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NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes

BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

10
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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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BUKU HARIAN

NO 1 2 3 4

NAMA PASIEN

ALAMAT

UMUR
NO NAMA OBAT
1 Air untuk injeksi 25 ml 0
2 Albendazol sirup
3 Albendazol tablet 400 mg
4 Alopurinol tablet 100 mg
5 Alprazolam tablet 0,5 mg
6 Ambroksol tablet 30 mg
7 Aminofilin injeksi 24 mg/ml
8 Aminofilin tablet 200 mg
9 Aminofluid 500 ml
10 Amitriptilin tablet 25 mg
11 Amlodipin tablet 10 mg
12 Amlodipin tablet 5 mg
13 Amoksisilin kapsul 250 mg
14 Amoksisilin kapsul 500 mg
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte)
16 Amoksisilin s.k. Forte 250 mg/5 ml
17 Amoksisilin sirup 125 mg/5 ml
18 Ampisilin 1 gram kombinasi, injeksi
19 Antasida DOEN I - tablet kunyah
20 Antasida DOEN II - suspensi
21 Antibakteri DOEN salep (Bacitracin)
22 Antifungi DOEN salep
23 Antihemoroid supositoria
24 Asam asetilsalisilat tablet 80 mg
25 Asam askorbat (Vit. C) 50 mg tablet
26 Asam folat 1 mg tablet
27 Asam Folat 400 mcg
28 Asam mefenamat 500 mg
29 Asam mefenamat tablet 250 mg
30 Asam traneksamat injeksi 100 mg/ml
31 Asam traneksamat tablet 500 mg
32 Asiklovir tablet 200 mg
33 Asiklovir tablet 400 mg
34 Atropin injeksi 0,25 mg/ml
35 Attapulgit tablet 500 mg
36 Attapulgit tablet 650 mg
37 Bedak salisil serbuk 2 %
38 Betahistin messilat 6 mg
39 Betametason krim
40 Bisakodil supositoria 10 mg
41 Bisakodil supositoria 5 mg
42 Bisakodil tablet 5 mg
43 Citicolin injeksi 250 mg
44 Citicolin tablet 500 mg
45 Deksametason injeksi i.v./i.m. 5 mg/ml
46 Deksametason tablet 0,5 mg
47 Diazepam injeksi 5 mg/ml
48 Diazepam larutan rektal 10 mg/2,5 ml
49 Diazepam larutan rektal 5 mg/2,5 ml
50 Diazepam tablet 2 mg
51 Difenhidramin injeksi 10 mg/ml
52 Digoksin tablet 0,25 mg
53 Diltiazem HCl Tablet 30 mg
54 Dimenhidrinat tablet 50 mg
55 Doksisiklin kapsul 100 mg
56 Domperidon sirup 5 mg/5 ml
57 Domperidon tablet 10 mg
58 Dopamin injeksi 40 mg/ml
59 Efedrin HCl tablet 25 mg
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl)
61 Eritromisin kapsul 250 mg
62 Eritromisin kapsul 500 mg
63 Eritromisin sirup kering 200 mg/5 ml
64 Fenitoin Na 30 mg kapsul
65 Fenitoin natrium kapsul 100 mg
66 Fenobarbital injeksi
67 Fenobarbital tablet 30 mg
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml
69 Fitomenadion (Vit K) tablet 10 mg
70 Furosemid injeksi 10 mg/ml
71 Furosemid tablet 40 mg
72 Gemfibrosil 600 mg kapsul
73 Gemfibrozil kapsul 300 mg
74 Gentamisin injeksi 40 mg/ml
75 Gentamisin salep mata 0,3 %
76 Gentamisin tetes mata 0,3 %
77 Glibenklamid tablet 5 mg
78 Glimepirid tablet 2 mg
79 Gliserilguayakolat tablet 100 mg
80 Gliserin lar 50 %
81 Glukosa larutan infus 10 %
82 Glukosa larutan infus 5 %
83 Griseofulvin tablet 125 mg micronized
84 Haloperidol injeksi 50 mg/ml
85 Haloperidol tablet 1,5 mg
86 Haloperidpl tablet 2 mg
87 Hidroklorotiazid tablet 25 mg
88 Hidrokortison krim 2,5%
89 Hyosin butilbromide tablet 10 mg
90 Ibuprofen sirup 100 mg/5 ml
91 Ibuprofen tablet 200 mg
92 Ibuprofen tablet 400 mg
93 Isoniasida tablet 100 mg
94 Isosorbid Dinitrat 5 mg
95 Kalium aspartat kaplet salut selaput 300 mg
96 Kalsium glukonat 10 % injeksi
97 Kalsium laktat 500 mg
98 Kaptopril 12,5 mg
99 Kaptopril 25 mg tablet
100 Karbamazepin kaplet 200 mg
101 Karbol gliserin tetes telinga 10 %
102 Ketokonazol krim
103 Ketokonazol tablet 200 mg
104 Ketorolac injeksi 30 mg/ml
105 Klindamisin kapsul 300 mg
106 Klobazam 10 mg tablet
107 Klonidin tablet 0,15 tablet
108 Kloramfenikol kapsul 250 mg
109 Kloramfenikol kapsul 500 mg
110 Kloramfenikol salep kulit 2 % (Bufacetin)
111 Kloramfenikol salep mata 1 %
112 Kloramfenikol salep mata 0,5 %
113 Kloramfenikol suspensi 125 mg/5 ml
114 Kloramfenikol tts.mt 0,5%
115 Kloramfenikol tts.telinga 3%
116 Klorfeniramin maleat 4 mg tablet
117 Klorfeniramin Maleat tablet 4 mg
118 Klorpromazin 100 mg
119 Klorpromazin 25 mg
120 Klozapin tablet 25 mg
121 Kodein tablet 10 mg
122 Komb : ergotamin 1 mg + kofein 50 mg tablet
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tambah darah)
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trimetoprim 80 mg
125 Kotrimoksasol suspensi
126 Kuinin tablet salut selaput
127 Lanzoprazol kapsul 30 mg
128 Larutan Asering
129 Larutan KA-EN 3A
130 Larutan KA-EN 3B
131 Levotiroksin 100 mcg
132 Lidokain HCl Jely 20 mg/ml
133 Lidokain injeksi 2 % (HCl)
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml
135 Lidokain spray
136 Loperamid tablet 2 mg
137 Magnesium sulfat injeksi 20 %
138 Magnesium sulfat injeksi 40 %
139 Mecobalamin injeksi 500 mg
140 Mecobalamin kapsul 500 mg
141 Meloxicam tablet 7,5 mg
142 Metampiron tablet 500 mg
143 Metformin tablet 500 mg
144 Metilergometrin injeksi 0,2 mg/ml
145 Metilergometrin maleat tablet 0,125 mg
146 Metilprednisolon 4 mg
147 Metilprednisolon 16 mg
148 Metoklopramid injeksi 5 mg/ml
149 Metoklopramid sirup 5 mg/5 ml
150 Metoklopramid tablet 5 mg
151 Metronidasol 500 mg/ml infus
152 Metronidasol infus 5 mg/ ml
153 Metronidasol tablet 250 mg
154 Metronidasol kaptab 500 mg
155 Metronidazol sirup 125 mg/ 5 ml
156 Mikonazol krim
157 N-Asetil sistein tablet
158 Natrium diklofenak 50 mg tablet
159 Natrium Klorida Larutan Infus 0,9% steril
160 Nifedipin tablet 10 mg
161 Nistatin 10.000 IU vaginal tablet
162 Obat batuk hitam
163 Oksitosin injeksi 10 IU/ml
164 omeprazol injeksi 40 mg/vial injeksi + pelarut
165 Omeprazol kapsul 20 mg
166 Ondansentron inj. 2 mg/ml
167 Ondansentron inj. 4 mg/ml
168 Ondansentron tablet 4 mg
169 Parasetamol drop 100 mg/ml
170 Parasetamol sirup 120 mg / 5 ml
171 Parasetamol tablet 500 mg
172 Permetrin krim 5 % (Scabimite)
173 Piracetam injeksi 1 gr
174 Piracetam tablet 800 mg
175 Pirantel pamoat suspensi 125 mg/
176 Pirantel pamoat tablet
177 Piridoksin (Vit B 6) tablet 10 mg (HCl)
178 Piroksikam tablet 20 mg
179 Polikresulen cairanan 50 mg/ml (APTIL)
180 Prednison tablet 5 mg
181 Primaquin tablet 15 mg (terima 50.000)
182 Probenesid tablet 500 mg (Probenid)
183 Propanolol tablet 10 mg
184 Propanolol tablet 40 mg
185 Propiltiourasil tablet 100 mg
186 Ranitidin injeksi 25 mg/ml
187 Ranitidin tablet 150 mg
188 Ringer laktat larutan
189 Risperidon 1 mg
190 Risperidon 2 mg
191 Salbutamol 2 mg tablet
192 Salbutamol 4 mg tablet
193 Salbutamol aerosol 100 mcg - Salbulin
194 Salbutamol cairan inh. 0,1 %
195 Salbutamol 2,5 mg nebulizer (Ventolin)
196 Salep 2-4
197 Sefadroksil kaplet/kapsul 250 mg
198 Sefadroksil kapsul 500 mg
199 Sefadroksil sirup kering 125 mg/5 ml
200 Sefadroksil sirup kering 250 mg/5 ml
201 Sefotaksim injeksi 1 gram
202 Sefotaksim injeksi 500 mg
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.)
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul
205 Setirizin sirup 5 mg/5 ml
206 Setirizin tablet 10 mg
207 Sianokobalamin injeksi 500 mcg/ml
208 Simetidin tablet 200 mg
209 Simvastatin tablet 10 mg
210 Simvastatin tablet 20 mg
211 Siprofloksasin 500 mg
212 Sukralfat suspensi 500 mg/5 ml
213 Sukralfat tablet 500 mg
214 Sulfadiazin perak krim 1 %
215 Tetagam
216 Tetrasiklin kapsul 250 mg
217 Tetrasiklin kapsul 500 mg
218 Thiamfenikol kaplet 500 mg
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat)
220 Triheksifenidil tablet 2 mg
221 Vitamin B kompleks tablet
222 Zinc sirup 20 mg/5 ml
223 Zinckid drop 10 mg/5 ml ZincPro
224 Zink sulfat dispersibel tablet 20 mg

