SURAT BUKTI BARANG KELUAR

INSTALASI FARMASI KABUPATEN JEPARA

PUSKESMAS : MAYONG I
TANGGAL : 01-01-2019
Kode Jumlah
No Nama Obat Satuan Batch ED
Obat Pemberian
1 2 3 4 5 6 7

1 1000600 ACETOSAL 80 MG TABLET TABLET A91342 20-05-2021 200

2 1000601 ACETYLCYSTEIN 200MG KAPS KAPSUL EBE211 28-06-2020 1,500
3 1000720 ACETYLCYSTEIN 200MG KAPS KAPSUL EBG118 31-07-2020 1,500
4 1000608 ACETYLCYSTEIN 200MG KAPS KAPSUL ECF158 20-06-2021 5,600
5 1000602 ACETYLCYSTEIN 200MG KAPS KAPSUL ECF158 20-06-2021 5,600
6 1000603 ACETYLCYSTEIN 200MG KAPS KAPSUL ECF158 20-06-2021 8,400
7 1000607 ACICLOVIR 400 MG TABLET TABLET 1604035 30-05-2020 400
8 1000717 ACICLOVIR 400 MG TABLET TABLET 1604035 30-05-2020 500
9 1000708 ACICLOVIR 400 MG TABLET TABLET 1604035 30-05-2020 500
10 1000606 ACYCLOVIR 5% CREAM TUBE 16305002 30-04-2021 100
11 1000106 ACYCLOVIR 5% CREAM TUBE 16305002 30-04-2021 25
12 1000594 ALAT SUNTIK DISP 1 ML BUAH 170903D 20-08-2022 22
13 1000323 ALAT SUNTIK DISP 3 ML BUAH 17J1303J 25-09-2022 1,000
14 1000514 ALAT SUNTIK DISP 3 ML BUAH 17J1303J 25-09-2022 1,000
15 1000231 ALAT SUNTIK DISP 3 ML BUAH 17J1303J 25-09-2022 1,000
16 1000744 ALAT SUNTIK DISP 3 ML BUAH 8264174 20-09-2023 2,100
17 1000744 ALBENDAZOLE 400 MG TABLET TABLET H80175B1 20-07-2021 6,240
18 1000108 ALBENDAZOLE 400 MG TABLET TABLET K82219B 20-10-2021 1,000
19 1000109 ALBENDAZOLE 400 MG TABLET TABLET K82219B 20-10-2021 100
20 1000063 ALKOHOL SWABS BUAH 13111788 20-10-2020 500
21 1000619 ALKOHOL SWABS BUAH 13111788 20-10-2020 1,000
22 1000035 ALKOHOL SWABS BUAH 27081888 20-07-2021 22
23 1000562 ALKOHOL SWABS BUAH 13111788 20-10-2020 500
24 1000146 ALKOHOL SWABS BUAH 2041988 20-03-2022 2,100
25 1000548 ALKOHOL SWABS BUAH 8333995 20-11-2023 500
26 1000523 ALOPURINOL 100 MG TAB TABLET nobatch_lama 1/5/2021 2,000
27 1000524 ALOPURINOL 100 MG TAB TABLET nobatch_lama 1/5/2021 1,000
28 1000113 ALOPURINOL 100 MG TAB TABLET nobatch_lama 1/5/2021 1,000
29 1000189 ALOPURINOL 100 MG TAB TABLET nobatch_lama 1/5/2021 4,000
30 1000462 ALOPURINOL 100 MG TAB TABLET A90746 20-04-2022 1,500
31 1000038 AMINOPILIN 200 MG TABLET TABLET 17CG045 28-07-2020 200
32 1000217 AMLODIPIN 5 MG TABLET 13138 12/1/2020 600
33 1000585 AMLODIPIN 5 MG TABLET 111628 29-10-2020 1,200
34 1000196 AMLODIPIN 5 MG TABLET 111628 29-10-2020 900
35 1000197 AMLODIPIN 5 MG TABLET 111628 29-10-2020 600
36 1000529 AMLODIPIN 5 MG TABLET 111628 29-10-2020 600
37 1000616 AMLODIPIN 5 MG TABLET 111628 29-10-2020 1,200
38 1000205 AMLODIPIN 5 MG TABLET 111618 1/11/2020 900
39 1000156 AMOKSILIN FORTE SIRUP BOTOL 191010193 20-10-2021 120
40 1000159 AMOKSISILIN 500 MG TABLET TPK78444 20-09-2019 15,000
41 1000636 AMOKSISILIN 500 MG TABLET TPK78444 20-09-2019 10,000
42 1000209 AMOKSISILIN 500 MG TABLET TPK78444 20-09-2019 10,000
43 1000343 AMOKSISILIN 500 MG TABLET TPK78444 20-09-2019 10,000
44 1000336 AMOKSISILIN 500 MG TABLET 80423 31-05-2020 12,000
45 1000525 AMOKSISILIN 500 MG TABLET CAMXA91040 30-04-2021 15,000
46 1000233 AMPICILIN SERBUK INJ IM/IV 1000MG/ML VIAL 17086 25-11-2020 50
47 1000256 AMPICILIN SERBUK INJ IM/IV 1000MG/ML VIAL 17086 25-11-2020 50
48 1000260 AMPICILIN SERBUK INJ IM/IV 1000MG/ML VIAL 16436077 20-12-2022 50
49 1000581 AMPICILIN SERBUK INJ IM/IV 1000MG/ML VIAL 17086 25-11-2020 100
50 1000191 ANTASIDA DOEN I TABLET KUNYAH TABLET 173229 28-12-2019 8,000
51 1000742 ANTASIDA DOEN I TABLET KUNYAH TABLET 173229 28-12-2019 8,000
52 1000677 ANTASIDA DOEN I TABLET KUNYAH TABLET 173229 28-12-2019 5,000
53 1000676 ANTASIDA DOEN I TABLET KUNYAH TABLET 173229 28-12-2019 5,000
54 1000537 ANTASIDA DOEN I TABLET KUNYAH TABLET A90793 20-04-2022 8,000
55 1000220 ANTASIDA DOEN I TABLET KUNYAH TABLET A90793 20-04-2022 5,000
56 1000004 ANTASIDA DOEN II SUSPENSI BOTOL 172814 30-10-2019 200
57 1000069 ANTASIDA DOEN II SUSPENSI BOTOL 185LO84 20-06-2021 100
58 1000655 ANTASIDA DOEN II SUSPENSI BOTOL 19SD196 20-04-2021 100
59 1000559 ANTI BAKTERI DOEN CR (BACITRASIN ZALF) POT 1805004 1/5/2022 100
60 1000024 ANTI FUNGI DOEN / WHITE CR POT nobatch_lama 25-04-2021 96
61 1000455 ANTI FUNGI DOEN / WHITE CR POT nobatch_lama 25-04-2021 96
62 1000007 AS. ASKORBAT 50 MG TABLET 170096B1 20-09-2020 5,000
63 1000683 AS. ASKORBAT 50 MG TABLET 170096B1 20-09-2020 2,000
64 1000012 AS. ASKORBAT 50 MG TABLET J82035B 20-09-2021 5,000
65 1000497 AS. ASKORBAT 50 MG TABLET J82035B 20-09-2021 2,000
66 1000670 AS. MEFENAMAT 500 MG TAB TABLET 172762 28-10-2019 6,000
67 1000143 AS. MEFENAMAT 500 MG TAB TABLET 172762 28-10-2019 4,000
68 1000168 AS. MEFENAMAT 500 MG TAB AMPUL A91051 20-04-2022 5,000
69 1000125 AS. MEFENAMAT 500 MG TAB TABLET A91169 20-05-2022 5,000
70 1000061 AS. MEFENAMAT 500 MG TAB TABLET A91169 20-05-2022 2,000
71 1000566 AS. MEFENAMAT 500 MG TAB TABLET A91169 20-05-2022 8,000
72 1000495 AS. MEFENAMAT 500 MG TAB TABLET A91169 20-05-2022 6,000
73 1000755 ATROPIN SULFAT INJ 0,25 MG 30A AMPUL 9618G0118A 31-07-2020 5
74 1000711 AUTO DISABLE SYRINGE 0.05 ML BUAH 17002 25-02-2022 100
75 1000682 AUTO DISABLE SYRINGE 0.05 ML BUAH 18003 20-08-2023 100
76 1000734 AUTO DISABLE SYRINGE 0.05 ML BUAH 18003 20-08-2023 100
