 132,300 45,900 85 -
- Diaform / Corosorb / Mecodiar Tablet Indofarma 640 - 640 430 165 230 147,200 98,900 37,950 165 -
-akita Tablet - - - - - - - - - -
- Novadiar syrup / Guanistrip Syrup / Kanina S Sirup Itrasal 14 - 29 3 13 3,500 101,500 10,500 45,500 13 -
 Zink Dispersible Tablet Indofarma 220 300 620 600 80 520 322,400 312,000 41,600 80 -
- - - - - - - - - -
16 Cordiovaskuler System - - - - - - - - - -
ISDN 5 mg Tablet Indofarma - - - - - - - - - -
- Farsorbit 5 mg Tablet 100 - 100 - 100 280 28,000 - 28,000 100 -
Propanolol Tablet Propanolol - - - - - - - - -
Nipedipin Tablet Kimia Farma 260 - 260 10 250 135 35,100 1,350 33,750 250 -
- - - - - - - - - -
17 Anti Hipertensi - - - - - - - - - -
Catopril 25 mg Tablet Indofarma 445 800 645 535 285 150 96,750 80,250 42,750 285 -
Catopril 50 mg Tablet Indofarma - - - - - - - - - -
- Forten 25 mg / Forten 50 mg Tablet Mexa Medica - - - - - - - - - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet Indofarma - - - - - - - - - -
- Selescordion 5 mg / Selscordion 10 mg Tablet Kimia Farma 465 2,340 1,975 1,590 20 600 1,185,000 954,000 12,000 20 -
- - - - - - - - - -
18 Dislipidemia (Kolesterol) - - - - - - - - - -
Simpastatin Tablet Kimia farma - - - - - - - - - -
- Selvim / Pontizoc Tablet Ifars 180 300 580 425 80 500 290,000 212,500 40,000 80 -
- - - - - - - - - -
19 Anti Asma - - - - - - - - - -
Aminophylin Tablet Indo Farma - - - - - - - - - -
- Grafasma / Grafalin Tablet Graha Farma - - - - - - - - - -
- Teosal Tablet Dexa Medika - - - - - - - - - -
- Teosal Syrup Tablet Dexa Medika - - - - - - - - - -
Salbutamol 2 mg / Salbutamol 4 mg Tablet Indo Farma - - - - - - - - - -
- Salbron 2 mg / Saltam 4 mg Tablet Ifars 600 200 600 160 540 205 123,000 32,800 110,700 540 -
- - - - - - - - - -
20 Anti Convulsan - - - - - - - - - -
Phenytoin Na Tablet Ikapharmindo - - - - - - - - - -
Amitriptilin Tablet Indofarma - - - - - - - - - -
- - - - - - - - - -
21 Anti Vertigo - - - - - - - - - -
Histigo Tablet Ifars 125 100 325 184 90 500 162,500 92,000 45,000 90 -
- - - - - - - - - -
22 Non Steroid Anti Inflamasin - - - - - - - - - -
Piroxicame Tablet Indofarma - - - - - - - - - -
- Novaxicame / Fasiden / Samrox / Wiros Tablet Nova /Ifars 230 100 330 125 210 175 57,750 21,875 36,750 210 -
Meloxicam 7,5 mg Tablet Indofarma - - - - - - - - - -
Ibuprofen Tablet Indofarma - - - - - - - - - -
- Novaxifen/ Bunova / Farsifen / Axofen / Nova Tablet Nova /Ifars 420 500 1,520 1,110 300 320 486,400 355,200 96,000 300 -
Na. Diklofenat Tablet Indofarma - - - - - - - - - -
Renadinac 25 mg Tablet - - - - - - - - - -
Renadinac 50 mg Tablet 280 1,000 1,380 630 180 295 407,100 185,850 53,100 180 -
Diclofenac Potassium Tablet - - - - - - - - - -
- Erphaflam, Megatic Tablet - - - - - - - - - -