B OBAT/ BAHAN GIGI


1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform dan 13.70 g eugenol
2 Articulating papper
3 Bahan tambalan sementara gigi siap pakai (cavit)
4 Dentin conditioner
5 Devitalisasi pasta (Non Arsen)
6 Etil klorida spray
7 Eugenol cairan
8 Fuji IX
9 Fuji VII
10 Glass ionomer cement ART
11 Gutta percha dan papper point : 15 - 40
12 Gutta percha dan papper point : 45 - 60
13 K-File No. 15
14 K-File No. 20
15 Kalsium hidroksida pasta
16 Klorfenol Kamfer Menthol (CHKM)
17 Mata bur gigi type inverted No. 010
18 Mata bur gigi type round No. 010
19 Mata bur gigi type silinder No. 010
20 Mata bur gigi type tuppered No. 010
21 Mummifying pasta
22 Pasta pengisi saluran akar
23 Seluloid strip
24 Semen Seng Fosfat serbuk dan cairan
25 Spon gelatin cubicles 1 x 1 x 1
26 Temporary stoping fletcher serbuk+cairan
27 Tooth mouse

OBAT KOMBINASI / BRANDED


1 Multivitamin kaplet : Caviplek..
2 Multivitamin dan suplemen : Beonicom C
3 Multivitamin sirup : ………………………..
4 Multivitamin sirup anak - ANAGEN
5 Multivitamin sirup anak : Lysin
6 Multivitamin suplemen ibu hamil : Vitalek
7 Neurotropik injeksi : ………………………..
8 Neurotropik kaplet :corsaneuron
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 mcg)
11 Obat antiflu kombinasi sirup : Betaflu
12 Obat antiflu kombinasi tablet : Bataflu
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + guaifenesin 30mg + fenilefrin 2 mg
14 Obat antidiare sirup : Kaotin
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 300 mg, SASA 300 mg
16 Obat batuk sirup : Samkodryl
17 Obat batuk sirup
18 Obat Sariawan : Bufacom
19 Suplemen zat besi sirup : ………………………..