77 1000669 AUTO DISABLE SYRINGE 0.05 ML BUAH 18003 20-08-2023 100
78 1000194 AUTO DISABLE SYRINGE 0.05 ML BUAH 18003 20-08-2023 100
79 1000553 AUTO DISABLE SYRINGE 0.05 ML BUAH 18003 20-08-2023 100
80 1000052 AUTO DISABLE SYRINGE 0.05 ML BUAH 19001 20-12-2023 100
81 1000032 AUTO DISABLE SYRINGE 0.05 ML BUAH 19001 20-12-2023 100
82 1000638 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 400
 83 1000087 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 400
84 1000528 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 400
85 1000729 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 400
86 1000596 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 400
87 1000309 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 200
88 1000310 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 300
89 1000560 AUTO DISABLE SYRINGE 0.5 ML BUAH 17129 25-08-2022 400
90 1000103 AUTO DISABLE SYRINGE 0.5 ML BUAH 17137 20-10-2022 1,100
91 1000102 AUTO DISABLE SYRINGE 0.5 ML BUAH 17137 20-10-2022 400
92 1000429 AUTO DISABLE SYRINGE 0.5 ML BUAH 1808404 20-01-2023 2,400
93 1000089 AUTO DISABLE SYRINGE 0.5 ML BUAH 1808404 20-01-2023 400
94 1000308 AUTO DISABLE SYRINGE 5 ML BUAH nobatch_lama 25-01-2022 100
95 1000452 AUTO DISABLE SYRINGE 5 ML BUAH nobatch_lama 25-01-2022 80
96 1000715 AUTO DISABLE SYRINGE 5 ML BUAH nobatch_lama 25-01-2022 100
97 1000453 AUTO DISABLE SYRINGE 5 ML BUAH nobatch_lama 25-01-2022 100
98 1000353 AUTO DISABLE SYRINGE 5 ML BUAH nobatch_lama 25-01-2022 100
99 1000324 AUTO DISABLE SYRINGE 5 ML BUAH nobatch_lama 25-01-2022 95
100 1000063 AUTO DISABLE SYRINGE 5 ML BUAH 17503 25-02-2022 100
101 1000599 AUTO DISABLE SYRINGE 5 ML BUAH 17503 25-02-2022 100
102 1000600 AUTO DISABLE SYRINGE 5 ML BUAH 17503 25-02-2022 100
103 1000601 AZITROMICIN 500 MG TABLET nobatch_lama 25-04-2020 60
104 1000616 BETAHISTINE 6MG TABLET TABLET 50H0116 20-07-2021 1,000
105 1000156 BETAMETASON KRIM 0,1 % TUBE E70472T 25-04-2020 100
106 1000742 BETAMETASON KRIM 0,1 % TUBE E70472T 25-04-2020 75
107 1000032 BETAMETASON KRIM 0,1 % TUBE G81306T 20-07-2021 150
108 1000632 BETAMETASON KRIM 0,1 % TUBE G81306T 20-07-2021 50
109 1000608 BETAMETASON KRIM 0,1 % TUBE H81666T 20-08-2021 100
110 1000602 BETAMETASON KRIM 0,1 % TUBE H81666T 20-08-2021 100
111 1000603 BROCON TAB 100S TABLET 80707 20-07-2020 2,500
112 1000717 BROCON TAB 100S TABLET 80707 20-07-2020 2,000
113 1000708 BROMHEXIN 2MG/ML 50ML (BISOLVON) BOTOL 16020416 28-01-2020 1
114 1000606 CAPTOPRIL 12,5 TAB TABLET B80122B 20-01-2023 1,000
115 1000658 CAPTOPRIL 12,5 TAB TABLET I81788B 20-08-2023 600
116 1000545 CAPTOPRIL 25 MG TAB TABLET 20K038 30-11-2019 3,000
117 1000726 CAPTOPRIL 25 MG TAB TABLET 20K038 30-11-2019 2,000
118 1000616 CATGUT 3/0+JARUM (70CM) BUAH QQ249-16-1 31-08-2021 24
119 1000156 CATGUT 3/0+JARUM (70CM) BUAH QQ249-16 31-08-2021 24
120 1000083 CATGUT 3/0+JARUM (70CM) BUAH QQ249-16-1 31-08-2021 60
121 1000047 CATGUT CHROMIC 2/0 75CM+JARUM BUAH A4198-19 20-01-2024 60
122 1000324 CATGUT PLAIN 2/0 70CM+JARUM BUAH QQ109-16 30-08-2021 12
123 1000429 CEFADROKSIL 250 MG KAPSUL 190701252 20-07-2021 1,500
124 1000600 CEFADROKSIL 250 MG KAPSUL 190701252 20-07-2021 2,000
125 1000585 CEFADROKSIL SIRUP KERING 125MG/5 ML BOTOL 6707003 30-07-2019 150
126 1000742 CEFADROKSIL SIRUP KERING 125MG/5 ML BOTOL 6802003 31-03-2021 100
127 1000729 CEFADROKSIL SIRUP KERING 125MG/5 ML BOTOL 6902016 28-02-2022 100
128 1000596 CEFADROKSIL SIRUP KERING 125MG/5 ML BOTOL 6902016 28-02-2022 50
129 1000598 CEFIXIME 100 MG KAPSUL 182807J 25-09-2020 150
130 1000720 CEFIXIME 100 MG KAPSUL 182807J 25-09-2020 300
131 1000608 CEFIXIME 100 MG KAPSUL 182807J 25-09-2020 300
132 1000602 CEFIXIME 100 MG KAPSUL 182807J 25-09-2020 300
133 1000603 CEFIXIME 100 MG KAPSUL 182807J 25-09-2020 900
134 1000607 CHLORFENIRAMIN M/ CTM 4 MG TABLET 180209152 20-02-2022 10,000
135 1000717 CHLORFENIRAMIN M/ CTM 4 MG TABLET 180209152 20-02-2022 10,000
136 1000708 CHLORFENIRAMIN M/ CTM 4 MG TABLET 180209152 20-02-2022 6,000
137 1000109 CHLORFENIRAMIN M/ CTM 4 MG TABLET 190764152 20-07-2021 5,000
138 1000624 CHLORFENIRAMIN M/ CTM 4 MG TABLET 190764152 20-07-2021 10,000
139 1000619 CIPROFLOKSASIN 500MG TABLET 160881106 25-08-2020 2,000
140 1000035 CIPROFLOKSASIN 500MG TABLET 160881106 25-08-2020 1,000
141 1000562 CIPROFLOKSASIN 500MG TABLET 160881106 25-08-2020 1,000
142 1000146 CIPROFLOKSASIN 500MG TABLET 160881106 25-08-2020 2,000
143 1000523 CIPROFLOKSASIN 500MG TABLET 160881106 25-08-2020 4,000
144 1000462 CIPROFLOKSASIN 500MG TABLET 160881106 25-08-2020 3,000
145 1000217 CIPROFLOKSASIN 500MG TABLET 160881106 25-08-2020 2,000
146 1000529 CODEIN 10 MG TABLET HG1222J 20-07-2020 30
147 1000205 COTRIMOKSASOL 480 MG TAB TABLET 171650 28-08-2019 1,000
148 1000209 COTRIMOKSASOL 480 MG TAB TABLET 171650 28-08-2019 1,000
149 1000343 COTRIMOKSASOL 480 MG TAB TABLET A91157 20-05-2022 1,000
150 1000336 COTRIMOKSASOL SYR 60 ML BOTOL A91197 20-05-2022 100
151 1000316 COTRIMOKSASOL SYR 60 ML BOTOL A91750 20-07-2022 100
152 1000676 CUTICELL CLASSIC 10CM X 40CM BUAH 640158 25-09-2019 20
DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN 320 MG
153 1000220 (DHP) TABLET 171105 20-11-2019 18
154 1000004 DEKSAMETASON 0.5 MG TABLET 180216150 1/2/2020 10,000
155 1000007 DEKSAMETASON 0.5 MG TABLET 180314150 20-03-2020 10,000
156 1000561 DEKSAMETASON 0.5 MG TABLET 180402150 20-04-2020 10,000
157 1000684 DEKSAMETASON 0.5 MG TABLET 180402150 20-04-2020 8,000
158 1000012 DEKSAMETASON 0.5 MG TABLET 180402150 20-04-2020 8,000
159 1000550 DEKSAMETASON 0.5 MG TABLET 180402150 20-04-2020 2,000
160 1000670 DIAFORM/NEW ANTIDES TAB TABLET SB0991 1/2/2021 2,000
161 1000168 DIAFORM/NEW ANTIDES TAB TABLET SB0991 1/2/2021 2,000
162 1000680 DIAFORM/NEW ANTIDES TAB TABLET SB0991 1/2/2021 2,000
163 1000681 DIAFORM/NEW ANTIDES TAB TABLET SB0991 1/2/2021 2,000
164 1000595 DIAZEPAM 5 MG REKTAL 2,5 ML TUBE U23681713 30-09-2019 10
165 1000032 DIAZEPAM 5 MG REKTAL 2,5 ML TUBE W23681705 20-03-2022 5
166 1000019 DIAZEPAM INJ 5 MG 30A AMPUL F8C311 1/3/2020 5
167 1000632 DIFENHIDRAMIN INJ 30A AMPUL 6342013 20-09-2021 30
168 1000102 DIGOKSIN TAB 0,25 MG TABLET A8615FV 26-06-2020 100
169 1000089 DIMENHIDRINATE 50 MG 100S TABLET E70590B 25-04-2022 2,000
170 1000308 DIMENHIDRINATE 50 MG 100S TABLET E70590B 25-04-2022 2,000
171 1000452 DIMENHIDRINATE 50 MG 100S TABLET L72845B 22-11-2022 1,500
172 1000453 DIMENHIDRINATE 50 MG 100S TABLET L72845B 22-11-2022 2,000
173 1000599 DIMENHIDRINATE 50 MG 100S TABLET L72845B 22-11-2022 2,000
174 1000600 DIMENHIDRINATE 50 MG 100S TABLET D80811B 20-03-2023 2,000
175 1000608 DOKSISIKLIN 100 MG TABLET nobatch_lama 29-08-2020 180
176 1000602 DOMPERIDON 5MG/5ML SYR BOTOL 190756186 20-07-2021 50
177 1000603 DOMPERIDONE 10 MG TABLET 180312149 1/3/2020 200
178 1000607 DOMPERIDONE 10 MG TABLET 190608148 20-06-2021 500
179 1000717 DRESSING PENUTUP LUKA LEBAR 10CM X 5M BUAH 82850396 1/1/2023 5
180 1000708 DRESSING PENUTUP LUKA LEBAR 5CM X 5M BUAH 84353380 20-05-2023 12
181 1000038 EPINEFRENA INJ/ ADRENALIN AMPUL nobatch_lama 31-03-2019 4
182 1000696 EPINEFRENA INJ/ ADRENALIN 100S AMPUL 97MA0031 4/1/2021 5
183 1000616 ETAKRIDIN/RIVANOL 300 ML BOTOL 10011788 31-12-2019 10
184 1000156 ETAKRIDIN/RIVANOL 300 ML BOTOL 10011788 31-12-2019 10
185 1000697 ETAMBUTOL 500 MG TABLET nobatch_lama 1/4/2022 200
186 1000322 ETANOL 70 % BOTOL nobatch_lama 25-09-2019 3
187 1000742 ETANOL 70% 100 ML BOTOL J38730 25-11-2020 48
188 1000242 ETANOL 70% 100 ML BOTOL J38730 25-11-2020 48
189 1000514 EUGINOL CAIRAN BOTOL nobatch_lama 25-10-2030 23
190 1000449 FENOLGLISEROL TT 10% BOTOL 18LA001 20-01-2020 48
191 1000555 FENOTEROL HBR 0,1% 50ML (BEROTEC) BOTOL nobatch_lama 30-06-2021 1
192 1000756 FITO MENADION (VIT K) 10MG TABLET 95381014 25-06-2019 100
193 1000308 FITO MENADION (VIT K) 10MG 100S TABLET 6381010 20-12-2020 100
194 1000606 FITO MENADION (VIT K) 10MG 100S TABLET 6381010 20-12-2020 100
195 1000562 FITO MENADION (VIT K) 10MG 100S TABLET 16381010 20-05-2021 200
196 1000581 FITOMENADION (VIT K) 2 MG/1 ML INJ AMPUL 6478094 20-12-2019 30
197 1000021 FITOMENADION (VIT K) 2 MG/1 ML INJ AMPUL 6478080 20-01-2021 60
198 1000619 FITOMENADION (VIT K) 2 MG/1 ML INJ AMPUL 6478080 20-01-2021 30
199 1000014 FITOMENADION (VIT K) 2 MG/1 ML INJ AMPUL 6478080 20-01-2021 30
200 1000617 FOLLEY CATHETER 2 WAY NO. 16 BUAH 7021988 20-01-2024 4
201 1000599 FUROSEMIDE TAB 40MG TABLET nobatch_lama 25-09-2018 100
202 1000600 GARAM ORALIT U/ 200 ML AIR SACHET D910963 20-03-2022 100
203 1000601 GENTAMICIN SULFAT TTS MATA BOTOL D0254006 1/5/2022 24
204 1000608 GENTAMICIN SULFAT TTS MATA BOTOL D0254006 1/5/2022 96
205 1000602 GENTAMICIN SULFAT TTS MATA BOTOL D0254006 1/5/2022 96
206 1000603 GLIMEPIRIDE 2 MG TAB TABLET 49A0772 20-01-2021 1,000
207 1000607 GLIMEPIRIDE 2 MG TAB TABLET 49K0379 20-10-2021 2,000
208 1000717 GLIMEPIRIDE 2 MG TAB TABLET 49K0379 20-10-2021 3,000
209 1000708 GLIMEPIRIDE 2 MG TAB TABLET 49K0378 20-10-2021 2,000
210 1000606 GLIMEPIRIDE 2 MG TAB TABLET 50B0051 20-01-2022 1,000
211 1000529 GLUKOSA INFUS (DEXTROSE 5 %) BOTOL 48A97A 28-01-2021 100
212 1000465 GLUKOSA INFUS (DEXTROSE 5 %) BOTOL 48A97A 28-01-2021 20
213 1000555 GRISEOVULVIN 125 MG TABLET 180301176 1/2/2020 300
214 1000619 GRISEOVULVIN 125 MG TABLET 180301176 1/2/2020 200
215 1000035 GUAIFENESIN 100 MG TAB TABLET 180503155 20-05-2022 3,000
216 1000562 GUAIFENESIN 100 MG TAB TABLET 180503155 20-05-2022 2,000
217 1000548 GUAIFENESIN 100 MG TAB TABLET 180503155 20-05-2022 5,000
218 1000523 GUAIFENESIN 100 MG TAB TABLET 180503155 20-05-2022 2,000
219 1000524 HANDSCUN GYNAECOLOG 56 CM BUAH 772019 20-03-2024 5
220 1000189 HANDSCUN L BUAH 1602023 20-02-2021 500
221 1000462 HANDSCUN L BUAH 1602023 20-02-2021 300
222 1000217 HANDSCUN M BUAH 72360532 22-10-2022 1,000
223 1000197 HANDSCUN M BUAH 72360532 22-10-2022 1,000
224 1000616 HANDSCUN M BUAH 8341134 20-11-2022 500
225 1000156 HANDSCUN M BUAH 190331037 20-02-2024 600
226 1000159 HANDSCUN M BUAH 8341134 20-11-2022 1,000
227 1000209 HANDSCUN S BUAH 8350618 20-11-2022 700
228 1000343 HANDSCUN S BUAH 8350618 20-11-2022 500