Epirizol HCL Tablet - - - - - - - - - -
- Estalex Tablet 205 - 205 90 65 450 92,250 40,500 29,250 65 -
- - - - - - - - - -
23 Dioretik - - - - - - - - - -
HCT Tablet Indofarma - - - - - - - - - -
Furasemid Tablet Indofarma 95 - 95 - 95 150 14,250 - 14,250 95 -
- - - - - - - - - -
24 Hyperuricemia (asam Urat) - - - - - - - - - -
Allupurinol Tablet Indofarma - - - - - - - - - -
- Alodan / Alofar / Linogra Tablet Ifars 55 300 555 235 300 240 133,200 56,400 72,000 300 -
- - - - - - - - - -
25 Kortikosteroid - - - - - - - - - -
Methyl Prenisolon Tablet Indofarma - - - - - - - - - -
- Rhemafar 4 mg Tablet Ifars 270 400 870 200 205 380 330,600 76,000 77,900 205 -
Prednison Tablet Kimia Farma - - - - - - - - - -
- Inflason Tablet Berlico - - - - - - - - - -
Dexamethasane 0,5 mg Tablet Indofarma - - - - - - - - - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmet Tablet Graha Farma 520 1,800 1,920 1,770 85 120 230,400 212,400 10,200 85 -
-dexa kaleng Tablet Indofarma 455 - 455 119 89 75 34,125 8,925 6,675 89 -
- Polofar Plus Tablet Ifars - - - - - - - - - -
- - - - - - - - - -
26 Hasemostatik - - - - - - - - - -
Vitamin K Tablet Kimia Farma - - - - - - - - - -
- Danochrom Tablet Hexpharm - - - - - - - - - -
- - - - - - - - - -
27 Phlebilis Preparation - - - - - - - - - -
Nuwasir Tablet Medikon - - - - - - - - - - -
Anti Hemaroid Supp Suppos - - - - - - - - - -
Superoid Supp Suppos 11 12 29 4 12 5,187 150,423 20,748 62,244 12 -
- - - - - - - - - -
28 Anti Viral - - - - - - - - - -
Acyclovir Tablet Indofarma - - - - - - - - - -
- Vipres / Acifar Tablet 120 - 220 180 - 1,010 222,200 181,800 - - -
Acyclovir cream Cream Indofarma - - - - - - - - - -
- Acifar cream Tablet 36 10 56 17 31 4,800 268,800 81,600 148,800 31 -
- - - - - - - - - -
29 Antelmintik - - - - - - - - - -
Pyratel Tablet Kimia Farma 189 - 189 - 170 400 75,600 - 68,000 Mei 2021 170 -
Combantrin Tablet - - - - - - - - - -
Combantrin syrup Sirup - - - - - - - - - -
- - - - - - - - - -
30 Vitamin - - - - - - - - - -
- Neurodex Tablet Dexa Medika 700 - 700 - 700 - - - 700 -
- Caviplex /Selviplex /Supravit/Calfero Tablet Erela 295 1,400 1,795 1,100 260 360 646,200 396,000 93,600 260 -
- Livron B Plex Tablet Phapros - - - 500 - - - - - -
- Hufabion / Novabion /Etabian/ Fondazen Tablet Hufa 360 200 360 239 20 185 66,600 44,215 3,700 20 -
- Sulfas Ferrosus Tablet Kimia Farma - - - - - - - - - -
Vitamin B1 Tablet Kimia Farma - - - - - - - - - -
Vitamin B6 Tablet Kimia Farma - - - - - - - - - -
Vitamin B12 Tablet Kimia Farma - - - - - - - - - -
Vitamin B Komplek Tablet Kimia Farma 443 - 443 298 379 75 33,225 22,350 28,425 379 -
 Vitamin C Tablet Kimia Farma 105 - 105 119 - 35 3,675 4,165 - - -
GUCOLIN serbuk 1 - 1 - 1 30,000 30,000 - 30,000 1 -
- Licokalk Tablet Berlico - - - - - - - - - -