OBAT ASLI INDONESIA


1 Ocugard
2 Ambefaz 10
3 Echinacea mpl 500 mg
Multivitamin tabur untuk balita
ALAT-ALAT KESEHATAN HABIS PAKAI
1 Advantine 3/0, 1/2
2 Alat suntik sekali pakai/Disposible syringe 1 cc
3 Alat suntik sekali pakai/Disposible syringe 10 cc
4 Alat suntik sekali pakai/Disposible syringe 3 cc
5 Alat suntik sekali pakai/Disposible syringe 5 cc
6 Arm sling (L, M dan S)
7 Aximed swab, 2 ply
8 Blood lancet-Accucheck Safe T-Pro
9 Blood Transfusion set with inject 20 drops/ml
10 Catgut-chromic 2/0 100 M
11 Catgut-Chromic 2/0 75 C 30M R
12 Catgut-chromic 2/0 75 CM
13 Catgut-chromic 3/0 100 M
14 Catgut-chromic 4/0 70cm
15 Catgut-Chromic 3/0 75 C 22M R
16 Catgut-plain 1 70 cm
17 Catgut-plain 3/0 70cm
18 Catgut-Plain C 1 70C 40M R
19 Catgut-Plain 2/0 70c 25M R
20 Catgut-Plain C 3/0 70C 25M R
21 Cervical collar SR-N1 (Serenity)
22 Demetech silk 0 75C 36M R
23 Demetech slik 2/0 75 C 39 M C
24 Demetech slik 2/0 75 C 39 M R
25 Demetech slik 3/0 75C 17M R
26 Demetech slik 3/0 75C 26M C
27 Disposible blood tranfusion set with Y-injector 20 drops/ml
28 Sarung tangan / Examination gloves M
29 Sarung tangan / Examination gloves S
30 Film IV dressing 7 x 8 P (E-care)
31 Film IV dressing 6 x 7 S (E Care)
32 Fixer untuk Film Rontgen
33 Folley catheter 2 way fr. 16
34 Folley catheter 2 way fr. 18
35 Folley catheter 2 way fr. 16 all silicone (Fesco)
36 Folley catheter 2 way fr. 18 all silicone (Fesco)
37 Folley catheter no. 16
38 Folley catheter no. 18
39 Folley catheter no. 20
40 Folley catheter no. 20 (Norta)
41 Folley catheter no. 22
42 Folley catheter no. 24
43 France advantime 3/0, 1/2 TP,
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm - 2PTRA20KE
45 France optime 2/0
46 France optime 3/0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE
49 France peter silk 2/0
50 France peter silk 3/0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE
53 Hi Oxygen Mask Anak (NR Mask)
54 Hi Oxygen Mask Dws (NR Mask)
55 ID Patient adult - Biru
56 ID Patient adult - Kuning
57 ID Patient adult - Merah
58 ID Patient adult - Pink
59 ID Patient anak - Biru
60 ID Patient anak - Kuning
61 ID Patient anak - Merah
62 ID Patient anak - Pnk
63 Infus set anak
64 Infus set dws (Otsu Y - set adapter)
65 Infus set New (Kimsmed)
66 Infuset dewasa - Aximed
67 Infusi Set Anak - Aximed
68 IV catheter No. 18 G
69 IV catheter No. 20 G
70 IV catheter No. 22 G
71 IV catheter No. 24 G
72 IV- cannula 18 G
73 IV- cannula 20 G
74 IV- cannula 22 G
75 IV catheter No. 24 G (Otsucath)
76 IV cannula retension dressing ( Curafix)
77 Jarum Hecting untuk kulit
78 Jarum Hecting untuk otot
79 Kapas dental 12 x 50 (Wellness)
80 Kapas bola mini 100 gram (Wellness)
81 Kapas pembalut hidrofil 250 gram
82 Kasa 10 cm x 10 cm
83 Kasa Hidrofil DRC 2M x 80 CM
84 Kasa Hidrofil DRC 36M x 80 CM
85 Kasa kompres 40/40 steril
86 Kasa pembalut hidrofil 4 m x 3 cm elastic
87 Kasa Pembalut Hidrofil 4M x 10CM
88 Kasa Pembalut Hidrofil 4M x 15CM
89 Kasa Pembalut Hidrofil 4M x 5CM
90 Kasa Steril 16CM x 16CM
91 Kertas EKG ( 50 x 30)
92 Masker Earloop (MAS) (=Terima 500 box)
93 Masker Earloop (Aximed)
94 Masker Earloop (Stardec) (=Terima 200 box)
95 Masker N95
96 Masker Tie On (MAS) (=Terima 500 box)
97 Masker Tie On (Stardec) (=Terima 200 box)
98 Masker nebulizer set dewasa
99 Microscop cover glass
100 Muccus extractor (Onemed)
101 Nasal Oksigen bayi
102 Nasal Oxygen Size L - Aximed
103 Nasal Oxygen Size M - Aximed
104 Nasal Oxygen Size S - Aximed
105 Nasal Oxygen Size XS - Aximed
106 Nassal oxygen canulla anak
107 Nassal oxygen canulla bayi
108 Nassal oxygen canulla dewasa
109 Nebulizer aerosol with mask (adult)
110 Nebulizer aerosol with mask (child)
111 Nebulizer with mask (adult) - Stardec
112 Nebulizer with mask (pediatric) - Stardec
113 Non woven fixation 5 x 10 cm - Aximed
114 Non woven fixation 20 x 10 cm - Aximed
115 Object glass
116 Oxygen mask-stardec (adult)
117 Oxygen mask-stardec (serenity)
118 Oxygen mask-stardec (pediatric)
119 Oxygen nasal dewasa (Serenity)
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex)
121 Pembalut Siku / Mittela kain
122 Penutup luka dengan antibiotil (Bioplacenton)
123 Penutup luka dengan antibiotil (Cuticell)
124 Peter silk 2/0 -3/8
125 Pharmafix 10 cm x 500 cm
126 Pharmafix 15 cm x 500 cm
127 Pharmafix 5 cm x 500 cm
128 Plester 2,5 cm x 4,5 M (Leukoplast)
129 Plester Dermafit 10 x 15
130 Plester elastis 5 Cm x 500 cm (Fixomull)
131 Plester elastis 10 Cm x 500 cm (Fixomull)
132 Pot sputum
133 Pot urin
134 Safety Box 5 Ltr Kuning
135 Sarung tangan Nitrile S - Superlife
136 Sarung tangan Nitrile M - Superlife
137 Sarung tangan obsgyn
138 Sarung tangan gynaecolog Steril No. 6,5
139 Sarung tangan gynaecolog Steril No. 7
140 Scalpel blades (bisturi)
141 Spalk First Aid (Onemed)
142 Suction catheter No.6
143 Surgical gloves steril 6,5
144 Surgical gloves steril 7
145 Surgical gloves steril 7,5
146 Surgical gloves steril 8
147 Tips for micropipet MT - 1 - 200 uL
148 Tips for micropipet MT - 11 - 1 ml
149 Tube EDTA plh 13 x 75 3.0 blblce lav
150 Umbilical cord klem
151 Underpad
152 Underpad premium 60 x 90 cm
153 Urin bag

REAGEN DAN BAHAN LABORATORIUM


1 Aquabidest steril
2 Hb Sahli - Onemed
3 Hemolyzer - 3 cleaner
4 Hemolyzer - 3 control normal
5 Hemolyzer - 3 diluent
6 Hemolyzer - 3 hypocleaner
7 Hemolyzer - 3 Lyser
8 Kertas lakmus
9 Larutan Asam Asetat 6%
10 Larutan Asam Klorida 0,1 N
11 Larutan EDTA 10 %
12 Larutan Eosin 2 %
13 Larutan Giemsa
14 Larutan Karbol Fuksin
15 Larutan Metilen Blue
16 Larutan Na Sitrat 3.13 %
17 Larutan TURK
18 Larutan Ziehl Neelsen
19 Oil emersi
20 Rapid Diagnostic Test Malaria
21 Rapid Diagnostic Test Dengue IgG/IgM
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99%
23 Rapid test HbSAg (Bioline)
24 Rapid Tes Narkoba : marijuana- THC (Fokus)
25 Rapid Tes Narkoba : Babiturat (Fokus)
26 Rapid Tes Narkoba : Benzodiasepin (Fokus)
27 Rapid Tes Narkoba : Cocain (Fokus)
28 Rapid Tes Narkoba : Morphin (Fokus)
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck)
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck
37 Rapid test untuk pemeriksaan Kolesterol : Nesco
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare
41 Reagen fotometer : reagen asam urat
42 Reagen fotometer : Reagen glukosa
43 Reagen fotometer : Reagen kolesterol
44 Reagen fotometer : Reagen trigliserida
45 Reagen pemeriksaan yodium
46 Reagen pengujian papan : boraks
47 Reagen pengujian papan : formalin
48 Reagen pengujian papan : rhodamin b
49 Tes Golongan darah : Anti A Monoclonal
50 Tes golongan darah : Anti AB monoclonal
51 Tes golongan darah : Anti B monoclonal
52 Tes Widal Salmonella Typhi H
53 Tes Widal Salmonella Typhi O
54 Tes kehamilan - Ulltra One
55 Urin tes strip (U11 plus)
56 Urinalysys 10 SG insight 100 tes
BMHP LAIN
1 Alkohol 70%
2 Alkohol 70%
3 Aseptin liquid (aseptan)
4 Ecolab Aquagel Sterile Jelly 82 gr
5 Etakridin (rivanol) larutan
6 Jelly-My Jelly 82 Gr
7 Lisol, mengandung kresol tersabun 50%
8 Povidone iodine 10% 30 ml
9 Povidone iodine 10% 300 ml
10 Povidon iodida 10 % - 60 ml
11 Povidone iodine 10% 60 (Stardine Sol)
12 Surgical hand scrubs (E-care)
13 Antimicrobial - Viorex No Rinse
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m
17 Bahan sterilisasi-Stericide 3
18 Bahan sterilisasi-Sterizyme
19 Desinfectant concentrate (Cetride)
20 Desinfectant surface - 500 ml ( Stericide)

