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DAFTAR OBAT + BHP

PERINA
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
37
38
39
40
41
42
43
44

Kode Brg
D39A0101
E01A0155
D01A01488
E01A0200
E01A0214
D01A01637
E01A0297
E01A0295
E01A0339
E01A0772
E01A0792
E01A0799
D01A01604
E01A0858
D01A01103
E01A0885
E01A0958
E01B0201
E01B0202
E01A0964
E01A0966
E01A0967
E01A0969
D01A01285
E01A1115
E01A1188
E01A1189
E01B0502
E01B0501
E01A1209
E01A1210
E01A1211
E01A1270
E01A1285
D01A01639
D01A01638
E01A1665
E01A1737
E01A1738
D01A01282
D01A01283
E01A1786
E01A1820
E01A1948

Nama Brg
ALKOHOL 1 LITER 70%
ALKOHOL per cc / per ml
ALKOHOL SWAB
ANMUM INFACARE 1 400GR(SUSU)
AQUABIDEST 25ML(WATER FOR INJEKSI)
BEBELOVE 1 200GR
BETADINE SOL 60ML/55ML
BETADINE SOL per ml / cc
BOTOL SUSU PIGEON
FRISIAN FLAG 1 200GR ( SUSU BENDERA 1 200GR )
GELANG BAYI
GENTAMYCIN INJEKSI AMPUL INDOFARMA
GENTAMYCINE TETES MATA PERINA
HYPAFIX 10M
HYPAPIX 10X5 roll (CHICI )
INFUSET MIKRO
KAPAS 1000GR
KAPAS ALKOHOL
KAPAS SUBLIMAT
KASA GULUNG BESAR GASINDO
KASA STERIL
KASA STERIL HUSADA 16 X 16
KCL INJEKSI
LAMPU BLUE LIGHT
MASKER TALI
MICROPORE 1/2
MICROPORE 1
Micropore 1 inc 1 roll
Micropore 1/2 inc 1 Roll
MINYAK TELON 100ML TRISNOJOYO
MINYAK TELON 30ML TRISNOJOYO
MINYAK TELON 60ML TRISNOJOYO
NASAL OXYGEN PAED
NEO K INJEKSI
NUTRI BABY 1 200GR
NUTRI BABY PREMATURE 400GR
SARUNG TANGAN SENSI GLOVES
SUCTION CATHETER no 6
SUCTION CATHETER NO 8
TAS ANMUM SUSU INFACARE
TAS FRISIANFLAG SUSU BENDERA TAHAP 1
THERMOMETER DIGITAL BIASA
TORNIQUET
VERBAN 5CM

Satuan
FLS
ml
pcs
BOX
pcs
BOX
FLS
ml
pcs
DUS
pcs
amp
FLS
CM
ROLL
pcs
pcs
PCS
PCS
pcs
pcs
PCS
amp
PCS
pcs
CM
CM
Roll
Roll
btl
btl
btl
pcs
amp
BOX
BOX
PASANG
pcs
pcs
PCS
PCS
pcs
pcs
pcs

DAFTAR OBAT + BHP


RI KEBIDANAN
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Kode Brg
E01A0155
E01A0295
E01A0881
E01B0201
E01B0202
E01A0964
D01A01605
E01A1114
E01A1115
E01A1188
E01A1189
E01A1665
E01A09100
D01A01142
E01A11100

Nama Brg
ALKOHOL per cc / per ml
BETADINE SOL per ml / cc
INDIKATOR TAPE ( AUTO CLAVE 0,5 3M ) chici
KAPAS ALKOHOL
KAPAS SUBLIMAT
KASA GULUNG BESAR GASINDO
KASA STERIL RANAP
MASKER KARET
MASKER TALI
MICROPORE 1/2
MICROPORE 1
SARUNG TANGAN SENSI GLOVES
SOFRATULLE TINDAKAN
URINAL COWOK PLASTIK
WASLAP

Satuan
ml
ml
Roll
pcs
pcs
pcs
pcs
pcs
pcs
cm
cm
pasang
lembar
pcs
pcs

DAFTAR OBAT + BHP


RAWAT INAP
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
37
38
39

Kode Brg
D39A0101
E01A0155
E03C1101
E01A0232
E01A0295
E01A0503
E01A0553
E01A0554
E01A0656
E01A0858
E01A0881
E01A0958
E01B0201
E01A0964
D01A01605
D01A01297
E01A0997
E01A1072
E01A1074
E01A1114
E01A1115
E01B0502
E01B0501
E01A1191
D01A01221
D01A01220
E01A1417
E01A1418
D01A01144
D01A01547
E01A1585
E01A1665
E01A1699
E01A1724
E01A1811
E01A1820
D01A01142
E01A1947
E01A11100

Nama Brg
ALKOHOL 1 LITER 70%
ALKOHOL per cc / per ml
APRON
ATROPINE INJEKSI
BETADINE SOL per ml / cc
CORTISONE ASETATE INJEKSI
DELLADRYL INJEKSI ( ADIDRYL INJEKSI )
DELLAMIDON INJEKSI / ADIMIDON INJEKSI
EPHINEPRINE INJEKSI
HYPAFIX 10M
INDIKATOR TAPE ( AUTO CLAVE 0,5 3M ) chici
KAPAS 1000GR
KAPAS ALKOHOL
KASA GULUNG BESAR GASINDO
KASA STERIL RANAP
KERTAS EKG ICU
KLIP PLASTIK KECIL
LEUCOPLAST ( 2,5 X 4,5)
LEUCOPLAST ( 7,5 X 4,5 )
MASKER KARET
MASKER TALI
Micropore 1 inc 1 roll
Micropore 1/2 inc 1 Roll
MICROPORE 2 INC
PAKET MANDI BIASA
PAKET MANDI VIP
PARADRYL INJEKSI
PARAMIDON INJEKSI
PISPOT BIRU BESAR
PISPOT LAKI-LAKI
REGULATOR TABUNG
SARUNG TANGAN SENSI GLOVES
SOFRATULLE ( CHICI ) 50
STESOLID SUPP 5MG
TONG SPATEL KAYU
TORNIQUET
URINAL COWOK PLASTIK
VERBAN 10CM
WASLAP

Satuan
FLS
ml
PCS
amp
ml
amp
VIAL
VIAL
amp
CM
ROLL
pcs
PCS
pcs
PCS
PCS
pcs
pcs
pcs
pcs
pcs
Roll
Roll
CM
SET
SET
amp
amp
PCS
PCS
PCS
PASANG
pcs
pcs
pcs
pcs
PCS
pcs
PCS

DAFTAR OBAT + BHP


ICU
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
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55

Kode Brg
E01A0104
E01A0105
E01A0106
E01A0107
E01A0108
D01A01620
E01A0133
E01A0153
D39A0101
E01A0155
D38A0101
E01A0176
E01A0179
E01A0206
E01A0214
E03C0701
E01A0225
E01A0232
D01A01525
D01A01523
D01A01524
D01A0117
E01A0295
E01A0332
D01A0178
D01A01320
E01A0342
E01A01102
E01A0364
E03H0101
E01A0424
E01A0427
D01A01167
D01A01526
E01A0501
E01A0572
E01A0578
E01A0579
D01A01343
E01A0581
D01A01200
E01A0582
D01A01303
D01A01130
E01A0611
D01A01152
D01A01153
E01B0402
E01A0645
E01A0656
E01A0687
D01A0193
E03A0101
D01A0194
D01A0195

Nama Brg
ABBOCATH 18 ( INTROCAN G 18 )
ABBOCATH 20 ( INTROCAN G 20 )
ABBOCATH 22 (INTROCAN G 22 )
ABBOCATH 24 ( INTROCAN G 24 )
ABBOCATH 26 (INTROCAN G 26 )
ABBOCATH NO.24 NIPRO
ADONA AC 17 INJEKSI
ALINAMIN F INJEKSI
ALKOHOL 1 LITER 70%
ALKOHOL per cc / per ml
AMINOFLUID-L 500MG
AMINOFUSIN PAED INFUS
AMINOPHYLLINE INJEKSI
ANTRAIN INJEKSI
AQUABIDEST 25ML(WATER FOR INJEKSI)
AQUABIDEST 1000ML WIDA (WIDA WI UNICAP 1000ML )
ASERING INFUS OTSUKA
ATROPINE INJEKSI
BASIC BREATHING SYSTEM FOR NEONATAL
BASIC BREATHING SYSTEM FOR ADULT
BASIC BREATHING SYSTEM FOR PEDIATRIC
BETADINE SOL 1 LITER
BETADINE SOL per ml / cc
BLOOD SET
BONNET LARGE (FIXATION-BONNET LARGE - MEDIN )
BONNET MEDIUM (FIXATION BONNET MEDIUM -MEDIN )
BRAINACT INJEKSI 500MG
BUBBLE CPAP SINGLE HEATED WIRE CIRCUIT W/WATERTRAP
BUSCOPAN INJEKSI
CATETHER TIP
CEFOTAXIME INJEKSI
CEFTRIAXONE INJEKSI ( BERNO )
CITICHOLIN INJEKSI 125MG ( BERNO )
CLEAR GUARD MIDI LOW VOLUME
CORTIDEX INJEKSI
DEXAMETHASONE INJEKSI ( BERNO )
DEXTROSE 1/4 NS 500ML OTSUKA
DEXTROSE 10% 1/5 NS 500ML OTSUKA
DEXTROSE 10% WIDA / D10 / TM
DEXTROSE 40% 25ML OTSUKA
DEXTROSE 5% 500ML /D5 /TM WIDA
DEXTROSE 5% ( G 5% ) 100ML PIGGY BAG OTSUKA
DEXTROSE 5% DP 500ML/ INFUSAN D5 DP SANBE
DOBUTEL INJEKSI
DOPAMIN GULLINI INJ
ELEKTRODA EKG ANAK AMBU
ELEKTRODA EKG BAYI AMBU
ELEKTRODA EKG DEWASA AMBU
ENTRON 4MG INJEKSI
EPHINEPRINE INJEKSI
ETHIFERAN INJEKSI
ETT 3,0
ETT 3,5
ETT 5
ETT 5,5