- Calcicus Lactat Tablet Erela 160 - 160 - 160 125 20,000 - 20,000 160 -
Curviplex Syrup / Tyalisin Syrup / Seltifort syru Syrup Graha Farma 21 55 71 54 15 4,500 319,500 243,000 67,500 15 -
Vastarel (B1, B6, B12), Zecaneuron / GrahabianTablet Graha Farma - - - 200 - 380 - 76,000 - - -
- - - - - - - - - -
31 Anti Fungi - - - - - - - - - -
Ketoconazole 200 mg Tablet Kimia Farma - - - - - - - - - -
- Solinfec 200 mg / Tokasid 200 mg / Pronazo Tablet 70 - 270 50 140 350 350 17,500 49,000 140 -
Ketokonazole 2 % Salep Salep Kimia Farma - - - - - 5,000 - - - - -
- Solifec 2 % salep / Micoticum 2 salep Salep Indofarma 13 20 33 8 22 6,500 214,500 52,000 143,000 22 -
Metrodinazole 500 mg Tablet Indofarma - - - - - - - - - -
- Novagil 500 mg / Selesnizol 500 mg / Farizol Tablet Graha Farma 265 200 265 170 105 220 58,300 37,400 23,100 105 -
Glesilvulvine Tablet Indofarma - - - - - 320 - - - - -
- Omevulvin Tablet 100 - 100 - 100 320 32,000 - 32,000 100 -
- - - - - - - - - -
32 Obat KB - - - - - - - - - -
Pil Mikrodiol 30 Tablet Kimia farma - - - - - - - - - -
Pil Andalan Tablet Triyasa 168 - 168 - 168 161 27,048 - 27,048 168 -
Cyclogeston Injeksi Ampul Triyasa - - - - - - - - - - -
Depogeston Injeksi 1 bln Ampul Triyasa 26 20 26 10 16 9,025 234,650 90,250 144,400 16 -
Depo Andalan injeksi 3 bln Ampul 16 20 56 31 17 9,250 518,000 286,750 157,250 17 -
Kondom Biji - - - - - - - - - -
- - - - - - - - - -
33 Anti TB - - - - - - - - - -
Rifampisin 600 Tablet - - - - - - - - - -
Etambutol 500 Tablet - - - - - - - - - -
INH 300 Tablet - - - - - - - - - -
Pyrazinamid 500 Tablet - - - - - - - - - -
- - - - - - - - - -
34 Preparat Mata - - - - - - - - - -
Oxytetracycline salep mata Salep - - - - - - - - - -
Erlamycetin Salep Mata Salep Erela 3 20 13 5 - 5,600 72,800 28,000 - - -
Cindo xitrol TM Tetes 4 10 24 15 5 6,300 151,200 94,500 31,500 5 -
Erlamycetin Tetes Mata/Reco TM Tetes Erela - - - - - - - - - -
- Isotic Neolysin TM/ Allegtrol TM / Reco TM Tetes 8 20 8 4 - 7,700 61,600 30,800 - - -
- - - - - -
35 Preparat Telinga - - - - - - - - - -
Erlamycetin Tetes Telinga Tetes Erela - - - - - - - - - -
- Reco Tetes Telinga Tetes 16 - 16 8 13 7,700 123,200 61,600 100,100 13 -
- Otopain TT / Santades TT Tetes - - - - - - - - - -
Forumen Ear Drop10 ml Tetes Sanbe 2 - 2 1 1 27,000 54,000 27,000 27,000 1 -
- - - - - - - - - -
36 Perparat Mulut - - - - - - - - - -
Bufacomb In Orabase Cream Bufa - - - - - - - - - -
GOM Cito Liquid Clubros 30 - 30 14 10 3,500 105,000 49,000 35,000 10 -
- Abotil Liquid - - - - - - - - - -
 - Mycostatin drop Sirup - - - - - - - - - -
- Degirol Permen Hisap Tablet - - - - - - - - - -
- Minosep kumur Cair - - - - - - - - - -
- - - - - - - - - -
37 Preparat Kulit - - - - - - - - - -
Gentamisin Sulfat salep Salep Indofarma - - - - - - - - - -