PERBEKALAN KESEHATAN LAINNYA


1 Tabung hematokrit
2 Kantung jenazah
3 Accu Chek Performa test
4 Benecheck Monitoring system 3 in 1
5 Termometer klinis (GP Care)
6 Micropipete Acura 825 - volume 1 - 10 uL
7 Micropipete Acura 825 - volume 10 - 100 uL
8 Micropipete Acura 825 - volume 100 - 1000 uL

OBAT-OBAT PROGRAM
OBAT PROGRAM DIARE (P2M)
1 Garam oralit serbuk kombinasi

OBAT PROGRAM GIZI &KESGA


1 Euthyrox 100 mg tablet
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml
3 Gentamisin injeksi 40 mg/ml
4 Kalsium glukonat inj. i.v. 100%
5 Mineral Mix
6 Retinol (Vitamin A) 100.000 IU kapsul lunak
7 Retinol (Vitamin A) 200.000 IU kapsul lunak
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg)
9 Reagen yodium
OBAT PROGRAM KUSTA
1 Sandoz PB listerpack anak
2 Obat MDT Kusta PB Dewasa
3 Obat MDT Kusta MB Dewasa

OBAT ANTI TUBERKULOSIS


1 Obat FDC kategori 1
2 Obat FDC kategori 2
3 OAT Anak
4 OAT Kombipak 1

OBAT PRORAM MALARIA


1 Artesunat inj 60 mg
2 Dehidroartemisin 40 mg + Piperaquin (DHP)
3 Primaquin tablet 15 mg

PROGRAM P2
1 Efavirenz 600 mg
2 Lamivudin 150 mg tablet
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia)
4 Nevirapin 200 mg
5 Rapid 1 HIV (SD Bioline)
6 RDT Leptispirosis
7 Tenofovir (TDF) 300 mg
8 VAR
9 Zidovudin + lamivudin (300 mg/150 mg
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple)
2 Obat MDT Kusta MB Anak
3 Obat MDT Kusta MB Dewasa
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
13.70 g eugenol
0mg + fenilefrin 2 mg - WICOLD

mg, SASA 300 mg


PTRA20KE
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 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
106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 JUMLAH