Satuan
pcs
pcs
pcs
pcs
pcs
PCS
amp
amp
FLS
ml
DUS
btl
amp
amp
pcs
btl
KOLF
amp
PCS
PCS
PCS
BOTOL
ml
pcs
PCS
PCS
AMPUL
PCS
amp
PCS
amp
amp
AMP
PCS
amp
amp
INF
KOLF
KOLF
KOLF
KOLF
FLS
VIAL
amp
PCS
PCS
pcs
vial
amp
AMP
PCS
pcs
PCS
PCS

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
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

D01A0197
D01A0198
E01A0613
E01A0700
E01A0702
E01A0703
E01A0710
E01A0723
E01A0779
E01A0789
D01A0106
E01A0822
D01A01587
E01A0858
D01A01103
E01A0885
E01A0886
E01A0941
E01A0942
E01A0943
E01A0958
E01B0201
E01B0202
E01A0964
D01A01605
E01A0969
D01A01297
E01A1071
E01A1074
E01A1081
E01A1082
E01A1115
E01A1116
E01A1117
E01A1119
E01A1118
E03A0104
E03A0103
E01A1120
E01A1121
E01A1124
E01A1172
E01A1176
E01A1182
E01A1184
E01A1185
E01A1188
E01A1189
E01B0502
E01B0501
D01A01276
E01B0401
D01A01264
D01A01246
D01A01201
D01A01196
E01A1269
E01A1270
D01A01531
D01A01532
E01A1307
E03C1001
E01A1313

ETT 7,0
ETT 8,0
ETT NO. 4,0
ETT NO. 4,5
ETT NO. 7,5
ETT NO.2,5
EXTRACE INJEKSI 1000MG
FENTANYL 0,05MG 2ML
FUROSEMID INJEKSI INDOFARMA/KIMIA FARMA
GAVISTAL INJEKSI
GELAFUSAL INFUSION 500ML
GUDEL ( CAMPUR 0,3,4,5 )
HYGROBAC COVIDLAN
HYPAFIX 10M
HYPAPIX 10X5 roll (CHICI )
INFUSET MIKRO
INFUSET MAKRO
KAEN 1B OTSUKA
KAEN 3A OTSUKA 500ml
KAEN 3B OTSUKA
KAPAS 1000GR
KAPAS ALKOHOL
KAPAS SUBLIMAT
KASA GULUNG BESAR GASINDO
KASA STERIL RANAP
KCL INJEKSI
KERTAS EKG ICU
LEUCOPLAST ( 1,25 X 4,5)
LEUCOPLAST ( 7,5 X 4,5 )
LIDOCAIN INJEKSI
LIDODEX INJEKSI
MASKER TALI
MASKER NEBULIZER ANAK
MASKER NEBULIZER DEWASA
MASKER NON REBREATING ANAK
MASKER NON REBREATING DEWASA
MASKER OKSIGEN ANAK
MASKER OKSIGEN DEWASA
MASKER REBREATING DEWASA
MASKER REBREATING ANAK
MATOLAC INJEKSI 30MG
METIL PREDNISOLON INJEKSI 125MG ( BERNO )
METOCLOPRAMIDE 10mg
MEYLON INJEKSI
MGSO4 20% (MAGNESIUM SULFAT 20%) 25ml
MGSO4 40% (MAGNESIUM SULFAT 40% ) 25 OTSU
MICROPORE 1/2
MICROPORE 1
Micropore 1 inc 1 roll
Micropore 1/2 inc 1 Roll
MILOZ INJEKSI 5MG
MINIFLOW -(MEDIN )
N-EPI 1MG INJEKSI
NACL 100ML / INFUSAN NS 100ML SANBE
NACL 500ML / NS /TM WIDA
NACL 500ML / INFUSAN NS DP SANBE
NASAL OXYGEN ADULT
NASAL OXYGEN PAED
NEBULIZER T-KIT FOR ADULT
NEBULIZER T-KIT FOR PEDIATRIC
NEUROTAM 3 GR
NGT NO. 2.5
NGT NO.10

PCS
PCS
PCS
pcs
PSC
PCS
AMP
VIAL
amp
amp
KOLF
PCS
PCS
CM
ROLL
pcs
pcs
BOTOL
KOLF
btl
pcs
PCS
PCS
pcs
PCS
amp
PCS
pcs
pcs
amp
amp
pcs
pcs
pcs
PCS
PCS
PCS
PCS
pcs
pcs
amp
amp
tab
amp
amp
amp
CM
CM
Roll
Roll
10
PCS
AMP
KOLF
KOLF
KOLF
pcs
pcs
PCS
PCS
AMP
PCS
PCS

119
120
121
122
123
124
125
126
127
128
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
175
176
177
178
179
180
181

E01A1314
E01A1315
E01A1316
E01A1317
E01A1318
D01A1032
D01A01284
E01A1319
E01A1320
E01A1341
E01A1382
E01B0103
D01A01220
D01A1004
D01A01263
E01A1431
E01A1440
E01A1454
E01A1457
E01A1458
E01A1459
E01A1461
E01A1535
E01A1551
E01A1575
E01A1586
D01A01202
D01A01195
E01A1665
D01A0179
D01A01321
D01A01406
D01A01208
D01A01528
D01A01527
E01A1714
E01A1715
E01A1716
E01A1717
E01A1718
E01A1719
E01A1724
E01A1731
E03C1002
E01A1736
E01A1737
E01A1738
D01A01102
E01A1742
D01A01529
D01A01530
E01A1800
E01A1826
E01A1851
D01A01197
E01A1880
E01A1923
E01A1938
E01A1939
E01A1940
E01A1947
E01A1948
E01A11100

NGT NO.12
NGT NO.14
NGT NO.16
NGT NO.18
NGT NO.20
NGT NO.3
NGT NO.3.5
NGT NO.5
NGT NO.8
NORAGES INJEKSI
ONDANSETRON INJEKSI 4MG ( BERNO )
ORIGINAL PERFUSOR
PAKET MANDI VIP
PARACETAMOL INFUS
PERDIPINE INJECTION 10MG
PHENTAL INJEKSI
PIRACETAM 3 GR INJEKSI ( NOVELL )
PLASMINEX INJEKSI
POLY CHATETER NO.8 GOLD
POLYCATHETER 10
POLYCATHETER 12
POLYCATHETER 16
PRORIS SUPP
PULMICORT RESP 0,25 mg (NEB )
RANITIDIN INJEKSI (BERNO)
RELIVAN INJEKSI
RL / TM WIDA
RL 500ML DP/ INFUSAN RL DP SANBE
SARUNG TANGAN SENSI GLOVES
SILICON NASAL PRONG IN MEDIUM (NASAL SILICON PRONG
SILICON NASAL PRONG IN MICRO ( NASAL SILICON PRONG
SILICON NASAL PRONG IN SMALL (NASAL SILICON PRONG
SILICON NASAL PRONG IN XLARGE (NASAL SILICON PRONG
SINGLE HEATED WIRE SYSTEM WITH AUTO FILL
SINGLE USE CHAMBER
SPUIT 1 CC
SPUIT 10 CC
SPUIT 20 CC
SPUIT 3CC
SPUIT 5 CC
SPUIT 50 CC
STESOLID SUPP 5MG
STOLAX SUPP
SUCTION CATETER NO. 12
SUCTION CATHETER NO 16
SUCTION CATHETER no 6
SUCTION CATHETER NO 8
SUCTION CATHETER NO.10
SUPRAFENID SUPP
SWIVEL ELBOW FOR ADULT
SWIVEL ELBOW FOR PEDIATRIC
THREE WAY (DISCOFIX )
TRAMADOL INJEKSI ( BERNO )
TRICKER INJEKSI
TRIDEX 27 A SANBE
URINE BAG ROYAL
VALISANBE INJEKSI
VENFLON NO.20 (VASOFIX G 20 )
VENFLON NO.22 (VASOFIX G 22 )
VENFLON NO.24 (VASOFIX G 24 )
VERBAN 10CM
VERBAN 5CM
WASLAP

pcs
pcs
pcs
pcs
pcs
PCS
PCS
pcs
pcs
amp
amp
PCS
SET
FLS
AMP
VIAL
amp
amp
PCS
pcs
pcs
pcs
pcs
pcs
amp
AMP
KOLF
KOLF
PASANG
PCS
PCS
PCS
PCS
PCS
PCS
pcs
pcs
pcs
pcs
pcs
pcs
pcs
SUPP
PCS
pcs
pcs
pcs
PCS
pcs
PCS
PCS
pcs
amp
amp
KOLF
pcs
AMP
pcs
pcs
pcs
pcs
pcs
PCS

182

E03C0802

Y-PIECE

PCS

DAFTAR OBAT + BHP


OK
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
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55