- Genalten Salep Salep Hufa 17 70 75 65 16 4,500 337,500 292,500 72,000 16 -
Hidrocortisone salep Salep Indofarma - - - - - - - - - -
- Vanquin Plus Cream / Solacort Cream / Bufa Salep Hufa 22 60 42 12 10 4,500 189,000 54,000 45,000 10 -
Miconazole salep Salep Indofarma - - - - - - - - - -
- Locoriz cream Salep - - - 10 - 5,700 - 57,000 - - -
Salep Kulit 24 Salep Clubros - 20 - - - 6,700 - - - - -
Oxytetracyclin salep kulit Salep Indofarma 10 - 10 - 10 - - - 10 -
- Erladerem N Cream Salep 11 40 51 13 21 5,500 280,500 71,500 115,500 21 -
- Burnazim Cream (luka barar) Salep - - - - - - - - - -
Icthiol salep bisul Salep Clubros 8 20 8 2 8 6,700 53,600 13,400 53,600 8 -
Salycil Talk/Bedak Talkum Kimia Farma - - - - - - - - - -
Larutan PK Liquid - - - - - - - - - -
- - - - - - - - - -
38 Vaksin - - - - - - - - - -
Vaksin BCG Ampul Biofarma - - - - - - - - - -
Vaksin Campak Ampul Biofarma - - - - - - - - - -
Vaksin DPT Ampul Biofarma - - - - - - - - - -
Vaksin TT Ampul Biofarma - - - - - - - - - -
Vaksin Polio Ampul Biofarma - - - - - - - - - -
- - - - - - - - - -
DIGOXIN Tablet Kimia Farma - - - - - - - - - -
- Fargoxine Tablet 100 - 100 - 100 220 22,000 - 22,000 100 -
- - - - - - - - - -
GLIBENCLAMIDA 5 mg Tablet Kimia Farma - - - - - - - - - -
- Latibet 5 mg Tablet Ifars 205 200 405 310 160 150 60,750 46,500 24,000 160 -
- - - - - - - - - -
METFORMIN Tablet Kimia Farma 400 200 600 140 190 260 156,000 36,400 49,400 190 -
- - - - - - - - - -
LUMINAL Tablet Kimia Farma - - - - - - - - - -
- - - - - - - - - -
TRANEXAMIC ACID (ASAM TRANEXAMIN ) Tablet Indo Farma - - - - - - - - - -
- Nexitra Tablet Ifars 92 - 92 20 60 1,300 119,600 26,000 78,000 60 -
- - - - - - - - - -
39 Obat Injeksi - - - - - - - - - -
Adimidon Injeksi Vial - - - - - - - - - -
Aminophiline Injeksi Vial - - - - - - - - - -
Duradril Injeksi Vial 10 - 10 - 10 6,500 65,000 - 65,000 10 -
DIAZEPAM Injeksi Vial - - - - - - - - - -
EPINERPHINE Injeksi Ampul - - - - - - - - - -
Furasemide Injeksi Vial - - - - - - - - - -
Quininen Injeksi Vial - - - - - - - - - -
Lidocain / Pehacain Injeksi Vial 70 10 70 3 68 2,690 188,300 8,070 182,920 68 -
 Metoclhoramide Injeksi Vial - - - - - - - - - -
Neurobion / Neuroboran Injeksi Vial 11 10 11 9 11 7,600 83,600 68,400 83,600 11 -
Scopamin Injeksi Vial - - - - - - - - - -
TRAMADOL Injeksi Ampul - - - - - - - - - -
Vitamin B Complek Injeksi Ampul - - - - - - - - - -
Vitamin B 12 Injeksi Ampul - - - - - - - - - -
Vitamin K Injeksi Vial - - - - - - - - - -
Xilomidon Injeksi Vial - - - - - - - - - -
Ranitidine Injeksi Ampul 13 - 13 1 10 6,400 83,200 6,400 64,000 10 -
Dexamethasone Inj Ampul 5 - 5 - 4 7,700 38,500 - 30,800 4 -
Ketorolac Injeksi Ampul 14 - 14 2 14 8,600 120,400 17,200 120,400 14 -