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TANGGAL
NO NAMA OBAT 1 2 3
1 Air untuk injeksi 25 ml 0 0
2 Albendazol sirup 0 0
3 Albendazol tablet 400 mg 0 0
4 Alopurinol tablet 100 mg 110 0
5 Alprazolam tablet 0,5 mg 0 0
6 Ambroksol tablet 30 mg 0 0
7 Aminofilin injeksi 24 mg/ml 0 0
8 Aminofilin tablet 200 mg 20 20 0
9 Aminofluid 500 ml 0 0
10 Amitriptilin tablet 25 mg 0 0
11 Amlodipin tablet 10 mg 10 0 0
12 Amlodipin tablet 5 mg 20 10 0
13 Amoksisilin kapsul 250 mg 0 0
14 Amoksisilin kapsul 500 mg 173 170 0
15 Amoksisilin kapsul 500 mg (Pehamoxil Forte) 0 0
16 Amoksisilin s.k. Forte 250 mg/5 ml 0 0
17 Amoksisilin sirup 125 mg/5 ml 1 1 0
18 Ampisilin 1 gram kombinasi, injeksi 0 0
19 Antasida DOEN I - tablet kunyah 20 80 0
20 Antasida DOEN II - suspensi 3 2 0
21 Antibakteri DOEN salep (Bacitracin) 0 0
22 Antifungi DOEN salep 0 0
23 Antihemoroid supositoria 0 0
24 Asam asetilsalisilat tablet 80 mg 0 0
25 Asam askorbat (Vit. C) 50 mg tablet 6 2 0
26 Asam folat 1 mg tablet 0 0
27 Asam Folat 400 mcg 30 0 0
28 Asam mefenamat 500 mg 10 0
29 Asam mefenamat tablet 250 mg 30 10
30 Asam traneksamat injeksi 100 mg/ml 0 0
31 Asam traneksamat tablet 500 mg 0 0
32 Asiklovir tablet 200 mg 0 0
33 Asiklovir tablet 400 mg 0 0
34 Atropin injeksi 0,25 mg/ml 0 0
35 Attapulgit tablet 500 mg 0 0
36 Attapulgit tablet 650 mg 5 35 0
37 Bedak salisil serbuk 2 % 0 0
38 Betahistin messilat 6 mg 20 0 0
39 Betametason krim 0 0
40 Bisakodil supositoria 10 mg 0 0
41 Bisakodil supositoria 5 mg 0 0
42 Bisakodil tablet 5 mg 0 0
43 Citicolin injeksi 250 mg 0 0
44 Citicolin tablet 500 mg 0 0
45 Deksametason injeksi i.v./i.m. 5 mg/ml 0 0
46 Deksametason tablet 0,5 mg 30 135 0
47 Diazepam injeksi 5 mg/ml 0 0
48 Diazepam larutan rektal 10 mg/2,5 ml 0 0
49 Diazepam larutan rektal 5 mg/2,5 ml 0 0
50 Diazepam tablet 2 mg 0 0
51 Difenhidramin injeksi 10 mg/ml 0 0
52 Digoksin tablet 0,25 mg 10 0
53 Diltiazem HCl Tablet 30 mg 0 0
54 Dimenhidrinat tablet 50 mg 0 0
55 Doksisiklin kapsul 100 mg 8 0
56 Domperidon sirup 5 mg/5 ml 1 0
57 Domperidon tablet 10 mg 10 20 0
58 Dopamin injeksi 40 mg/ml 0 0
59 Efedrin HCl tablet 25 mg 0 0
60 Epinefrin (Adrenalin) injeksi 0,1 % sebagai HCl) 0 0
61 Eritromisin kapsul 250 mg 0 0
62 Eritromisin kapsul 500 mg 0 0
63 Eritromisin sirup kering 200 mg/5 ml 0 0
64 Fenitoin Na 30 mg kapsul 0 0
65 Fenitoin natrium kapsul 100 mg 0 0
66 Fenobarbital injeksi 0 0
67 Fenobarbital tablet 30 mg 0 0
68 Fitomenadion (Vit K) injeksi 1.m. 2 mg /ml 0 0
69 Fitomenadion (Vit K) tablet 10 mg 0 0
70 Furosemid injeksi 10 mg/ml 0 0
71 Furosemid tablet 40 mg 0 0
72 Gemfibrosil 600 mg kapsul 20 10 0
73 Gemfibrozil kapsul 300 mg 0 0
74 Gentamisin injeksi 40 mg/ml 0 0
75 Gentamisin salep mata 0,3 % 2 1 0
76 Gentamisin tetes mata 0,3 % 0 0
77 Glibenklamid tablet 5 mg 20 0
78 Glimepirid tablet 2 mg 20 0
79 Gliserilguayakolat tablet 100 mg 77 86 0
80 Gliserin lar 50 % 0 0
81 Glukosa larutan infus 10 % 0 0
82 Glukosa larutan infus 5 % 0 0
83 Griseofulvin tablet 125 mg micronized 0 0
84 Haloperidol injeksi 50 mg/ml 0 0
85 Haloperidol tablet 1,5 mg 0 0
86 Haloperidpl tablet 2 mg 0 0
87 Hidroklorotiazid tablet 25 mg 0 0
88 Hidrokortison krim 2,5% 1 0
89 Hyosin butilbromide tablet 10 mg 0 0
90 Ibuprofen sirup 100 mg/5 ml 0 0
91 Ibuprofen tablet 200 mg 10 30 0
92 Ibuprofen tablet 400 mg 30 35 0
93 Isoniasida tablet 100 mg 0 0
94 Isosorbid Dinitrat 5 mg 0 0
95 Kalium aspartat kaplet salut selaput 300 mg 0 0
96 Kalsium glukonat 10 % injeksi 0 0
97 Kalsium laktat 500 mg 11 91 0
98 Kaptopril 12,5 mg 0 0
99 Kaptopril 25 mg tablet 2 0 0
100 Karbamazepin kaplet 200 mg 0 0
101 Karbol gliserin tetes telinga 10 % 0 0
102 Ketokonazol krim 0 0
103 Ketokonazol tablet 200 mg 10 10 0
104 Ketorolac injeksi 30 mg/ml 0 0
105 Klindamisin kapsul 300 mg 0 0
106 Klobazam 10 mg tablet 0 0
107 Klonidin tablet 0,15 tablet 0 0
108 Kloramfenikol kapsul 250 mg 0 0
109 Kloramfenikol kapsul 500 mg 0 0
110 Kloramfenikol salep kulit 2 % (Bufacetin) 1 0 0
111 Kloramfenikol salep mata 1 % 2 0 0
112 Kloramfenikol salep mata 0,5 % 0 0
113 Kloramfenikol suspensi 125 mg/5 ml 0 0
114 Kloramfenikol tts.mt 0,5% 0 0
115 Kloramfenikol tts.telinga 3% 0 0
116 Klorfeniramin maleat 4 mg tablet 109 126 0
117 Klorfeniramin Maleat tablet 4 mg 0 0
118 Klorpromazin 100 mg 0 0
119 Klorpromazin 25 mg 0 0
120 Klozapin tablet 25 mg 0 0
121 Kodein tablet 10 mg 0 0
122 Komb : ergotamin 1 mg + kofein 50 mg tablet 0 0
123 Kombinasi fero fumarat 60 mg + asam folat 0,4 mg t.s.g. (tablet tamb 70 210 0
124 Kotrimoksasol (dewasa) kombinasi : sulfametoksazol 400 mg + trime 10 6 0
125 Kotrimoksasol suspensi 0 0
126 Kuinin tablet salut selaput 0 0
127 Lanzoprazol kapsul 30 mg 0 0
128 Larutan Asering 0 0
129 Larutan KA-EN 3A 0 0
130 Larutan KA-EN 3B 0 0
131 Levotiroksin 100 mcg 0 0
132 Lidokain HCl Jely 20 mg/ml 0 0
133 Lidokain injeksi 2 % (HCl) 0 0
134 Lidokain injeksi comp : lidokain 2 % HCl + epinefrin 1 : 80.000 - 2 ml 0 0
135 Lidokain spray 0 0
136 Loperamid tablet 2 mg 0 0
137 Magnesium sulfat injeksi 20 % 0 0
138 Magnesium sulfat injeksi 40 % 0 0
139 Mecobalamin injeksi 500 mg 0 0
140 Mecobalamin kapsul 500 mg 0 0
141 Meloxicam tablet 7,5 mg 0 0
142 Metampiron tablet 500 mg 10 0 0
143 Metformin tablet 500 mg 0 0
144 Metilergometrin injeksi 0,2 mg/ml 0 0
145 Metilergometrin maleat tablet 0,125 mg 0 0
146 Metilprednisolon 4 mg 0 0
147 Metilprednisolon 16 mg 15 10 0
148 Metoklopramid injeksi 5 mg/ml 0 0
149 Metoklopramid sirup 5 mg/5 ml 0 0
150 Metoklopramid tablet 5 mg 0 0
151 Metronidasol 500 mg/ml infus 0 0
152 Metronidasol infus 5 mg/ ml 0 0