Kode Brg
E01A0104
E01A0106
D01A01455
E01A0133
E01A0153
D39A0101
E01A0155
E01A0179
E01A0182
E01A0214
E01A0222
E01A0225
E01A0232
E01A0256
E01A0257
E01A0260
E01A0261
E01A0262
D01A01578
E01A0264
D01A01146
D01A01121
D01A01607
E03B0103
D01A01608
E03B0104
E03B0102
E03B0101
D01A01339
E01A0266
E03B0501
E03B0106
E03B0105
D01A01235
E01A0267
E03B0107
E01A0269
E03B0304
E01A0270
E01A0271
E01A0273
E01A0275
D01A01610
D01A01611
D01A01609
E01A0276
D01A01234
E01A0278
E01A0280
E03B0302
E03B0301
E03B0303
E01A0296
E01A0295
E01A0326

Nama Brg
ABBOCATH 18 ( INTROCAN G 18 )
ABBOCATH 22 (INTROCAN G 22 )
ADALAT OROS 30MG TABLET
ADONA AC 17 INJEKSI
ALINAMIN F INJEKSI
ALKOHOL 1 LITER 70%
ALKOHOL per cc / per ml
AMINOPHYLLINE INJEKSI
AMLODIPIN 5MG TABLET(berno )
AQUABIDEST 25ML(WATER FOR INJEKSI)
ASAM TRANEKSAMAT INJEKSI 250MG
ASERING INFUS OTSUKA
ATROPINE INJEKSI
BENANG ASSUCRYL 1
BENANG ASSUCRYL 2
BENANG CHROMIC 2 PER CC
BENANG CHROMIC NO.2 ROLL
BENANG CHROMIC 2/0 per cm
BENANG CHROMIC 2/0 SACHET
BENANG CHROMIC NO.1 per cm
BENANG CHROMIC NO.1 ROLL
BENANG CHROMIC NO.2/0 ROLL
BENANG DURACARE 2/0 SACHET
BENANG DURACARE 3/0 SACHET
BENANG DURACARE NO.1 SACHET
BENANG OPTIME 4/0 SACHET
BENANG PETCRYL 2/0 SACHET
BENANG PETCRYL 3/0 SACHET
BENANG PLAIN 3/0 1 ROLL ( CHICI )
BENANG PLAIN 3/0 ROLL PER CM
BENANG PLAIN 3/0 SACHET
BENANG PLAIN 4/0 ROLL
BENANG PLAIN 4/0 SACHET
BENANG POLYSORB NO.1 SACHET
BENANG PREMILENE 2-0 DS 24
BENANG PREMILENE 4/0 SACHET
BENANG PREMILENE 5-0 DS 16/36
BENANG PREMILENE 6/0 SACHET
BENANG PROLENE 2/0 SACHET
BENANG PROLENE 3/0 SACHET
BENANG PROLENE 5/0 SACHET
BENANG SAFIL 3-0 SACHET
BENANG SAFIL 4/0 SACHET
BENANG SAFIL 5/0 SACHET
BENANG SAFILL 2/0 SACHET
BENANG SILK 2/0 PER CM
BENANG SILK 2/0 SACHET
BENANG SILK 3/0 SACHET
BENANG SILK NO.2
BENANG VICRYL 1/0 SACHET
BENANG VICRYL 2/0 SACHET
BENANG VICRYL 3/0 SACHET
BETADINE SOL 5 LITER
BETADINE SOL per ml / cc
BISTURI NO.10

Satuan
pcs
pcs
TAB
amp
amp
FLS
ml
amp
TAB
pcs
AMP
KOLF
amp
PCS
PCS
cm
ROLL
cm
PCS
ROLL
ROLL
ROLL
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SACHET
pcs
SACHET
SACHET
SACHET
ROLL
cm
SACHET
ROLL
SACHET
PCS
SACHET
SACHET
SACHET
SACHET
PCS

SACHET
pcs
pcs
pcs
CM
PCS
PCS
CM
SACHET
SACHET
SACHET
ml
ml
pcs

56
57
58
59
60
61
62
63
64
65
66
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68
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98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118

E01A0327
E01A0328
E01A0330
E01A0332
E01A0352
D01A01262
E01A0388
E01A0389
E01A0399
E01A0424
E01A0427
D01A01110
D01A01189
E01A0483
E01A0501
E01A0503
E01A0516
E01A0572
D01A01200
D01A01478
D01A01303
E01A0645
E01A0654
E01A0656
E03A0101
D01A0194
D01A0195
D01A0196
D01A0197
E01A0700
E01A0701
E01A0702
E01A0703
E01A0747
E01A0764
E01A0778
E01A0779
E01A0789
D01A0106
E01A0799
E01A0830
E01A0831
E01A0833
D15A0601
E01A0848
D01A01168
E01A0858
E01A0881
E01A0883
E01A0886
D15A1401
D01A01310
E01A0922
E01A0923
E01A0924
E01A0925
E01A0926
E01A0927
E01A0928
E01A0929
E01A0930
D01A0192
E01A0931

BISTURI NO.11
BISTURI NO.15
BISTURI NO.22
BLOOD SET
BRICASMA INJEKSI
CALCII GLUCONAS INJEKSI
CAPTOPRIL 12,5 MG
CAPTOPRIL 25 MG
CATAPRES INJEKSI
CEFOTAXIME INJEKSI
CEFTRIAXONE INJEKSI ( BERNO )
CENDO MYDRIATYL 0,5 % 5ML
CENDO PANTOCAIN ED PER ml
COLSANCETIN SYRUP
CORTIDEX INJEKSI
CORTISONE ASETATE INJEKSI
CURASPON
DEXAMETHASONE INJEKSI ( BERNO )
DEXTROSE 5% 500ML /D5 /TM WIDA
DEXTROSE 5% 500 ML OTSUKA
DEXTROSE 5% DP 500ML/ INFUSAN D5 DP SANBE
ENTRON 4MG INJEKSI
EPHEDRINE INJEKSI
EPHINEPRINE INJEKSI
ETT 3,5
ETT 5
ETT 5,5
ETT 6,0
ETT 7,0
ETT NO. 4,5
ETT NO. 6,5
ETT NO. 7,5
ETT NO.2,5
FLAMICORT INJEKSI 10MG 1 AMP
FORMALIN TABLET
FUROSEMID 40MG
FUROSEMID INJEKSI INDOFARMA/KIMIA FARMA
GAVISTAL INJEKSI
GELAFUSAL INFUSION 500ML
GENTAMYCIN INJEKSI AMPUL INDOFARMA
GYPSONA SEDANG
GYPSONA BESAR
H2O2 per cc /per ml
HALOTHANE LIQUID 250ML
HIBICET HOSPITAL per ml
HIBICET HOSPITAL GALLON 5 LITER
HYPAFIX 10M
INDIKATOR TAPE ( AUTO CLAVE 0,5 3M ) chici
INDUXIN INJEKSI
INFUSET MAKRO
ISOFLURANE 250ML
ISOFLURANE PER CC
JARUM KULIT NO.10
JARUM KULIT NO.11
JARUM KULIT NO.12
JARUM KULIT NO.13
JARUM KULIT NO.14
JARUM KULIT NO.15
JARUM KULIT NO.16
JARUM KULIT NO.6
JARUM KULIT NO.9
JARUM OTOT NO. 10
JARUM OTOT NO.11

pcs
pcs
pcs
pcs
amp
AMP
tab
tab
amp
amp
amp
FLS
FLS
btl
amp
amp
amp
KOLF
FLS
FLS
vial
amp
amp
pcs
PCS
PCS
PCS
PCS
pcs
pcs
PSC
PCS
AMP
TAB
tab
amp
amp
KOLF
amp
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pcs
FLS
BTL
ml
ML
CM
ROLL
amp
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BTL
FLS
PCS
pcs
pcs
pcs
pcs
pcs
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pcs
pcs
PCS
pcs

119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
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159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181

E01A0932
E01A0933
E01A0934
E01A0935
E01A0936
E01A0937
E01A0938
E03A0402
E01A0939
E01A0941
E01A0942
E01A0964
E01A0967
E01A0969
E01A0994
E01A1006
D15A0701
D01A01309
E01A1081
E01A1114
E01A1115
E01A1124
D01A01415
E01A1182
E01A1184
E01A1185
E01A1188
E01A1189
E01A1191
D01A01499
D01A01276
E01A1198
D01A0126
E01A1261
E01A1263
D01A01264
D01A0185
D01A01201
D01A01196
E01A1265
E02F0101
E02F0102
E01A1276
E01A1280
E01A1285
E01A1313
E01A1314
E01A1315
E01A1316
E01A1317
D01A01284
E01A1319
E01A1320
E01A1322
E01A1323
E01A1340
E01A1341
D01A01446
E01A1374
E01A1382
D01A01577
A4
Portrait
A4
Landscape
E01A1424
A3 Portrait
E01A1451
A3
Landscape