Metil prednisolon Inj Ampul - - - - - - - - - -
Benodon Ampul 21 10 21 3 12 17,000 357,000 51,000 204,000 12 -
- - - - - - - - - -
40 Lain-lain - - - - - - - - - -
Abocet 18 Pcs - - - - - 9,000 - - - - -
Abocet 20 Pcs 1 - 1 - 1 18,000 18,000 - 18,000 1 -
Abocet 22 Pcs - - - - - - - - - -
Abocet 24 Pcs 1 - 1 - 1 22,000 22,000 - 22,000 1 -
Infuset Dewasa / Anak Pcs 1 - 1 - 1 5,500 5,500 - 5,500 1 -
Alkohol 70 % Liquid PIM 1 1 1 - 1 11,500 11,500 - 11,500 1 -
Rivanol 100 ml/300ml Liquid Molex 1 - 1 - 1 6,000 6,000 - 6,000 1 -
Ringer Laktat (RL) Liquid Kimia Farma - - - - - 11,500 - - - - -
Glukosa 5% Liquid Kimia Farma - - - - - 11,500 - - - - -
NHCL Liquid Kimia Farma 1 1 1 - 1 8,500 8,500 - 8,500 1 -
Betadine 300 ml/Iodine Povidone Liquid Mahakam 1 - 1 - 1 6,500 6,500 - 6,500 1 -
H2O2 3% Liquid Prima Plus 1 - 1 - 1 45,000 45,000 - 45,000 1 -
Kasa Steril Husada Pcs Askara - - - - - - - - - -
Kapas 250 Husada/HIDROFILL Pcs Unknown 1 - 1 - 1 125,000 125,000 - 125,000 1 -
Verban Pcs Unknown 1 - 1 - 1 - - - 1 -
Spuit 1 cc Pcs OneMet - - - 4 - 700 - 2,800 - - -
Spuit 3 cc Pcs OneMet 86 - 186 63 97 1,885 350,610 118,755 182,845 97 -
Spuit 5 cc Pcs OneMet - - - - - 3,000 - - - - -
Spuit 10 cc Pcs OneMet - - - - - - - - - -
Needle 23 / Jarum Pcs OneMet 104 - 104 70 93 175 18,200 12,250 16,275 93 -
Needle komplit Pcs OneMet - - - - - - - - - -
Cut Gut 3/0, 4/0 (Cromic Cut Gut) Pcs Unknown 1 - 1 - 1 3,500 3,500 - 3,500 1 -
Silk 3/0, 4/0 (Black, White) Pcs Unknown 6 - 6 - 6 5,500 33,000 - 33,000 6 -
Bisturi No. 15 Pcs Unknown - - - - - - - - - -
Handscoon S, M, L, XL Pcs Sensi Gloves 249 900 549 150 360 500 274,500 75,000 180,000 360 -
HCG Test (Test kehamilan) Pcs Care Lamson 51 - 51 75 1 2,000 102,000 150,000 2,000 1 -
Masker 3 Fly Pcs Remedi - - - - - 950 - - - - -
Mess Pcs 1 - 1 - 1 3,000 3,000 - 3,000 1 -
Lubrikan Pot - - - - - - - - - -
Hansaplas (Plester) Liquid OneMet 1 - 1 - 1 3,500 3,500 - 3,500 1 -
Aquapro Inj Liquid 3 - 3 - 3 1,500 4,500 - 4,500 3 -
Kertas Puyer Bungkus 100 - 100 - 100 5,000 500,000 - 500,000 100 -
Klip Obat Bungkus 2,900 4,000 4,900 3,700 300 75 367,500 277,500 22,500 300 -
Plastik Kresek obat Bungkus - - - - - 450 - - - - -
Safratule / Daryantulle Bungkus 1 - 1 - 1 13,000 13,000 42 13,000 1 -
Jumlah 22,753 29,738 48,711 32,173 14,526 646,161 27,568,014 19,629,255 7,917,362 14,526

Mengetahui, Mataram, 4 November 2018

Koordinator Unit Kerja Klinik Yang membuat,

Bukhari Rahmat, SE Desi Ratnasari, Amd.Farm

LAPORAN STOK OPNAME OBAT / ALAT KESEHATAN

KLINIK : NAYAKA HUSADA MATARAM

PERIODE : 01 Oktober s/d 31 Oktober 2018

Sisa Penambahan Jumlah Pemakaian Sisa Harga satuan Total Harga Pemk
No Nama Obat Sedian bln Lalu bln ini bln ini bln ini bulan ini HNA + PPN Stok Obat Pemakaian Sisa Obat Expire Fisik Selisih Keterangan