229 1000633 HANDSCUN S BUAH 213064493LPZA 20-08-2023 1,000
230 1000106 HANDSCUN S BUAH 742019 20-07-2024 500
231 1000233 HANDSCUN S BUAH 420191615 20-07-2024 1,200
232 1000591 HANDSCUN S BUAH 742019 20-07-2024 800
233 1000316 HANDSCUN STERIL 6 BUAH 2965560 9/2/2022 50
234 1000316 HES (INFUS) 6 % BOTOL nobatch_lama 14-06-2019 20
235 1000622 HIDROKORTISON SALF TUBE A80008T 20-01-2022 96
236 1000581 HIDROKORTISON SALF TUBE A80008T 20-01-2022 120
237 1000191 HIDROKORTISON SALF TUBE A80008T 20-01-2022 144
238 1000678 HIDROKORTISON SALF TUBE A80008T 20-01-2022 96
239 1000677 HIDROKORTISON SALF TUBE A80008T 20-01-2022 96
240 1000676 INFUSION SET DEWASA BUAH 15232-01 25-08-2022 200
241 1000220 INFUSION SET DEWASA BUAH 15232-01 25-08-2022 100
242 1000004 INFUSION SET DEWASA BUAH 15232-01 25-08-2022 200
243 1000509 INFUSION SET DEWASA BUAH E2019 20-05-2029 200
244 1000685 INFUSION SET DEWASA BUAH E2019 20-05-2029 400
245 1000712 ISONIAZID 300 MG TABLET nobatch_lama 25-10-2018 200
246 1000025 ISOSORBID DINITRAT TAB SUB.LI 100S TABLET A2353JV 26-10-2022 100
247 1000455 IV CATHETER NO 18 BUAH nobatch_lama 31-10-2020 100
248 1000007 IV CATHETER NO 20G (PORT) BUAH 8020169 20-01-2021 100
249 1000683 IV CATHETER NO.22G(PORT) BUAH 7114026 20-04-2020 150
250 1000561 IV DRESSING 6X7 S BUAH 20160920 19-09-2019 800
251 1000684 IV. CATHETER NO. 20 BUAH 7201127 25-07-2022 150
252 1000670 IV. CATHETER NO. 20 BUAH 7201127 25-07-2022 100
253 1000710 IV. CATHETER NO. 22 BUAH 17D2804J 20-03-2022 150
254 1000121 IV. CATHETER NO. 22 BUAH 17D2804J 20-03-2022 100
255 1000566 IV. CATHETER NO. 22 BUAH 7324279 20-11-2022 100
256 1000257 IV. CATHETER NO. 22 BUAH 17D2804J 20-03-2022 22
257 1000495 IV. CATHETER NO. 24 BUAH 17F1504J 20-05-2022 100
258 1000680 IV. CATHETER NO. 24 BUAH 7324276 20-11-2022 100
259 1000682 KALSIUM LAKTAT 500MG TAB TABLET A80045 28-02-2020 8,000
260 1000681 KALSIUM LAKTAT 500MG TAB TABLET A80045 28-02-2020 10,000
261 1000594 KALSIUM LAKTAT 500MG TAB TABLET A90826 20-04-2022 10,000
262 1000183 KALSIUM LAKTAT 500MG TAB TABLET A90826 20-04-2022 8,000
263 1000551 KAPAS ABSORBEN 250 GR BUAH nobatch_lama 30-03-2020 5
264 1000188 KAPAS ABSORBEN 250 GR BUAH nobatch_lama 30-03-2020 10
265 1000047 KAPAS ABSORBEN 250 GR BUAH nobatch_lama 30-03-2020 10
266 1000514 KAPAS ABSORBEN 250 GR BUAH nobatch_lama 30-03-2020 -
267 1000052 KASA HIDROFIL 36M X 80CM ROLL 18318 20-03-2022 5
268 1000632 KASA HIDROFIL 36M X 80CM ROLL 30319 20-03-2023 5
269 1000729 KASA HIDROFIL 36M X 80CM ROLL 30319 20-03-2023 3
270 1000596 KASA HIDROFIL 36M X 80CM ROLL 30319 20-03-2023 5
271 1000756 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROLL 20617 30-06-2021 100
272 1000324 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROLL 20617 30-06-2021 100
273 1000560 KASA PEMBALUT HIDROFIL 4M X 5CM ROLL nobatch_lama 30-07-2020 200
274 1000103 KASA PEMBALUT HIDROFIL 4M X 5CM ROLL nobatch_lama 30-07-2020 200
275 1000429 KASA PEMBALUT HIDROFIL 4M X 5CM ROLL nobatch_lama 30-07-2020 250
276 1000089 KASA PEMBALUT HIDROFIL 4M X 5CM ROLL 20817 25-08-2021 100
277 1000308 KASA STERIL BOX 10917 25-09-2021 50
278 1000308 KASA STERIL BOX 10917 25-09-2021 100
279 1000452 KASA STERIL BOX 20818 20-08-2022 100
280 1000453 KASA STERIL BOX 10917 25-09-2021 100
281 1000353 KATEGORI (OAT) ANAK PAKET 19PK2008 20-05-2021 2
282 1000624 KATEGORI I (FDC) PAKET 16461172 20-06-2021 5
283 1000146 KATEGORI I (FDC) PAKET 16461252-1 20-05-2021 5
284 1000032 KATEGORI I (FDC) PAKET 16461252-1 20-05-2021 1
285 1000449 KATEGORI I (FDC) PAKET 16461172 20-06-2021 4
286 1000449 KETOKONAZOLE SALEP TUBE nobatch_lama 31-08-2019 120
287 1000528 KETOKONAZOLE TAB TABLET 190608103 20-06-2021 300
288 1000600 KETOROLAC INJ 30 MG AMPUL 9618D0037A 30-04-2020 20
289 1000720 KETOROLAC INJ 30 MG AMPUL 9618LO256A 31-12-2020 12
290 1000608 KETOROLAC INJ 30 MG AMPUL 9618D0037A 30-04-2020 20
291 1000602 KETOROLAC INJ 30 MG AMPUL 9618LO256A 31-12-2020 20
292 1000603 KLORAMFENICOL 2% SALEP ( BUFACETIN ) TUBE 10207819 20-07-2021 48
293 1000607 KLORAMFENICOL 2% SALEP ( BUFACETIN ) TUBE 10207819 20-07-2021 48
294 1000717 KLORAMFENICOL 2% SALEP ( BUFACETIN ) TUBE 10207819 20-07-2021 120
295 1000606 KLORAMFENICOL 2% SALEP ( BUFACETIN ) TUBE 10207925 20-08-2022 96
296 1000108 KLORAMFENIKOL 500MG KAPSUL V2388129 20-09-2021 1,000
297 1000038 KLORAMFENIKOL 500MG KAPSUL V2388137 20-10-2021 1,000
298 1000336 KLORAMFENIKOL SUSP. 125 MG/5 ML BOTOL 17072582 20-07-2020 100
299 1000622 KLORAMPENIKOL 250MG KAPSUL KAPSUL 1803-04-251 20-03-2022 800
300 1000760 KLORAMPENIKOL 250MG KAPSUL KAPSUL 1803-04-251 20-03-2022 1,000
301 1000550 KLORAMPENIKOL 250MG KAPSUL KAPSUL 1803-04-251 20-03-2022 500
302 1000711 KLORAMPENIKOL SF MT 24T TUBE B90083W 20-02-2022 48
303 1000052 KLORAMPENIKOL SF MT 24T TUBE B90083W 20-02-2022 120
304 1000614 KLORAMPENIKOL SF MT 24T TUBE C90232W 20-03-2022 72
305 1000217 KLORAMPENIKOL TT 3% 24T BOTOL D0653012 20-12-2019 15
306 1000658 LIDOKAIN INJ AMPUL 16362006-1 20-01-2022 100
307 1000528 LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-2ML AMPUL 16815017 30-04-2021 60