JARUM OTOT NO.12


JARUM OTOT NO.13
JARUM OTOT NO.14
JARUM OTOT NO.15
JARUM OTOT NO.16
JARUM OTOT NO.6
JARUM OTOT NO.7
JARUM OTOT NO.8
JARUM OTOT NO.9
KAEN 1B OTSUKA
KAEN 3A OTSUKA 500ml
KASA GULUNG BESAR GASINDO
KASA STERIL HUSADA 16 X 16
KCL INJEKSI
KETOROLAC 30MG INJEKSI ( BERNO )
KTM INJEKSI
KTM INJEKSI PER CC
LARYNGEAL MASK NO.2
LIDOCAIN INJEKSI
MASKER KARET
MASKER TALI
MATOLAC INJEKSI 30MG
METRONIDAZOLE INFUS ( BERNO )
MEYLON INJEKSI
MGSO4 20% (MAGNESIUM SULFAT 20%) 25ml
MGSO4 40% (MAGNESIUM SULFAT 40% ) 25 OTSU
MICROPORE 1/2
MICROPORE 1
MICROPORE 2 INC
MILOZ INJEKSI 15MG TINDAKAN
MILOZ INJEKSI 5MG
MINOSCRUB 5 LITER
MINOSCRUB PER ML/CC
MYOMERGIN INJEKSI
MYOTONIC INJEKSI
N-EPI 1MG INJEKSI
N2O (nitrogen oxyda )
NACL 500ML / NS /TM WIDA
NACL 500ML / INFUSAN NS DP SANBE
NACL INFUS 100ML OTSU (NS/PIGGYBACK)
NASAL CANUL ANAK
NASAL CANUL DEWASA
NAZOVELL SUPP
NEEDLE NO.26
NEO K INJEKSI
NGT NO.10
NGT NO.12
NGT NO.14
NGT NO.16
NGT NO.18
NGT NO.3.5
NGT NO.5
NGT NO.8
NIFEDIN
NIFEDIPIN (KIMIA FARMA )
NOPROSTOL
NORAGES INJEKSI
NOTRIXUM 25 INJEKSI 2,5ML
ODR 4MG INJEKSI
ONDANSETRON INJEKSI 4MG ( BERNO )
OXYLA INJEKSI
PEHACAIN INJEKSI
PITOGIN INJEKSI

A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT" SIZE="5" VALUE="0.5"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait

pcs
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pcs
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PCS
PCS
PCS
BOTOL
KOLF
pcs
PCS
amp
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amp
cc
PCS
amp
pcs
pcs
amp
KOLF
amp
amp
amp
CM
CM
CM
AMPUL
10
btl
ML/CC
AMP
VIAL
AMP
1
KOLF
KOLF
KOLF
PCS
PCS
SUPP
pcs
amp
PCS
pcs
pcs
pcs
pcs
PCS
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pcs
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AMP
AMP
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182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
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202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
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219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240

E01A1454
E01B0102
E01A1460
E01A1461
E01A1462
E01A1463
E01A1489
E01A1539
E01A1575
D01A01513
E01A1580
D01A01190
E01A1583
E01A1586
D01A01202
D01A01195
E01A1617
E01A1619
E01A1620
D01A01273
D01A01318
E01A1665
E01A1666
E01A1686
E01A1699
E03A0401
E01A1709
E01A1714
E01A1715
D01A01618
E01A1717
D01A1043
E01A1718
E01A1719
E03C1002
E01A1742
E01A1753
E01A1800
E01A1814
E01A1826
D01A01493
E01A1829
D01A01440
D01A01177
D01A01178
E01A1880
E01A1923
E01A1937
E01A1938
E01A1947
E01A1948
E01A1949
E01A1950
E01A1951
E01A1958
E01A1959
E01A1960
E01A1998
E01A11100

PLASMINEX INJEKSI
POLIBAN
POLYCATHETER 14
POLYCATHETER 16
POLYCATHETER 18
POLYCHATETER NO.20
PRESEPT 0,5 GR
PROSTIGMINE 0,5 INJEKSI
RANITIDIN INJEKSI (BERNO)
RATIVOL INJEKSI
RECAIN INJEKSI
RECO SALEP MATA TINDAKAN
RECOFOL
RELIVAN INJEKSI
RL / TM WIDA
RL 500ML DP/ INFUSAN RL DP SANBE
SAFOL
SAGESTAM INJEKSI
SAGESTAM SALEP KULIT
SANBE HEST INFUS
SANKORBIN INJEKSI
SARUNG TANGAN SENSI GLOVES
SARUNG TANGAN STERIL GAMEX / BB
SILAX 10MG INJEKSI
SOFRATULLE ( CHICI ) 50
SPINOCAN NO 25 (CHICI )
SPINOCAN NO.27 (CHICI )
SPUIT 1 CC
SPUIT 10 CC
SPUIT 1CC NIPRO
SPUIT 3CC
SPUIT 3CC NIPRO
SPUIT 5 CC
SPUIT 50 CC
SUCTION CATETER NO. 12
SUPRAFENID SUPP
TALK HAICHEN 1 KG PULV
THREE WAY (DISCOFIX )
TOPI OPERASI
TRAMADOL INJEKSI ( BERNO )
TRAMADOL INJEKSI ( NOVELL )
TRAMAL SUPP
TRILAC INJEKSI
TROVENSIS INJEKSI 2ml
TROVENSIS INJEKSI 8MG/4ml
URINE BAG ROYAL
VALISANBE INJEKSI
VENFLON NO.18 (VASOFIX G 18 )
VENFLON NO.20 (VASOFIX G 20 )
VERBAN 10CM
VERBAN 5CM
VERBAN ELASTIS BESAR ( TENSOCREPE )
VERBAN ELASTIS KECIL (TENSOCREPE )
VERBAN ELASTIS SEDANG (TENSOCREPE )
VICRYL 2/0
VICRYL 3/0
VICRYL No.2
VOMETRON 4MG INJ
WASLAP

amp
PCS
pcs
pcs
pcs
PCS
TUBE
amp
amp
AMPUL
VIAL
TUBE
AMP
AMP
KOLF
KOLF
amp
amp
tube
KOLF
AMP
PASANG
PASANG
amp
pcs
PCS
PCS
pcs
pcs
PCS
pcs
PCS
pcs
pcs
PCS
pcs
pcs
pcs
pcs
amp
AMP
pcs
AMP
VIAL
VIAL
pcs
AMP
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
Pcs
VIAL
PCS

DAFTAR OBAT + BHP


OK MATA
Tanggal/Hari Stok Opname

Nama Petugas

Jam Mulai

Jam Selesai

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
37
38
39
40
41
42
43

Kode Brg
D39A0101
E01A0156
E01A0155
D01A0117
E01A0296
E01A0297
E01A0295
E01A0327
E01A0328
D01A01110
D01A01111
D01A01187
D01A01189
E01A0571
E01A0572
E01A0656
E01A0660
E01A0799
E01A0886
E01A0964
E01B0101
E01A0967
E01A1081
E01A1114
E01A1115
E01B0502
E01B0501
D01A01201
E01A1581
D01A01202
D01A01124
E01A1619
E01A1665
E01A1666
E01A1714
E01A1715
D01A01434
D01A01618
A4E01A1717
Portrait
A4 Landscape
D01A1043
A3
Portrait
A3E01A1718
Landscape
A2 Portrait
A2
Landscape
D01A01433
Letter Portrait
E01A1814
Letter
Landscape

Nama Brg
ALKOHOL 1 LITER 70%
ALKOHOL 100ML
ALKOHOL per cc / per ml
BETADINE SOL 1 LITER
BETADINE SOL 5 LITER
BETADINE SOL 60ML/55ML
BETADINE SOL per ml / cc
BISTURI NO.11
BISTURI NO.15
CENDO MYDRIATYL 0,5 % 5ML
CENDO MYDRIATYL 1% 5ML
CENDO PANTOCAIN
CENDO PANTOCAIN ED PER ml
DEXAMETHASON INJEKSI HARSEN
DEXAMETHASONE INJEKSI ( BERNO )
EPHINEPRINE INJEKSI
ERLAMICETIN SALEP MATA
GENTAMYCIN INJEKSI AMPUL INDOFARMA
INFUSET MAKRO
KASA GULUNG BESAR GASINDO
KASA GULUNG BESAR GASINDO 1 ROLL
KASA STERIL HUSADA 16 X 16
LIDOCAIN INJEKSI
MASKER KARET
MASKER TALI
Micropore 1 inc 1 roll
Micropore 1/2 inc 1 Roll
NACL 500ML / NS /TM WIDA
RECO SALEP MATA 5GR
RL / TM WIDA
RL INFUS BBRAUNT
SAGESTAM INJEKSI
SARUNG TANGAN SENSI GLOVES
SARUNG TANGAN STERIL GAMEX / BB
SPUIT 1 CC
SPUIT 10 CC
SPUIT 10CC NIPRO
SPUIT 1CC NIPRO
SPUIT 3CC
SPUIT 3CC NIPRO
SPUIT 5 CC
SPUIT 5CC NIPRO
TOPI OPERASI

Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT" SIZE="5" VALUE="0.5"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait

Satuan
FLS
btl
ml
BOTOL
ml
FLS
ml
pcs
pcs
FLS
FLS
FLS
FLS
VIAL
amp
amp
tube
amp
pcs
pcs
ROLL
PCS
amp
pcs
pcs
Roll
Roll
KOLF
TUBE
KOLF
KOLF
amp
PASANG
PASANG
pcs
pcs
PCS
PCS
pcs
PCS
pcs
PCS
pcs

A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape

SIZE="5" VALUE="0.5"

SIZE="5" VALUE="0.5"

SIZE="5" VALUE="0.5"

SIZE="5" VALUE="0.5"

SIZE="5" VALUE="0.5"

SIZE="5" VALUE="0.5"

DAFTAR REAGEN + BHP


LABORATORIUM
Tanggal/Hari Stok Opname

Nama Petugas

Jam Mulai

Jam Selesai

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
37
38
39
40
41
42
43
44
45
46
47
48
49
50