1 2 3 5 6 7=5+6 8 9=7-8 10 11=7x10 12=8x10 13=9x10 14 15 16=9-15 17

1 Gol. Penisillin
Amoxycillin 500 mg Tablet - - - - - - - -
- Novamox 500 mg / Amostera 500 mg / Brodamox 50 Tablet 550 - 550 490 60 390 214,500 191,100 23,400 60 -
Amoxycillin 250 mg/ 5 ml Sirup - - - - - - - -
- Brodamox 250 mg/5 ml Sirup - - - - - - - -
Amoxycillin 125 mg/ 5 ml Sirup - - - - - - - 1
- Novamox 125 mg/5 ml Hufanoxil 125 mg/5 ml. Yusim Sirup 2 - 2 1 1 - - - 1 (1)
Ampicillin 500 mg Tablet - - - - - - - -
-Duramycin 500 mg Tablet 80 - 80 35 45 500 40,000 17,500 22,500 45 -
- - - - - - - -
2 Gol. Kuinolon - - - - - - - -
Ciprofloxacin Tablet - - - - - - - -
- Hufaflox / Etaflox / Novaflox Tablet - - - - - - - -
- - - - - - - -
3 Gol. Tetrasiklin - - - - - - - -
Tetrasiklin 500 mg Tablet - - - - - - - -
- Novabiotic 500 mg Tablet - - - - - - - -
- Doksisiklin 500 mg Tablet 100 - 100 20 80 350 35,000 7,000 28,000 80 -
- - - - - - - -
4 Antibiotik Kombinasi - - - - - - - -
Cotrimoxazol 480 mg Tablet - - - - - - - -
- Primadex 480 mg / Pehatrim 480 mg / Graprima 480 m Tablet - - - - - - - -
Cotrimoxazol 5 ml Sirup Sirup - - - - - - - -
- Primadex 5 ml / Graprima 5 ml / Aditrim 5 ml / Novatr Sirup - - - - - - - -
- - - - - - - -
5 Antibiotik Lain - - - - - - - -
Unkomisin Tablet - - - - - - - -
Clindamisin Tablet - - - - - - - -
- Milorin Tablet - - - - - - - -
- - - - - - - -
6 Analgetik & Antipirentik - - - - - - - -
Asam mefenamat 500 mg Tablet - - - - - - - -
- Novastan 500 mg / Grafamic 500 mg Tablet 615 - 615 555 60 140 86,100 77,700 8,400 60 -
Parasetamol 500 mg Tablet - - - - - - - -
- Novagesic 500 mg / Procet 500 mg / Mirasic 500 mg Tablet 165 - 165 145 20 150 24,750 21,750 3,000 20 -
Parasetamol syrup Sirup - - - - - - - -
- Novagesic 5 ml / Procet 5 ml / Nuvadol 5 ml / Fasidol Sirup 2 - 2 1 1 4,500 9,000 4,500 4,500 1 -
- Pamol 125 supositoria supos - - - - - - - -
 - Pamol Drops / Fasidol Drops Drops - - - - - - - -
Neuralgin Tablet - - - - - - - -
- Neuromec Tablet - - - - - - - -
- Neurophyron V Tablet - - - - - - - -
- - - - - - - -
7 Anti Histamin - - - - - - - -
CTM Tablet - - - - - - - -
- Dehista / Alleron / Alermax / Orphen / Pallerskin Tablet 110 - 110 - 110 230 25,300 - 25,300 110 -
- - - - - - - -
8 Cordiovaskuler System - - - - - - - -
ISDN 5 mg Tablet - - - - - - - -
- Farsorbit 5 mg Tablet - - - - - - - -
Propanolol Tablet - - - - - - - -
Nipedipin Tablet - - - - - - - -
- - - - - - - -
9 Anti Hipertensi - - - - - - - -
Catopril 25 mg Tablet - - - - - - - -
Catopril 50 mg Tablet - - - - - - - -
- Forten 25 mg / Forten 50 mg Tablet - - - - - - - -
Amlodifine 5 mg / Amlodifine 10 mg Tablet - - - - - - - -
- Selescordion 5 mg / Selscordion 10 mg Tablet - - - - - - - -
- - - - - - - -
10 Non Steroid Anti Inflamasin - - - - - - - -