308 1000599 LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-2ML AMPUL 16815017 30-04-2021 60

309 1000600 LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-2ML AMPUL 16815067 20-10-2021 90

310 1000601 LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-2ML AMPUL 16815067 20-10-2021 60

311 1000646 LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-2ML AMPUL 16815067 20-10-2021 60

312 1000099 LISOL 1000 ML BOTOL 26051788 28-04-2020 3
313 1000720 LORATADIN TABLET 80044 31-01-2021 500
314 1000608 LORATADIN TABLET 80044 31-01-2021 500
315 1000602 LORATADIN TABLET 80044 31-01-2021 500
316 1000603 LUGOL BOTOL A123B 25-12-2021 1
317 1000607 MAGNESIUM SULFAT INJ 20% 25ML BOTOL 751480 6/9/2020 10
318 1000717 MAGNESIUM SULFAT INJ 20% 25ML BOTOL 751480 6/9/2020 10
319 1000108 MASKER 3 PLY EARLOOP BUAH 4506178 29-09-2027 300
320 1000624 MASKER 3 PLY EARLOOP BUAH 4506178 29-09-2027 300
321 1000063 MASKER 3 PLY EARLOOP BUAH 4506178 29-09-2027 1,000
322 1000035 MASKER 3 PLY PLUS EARLOOP BUAH 2061786 29-09-2027 500
323 1000073 MASKER 3 PLY PLUS EARLOOP BUAH 1905-1 20-05-2029 300
324 1000562 MASKER 3 PLY PLUS EARLOOP BUAH 1905-1 20-05-2029 500
325 1000146 MASKER 3 PLY PLUS EARLOOP BUAH 1905-1 20-05-2029 500
326 1000523 MASKER 3 PLY PLUS EARLOOP BUAH 1031988 20-05-2029 500
327 1000038 MASKER 3 PLY TIE ON BUAH 25071787 29-09-2027 200
328 1000104 MASKER 3 PLY TIE ON BUAH 25071787 29-09-2027 300
329 1000631 MASKER 3M 1860 N95 BUAH R16295 21-10-2021 120
330 1000217 MB ANAK PAKET G49768 20-10-2020 2
331 1000529 MB ANAK BUAH HD1377 20-01-2021 1
332 1000205 MB ANAK PAKET BHD1377 20-01-2021 11
333 1000156 MB DEWASA TABLET BGY4057 20-12-2020 12
334 1000325 MB DEWASA BUAH G23364 20-12-2020 6
335 1000209 MB DEWASA SET HP8136 20-10-2021 4
336 1000082 MB DEWASA BUAH BHP8136 20-10-2021 18
337 1000311 MB DEWASA BUAH HV6129 20-12-2021 30
338 1000336 METFORMIN HCL TAB 500 MG TABLET HTMFNA91744 28-02-2021 2,000
339 1000162 METFORMIN HCL TAB 500 MG TABLET HTMFNA91744 28-02-2021 1,000
340 1000622 METFORMIN HCL TAB 500 MG TABLET HTMFNA91744 28-02-2021 1,000
341 1000760 METIL ERGOMETRIN MALAET INJ AMPUL 97KJ0081 20-11-2019 60
342 1000581 METILPREDNISOLON 4MG TABLET TABLET M02BF011 20-02-2022 3,000
343 1000220 METILPREDNISOLON 4MG TABLET TABLET M02BF011 20-02-2022 2,500
344 1000004 METRONIDAZOL 500 MG TABLET 190715129 20-07-2023 1,100
345 1000559 METRONIDAZOL 500 MG TABLET 190715129 20-07-2023 200
346 1000024 METRONIDAZOL SYR 125MG/5ML BOTOL nobatch_lama 25-05-2019 200
347 1000455 MICONAZOLE ZALF TUBE K72951W 20-11-2021 48
348 1000007 MICONAZOLE ZALF TUBE K72951W 20-11-2021 48
349 1000683 MICONAZOLE ZALF TUBE K72951W 20-11-2021 96
350 1000012 MINERAL MIX SACHET 1811112 20-11-2020 400
351 1000168 NA DIKLOFENAK 50 MG TABLET 16365109 20-10-2020 6,000
352 1000566 NA DIKLOFENAK 50 MG TABLET 16365109 20-10-2020 5,000
353 1000495 NA DIKLOFENAK 50 MG TABLET 16365113 20-11-2020 3,000
354 1000682 NA DIKLOFENAK 50 MG TABLET 16365113 20-11-2020 4,000
355 1000594 NATRIUM CLORIDA INFUS 0,9% 500 ML BOTOL 48A85A 16-01-2023 40
356 1000183 NATRIUM CLORIDA INFUS 0,9% 500 ML BOTOL 1A9C046 20-03-2021 40
357 1000551 NATRIUM CLORIDA INFUS 0,9% 500 ML BOTOL 1A9C046 20-03-2021 40
358 1000047 NEDLEE 23 100S BUAH 180910e 20-08-2023 22
359 1000052 NISTATIN 500000 IU 100S TABLET nobatch_lama 4/10/2019 100
360 1000032 NISTATIN 500000 IU 100S TABLET 16371009 20-07-2021 100
361 1000019 OKSITOSIN INJ AMPUL 97LD0012 18-04-2020 100
362 1000729 OKSITOSIN INJ AMPUL 97LD0012 18-04-2020 10
363 1000596 OKSITOSIN INJ AMPUL 9619A0011A 28-02-2021 200
364 1000756 OKSITOSIN INJ AMPUL 9619B0023A 28-02-2021 100
365 1000309 OKSITOSIN INJ AMPUL 9619B0023A 28-02-2021 100
366 1000310 OMEPRAZOL 20 MG KAPSUL KAPSUL 17080353 25-08-2021 900
367 1000560 OMEPRAZOL 20 MG KAPSUL KAPSUL 1910-13-53 20-10-2021 210
368 1000103 ONDANSETRON INJ AMPUL 2790944 20-06-2021 50
369 1000089 ONDANSETRON INJ AMPUL 2790944 20-06-2021 50
370 1000453 PARASETAMOL 500 MG 1000S TABLET 172989 30-11-2019 25,000
371 1000308 PARASETAMOL 500 MG TAB TABLET 173276 28-12-2019 5,000
372 1000744 PARASETAMOL 500 MG TAB TABLET 173276 28-12-2019 10,000
373 1000545 PARASETAMOL 500 MG TAB TABLET A90429 20-02-2022 10,000
374 1000714 PARASETAMOL 500 MG TAB TABLET A90800 20-04-2022 5,000
375 1000703 PARASETAMOL 500 MG TAB TABLET 1908-43-117 20-08-2021 10,000
376 1000121 PARASETAMOL 500 MG TAB TABLET 1908-43-117 20-08-2021 20,000
377 1000594 PARASETAMOL SYR BOTOL A80489 20-03-2020 600
378 1000323 PARASETAMOL SYR BOTOL A80489 20-03-2020 300
379 1000231 PARASETAMOL SYR BOTOL A80489 20-03-2020 1,100
380 1000324 PARASETAMOL SYR BOTOL A90899 20-04-2022 800
381 1000672 PARASETAMOL SYR BOTOL A91507 20-06-2022 600
382 1000715 PARASETAMOL SYR BOTOL A90899 20-04-2022 600
383 1000415 PARASETAMOL SYR BOTOL A91507 20-06-2022 800
384 1000708 PEMBALUT ELASTIS 7,5CM X 4,5M ROLL 53250029 25-07-2020 3
385 1000038 PHENOBARBITAL 30 MG TAB 1000S TABLET 17224313 20-08-2022 30
386 1000242 PIRIDOKSIN 10 MG TABLET TABLET I81934B 20-08-2021 2,000
387 1000599 PIRIDOKSIN 10 MG TABLET TABLET I81934B 20-08-2021 4,000
388 1000600 PIRIDOKSIN 10 MG TABLET TABLET J82246B 20-10-2021 -
389 1000601 PLESTER 4,5 M X 7,5 CM ROLL nobatch_lama 25-03-2019 10
390 1000677 PLESTER 4,5 M X 7,5 CM ROLL 64814509 1/10/2019 -
391 1000676 PLESTER 4,5 M X 7,5 CM ROLL 70715009 20-01-2020 13
392 1000052 PLESTER 4,5 M X 7,5 CM ROLL 70715009 20-01-2020 10
393 1000756 PLESTER ROLL KAIN 4,5M X 2,5CM ROLL 64018509 1/9/2019 10
394 1000308 PLESTER ROLL KAIN 4,5M X 2,5CM ROLL 64018509 1/9/2019 10
395 1000608 PLESTER ROLL KAIN 4,5M X 2,5CM ROLL 64018509 1/9/2019 10
396 1000602 POT SPUTUM BUAH ABC19 20-01-2029 100
397 1000603 POT SPUTUM BUAH 32019 20-03-2029 200
398 1000607 POVIDON IODIUM 30 ML BOTOL 11071788 25-06-2020 50
399 1000717 POVIDON IODIUM 30 ML BOTOL 732019 20-05-2022 20