153 Metronidasol tablet 250 mg 0 0
154 Metronidasol kaptab 500 mg 12 0
155 Metronidazol sirup 125 mg/ 5 ml 0 0
156 Mikonazol krim 0 0
157 N-Asetil sistein tablet 0 0
158 Natrium diklofenak 50 mg tablet 50 120 0
159 Natrium Klorida Larutan Infus 0,9% steril 0 0
160 Nifedipin tablet 10 mg 0 0
161 Nistatin 10.000 IU vaginal tablet 0 0
162 Obat batuk hitam 0 0
163 Oksitosin injeksi 10 IU/ml 0 0
164 omeprazol injeksi 40 mg/vial injeksi + pelarut 0 0
165 Omeprazol kapsul 20 mg 20 10 0
166 Ondansentron inj. 2 mg/ml 0 0
167 Ondansentron inj. 4 mg/ml 0 0
168 Ondansentron tablet 4 mg 0 0
169 Parasetamol drop 100 mg/ml 0 0
170 Parasetamol sirup 120 mg / 5 ml 4 1 0
171 Parasetamol tablet 500 mg 185 80 0
172 Permetrin krim 5 % (Scabimite) 0 0
173 Piracetam injeksi 1 gr 0 0
174 Piracetam tablet 800 mg 0 0
175 Pirantel pamoat suspensi 125 mg/ 0 0
176 Pirantel pamoat tablet 0 0
177 Piridoksin (Vit B 6) tablet 10 mg (HCl) 60 20 0
178 Piroksikam tablet 20 mg 10 0 0
179 Polikresulen cairanan 50 mg/ml (APTIL) 0 0
180 Prednison tablet 5 mg 20 0
181 Primaquin tablet 15 mg (terima 50.000) 0 0
182 Probenesid tablet 500 mg (Probenid) 0 0
183 Propanolol tablet 10 mg 0 0
184 Propanolol tablet 40 mg 0 0
185 Propiltiourasil tablet 100 mg 0 0
186 Ranitidin injeksi 25 mg/ml 0 0
187 Ranitidin tablet 150 mg 10 0 0
188 Ringer laktat larutan 0 0
189 Risperidon 1 mg 0 0
190 Risperidon 2 mg 0 0
191 Salbutamol 2 mg tablet 0 0
192 Salbutamol 4 mg tablet 0 0
193 Salbutamol aerosol 100 mcg - Salbulin 0 0
194 Salbutamol cairan inh. 0,1 % 0 0
195 Salbutamol 2,5 mg nebulizer (Ventolin) 0 0
196 Salep 2-4 0 0
197 Sefadroksil kaplet/kapsul 250 mg 0 0
198 Sefadroksil kapsul 500 mg 10 10 0
199 Sefadroksil sirup kering 125 mg/5 ml 0 0
200 Sefadroksil sirup kering 250 mg/5 ml 0 0
201 Sefotaksim injeksi 1 gram 0 0
202 Sefotaksim injeksi 500 mg 0 0
203 Serum A.B.U. I (khusus ular dari luar Papua) inj (i.m./i.v.) 0 0
204 Serum antitetanus (ATS) cairan injeksi 1.500 IU/ampul 0 0
205 Setirizin sirup 5 mg/5 ml 0 0
206 Setirizin tablet 10 mg 5 0
207 Sianokobalamin injeksi 500 mcg/ml 0 0
208 Simetidin tablet 200 mg 0 0
209 Simvastatin tablet 10 mg 0 0
210 Simvastatin tablet 20 mg 10 0 0
211 Siprofloksasin 500 mg 0 0
212 Sukralfat suspensi 500 mg/5 ml 0 0
213 Sukralfat tablet 500 mg 0 0
214 Sulfadiazin perak krim 1 % 0 0
215 Tetagam 0 0
216 Tetrasiklin kapsul 250 mg 0 0
217 Tetrasiklin kapsul 500 mg 0 0
218 Thiamfenikol kaplet 500 mg 0 0
219 Thiamin (Vit B1) tablet 50 mg (HCl/Nitrat) 10 30 0
220 Triheksifenidil tablet 2 mg 0 0
221 Vitamin B kompleks tablet 20 0 0
222 Zinc sirup 20 mg/5 ml 0 0
223 Zinckid drop 10 mg/5 ml ZincPro 0 0
224 Zink sulfat dispersibel tablet 20 mg 10 10 0
0 0
B OBAT/ BAHAN GIGI 0 0
1 Alvogyl paste, tiap 100 g mengandung : 25.7 g butamben; 15.8 g iodoform da 0 0
2 Articulating papper 0 0
3 Bahan tambalan sementara gigi siap pakai (cavit) 0 0
4 Dentin conditioner 0 0
5 Devitalisasi pasta (Non Arsen) 0 0
6 Etil klorida spray 0 0
7 Eugenol cairan 0 0
8 Fuji IX 0 0
9 Fuji VII 0 0
10 Glass ionomer cement ART 0 0
11 Gutta percha dan papper point : 15 - 40 0 0
12 Gutta percha dan papper point : 45 - 60 0 0
13 K-File No. 15 0 0
14 K-File No. 20 0 0
15 Kalsium hidroksida pasta 0 0
16 Klorfenol Kamfer Menthol (CHKM) 0 0
17 Mata bur gigi type inverted No. 010 0 0
18 Mata bur gigi type round No. 010 0 0
19 Mata bur gigi type silinder No. 010 0 0
20 Mata bur gigi type tuppered No. 010 0 0
21 Mummifying pasta 0 0
22 Pasta pengisi saluran akar 0 0
23 Seluloid strip 0 0
24 Semen Seng Fosfat serbuk dan cairan 0 0
25 Spon gelatin cubicles 1 x 1 x 1 0 0
26 Temporary stoping fletcher serbuk+cairan 0 0
27 Tooth mouse 0 0
0 0
OBAT KOMBINASI / BRANDED 0 0
1 Multivitamin kaplet : Caviplek.. 20 95 0
2 Multivitamin dan suplemen : Beonicom C 0 0
3 Multivitamin sirup : ……………………….. 0 0
4 Multivitamin sirup anak - ANAGEN 0 0
5 Multivitamin sirup anak : Lysin 0 0
6 Multivitamin suplemen ibu hamil : Vitalek 0 0
7 Neurotropik injeksi : ……………………….. 0 0
8 Neurotropik kaplet :corsaneuron 0 0
9 Neurotropik kaplet : vit B1 100 mg; Vit B6 _200 mg; Vit B12 : 200 mcg 0 0
10 Neurotropik kaplet mengandung :Vit B1 100 mg + vit B6 200 mg + vit B12 200 0 0
11 Obat antiflu kombinasi sirup : Betaflu 1 0
12 Obat antiflu kombinasi tablet : Bataflu 10 20 0
13 Obat antiflu kombinasi sirup : succus liq 500 mg + CTM 0.5 mg + gua 2 0 0
14 Obat antidiare sirup : Kaotin 0 0
15 Obat batuk hitam -Per 15 ml Succus liquiritae 500 mg, ammonium chlorida 1 0
16 Obat batuk sirup : Samkodryl 0 0
17 Obat batuk sirup 0 0
18 Obat Sariawan : Bufacom 0 0
19 Suplemen zat besi sirup : ……………………….. 0 0
0 0
OBAT ASLI INDONESIA 0 0
1 Ocugard 0 0
2 Ambefaz 10 0 0
3 Echinacea mpl 500 mg 0 0
Multivitamin tabur untuk balita 0 0
ALAT-ALAT KESEHATAN HABIS PAKAI 0 0
1 Advantine 3/0, 1/2 0 0
2 Alat suntik sekali pakai/Disposible syringe 1 cc 0 0
3 Alat suntik sekali pakai/Disposible syringe 10 cc 0 0
4 Alat suntik sekali pakai/Disposible syringe 3 cc 0 0
5 Alat suntik sekali pakai/Disposible syringe 5 cc 0 0
6 Arm sling (L, M dan S) 0 0
7 Aximed swab, 2 ply 0 0
8 Blood lancet-Accucheck Safe T-Pro 0 0
9 Blood Transfusion set with inject 20 drops/ml 0 0
10 Catgut-chromic 2/0 100 M 0 0
11 Catgut-Chromic 2/0 75 C 30M R 0 0
12 Catgut-chromic 2/0 75 CM 0 0
13 Catgut-chromic 3/0 100 M 0 0
14 Catgut-chromic 4/0 70cm 0 0
15 Catgut-Chromic 3/0 75 C 22M R 0 0
16 Catgut-plain 1 70 cm 0 0
17 Catgut-plain 3/0 70cm 0 0
18 Catgut-Plain C 1 70C 40M R 0 0
19 Catgut-Plain 2/0 70c 25M R 0 0
20 Catgut-Plain C 3/0 70C 25M R 0 0