Kode Brg
Nama Brg
D01A01459 ALBUMIN 100ML (TRINITY )
D39A0101 ALKOHOL 1 LITER 70%
E01A0155 ALKOHOL per cc / per ml
D01A01488 ALKOHOL SWAB
D01A01614 AMPHETAMINE STRIP
E01A0214 AQUABIDEST 25ML(WATER FOR INJEKSI)
D01A01537 BASO TB STAIN Z N METHOD (INDOLAB )
D01A01615 BENZODIAZEPINE STRIP TEST
D01A01326 BILIRUBIN TOTAL 260ML ( TRINITY )
E05B0101 BLUE TIPS (ALIA MANDIRI )
D01A01492 BLUE TIPS 1ML FOR EPPENDORF ( INDOLAB )
D01A01371 CHOLESTEROL 100ML (TRINITY )
D01A01616 COCCAINE STRIP TEST
E01A0514 CREATININE 125ML (TRINITY )
E05B0501 DILUCLAIR,SFRI ( TRINITY )
E05D0401 DILUTON 20LT,LMG SFRI ( TRINITY )
D01A01333 EDTA 0,5ML (PUTRA DIAGNOSTIK )
D01A01332 EDTA 3ML TABUNG ( ALIA MANDIRI )
D01A01378 EDTA CAIR 10% ST 100ML ( ALIA MANDIRI )
D01A01548 FORMALIN CAIR 10 LITER
D01A01376 GIEMSA 100ML ( ALIA MANDIRI )
E01A0808 GLUCO DR BIOSENSOR ( ALIA MANDIRI )
E01A0810 GLUCO DR BLOOD GLUCOSE TEST STRIP (MEDISINDO )
D01A01370 GLUCOSE 100ML (TRINITY )
E01A0812 GOLONGAN DARAH SET ( TRINITY )
D01A01327 GOT (AST) 125ML (TRINITY )
D01A01369 GPT (ALT) 125ML ( TRINITY )
E05B0103 HBsAg CASSETTE (TRINITY )
D01A01372 HDL PRECIPITAT 100ML (TRINITY )
E01A0495 HEMATOLOGI CONTROL,BIORAD (TRINITY )
E01A0957 KAPAS 250GR
E01A0958 KAPAS 1000GR
D01A01509 KARTU GOLONGAN DARAH (TRINITY )
E01A0996 KLIP PLASTIK BESAR
E05B0105 LANCET 100PCS (TRINITY )
E05B0104 LANCET GC 200\'S ( ALIA MANDIRI )
D01A01382 LED DISPOSIBLE (PUTRA DIAGNOSTIK )
E01A1072 LEUCOPLAST ( 2,5 X 4,5)
D01A01329
LYSOGLOBINE,LMG,SFRI ( TRINITY )
A4
Portrait
A4
Landscape
E01A1114
MASKER KARET
A3 Portrait
E01A1115
MASKER TALI
A3 Landscape
A2
Portrait
D01A01389 MEDICINE CUP WITH CAP 30ML ( INDOLAB )
A2 Landscape
D01A01374
MEDLANCE PLUS SPECIAL (TRINITY )
Letter
Portrait
Letter Landscape
D01A01338
METHANOL
Legal Portrait
Legal
E01A1188
Landscape MICROPORE 1/2
<INPUT TYPE="TEXT" SIZE="5" VALUE="0.5"
E01B0502
Micropore 1 inc 1 roll
A4 Portrait
A4
Landscape
E01B0501 Micropore 1/2 inc 1 Roll
A3 Portrait
E05B0109
MORPHINE STRIP TEST
A3
Landscape
A2
Portrait
E01A1279
NEEDLE NO.24
A2 Landscape
E01A1280
NEEDLE NO.26
Letter
Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT" SIZE="5" VALUE="0.5"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape

Satuan
KIT
FLS
ml
pcs
STRIP
pcs
KIT
STRIP
SET
BAG
PCS
KIT
STRIP
KIT
KIT
KIT
PCS
PCS
BTL
GALLON
BTL
KIT
STRIP
KIT
SET
SET
SET
PCS
KIT
pcs
pcs
KIT
pcs
BOX
BOX
BOX
pcs
KIT
pcs
pcs
PCS
KIT
BTL
CM
Roll
Roll
STRIP
pcs
pcs

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
84
85
86
87
88
89
90

D01A01423
D01A01663
E01A1281
E01A1373
E05B0302
D01A01334
E01A1473
E01A1476
D01A01535
D01A01544
E01A1665
D01A01617
E01A1714
E01A1715
D01A01618
E01A1717
E01A1718
D01A01390
E05B0301
E01A1751
E01A1752
E01A1779
E05B0108
E01A1820
D01A01427
E01A1867
D01A01328
E01A1878
E01A1881
D01A01512
D01A01536
D01A01569
D01A01456
D01A01539
E05B0102
E01A2016
D01A01375
E01A2028
D01A01491
D01A01377

NEEDLE 23G x 3/4\\\'\\\'FOR IDLAB VACUM TUBE (INDO


NEEDLE FLASHBACK 22 G ( PUTRA DIAGNOSTIK )
NEEDLE NO.25
OBJECK GLASS ( TRINITY )
PLAIN TABUNG (ALIA MANDIRI )
PLAIN TABUNG (ALIA MANDIRI )
POT PLASTIK 50 CC
POT PLASTIK 30CC
SALMONELLA SET ( TRINITY )
SAMPLE CUP FOR HITACHI 7150,7060 SERIES AULINBAS 2
SARUNG TANGAN SENSI GLOVES
SPIRITUS
SPUIT 1 CC
SPUIT 10 CC
SPUIT 1CC NIPRO
SPUIT 3CC
SPUIT 5 CC
STOOL CONTAINER 30ML WITH ATTACHED SPOON 30ML (IND
TABUNG CENTRIFUGES
TABUNG EDTA K3
TABUNG REAKSI PYREX
TES HAMIL ONE MED STRIP
THC STRIP TEST
TORNIQUET
TRIGLYCERIDES 100ML (TRINITY )
TUBEX TF (SEVANA )
UREA 125ML (TRINITY )
URIC ACID 125ML ( TRINITY )
URINE 10 P VERYPY ( ALIA MANDIRI )
URINE CONTAINER (RED CAP STOOL 60ML )
URITEST 10 G URINE STRIP (INDOLAB )
VB.TUBE CLOT ACTIVATOR 3ML ( TRINITY )
VB.TUBE EDTA K3 3ML/ 2 ML ( TRINITY )
VB.TUBE PLAIN 3ML ( TRINITY )
WHITE TIPS 5-10 for gilson/universal type(INDOLAB
WIDAL ( SALMONELLA ANTIGEN SET) FORTRESS ( ALIA MA
WRAIGHT 100ML INDO REAGEN (ALIA MANDIRI )
YELLOW TIPS (ALIA MANDIRI )
YELLOW TIPS 200 UL FOR EPPENDOR ( INDOLAB )
ZILOL 100ML ( ALIA MANDIRI )

BOX
PCS
PCS
BOX
PCS
BOX
pcs
pcs
KIT
SET
PASANG
BTL
pcs
pcs
PCS
pcs
pcs
PCS
PCS
PCS
PCS
PCS
STRIP
pcs
KIT
FLS
SET
KIT
KIT
PCS
KIT
KIT
KIT
KIT
BAG
SET
BTL
BAG
PCS
BTL

DAFTAR OBAT + BHP


VK
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
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

Kode Brg
E01A0104
E01A0105
E01A0107
E01A0130
E01A0131
E01A0153
D39A0101
E01A0155
E01A0181
E01A0182
E01A0214
E01A0232
E01A0257
E01A0260
E01A0258
E01A0262
D01A01146
D01A01121
E01A0265
E01A0266
E03B0301
D01A0117
E01A0295
E01A0332
E01A0352
E01A0399
E01A0407
E01A0422
E01A0424
E01A0427
E01A0428
D01A1016
E01A0553
E01A0554
E01A0568
E01A0572
D01A01343
D01A01200
D01A01303
E01A0610
E01A0627
E01A0654
E01A0656
E01A0657
E01A0687
E01A0703
D01A01643
D01A01594
E01A0764
E01A0779
E01A0789

Nama Brg
ABBOCATH 18 ( INTROCAN G 18 )
ABBOCATH 20 ( INTROCAN G 20 )
ABBOCATH 24 ( INTROCAN G 24 )
ADALAT 10MG
ADALAT 5MG
ALINAMIN F INJEKSI
ALKOHOL 1 LITER 70%
ALKOHOL per cc / per ml
AMLODIPIN 10MG tablet (berno)
AMLODIPIN 5MG TABLET(berno )
AQUABIDEST 25ML(WATER FOR INJEKSI)
ATROPINE INJEKSI
BENANG ASSUCRYL 2
BENANG CHROMIC 2 PER CC
BENANG CHROMIC 1 SACHET
BENANG CHROMIC 2/0 per cm
BENANG CHROMIC NO.1 ROLL
BENANG CHROMIC NO.2/0 ROLL
BENANG PLAIN 2-0 SACHET
BENANG PLAIN 3/0 ROLL PER CM
BENANG VICRYL 2/0 SACHET
BETADINE SOL 1 LITER
BETADINE SOL per ml / cc
BLOOD SET
BRICASMA INJEKSI
CATAPRES INJEKSI
CEFADROXYL 500 MG ( BERNO )
CEFOJECT 1 GR
CEFOTAXIME INJEKSI
CEFTRIAXONE INJEKSI ( BERNO )
CEFXON INJEKSI
CLOPEDIN INJEKSI 2ML
DELLADRYL INJEKSI ( ADIDRYL INJEKSI )
DELLAMIDON INJEKSI / ADIMIDON INJEKSI
DETTOL 250ML
DEXAMETHASONE INJEKSI ( BERNO )
DEXTROSE 10% WIDA / D10 / TM
DEXTROSE 5% 500ML /D5 /TM WIDA
DEXTROSE 5% DP 500ML/ INFUSAN D5 DP SANBE
DOPAMET TAB
DUVADILAN INJEKSI
EPHEDRINE INJEKSI
EPHINEPRINE INJEKSI
EPIDOSIN INJEKSI
ETHIFERAN INJEKSI
ETT NO.2,5
FARSIX INJ 10 MG/ML
FLOHALE INJEKSI
FORMALIN TABLET
FUROSEMID INJEKSI INDOFARMA/KIMIA FARMA
GAVISTAL INJEKSI