400 1000708 POVIDON IODIUM 30 ML BOTOL 732019 20-05-2022 30
401 1000606 POVIDON IODIUM 30 ML BOTOL 15071988 20-06-2022 50
402 1000548 PREDNISON 5 MG 1000S TABLET 1901032 31-01-2021 4,000
403 1000599 PREDNISON 5 MG 1000S TABLET 1901032 31-01-2021 5,000
404 1000600 PRIMAQUIN 15 MG TABLET 16386002 20-05-2021 28
405 1000601 RANITIDIN 150 MG 100S TABLET 180202140 1/2/2020 1,000
406 1000720 RANITIDIN 150 MG 100S TABLET 180202140 1/2/2020 2,000
407 1000608 RANITIDIN 150 MG 100S TABLET nobatch_lama 30-06-2020 2,000
408 1000602 RANITIDIN 150 MG 100S TABLET 26390002 20-07-2023 3,000
409 1000603 RANITIDINE INJEKSI 25MG/2ML AMPUL 97MD0107 26-04-2021 50
410 1000607 RANITIDINE INJEKSI 25MG/2ML AMPUL 9618LO265A 30-11-2020 50
411 1000717 RAPID HBS AG BUAH 01EMD012A 20-05-2020 200
412 1000708 RAPID HBS AG BUAH 01EMD012A 20-05-2020 100
413 1000606 RAPID HBS AG BUAH 01EMD012A 20-05-2020 300
414 1000619 RAPID HBS AG BUAH 01EME007A 20-04-2021 300
415 1000635 RAPID HBS AG BUAH 01EME007A 20-04-2021 300
416 1000677 RAPID HBS AG BUAH 01EME007A 20-04-2021 300
417 1000676 RAPID TEST HIV I BUAH 03AMD028A 20-10-2020 200
418 1000680 RAPID TEST HIV I BUAH 03AMD028A 20-10-2020 200
419 1000761 RAPID TEST HIV I BUAH 03AMD028A 20-10-2020 300
420 1000744 RAPID TEST HIV I BUAH 03AMD028A 20-10-2020 400
421 1000624 RAPID TEST HIV I BUAH 03AMD031A 20-10-2020 300
422 1000619 RAPID TEST HIV I BUAH 03AMD040A 15-05-2021 300
423 1000562 RAPID TEST HIV III BUAH 1006757390 20-06-2020 25
424 1000146 REAGEN SYPHILLIS ( SD ) BUAH QSY1018008 20-06-2020 100
425 1000548 REAGEN SYPHILLIS ( SD ) BUAH QSY1018008 20-06-2020 100
426 1000523 REAGEN SYPHILLIS ( SD ) BUAH QSY1018036 20-11-2020 25
427 1000038 REAGEN SYPHILLIS ( SD ) BUAH QSY1018036 20-11-2020 75
428 1000196 REAGEN SYPHILLIS ( SD ) BUAH QSY1018036 20-11-2020 100
429 1000762 REAGEN SYPHILLIS ( SD ) BUAH QSY1018036 20-11-2020 100
430 1000205 RETINOL 100.000 IU 50S KAPSUL C70426W 20-03-2020 500
431 1000209 RETINOL 100.000 IU 50S KAPSUL C70426W 20-03-2020 500
432 1000686 RETINOL 200.000 IU 50S KAPSUL 17143010-2 2/2/2020 3,500
433 1000525 RETINOL 200.000 IU 50S KAPSUL 17143010-2 2/2/2020 3,500
434 1000591 RIFAMPICIN 450 MG 100S TABLET 18RF3014 26-04-2022 200
435 1000677 RINGER LAKTAT INFUS BOTOL 370611 25-12-2019 1,000
436 1000676 RINGER LAKTAT INFUS BOTOL 370611 25-12-2019 1,000
437 1000220 RINGER LAKTAT INFUS BOTOL 370611 25-12-2019 1,000
438 1000683 RINGER LAKTAT INFUS BOTOL 370816 25-07-2022 500
439 1000684 RINGER LAKTAT INFUS BOTOL ID9F041 20-06-2021 700
440 1000670 RINGER LAKTAT INFUS BOTOL 370816 25-07-2022 200
441 1000682 RINGER LAKTAT INFUS BOTOL 370816 25-07-2022 1,000
442 1000188 SAFETY BOX VAKSIN 5 LTR BUAH 12345 25-02-2030 15
443 1000047 SAFETY BOX VAKSIN 5 LTR BUAH 12345 25-02-2030 25
444 1000514 SAFETY BOX VAKSIN 5 LTR BUAH E02019 20-05-2029 5
445 1000589 SAFETY BOX VAKSIN 5 LTR BUAH E02019 20-05-2029 25
446 1000052 SAFETY BOX VAKSIN 5 LTR BUAH 201908 20-08-2024 44
447 1000032 SAFETY BOX VAKSIN 5 LTR BUAH 201909 20-09-2027 20
448 1000019 SALBUTAMOL TAB 2 MG 100S TABLET E91402B 20-04-2023 2,000
449 1000231 SALBUTAMOL TAB 4 MG 100S TABLET XJ002G 20-10-2021 2,000
450 1000528 SALBUTAMOL TAB 4 MG 100S TABLET XJ002G 20-10-2021 1,000
451 1000729 SALBUTAMOL TAB 4 MG 100S TABLET XJ002G 20-10-2021 1,000
452 1000756 SALEP 2-4 KOMB 24T POT 4803025 31-03-2022 96
453 1000429 SALEP 2-4 KOMB 24T POT 4803025 31-03-2022 96
454 1000728 SALEP 2-4 KOMB 24T POT 4803025 31-03-2022 96
455 1000308 SCABIMITE CREAM 10 GR TUBE C083H1709 20-08-2019 120
456 1000178 SCABIMITE CREAM 10 GR TUBE C0831I1705 20-09-2019 160
457 1000452 SERUM ABU 5 ML VIAL 4700119 20-05-2021 4
458 1000715 SERUM ANTI TETANUS 1500 IU(20.000 IU) AMPUL 4203117 20-11-2019 5
459 1000517 SERUM ANTI TETANUS 1500 IU(20.000 IU) AMPUL 4202318 20-07-2020 10
460 1000453 SERUM ANTI TETANUS 1500 IU(20.000 IU) AMPUL 4202418 20-09-2020 5
461 1000605 SERUM ANTI TETANUS 1500 IU(20.000 IU) AMPUL 4202418 20-09-2020 5
462 1000159 SILK (BENANG SUTERA) 2/0 BUAH LL102-19 20-06-2024 24
463 1000140 SILK (BENANG SUTERA) 2/0 BUAH LL102-19 20-06-2024 24
464 1000083 SIMVASTATIN TAB 50S TABLET A8783HV 26-08-2020 900
465 1000336 SIMVASTATIN TAB 50S TABLET A8783HV 26-08-2020 900
466 1000316 SIMVASTATIN TAB 50S TABLET A8783HV 26-08-2020 990
467 1000550 SIMVASTATIN TAB 50S TABLET A8783HV 26-08-2020 900
468 1000067 SIMVASTATIN TAB 50S TABLET A8724JV 20-10-2020 900
469 1000324 SUKRALFAT 500MG/5ML SYR BOTOL E9G230 20-07-2021 50
470 1000715 SUKRALFAT 500MG/5ML SYR BOTOL E9G230 20-07-2021 50
471 1000614 TABLET TAMBAH DARAH TABLET 18TD1098 20-09-2020 -
472 1000354 TABLET TAMBAH DARAH TABLET 18TD1245 20-11-2020 44,880
473 1000738 TABLET TAMBAH DARAH TABLET 19TD1029 10/4/2021 22,680
474 1000600 TABLET TAMBAH DARAH 3000S TABLET 06818031CC 31-03-2019 11,520
475 1000601 TABLET TAMBAH DARAH 3000S TABLET 6818293 25-09-2019 7,470
476 1000608 TABLET TAMBAH DARAH 3000S TABLET 6818293 25-09-2019 10,800
477 1000602 TABLET TAMBAH DARAH 3000S TABLET 6818293 25-09-2019 15,120
478 1000603 TABLET TAMBAH DARAH 3000S TABLET 6818293 25-09-2019 2,620
479 1000607 TABLET TAMBAH DARAH 3000S TABLET 6818293 25-09-2019 11,340
480 1000717 TETRASIKLIN 500 MG 100CAPS KAPSUL K73406 20-11-2020 200
481 1000708 TETRASIKLIN 500 MG 100CAPS KAPSUL K73406 20-11-2020 500
482 1000606 TIAMIN HCL (B.I ) 50 MG 1000S TABLET 171112158 1/11/2021 5,000
483 1000545 TIAMIN HCL (B.I ) 50 MG 1000S TABLET 171112158 1/11/2021 5,000
484 1000724 TIAMIN HCL (B.I ) 50 MG 1000S TABLET 171112158 1/11/2021 5,000
485 1000728 TIAMIN HCL (B.I ) 50 MG 1000S TABLET 171112158 1/11/2021 3,000
486 1000721 TIAMIN HCL (B.I ) 50 MG 1000S TABLET 171112158 1/11/2021 3,000
487 1000242 TUBE EDTA PLH13X75 3.0 BOX 9057548 20-05-2020 720
488 1000242 UNDERPAD 60X90CM NON STERIL BUAH 101191217 17-01-2028 100