21 Cervical collar SR-N1 (Serenity) 0 0
22 Demetech silk 0 75C 36M R 0 0
23 Demetech slik 2/0 75 C 39 M C 0 0
24 Demetech slik 2/0 75 C 39 M R 0 0
25 Demetech slik 3/0 75C 17M R 0 0
26 Demetech slik 3/0 75C 26M C 0 0
27 Disposible blood tranfusion set with Y-injector 20 drops/ml 0 0
28 Sarung tangan / Examination gloves M 0 0
29 Sarung tangan / Examination gloves S 0 0
30 Film IV dressing 7 x 8 P (E-care) 0 0
31 Film IV dressing 6 x 7 S (E Care) 0 0
32 Fixer untuk Film Rontgen 0 0
33 Folley catheter 2 way fr. 16 0 0
34 Folley catheter 2 way fr. 18 0 0
35 Folley catheter 2 way fr. 16 all silicone (Fesco) 0 0
36 Folley catheter 2 way fr. 18 all silicone (Fesco) 0 0
37 Folley catheter no. 16 0 0
38 Folley catheter no. 18 0 0
39 Folley catheter no. 20 0 0
40 Folley catheter no. 20 (Norta) 0 0
41 Folley catheter no. 22 0 0
42 Folley catheter no. 24 0 0
43 France advantime 3/0, 1/2 TP, 0 0
44 France advantime 3/0, 3/8 XC, 24 mm, 70 cm - 2PTRA20FE 18 mm, 70 cm 0 0
45 France optime 2/0 0 0
46 France optime 3/0 0 0
47 France optime 3/0, 1/2 TP, 22 mm, 75 cm - 2PTRO20EE 0 0
48 France optime 3/0, 3/8 RC, 19 mm, 75 cm - 2PTRO2OJE 0 0
49 France peter silk 2/0 0 0
50 France peter silk 3/0 0 0
51 France peter silk 3/0, 1/2 TP 25 mm, 75 cm - 2PTR5266E 0 0
52 France peter silk 3/0, 3/8 RC 25 mm, 75 cm - 2PTR529OE 0 0
53 Hi Oxygen Mask Anak (NR Mask) 0 0
54 Hi Oxygen Mask Dws (NR Mask) 0 0
55 ID Patient adult - Biru 0 0
56 ID Patient adult - Kuning 0 0
57 ID Patient adult - Merah 0 0
58 ID Patient adult - Pink 0 0
59 ID Patient anak - Biru 0 0
60 ID Patient anak - Kuning 0 0
61 ID Patient anak - Merah 0 0
62 ID Patient anak - Pnk 0 0
63 Infus set anak 0 0
64 Infus set dws (Otsu Y - set adapter) 0 0
65 Infus set New (Kimsmed) 0 0
66 Infuset dewasa - Aximed 0 0
67 Infusi Set Anak - Aximed 0 0
68 IV catheter No. 18 G 0 0
69 IV catheter No. 20 G 0 0
70 IV catheter No. 22 G 0 0
71 IV catheter No. 24 G 0 0
72 IV- cannula 18 G 0 0
73 IV- cannula 20 G 0 0
74 IV- cannula 22 G 0 0
75 IV catheter No. 24 G (Otsucath) 0 0
76 IV cannula retension dressing ( Curafix) 0 0
77 Jarum Hecting untuk kulit 0 0
78 Jarum Hecting untuk otot 0 0
79 Kapas dental 12 x 50 (Wellness) 0 0
80 Kapas bola mini 100 gram (Wellness) 0 0
81 Kapas pembalut hidrofil 250 gram 0 0
82 Kasa 10 cm x 10 cm 0 0
83 Kasa Hidrofil DRC 2M x 80 CM 0 0
84 Kasa Hidrofil DRC 36M x 80 CM 0 0
85 Kasa kompres 40/40 steril 0 0
86 Kasa pembalut hidrofil 4 m x 3 cm elastic 0 0
87 Kasa Pembalut Hidrofil 4M x 10CM 0 0
88 Kasa Pembalut Hidrofil 4M x 15CM 0 0
89 Kasa Pembalut Hidrofil 4M x 5CM 0 0
90 Kasa Steril 16CM x 16CM 0 0
91 Kertas EKG ( 50 x 30) 0 0
92 Masker Earloop (MAS) (=Terima 500 box) 0 0
93 Masker Earloop (Aximed) 0 0
94 Masker Earloop (Stardec) (=Terima 200 box) 0 0
95 Masker N95 0 0
96 Masker Tie On (MAS) (=Terima 500 box) 0 0
97 Masker Tie On (Stardec) (=Terima 200 box) 0 0
98 Masker nebulizer set dewasa 0 0
99 Microscop cover glass 0 0
100 Muccus extractor (Onemed) 0 0
101 Nasal Oksigen bayi 0 0
102 Nasal Oxygen Size L - Aximed 0 0
103 Nasal Oxygen Size M - Aximed 0 0
104 Nasal Oxygen Size S - Aximed 0 0
105 Nasal Oxygen Size XS - Aximed 0 0
106 Nassal oxygen canulla anak 0 0
107 Nassal oxygen canulla bayi 0 0
108 Nassal oxygen canulla dewasa 0 0
109 Nebulizer aerosol with mask (adult) 0 0
110 Nebulizer aerosol with mask (child) 0 0
111 Nebulizer with mask (adult) - Stardec 0 0
112 Nebulizer with mask (pediatric) - Stardec 0 0
113 Non woven fixation 5 x 10 cm - Aximed 0 0
114 Non woven fixation 20 x 10 cm - Aximed 0 0
115 Object glass 0 0
116 Oxygen mask-stardec (adult) 0 0
117 Oxygen mask-stardec (serenity) 0 0
118 Oxygen mask-stardec (pediatric) 0 0
119 Oxygen nasal dewasa (Serenity) 0 0
120 Pembalut elastis 7,5 cm x 4,5 M (Uniflex) 0 0
121 Pembalut Siku / Mittela kain 0 0
122 Penutup luka dengan antibiotil (Bioplacenton) 0 0
123 Penutup luka dengan antibiotil (Cuticell) 0 0
124 Peter silk 2/0 -3/8 0 0
125 Pharmafix 10 cm x 500 cm 0 0
126 Pharmafix 15 cm x 500 cm 0 0
127 Pharmafix 5 cm x 500 cm 0 0
128 Plester 2,5 cm x 4,5 M (Leukoplast) 0 0
129 Plester Dermafit 10 x 15 0 0
130 Plester elastis 5 Cm x 500 cm (Fixomull) 0 0
131 Plester elastis 10 Cm x 500 cm (Fixomull) 0 0
132 Pot sputum 0 0
133 Pot urin 0 0
134 Safety Box 5 Ltr Kuning 0 0
135 Sarung tangan Nitrile S - Superlife 0 0
136 Sarung tangan Nitrile M - Superlife 0 0
137 Sarung tangan obsgyn 0 0
138 Sarung tangan gynaecolog Steril No. 6,5 0 0
139 Sarung tangan gynaecolog Steril No. 7 0 0
140 Scalpel blades (bisturi) 0 0
141 Spalk First Aid (Onemed) 0 0
142 Suction catheter No.6 0 0
143 Surgical gloves steril 6,5 0 0
144 Surgical gloves steril 7 0 0
145 Surgical gloves steril 7,5 0 0
146 Surgical gloves steril 8 0 0
147 Tips for micropipet MT - 1 - 200 uL 0 0
148 Tips for micropipet MT - 11 - 1 ml 0 0
149 Tube EDTA plh 13 x 75 3.0 blblce lav 0 0
150 Umbilical cord klem 0 0
151 Underpad 0 0
152 Underpad premium 60 x 90 cm 0 0
153 Urin bag 0 0
0 0
REAGEN DAN BAHAN LABORATORIUM 0 0
1 Aquabidest steril 0 0
2 Hb Sahli - Onemed 0 0
3 Hemolyzer - 3 cleaner 0 0
4 Hemolyzer - 3 control normal 0 0
5 Hemolyzer - 3 diluent 0 0
6 Hemolyzer - 3 hypocleaner 0 0
7 Hemolyzer - 3 Lyser 0 0
8 Kertas lakmus 0 0
9 Larutan Asam Asetat 6% 0 0
10 Larutan Asam Klorida 0,1 N 0 0
11 Larutan EDTA 10 % 0 0
12 Larutan Eosin 2 % 0 0
13 Larutan Giemsa 0 0
14 Larutan Karbol Fuksin 0 0
15 Larutan Metilen Blue 0 0
16 Larutan Na Sitrat 3.13 % 0 0
17 Larutan TURK 0 0
18 Larutan Ziehl Neelsen 0 0
19 Oil emersi 0 0
20 Rapid Diagnostic Test Malaria 0 0
21 Rapid Diagnostic Test Dengue IgG/IgM 0 0