Satuan
pcs
pcs
pcs
tab
tab
amp
FLS
ml
TAB
TAB
pcs
amp
PCS
cm
SACHET
cm
ROLL
ROLL
PCS
cm
SACHET
BOTOL
ml
pcs
amp
amp
tab
VIAL
amp
amp
AMP
VIAL
VIAL
VIAL
btl
amp
KOLF
KOLF
FLS
tab
amp
amp
amp
amp
AMP
PCS
AMPUL
AMPUL
TAB
amp
amp

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
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

D01A0106 GELAFUSAL INFUSION 500ML


E01A0792 GELANG BAYI
D01A0113 GELANG DEWASA PINK
E01A0798 GENTAMYCIN CREAM
E01A0824 GUNTING ANATOMIS
E01A0855 HUMAN ALBUMIN 20% 50ML BEHRING
E01A0858 HYPAFIX 10M
D01A01103 HYPAPIX 10X5 roll (CHICI )
E01A0881 INDIKATOR TAPE ( AUTO CLAVE 0,5 3M ) chici
E01A0883 INDUXIN INJEKSI
E01A0885 INFUSET MIKRO
E01A0886 INFUSET MAKRO
E01A0940 JELLY SONO GALLON 5 LITER
E01A0941 KAEN 1B OTSUKA
E01A0942 KAEN 3A OTSUKA 500ml
E01A0943 KAEN 3B OTSUKA
D01A01277 KAEN MG3 500ML 0TSUKA
E01A0958 KAPAS 1000GR
E01B0201 KAPAS ALKOHOL
E01B0202 KAPAS SUBLIMAT
E01A0964 KASA GULUNG BESAR GASINDO
E01B0101 KASA GULUNG BESAR GASINDO 1 ROLL
D01A01487 KASSA N-XR
E01A0969 KCL INJEKSI
D01A01232 KERTAS CTG BFM 800 INDOGUNA
E01A0976 KERTAS CTG PAPER BISTOS
D01A01297 KERTAS EKG ICU
E01A0996 KLIP PLASTIK BESAR
E01A0997 KLIP PLASTIK KECIL
E01A1006 KTM INJEKSI
D15A0701 KTM INJEKSI PER CC
D01A01171 LAMINARIA
E01A1071 LEUCOPLAST ( 1,25 X 4,5)
E01A1074 LEUCOPLAST ( 7,5 X 4,5 )
E01A1081
LIDOCAIN INJEKSI
A4
Portrait
A4 Landscape
D01A01299
LOMATULLE
A3 Portrait
A3
Landscape
E01A1114 MASKER KARET
A2 Portrait
E01A1115
MASKER TALI
A2
Landscape
Letter
Portrait
E01A1124 MATOLAC INJEKSI 30MG
Letter Landscape
D01A01415
METRONIDAZOLE INFUS ( BERNO )
Legal
Portrait
Legal Landscape
E01A1182
MEYLON
INJEKSI
<INPUT
TYPE="TEXT"
SIZE="5"
VALUE="0.5"
A4
Portrait
E01A1184
MGSO4 20% (MAGNESIUM SULFAT 20%) 25ml
A4 Landscape
E01A1185
MGSO4 40% (MAGNESIUM SULFAT 40% ) 25 OTSU
A3
Portrait
A3
Landscape
E01A1188 MICROPORE 1/2
A2 Portrait
A2
Landscape
E01A1189
MICROPORE 1
Letter Portrait
E01B0502
Letter
Landscape Micropore 1 inc 1 roll
Legal
Portrait
E01B0501
Micropore 1/2 inc 1 Roll
Legal Landscape
E01A1191
MICROPORE
2 INC
<INPUT
TYPE="TEXT"
SIZE="5" VALUE="0.5"
A4 Portrait
E01A1261
MYOMERGIN
INJEKSI
A4 Landscape
A3
Portrait
E01A1263
MYOTONIC INJEKSI
A3 Landscape
D01A01201
NACL 500ML / NS /TM WIDA
A2
Portrait
A2
Landscape
E01A1269
NASAL OXYGEN ADULT
Letter Portrait
Letter
E01A1278
Landscape NEEDLE NO.23 (STERICAN G 23)
Legal Portrait
E01A1314
Legal Landscape NGT NO.12
<INPUT
TYPE="TEXT"
SIZE="5"
VALUE="0.5"
E01A1317
NGT
NO.18
A4 Portrait
E01A1322
NIFEDIN
A4
Landscape
A3 Portrait
E01A1323 NIFEDIPIN (KIMIA FARMA )
A3 Landscape
A2
Portrait
E01A1340
NOPROSTOL
A2 Landscape
E01A1341
NORAGES INJEKSI
Letter
Portrait
Letter
Landscape
E01A1398 OXOFERIN SOL 30ML
Legal Portrait
Legal Landscape

KOLF
pcs
PCS
tube
pcs
FLS
CM
ROLL
ROLL
amp
pcs
pcs
GALLON
BOTOL
KOLF
btl
KOLF
pcs
PCS
PCS
pcs
ROLL
PCS
amp
PAK
pcs
PCS
pcs
pcs
amp
cc
PCS
pcs
pcs
amp
PCS
pcs
pcs
amp
KOLF
amp
amp
amp
CM
CM
Roll
Roll
CM
AMP
VIAL
KOLF
pcs
pcs
pcs
pcs
tab
tab
tab
amp
FLS

112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
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

D01A01577
E01A1417
E01A1418
E01A1451
E01A1454
E01A1460
E01A1461
E01A1462
E03A0105
E03A0102
E01A1470
D01A01225
E01A1580
E01A1583
E01A1586
E01A1607
D01A01202
D01A01195
E01A1617
D01A01273
E01A1665
E01A1666
E01A1686
E01B0104
E01A1699
E03A0401
E01A1714
E01A1715
D01A01618
E01A1716
E01A1717
D01A1043
E01A1718
E01A1719
D01A01433
E01A1738
E01A1742
E01A1753
E01A1820
E01A1826
D01A01551
D01A0188
E01A1880
E01A1923
E01A1937
E01A1938
E01A1947
E01A1948
E01A1958
E01A1959
E01A1960
E01A1998
E01A11100
E01A2018

OXYLA INJEKSI
PARADRYL INJEKSI
PARAMIDON INJEKSI
PITOGIN INJEKSI
PLASMINEX INJEKSI
POLYCATHETER 14
POLYCATHETER 16
POLYCATHETER 18
POLYCATHETER 22
POLYCATHETER 24
POSPARGIN INJEKSI
PROTERINE INJEKSI
RECAIN INJEKSI
RECOFOL
RELIVAN INJEKSI
RIVANOL 100ML
RL / TM WIDA
RL 500ML DP/ INFUSAN RL DP SANBE
SAFOL
SANBE HEST INFUS
SARUNG TANGAN SENSI GLOVES
SARUNG TANGAN STERIL GAMEX / BB
SILAX 10MG INJEKSI
SILET
SOFRATULLE ( CHICI ) 50
SPINOCAN NO 25 (CHICI )
SPUIT 1 CC
SPUIT 10 CC
SPUIT 1CC NIPRO
SPUIT 20 CC
SPUIT 3CC
SPUIT 3CC NIPRO
SPUIT 5 CC
SPUIT 50 CC
SPUIT 5CC NIPRO
SUCTION CATHETER NO 8
SUPRAFENID SUPP
TALK HAICHEN 1 KG PULV
TORNIQUET
TRAMADOL INJEKSI ( BERNO )
UMBLICAL CORD CLAME
UNDERPAD
URINE BAG ROYAL
VALISANBE INJEKSI
VENFLON NO.18 (VASOFIX G 18 )
VENFLON NO.20 (VASOFIX G 20 )
VERBAN 10CM
VERBAN 5CM
VICRYL 2/0
VICRYL 3/0
VICRYL No.2
VOMETRON 4MG INJ
WASLAP
WING NEEDLE NO.23

AMP
amp
amp
amp
amp
pcs
pcs
pcs
PCS
PCS
amp
AMPUL
VIAL
AMP
AMP
btl
KOLF
KOLF
amp
KOLF
PASANG
PASANG
amp
pcs
pcs
PCS
pcs
pcs
PCS
pcs
pcs
PCS
pcs
pcs
PCS
pcs
pcs
pcs
pcs
amp
PCS
PCS
pcs
AMP
pcs
pcs
pcs
pcs
pcs
pcs
Pcs
VIAL
PCS
pcs