489 1000729 UNDERPAD 60X90CM NON STERIL BUAH 762019 20-07-2024 50
490 1000596 UNDERPAD 60X90CM NON STERIL BUAH 762019 20-07-2024 60
491 1000599 UNDERPAD 60X90CM NON STERIL BUAH 2019079 20-08-2024 50
492 1000600 UNDERPAD 60X90CM NON STERIL BUAH 2019079 20-08-2024 70
493 1000601 URINE BAG DWS BUAH 782019 20-05-2024 10
494 1000720 VAKSIN BCG AMPUL 037G7067 20-10-2019 25
495 1000608 VAKSIN BCG VIAL 037G7066 25-10-2019 22
496 1000609 VAKSIN BCG AMPUL 037G7067 20-10-2019 20
497 1000602 VAKSIN BCG VIAL 037G7066 25-10-2019 15
498 1000721 VAKSIN BCG VIAL 037G7133 20-12-2019 24
499 1000603 VAKSIN BCG AMPUL 037G7251 20-07-2020 20
500 1000607 VAKSIN BCG AMPUL 037G7251 20-07-2020 20
501 1000607 VAKSIN BCG AMPUL 037G7252 20-07-2020 20
502 1000717 VAKSIN BCG AMPUL 0378G002 20-07-2020 30
503 1000606 VAKSIN BCG AMPUL 0378G003 20-07-2020 35
504 1000524 VAKSIN BCG AMPUL 0378G108 20-10-2020 40
505 1000319 VAKSIN BCG AMPUL 0378G109 20-10-2020 35
506 1000684 VAKSIN CAMPAK KERING VIAL 2531116 30-09-2019 105
507 1000012 VAKSIN DT VIAL 402218 20-01-2022 90
508 1000596 VAKSIN DTP-HB-HIB VIAL 5043118 20-07-2020 50
509 1000324 VAKSIN DTP-HB-HIB VIAL 5043218 20-07-2020 60
510 1000033 VAKSIN DTP-HB-HIB VIAL 5041818 20-04-2020 60
511 1000744 VAKSIN DTP-HB-HIB VIAL 5042218 20-05-2020 60
512 1000035 VAKSIN DTP-HB-HIB VIAL 5042218 20-05-2020 60
513 1000562 VAKSIN DTP-HB-HIB VIAL 5042518 20-05-2020 50
514 1000586 VAKSIN DTP-HB-HIB VIAL 5043518 20-09-2020 50
515 1000146 VAKSIN DTP-HB-HIB VIAL 5043618 20-09-2020 50
516 1000523 VAKSIN DTP-HB-HIB VIAL 5010218 20-10-2020 60
517 1000462 VAKSIN DTP-HB-HIB VIAL 5010218 20-10-2020 50
518 1000038 VAKSIN DTP-HB-HIB VIAL 5010418 20-11-2020 60
519 1000217 VAKSIN DTP-HB-HIB VIAL 5010618 20-11-2020 50
520 1000762 VAKSIN HBIG BUAH H2MAC00053 20-08-2021 1
521 1000205 VAKSIN HBIG BUAH H2MAC00053 20-08-2021 3
522 1000156 VAKSIN HEPATITIS B REKOMBINAN BUAH 3652917 25-12-2019 40
523 1000140 VAKSIN HEPATITIS B REKOMBINAN BUAH 3653117 25-12-2019 40
524 1000209 VAKSIN HEPATITIS B REKOMBINAN BUAH 3653317 20-01-2020 40
525 1000284 VAKSIN HEPATITIS B REKOMBINAN VIAL 3653717 20-01-2020 40
526 1000760 VAKSIN HEPATITIS B REKOMBINAN BUAH 3653817 20-01-2020 40
527 1000581 VAKSIN HEPATITIS B REKOMBINAN BUAH 3653817 20-01-2020 30
528 1000678 VAKSIN HEPATITIS B REKOMBINAN BUAH 3652418 20-07-2020 40
529 1000004 VAKSIN HEPATITIS B REKOMBINAN BUAH 3652518 20-07-2020 50
530 1000024 VAKSIN HEPATITIS B REKOMBINAN VIAL 3653218 20-12-2020 50
531 1000024 VAKSIN HEPATITIS B REKOMBINAN BUAH 3653818 20-12-2020 50
532 1000455 VAKSIN HEPATITIS B REKOMBINAN BUAH 3654118 1/1/2021 40
533 1000521 VAKSIN HEPATITIS B REKOMBINAN BUAH 3650319 20-04-2021 40
534 1000550 VAKSIN JERAP TD VIAL 413718 25-06-2021 20
535 1000710 VAKSIN JERAP TD VIAL 413718 25-06-2021 10
536 1000121 VAKSIN JERAP TD VIAL 413618 20-06-2021 10
537 1000566 VAKSIN JERAP TD VIAL 413618 20-06-2021 15
538 1000682 VAKSIN JERAP TD VIAL 415118 20-07-2021 15
539 1000183 VAKSIN JERAP TD VIAL 414018 20-06-2021 15
540 1000067 VAKSIN JERAP TD VIAL 414018 20-06-2021 20
541 1000188 VAKSIN JERAP TD VIAL 414018 20-06-2021 20
542 1000194 VAKSIN JERAP TD VIAL 415118 20-07-2021 20
543 1000514 VAKSIN JERAP TD VIAL 414418 20-07-2021 20
544 1000589 VAKSIN JERAP TD VIAL 414618 20-07-2021 190
545 1000052 VAKSIN JERAP TD VIAL 414618 20-07-2021 20
546 1000032 VAKSIN MININGITIS VIAL J201811005 20-10-2020 22
547 1000019 VAKSIN MR VIAL 0128W067OZ 20-03-2020 25
548 1000231 VAKSIN MR VIAL 0128W067OZ 20-03-2020 25
549 1000214 VAKSIN MR VIAL 0128W0670Z 20-03-2020 25
550 1000074 VAKSIN MR VIAL 0128W0680Z 20-03-2020 25
551 1000089 VAKSIN MR VIAL 0128W0680Z 20-03-2020 25
552 1000672 VAKSIN MR VIAL 0128W0660Z 25-03-2020 25
553 1000308 VAKSIN MR VIAL 0128WO680Z 20-03-2020 25
554 1000178 VAKSIN MR VIAL 0128W0690Z 20-03-2020 25
555 1000452 VAKSIN MR VIAL 0128W0690Z 20-03-2020 35
556 1000715 VAKSIN MR VIAL 0128W0690Z 20-03-2020 20
557 1000453 VAKSIN MR VIAL 0128W0690Z 20-03-2020 30
558 1000324 VAKSIN MR VIAL 0128W0690Z 20-03-2020 35
559 1000740 VAKSIN POLIO IPV VIAL IPQ012A18 20-03-2020 25
560 1000343 VAKSIN POLIO IPV VIAL IPQ012A18 20-03-2020 20
561 1000211 VAKSIN POLIO IPV VIAL IPQ012A18 20-03-2020 15
562 1000336 VAKSIN POLIO IPV VIAL IPQ012A18 20-03-2020 20
563 1000235 VAKSIN POLIO IPV VIAL IPQ022A18 20-04-2020 20
564 1000622 VAKSIN POLIO IPV VIAL IPQ046A18 20-09-2020 20
565 1000322 VAKSIN POLIO IPV VIAL IPQ047A18 20-09-2020 10
566 1000238 VAKSIN POLIO IPV VIAL IPQ047A18 20-09-2020 5
567 1000566 VAKSIN POLIO IPV VIAL IPQ046A18 20-09-2020 5
568 1000595 VAKSIN POLIO MYELITIS ORAL VIAL 2051518 25-03-2020 45
569 1000595 VAKSIN POLIO MYELITIS ORAL VIAL 2051518 25-03-2020 55
570 1000594 VAKSIN POLIO MYELITIS ORAL VIAL 2054418 20-12-2020 70
571 1000323 VAKSIN POLIO MYELITIS ORAL VIAL 2050519 20-01-2021 50
572 1000214 VAKSIN POLIO MYELITIS ORAL VIAL 2050519 20-01-2021 50
573 1000756 VAKSIN POLIO MYELITIS ORAL VIAL 2051219 20-06-2021 30
574 1000249 VAKSIN POLIO MYELITIS ORAL VIAL 2052119 20-07-2021 30
575 1000428 VAKSIN POLIO MYELITIS ORAL VIAL 2052119 20-07-2021 50
576 1000599 VAKSIN POLIO MYELITIS ORAL VIAL 2052119 20-07-2021 50
577 1000600 VAKSIN POLIO MYELITIS ORAL VIAL 2052819 20-07-2021 50
578 1000601 VIT. B KOMPLEK TAB TABLET 1802031 20-02-2020 10,000
579 1000637 VIT. B KOMPLEK TAB TABLET 1802031 20-02-2020 10,000
580 1000025 VIT. B KOMPLEK TAB TABLET 1802031 20-02-2020 10,000
581 1000239 VIT. B KOMPLEK TAB TABLET 1901078 31-01-2021 10,000
582 1000553 VIT. B KOMPLEK TAB TABLET 1901078 31-01-2021 10,000
583 1000608 VIT. B KOMPLEK TAB TABLET 1901078 31-01-2021 10,000
584 1000602 WATER FOR INJ 25 ML AMPUL 76A49B 7/1/2022 30
585 1000603 WATER FOR INJ 25 ML AMPUL 76A49B 7/1/2022 48
586 1000607 ZIEHL NELLSEN PAKET 50718 20-09-2020 1
587 1000717 ZINC TAB TABLET 1706020 20-07-2020 500
588 1000606 ZINC TAB TABLET 1706019 20-07-2020 500