22 Rapid HIV I & II Antibody Test. Senitivitas 100%, spesifisitas >99% 0 0
23 Rapid test HbSAg (Bioline) 0 0
24 Rapid Tes Narkoba : marijuana- THC (Fokus) 0 0
25 Rapid Tes Narkoba : Babiturat (Fokus) 0 0
26 Rapid Tes Narkoba : Benzodiasepin (Fokus) 0 0
27 Rapid Tes Narkoba : Cocain (Fokus) 0 0
28 Rapid Tes Narkoba : Morphin (Fokus) 0 0
29 Rapid Test untuk pemeriksaan Asam Urat : Nesco 0 0
30 Rapid Test untuk pemeriksaan Asam Urat : UA Sure 0 0
31 Rapid Test untuk pemeriksaan Asam Urat : Benecheck 0 0
32 Rapid test untuk pemeriksaan Gula Darah : Accutrand 0 0
33 Rapid test untuk pemeriksaan Gula Darah : Accucheck 0 0
34 Rapid test untuk pemeriksaan Gula Darah : Gluco Dr (type Bio sensor 0 0
35 Rapid test untuk pemeriksaan Gula Darah : Benecheck) 0 0
36 Rapid test untuk pemeriksaan Kolesterol : Benecheck 0 0
37 Rapid test untuk pemeriksaan Kolesterol : Nesco 0 0
38 Rapid test untuk pemeriksaan Kolesterol : Accutrand 0 0
39 Rapid test untuk pemeriksaan Trigliserida : Accutrand 0 0
40 Rapid Test untuk pemeriksaan Trigliserida : Multicare 0 0
41 Reagen fotometer : reagen asam urat 0 0
42 Reagen fotometer : Reagen glukosa 0 0
43 Reagen fotometer : Reagen kolesterol 0 0
44 Reagen fotometer : Reagen trigliserida 0 0
45 Reagen pemeriksaan yodium 0 0
46 Reagen pengujian papan : boraks 0 0
47 Reagen pengujian papan : formalin 0 0
48 Reagen pengujian papan : rhodamin b 0 0
49 Tes Golongan darah : Anti A Monoclonal 0 0
50 Tes golongan darah : Anti AB monoclonal 0 0
51 Tes golongan darah : Anti B monoclonal 0 0
52 Tes Widal Salmonella Typhi H 0 0
53 Tes Widal Salmonella Typhi O 0 0
54 Tes kehamilan - Ulltra One 0 0
55 Urin tes strip (U11 plus) 0 0
56 Urinalysys 10 SG insight 100 tes 0 0
0 0
BMHP LAIN 0 0
1 Alkohol 70% 0 0
2 Alkohol 70% 0 0
3 Aseptin liquid (aseptan) 0 0
4 Ecolab Aquagel Sterile Jelly 82 gr 0 0
5 Etakridin (rivanol) larutan 0 0
6 Jelly-My Jelly 82 Gr 0 0
7 Lisol, mengandung kresol tersabun 50% 0 0
8 Povidone iodine 10% 30 ml 0 0
9 Povidone iodine 10% 300 ml 0 0
10 Povidon iodida 10 % - 60 ml 0 0
11 Povidone iodine 10% 60 (Stardine Sol) 0 0
12 Surgical hand scrubs (E-care) 0 0
13 Antimicrobial - Viorex No Rinse 0 0
14 Bahan sterilisasi instrumen-Alkazyme sachet 25 mg 0 0
15 Bahan sterilisasi instrumen-Stericlin flat 15 cm / 200 m 0 0
16 Bahan sterilisasi instrumen-Stericlin flat 20 cm / 200 m 0 0
17 Bahan sterilisasi-Stericide 3 0 0
18 Bahan sterilisasi-Sterizyme 0 0
19 Desinfectant concentrate (Cetride) 0 0
20 Desinfectant surface - 500 ml ( Stericide) 0 0
0 0
PERBEKALAN KESEHATAN LAINNYA 0 0
1 Tabung hematokrit 0 0
2 Kantung jenazah 0 0
3 Accu Chek Performa test 0 0
4 Benecheck Monitoring system 3 in 1 0 0
5 Termometer klinis (GP Care) 0 0
6 Micropipete Acura 825 - volume 1 - 10 uL 0 0
7 Micropipete Acura 825 - volume 10 - 100 uL 0 0
8 Micropipete Acura 825 - volume 100 - 1000 uL 0 0
0 0
0 0
OBAT-OBAT PROGRAM 0 0
OBAT PROGRAM DIARE (P2M) 0 0
1 Garam oralit serbuk kombinasi 5 0
0 0
OBAT PROGRAM GIZI &KESGA 0 0
1 Euthyrox 100 mg tablet 0 0
2 Fenobarbital injeksi i.m./i.v. 50 mg/ml 0 0
3 Gentamisin injeksi 40 mg/ml 0 0
4 Kalsium glukonat inj. i.v. 100% 0 0
5 Mineral Mix 0 0
6 Retinol (Vitamin A) 100.000 IU kapsul lunak 0 0
7 Retinol (Vitamin A) 200.000 IU kapsul lunak 0 0
8 Tablet tambah darah kombinasi : Besi II Sulfat 200 mg + Asam Folat 0,25 mg) 0 0
9 Reagen yodium 0 0
OBAT PROGRAM KUSTA 0 0
1 Sandoz PB listerpack anak 0 0
2 Obat MDT Kusta PB Dewasa 0 0
3 Obat MDT Kusta MB Dewasa 0 0
0 0
OBAT ANTI TUBERKULOSIS 0 0
1 Obat FDC kategori 1 0 0
2 Obat FDC kategori 2 0 0
3 OAT Anak 0 0
4 OAT Kombipak 1 0 0
0 0
OBAT PRORAM MALARIA 0 0
1 Artesunat inj 60 mg 0 0
2 Dehidroartemisin 40 mg + Piperaquin (DHP) 0 0
3 Primaquin tablet 15 mg 0 0
0 0
PROGRAM P2 0 0
1 Efavirenz 600 mg 0 0
2 Lamivudin 150 mg tablet 0 0
3 Lopinovir 200 mg+ritanovir 50 mg (Aluvia) 0 0
4 Nevirapin 200 mg 0 0
5 Rapid 1 HIV (SD Bioline) 0 0
6 RDT Leptispirosis 0 0
7 Tenofovir (TDF) 300 mg 0 0
8 VAR 0 0
9 Zidovudin + lamivudin (300 mg/150 mg 0 0
10 Zidovudin+lamivudin+niverapin (Pediatric FDC Triple) 0 0
2 Obat MDT Kusta MB Anak 0 0
3 Obat MDT Kusta MB Dewasa 0 0
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TOTAL
23 24 25 26 27 28 29 30 31
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 110
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 40
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 343
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 8
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 40
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 40
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 165
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 8
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 163
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 40
0 0 0 0 0 0 0 0 0 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 102
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 235
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 280
0 0 0 0 0 0 0 0 0 16
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 25
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 12
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 170
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0 265
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 80
0 0 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 40
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 115
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
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Vous aimerez peut-être aussi