Na. Diklofenat Tablet - - - - - - - -
Renadinac 25 mg Tablet - - - - - - - -
Renadinac 50 mg Tablet 100 - 100 20 80 240 24,000 4,800 19,200 80 -
novaxipen Tablet 60 - 60 30 30 190 11,400 5,700 5,700 30 -
- Erphaflam, Megatic Tablet - - - - - - - -
Epirizol HCL Tablet - - - - - - - -
- Estalex Tablet - - - - - - - -
- - - - - - - -
11 Kortikosteroid - - - - - - - -
Dexamethasane 0,5 mg Tablet - - - - - - - -
- Grathazon 0,5 mg / Carbidu 0,5 mg / Calmetasone 0 Tablet 530 - 530 427 103 120 63,600 51,240 12,360 103 -
Dexamethasane 0,5 mg + Dexchlorpeniramine Maleate Tablet - - - - - - - -
- - - - - - - -
12 Hasemostatik - - - - - - - -
Vitamin K Tablet - - - - - - - -
- Danochrom Tablet - - - - - - - -
- - - - - - - -
13 Vitamin - - - - - - - -
Vitamin B1 Tablet - - - - - - - -
Vitamin B6 Tablet - - - - - - - -
Vitamin B12 Tablet - - - - - - - -
Vitamin B Komplek Tablet 20 - 20 - 20 75 1,500 - 1,500 20 -
Vitamin C Tablet 40 - 40 20 20 45 1,800 900 900 20 -
Vastarel (B1, B6, B12), Zecaneuron / Grahabian Tablet 20 - 20 10 10 - - - 10 -
- - - - - - - -
14 Anti Fungi - - - - - - - -
Metrodinazole 500 mg Tablet - - - - - - - -
- Novagil 500 mg / Selesnizol 500 mg / Farizol 500 mg Tablet - - - - - - - -
- - - - - - - -
15 Perparat Mulut - - - - - - - -
Bufacomb In Orabase Cream - - - - - - - -
GOM Cito Liquid - - - - - - - -
- Abotil Liquid - - - - - - - -
- Mycostatin drop Sirup - - - - - - - -
- Minosep kumur Cair - - - - - - - -
- - - - - - - -
16 GLIBENCLAMIDA 5 mg Tablet - - - - - - - -
- Latibet 5 mg Tablet - - - - - - - -
- - - - - - - -
17 TRANEXAMIC ACID Tablet - - - - - - - -
- Asam tranexamin - - - - - - - -
- Nexitra Tablet 50 - 50 10 40 1,300 65,000 13,000 52,000 40 -
- - - - - - - -
18 Obat Injeksi - - - - - - - -
Lidocain / Pehacain Injeksi Vial 6 - 6 - 6 2,690 16,140 - 16,140 6 -
Vitamin K Injeksi Vial - - - - - - - -
Dexamethasone Inj Ampul - - - - - - - -
- - - - - - - -
19 Lain-lain - - - - - - - -
NHCL Liquid - - - - - - - -
Betadine 300 ml/Iodine Povidone Liquid - - - - - - - -
H2O2 3% Liquid - - - - - - - -
Kasa Steril Husada Pcs - - - - - - - -
Kapas 250 Husada/HIDROFILL Pcs - - - - - - - -
Verban Pcs - - - - - - - -
Spuit 1 cc Pcs 1 - 1 - 1 700 700 - 700 1 -
Spuit 3 cc Pcs - - - - - - - -
Handscoon S, M, L, XL Pcs 100 - 100 60 40 500 50,000 30,000 20,000 40 -
Masker 3 Fly Pcs 100 - 100 27 73 950 95,000 25,650 69,350 73 -
Hansaplas (Plester) Liquid - - - - - - - -
Aquapro Inj Bungkus - - - - - - - -
Klip Obat Bungkus 300 - 300 242 58 75 22,500 18,150 4,350 58 -
Plastik Kresek obat Bungkus - - - - - - - -

JUMLAH 2,951 - 2,951 2,093 637 13,145 786,290 468,990 317,300 - 858 - -

Mengetahui, Mataram, 5 November 2018

Koordinator Unit Kerja Klinik Yang membuat,

Bukhari Rahmat, SE Desi Ratnasari, Amd.Farm