DAFTAR OBAT + BHP


UGD
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
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51

Kode Brg
E01A0103
E03H0104
E01A0104
E01A0105
E01A0106
E01A0107
E01A0108
D01A01620
E01A0119
E01A0135
D39A0101
E01A0155
D01A01488
E01A0172
E01A0179
E01A0206
E03C1101
E01A0214
E01A0225
E01A0232
E01A0241
E01A0262
E01A0263
E01A0264
D01A01339
E01A0266
E01A0268
E03B0107
E01A0269
E03B0304
E01A0270
E01A0271
E01A0272
E01A0273
E01A0276
D01A01480
E01A0277
E01A0279
D01A01291
D01A01552
D01A0117
E01A0295
E01A0324
E01A0326
E01A0327
E01A0330
E01A0332
E01A0352
E01A0364
E03H0101
E01A0439

Nama Brg
ABBOCATH 16 ( INTROCAN G 16 )
ABBOCATH 14 ( iv catheter )
ABBOCATH 18 ( INTROCAN G 18 )
ABBOCATH 20 ( INTROCAN G 20 )
ABBOCATH 22 (INTROCAN G 22 )
ABBOCATH 24 ( INTROCAN G 24 )
ABBOCATH 26 (INTROCAN G 26 )
ABBOCATH NO.24 NIPRO
ACRAN INJEC
ADRENALIN
ALKOHOL 1 LITER 70%
ALKOHOL per cc / per ml
ALKOHOL SWAB
AMBUBAG ANAK (RESUCITATOR)
AMINOPHYLLINE INJEKSI
ANTRAIN INJEKSI
APRON
AQUABIDEST 25ML(WATER FOR INJEKSI)
ASERING INFUS OTSUKA
ATROPINE INJEKSI
BALON TENSI
BENANG CHROMIC 2/0 per cm
BENANG CHROMIC 3/0 ROL
BENANG CHROMIC NO.1 per cm
BENANG PLAIN 3/0 1 ROLL ( CHICI )
BENANG PLAIN 3/0 ROLL PER CM
BENANG PREMILENE 3-0 DS 24
BENANG PREMILENE 4/0 SACHET
BENANG PREMILENE 5-0 DS 16/36
BENANG PREMILENE 6/0 SACHET
BENANG PROLENE 2/0 SACHET
BENANG PROLENE 3/0 SACHET
BENANG PROLENE 4/0 SACHET
BENANG PROLENE 5/0 SACHET
BENANG SILK 2/0 PER CM
BENANG SILK 3/0 ROLL (CHICI )
BENANG SILK 3/0 ROLL per cm
BENANG SILK 4/0 ROLL ( CHICI )
BENANG SILK NO.1 ROLL
BENANG SILK NO.2/0 ROLL
BETADINE SOL 1 LITER
BETADINE SOL per ml / cc
BISOLVON IHALASI/TINDAKAN
BISTURI NO.10
BISTURI NO.11
BISTURI NO.22
BLOOD SET
BRICASMA INJEKSI
BUSCOPAN INJEKSI
CATETHER TIP
CERPLAST CAVITI 50 X 50

Satuan
pcs
PCS
pcs
pcs
pcs
pcs
pcs
PCS
amp
AMP
FLS
ml
pcs
pcs
amp
amp
PCS
pcs
KOLF
amp
PCS
cm
cm
ROLL
ROLL
cm
SACHET
SACHET
SACHET
SACHET
PCS
SACHET
CM
ROLL
cm
CM
ROLL
ROLL
BOTOL
ml
TETES
pcs
pcs
pcs
pcs
amp
amp
PCS
LEMBAR

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
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

D01A01644
E01A0449
D01A01167
E01A0488
E01A0493
E01A0501
E01A0503
E01A0553
E01A0572
D01A01133
D01A01343
E01A0581
D01A01200
E01A0582
D01A01478
D01A01303
E01A0593
E01A0611
E01B0402
E01A0645
E01A0654
E01A0656
E01A0687
D01A0193
E03A0101
D01A0196
D01A0197
D01A0198
E01A0702
E01A0703
E01A0749
E01A0761
E01A0779
D01A0122
E01A0789
E01A0798
E01A0799
E01A0804
E01A0822
E01A0832
E01A0833
E01A0858
D01A01103
E01A0885
E01A0886
D01A01621
E01A0917
E01A0922
E01A0923
E01A0924
E01A0925
E01A0926
E01A0927
E01A0928
D01A0192
E01A0931
E01A0932
E01A0933
E01A0934
E01A0935

CERPLAST CAVITI 55mm x 80mm


CHLORETYL
CITICHOLIN INJEKSI 125MG ( BERNO )
COMBIVEN NEBULE
CONDOM CATHETER
CORTIDEX INJEKSI
CORTISONE ASETATE INJEKSI
DELLADRYL INJEKSI ( ADIDRYL INJEKSI )
DEXAMETHASONE INJEKSI ( BERNO )
DEXTROSE 10% 500ML OTSUKA
DEXTROSE 10% WIDA / D10 / TM
DEXTROSE 40% 25ML OTSUKA
DEXTROSE 5% 500ML /D5 /TM WIDA
DEXTROSE 5% ( G 5% ) 100ML PIGGY BAG OTSUKA
DEXTROSE 5% 500 ML OTSUKA
DEXTROSE 5% DP 500ML/ INFUSAN D5 DP SANBE
DIGENTA CREAM
DOPAMIN GULLINI INJ
ELEKTRODA EKG DEWASA AMBU
ENTRON 4MG INJEKSI
EPHEDRINE INJEKSI
EPHINEPRINE INJEKSI
ETHIFERAN INJEKSI
ETT 3,0
ETT 3,5
ETT 6,0
ETT 7,0
ETT 8,0
ETT NO. 7,5
ETT NO.2,5
FLIXOTIDE NEBUL
FORDIN INJEKSI
FUROSEMID INJEKSI INDOFARMA/KIMIA FARMA
FUTROLIT
GAVISTAL INJEKSI
GENTAMYCIN CREAM
GENTAMYCIN INJEKSI AMPUL INDOFARMA
GITAS INJEKSI
GUDEL ( CAMPUR 0,3,4,5 )
H2O2 1 LITER
H2O2 per cc /per ml
HYPAFIX 10M
HYPAPIX 10X5 roll (CHICI )
INFUSET MIKRO
INFUSET MAKRO
INFUSET MAKRO NIPRO
ISORBID INJEKSI
JARUM KULIT NO.10
JARUM KULIT NO.11
JARUM KULIT NO.12
JARUM KULIT NO.13
JARUM KULIT NO.14
JARUM KULIT NO.15
JARUM KULIT NO.16
JARUM OTOT NO. 10
JARUM OTOT NO.11
JARUM OTOT NO.12
JARUM OTOT NO.13
JARUM OTOT NO.14
JARUM OTOT NO.15

PCS
btl
AMP
PCS
PCS
amp
amp
VIAL
amp
KOLF
KOLF
KOLF
KOLF
FLS
FLS
tube
amp
pcs
vial
amp
amp
AMP
PCS
pcs
PCS
PCS
PCS
PSC
PCS
pcs
AMP
amp
VIAL
amp
tube
amp
amp
PCS
btl
FLS
CM
ROLL
pcs
pcs
PCS
VIAL
PCS
pcs
pcs
pcs
pcs
pcs
pcs
PCS
pcs
pcs
pcs
pcs
pcs

112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
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

E01A0936 JARUM OTOT NO.16


E01A0940 JELLY SONO GALLON 5 LITER
D01A01634 JEPIT BISTURI
E01A0941 KAEN 1B OTSUKA
E01A0942 KAEN 3A OTSUKA 500ml
E01A0943 KAEN 3B OTSUKA
E01A0958 KAPAS 1000GR
E01B0201 KAPAS ALKOHOL
E01A0964 KASA GULUNG BESAR GASINDO
E01A0966 KASA STERIL
D01A01297 KERTAS EKG ICU
D01A01132 KERTAS EKG KENZ 112X30
E01A0988 KETOPROFEN 100MG TABLET ( BERNO )
D01A1024 KETOROLAC 10MG INJ
E01A0994 KETOROLAC 30MG INJEKSI ( BERNO )
E01A0993 KETOROLAC 30MG INJEKSI (novell )
E01A1071 LEUCOPLAST ( 1,25 X 4,5)
E01A1081 LIDOCAIN INJEKSI
E01A1114 MASKER KARET
E01A1115 MASKER TALI
E01A1116 MASKER NEBULIZER ANAK
E01A1117 MASKER NEBULIZER DEWASA
E01A1119 MASKER NON REBREATING ANAK
E01A1118 MASKER NON REBREATING DEWASA
E01A1120 MASKER REBREATING DEWASA
E01A1121 MASKER REBREATING ANAK
E01A1124 MATOLAC INJEKSI 30MG
E01A1188 MICROPORE 1/2
E01A1189 MICROPORE 1
E01B0502 Micropore 1 inc 1 roll
E01B0501 Micropore 1/2 inc 1 Roll
E01A1191 MICROPORE 2 INC
E01B0503 MICROPORE 2 INC 1 ROLL
D01A01246 NACL 100ML / INFUSAN NS 100ML SANBE
D01A01201 NACL 500ML / NS /TM WIDA
D01A01196 NACL 500ML / INFUSAN NS DP SANBE
E01A1265 NACL INFUS 100ML OTSU (NS/PIGGYBACK)
E01A1266 NACL INFUS 500ML OTSU (NS/RUBB)
E01A1269 NASAL OXYGEN ADULT
D01A01367 NASAL OXYGEN ANAK (SELANG OXYGEN ANAK ) CHICI
D01A01294 NASAL OXYGEN BAYI
D01A01366 NASAL OXYGEN DEWASA (SELANG OXYGEN DEWASA ) CHICI
E01A1270 NASAL OXYGEN PAED
E01A1278 NEEDLE NO.23 (STERICAN G 23)
E01A1279 NEEDLE NO.24
E01A1280 NEEDLE NO.26
E01A1281 NEEDLE NO.25
D01A01266 NEUCITI 500MG INJEKSI
E01A1303 NEUROSANBE INJEKSI
E01A1313
NGT NO.10
A4
Portrait
A4 Landscape
E01A1314 NGT NO.12
A3 Portrait
A3
Landscape
E01A1315
NGT NO.14
A2 Portrait
E01A1316
NGT NO.16
A2
Landscape
Letter
Portrait
E01A1317
NGT NO.18
Letter Landscape
D01A01284
NGT NO.3.5
Legal
Portrait
Legal Landscape
E01A1319
NGT
NO.5 VALUE="0.5"
<INPUT TYPE="TEXT"
SIZE="5"
A4
Portrait
E01A1320 NGT NO.8
A4 Landscape
E01A1341
NORAGES INJEKSI
A3
Portrait
A3
Landscape
E01A1374 ODR 4MG INJEKSI
A2 Portrait
A2
Landscape
D01A01412
ONDANSETRON 4MG INJEKSI ( NOVELL )
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT" SIZE="5" VALUE="0.5"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape

pcs
GALLON
PCS
BOTOL
KOLF
btl
pcs
PCS
pcs
pcs
PCS
PACK
TAB
AMPUL
amp
amp
pcs
amp
pcs
pcs
pcs
pcs
PCS
PCS
pcs
pcs
amp
CM
CM
Roll
Roll
CM
ROLL
KOLF
KOLF
KOLF
KOLF
KOLF
pcs
PCS
PCS
PCS
pcs
pcs
pcs
pcs
PCS
AMP
amp
PCS
pcs
pcs
pcs
pcs
PCS
pcs
pcs
amp
AMP
AMP

172
173
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
219
220
221
222
223
224
225
226
227
228
229
230
231

E01A1382
E01A1383
E01B0103
D01A01432
E01A1424
E01A1429
E01A1431
E01A1450
E01A1454
E01A1457
E01A1458
E01A1459
E01A1460
E01A1461
E01A1462
E01A1551
D01A01397
E01A1575
E01A1577
D01A01513
E01A1580
E01A1586
D01A1010
D01A01202
D01A01195
E01A1620
E01A1665
E01A1666
E01A1686
E01A1699
E01A09100
E01A1707
E01A1714
E01A1715
D01A01618
E01A1716
E01A1717
D01A1043
E01A1718
E01A1719
D01A01433
E01A1724
E01A1725
E01A1726
E01A1731
E03C1002
E01A1736
E01A1737
E01A1738
D01A01102
E01A1786
E01A1800
E01A1811
E01A1820
E01A1826
D01A01493
E01A1851
D01A01197
D01A01192
D01A01193

ONDANSETRON INJEKSI 4MG ( BERNO )


ONDANSETRON INJEKSI 8MG ( BERNO )
ORIGINAL PERFUSOR
PAKET INFUSET MACRO
PEHACAIN INJEKSI
PHENOBARBITAL 30MG TABLET
PHENTAL INJEKSI
PISPOT PUTIH
PLASMINEX INJEKSI
POLY CHATETER NO.8 GOLD
POLYCATHETER 10
POLYCATHETER 12
POLYCATHETER 14
POLYCATHETER 16
POLYCATHETER 18
PULMICORT RESP 0,25 mg (NEB )
RANITIDIN INJEKSI ( NOVELL )
RANITIDIN INJEKSI (BERNO)
RATAN INJEKSI
RATIVOL INJEKSI
RECAIN INJEKSI
RELIVAN INJEKSI
RING-AS DP 500ML / INFUSAN RING-AS DP SANBE
RL / TM WIDA
RL 500ML DP/ INFUSAN RL DP SANBE
SAGESTAM SALEP KULIT
SARUNG TANGAN SENSI GLOVES
SARUNG TANGAN STERIL GAMEX / BB
SILAX 10MG INJEKSI
SOFRATULLE ( CHICI ) 50
SOFRATULLE TINDAKAN
SPALK TANGAN
SPUIT 1 CC
SPUIT 10 CC
SPUIT 1CC NIPRO
SPUIT 20 CC
SPUIT 3CC
SPUIT 3CC NIPRO
SPUIT 5 CC
SPUIT 50 CC
SPUIT 5CC NIPRO
STESOLID SUPP 5MG
STESOLID INJEKSI
STESOLID SUPP 10 MG
STOLAX SUPP
SUCTION CATETER NO. 12
SUCTION CATHETER NO 16
SUCTION CATHETER no 6
SUCTION CATHETER NO 8
SUCTION CATHETER NO.10
THERMOMETER DIGITAL BIASA
THREE WAY (DISCOFIX )
TONG SPATEL KAYU
TORNIQUET
TRAMADOL INJEKSI ( BERNO )
TRAMADOL INJEKSI ( NOVELL )
TRICKER INJEKSI
TRIDEX 27 A SANBE
TRIDEX 27B SANBE
TRIDEX PLAIN SANBE

amp
VIAL
PCS
SET
amp
tab
VIAL
PCS
amp
PCS
pcs
pcs
pcs
pcs
pcs
pcs
AMP
amp
amp
AMPUL
VIAL
AMP
KOLF
KOLF
KOLF
tube
PASANG
PASANG
amp
pcs
lembar
PCS
pcs
pcs
PCS
pcs
pcs
PCS
pcs
pcs
PCS
pcs
VIAL
pcs
SUPP
PCS
pcs
pcs
pcs
PCS
pcs
pcs
pcs
pcs
amp
AMP
amp
KOLF
KOLF
KOLF

232
233
234
235
236
237
238
239
240
241
242
243
244
245
246

D01A01177
D01A01178
E01A1880
E01A1923
E01A1937
E01A1940
E01A1945
E01A1947
E01A1948
E01A1949
E01A1950
E01A1951
E01A1998
E01A1999
E01A2018

TROVENSIS INJEKSI 2ml


TROVENSIS INJEKSI 8MG/4ml
URINE BAG ROYAL
VALISANBE INJEKSI
VENFLON NO.18 (VASOFIX G 18 )
VENFLON NO.24 (VASOFIX G 24 )
VENTOLIN NEBUL
VERBAN 10CM
VERBAN 5CM
VERBAN ELASTIS BESAR ( TENSOCREPE )
VERBAN ELASTIS KECIL (TENSOCREPE )
VERBAN ELASTIS SEDANG (TENSOCREPE )
VOMETRON 4MG INJ
VOMETRON 8MG INJEKSI
WING NEEDLE NO.23

VIAL
VIAL
pcs
AMP
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
VIAL
VIAL
pcs

DAFTAR BHP
RADIOLOGI
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

Kode Brg
D39A0101
E01A0156
D01A01315
D01A0117
E01A0295
D01A01361
D01A01251
E01A0734
D01A01365
D01A01364
D01A01101
E01A0735
D01A01363
D01A01362
D01A01250
E01A0940
E01A0966
E01A1114
E01B0502
E01A1278
E01A1380
E01A1457
E01A1665
E01A1714
E01A1715
E01A1716
E01A1717
E01A1820
E01A2018

Nama Brg
ALKOHOL 1 LITER 70%
ALKOHOL 100ML
barium sulfat per gr
BETADINE SOL 1 LITER
BETADINE SOL per ml / cc
DEVELOPER MEDICAL X-RAY DEV/RL 10GL KODAK
DEVELOPER REPLENISHER FUJI (DJAVA )
FILM X-RAY 24 X 30 FUJI
FILM X-RAY 24X 30 KODAK GREEN
FILM X-RAY 30 X 40 KODAK GREEN
FILM X-RAY 30X40 FUJI
FILM X-RAY 35 X 35 FUJI
FILM X-RAY 35 X 35 KODAK GREEN
FIXER 10 GL KODAK MEDX-RAY LIQUID FIXER KODAK
FIXER REPLENISHER FUJI RONTGEN ( DJAVA )
JELLY SONO GALLON 5 LITER
KASA STERIL
MASKER KARET
Micropore 1 inc 1 roll
NEEDLE NO.23 (STERICAN G 23)
OMNIPAQUE 300/20ML
POLY CHATETER NO.8 GOLD
SARUNG TANGAN SENSI GLOVES
SPUIT 1 CC
SPUIT 10 CC
SPUIT 20 CC
SPUIT 3CC
TORNIQUET
WING NEEDLE NO.23

A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape
<INPUT TYPE="TEXT" SIZE="5" VALUE="0.5"
A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape

Satuan
FLS
btl
gr
BOTOL
ml
GALLON
GALLON
LBR
LBR
LBR
LBR
LBR
LBR
GALLON
GALLON
GALLON
pcs
pcs
Roll
pcs
VIAL
PCS
PASANG
pcs
pcs
pcs
pcs
pcs
pcs

A4 Portrait
A4 Landscape
A3 Portrait
A3 Landscape
A2 Portrait
A2 Landscape
Letter Portrait
Letter Landscape
Legal Portrait
Legal Landscape

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