Jepara, 31-12-2019
YANG MENYERAHKAN YANG MEMINTA/MELAPORKAN YANG MENERIMA
KEPALA INSTALASI FARMASI PUSKESMAS MAYONG I PENGELOLA OBAT PUSKESMAS MAYON

IKHA RAHMAWATI,S.FARM,APT dr. HADI SAPUTRO PANCA WIDAYATI,S.Farm,Apt

NIP. 198103032005012009 NIP. 197209082006041002 NIP. 198608302019022002
A

Jumlah
Harga (Rp)
Harga (Rp)
8 9.00

105 21,000.00
350 525,000.00
350 525,000.00
373 2,088,800.00
373 2,088,800.00
373 3,133,200.00
350 140,000.00
350 175,000.00
350 175,000.00
3,000 300,000.00
3,000 75,000.00
1,540 33,880.00
970 970,000.00
970 970,000.00
970 970,000.00
920 1,932,000.00
402 2,508,480.00
402 402,000.00
402 40,200.00
100 50,000.00
100 100,000.00
100 2,200.00
100 50,000.00
100 210,000.00
354 177,000.00
100 200,000.00
100 100,000.00
100 100,000.00
100 400,000.00
105 157,500.00
90 18,000.00
70 42,000.00
70 84,000.00
70 63,000.00
70 42,000.00
70 42,000.00
70 84,000.00
 70 63,000.00
3,628 435,360.00
280 4,200,000.00
280 2,800,000.00
280 2,800,000.00
280 2,800,000.00
250 3,000,000.00
249 3,734,999.40
34,000 1,700,000.00
34,000 1,700,000.00
8,237 411,850.00
34,000 3,400,000.00
55 440,000.00
55 440,000.00
55 275,000.00
55 275,000.00
58 464,000.00
58 290,000.00
2,000 400,000.00
2,000 200,000.00
2,129 212,900.00
3,100 310,000.00
4,500 432,000.00
4,500 432,000.00
105 525,000.00
105 210,000.00
105 525,000.00
105 210,000.00
105 630,000.00
105 420,000.00
103 515,000.00
103 515,000.00
103 206,000.00
103 824,000.00
103 618,000.00
1,639 8,195.00
1,590 159,000.00
1,530 153,000.00
1,530 153,000.00
1,530 153,000.00
1,530 153,000.00
1,530 153,000.00
1,550 155,000.00
1,550 155,000.00
1,088 435,200.00
 1,088 435,200.00
1,088 435,200.00
1,088 435,200.00
1,088 435,200.00
1,088 217,600.00
1,088 326,400.00
1,088 435,200.00
1,195 1,314,500.00
1,195 478,000.00
1,185 2,844,000.00
1,185 474,000.00
1,640 164,000.00
1,640 131,200.00
1,640 164,000.00
1,640 164,000.00
1,640 164,000.00
1,640 155,800.00
1,640 164,000.00
1,640 164,000.00
1,640 164,000.00
4,500 270,000.00
110 110,000.00
1,500 150,000.00
1,500 112,500.00
1,430 214,500.00
1,430 71,500.00
1,430 143,000.00
1,430 143,000.00
250 625,000.00
250 500,000.00
78,000 78,000.00
65 65,000.00
66 39,600.00
75 225,000.00
75 150,000.00
35,000 840,000.00
32,000 768,000.00
35,000 2,100,000.00
22,500 1,349,970.00
27,000 324,000.00
690 1,035,000.00
690 1,380,000.00
4,000 600,000.00
4,000 400,000.00
4,185 418,500.00
 4,185 209,250.00
810 121,500.00
810 243,000.00
810 243,000.00
810 243,000.00
810 729,000.00
22 220,000.00
22 220,000.00
22 132,000.00
23 115,000.00
23 230,000.00
300 600,000.00
300 300,000.00
300 300,000.00
300 600,000.00
300 1,200,000.00
300 900,000.00
300 600,000.00
550 16,500.00
125 125,000.00
125 125,000.00
133 133,000.00
2,190 219,000.00
2,190 219,000.00
15,000 300,000.00

2,000 36,000.00
35 350,000.00
35 350,000.00
35 350,000.00
35 280,000.00
35 280,000.00
35 70,000.00
150 300,000.00
150 300,000.00
150 300,000.00
150 300,000.00
12,600 126,000.00
12,573 62,865.00
1,750 8,750.00
1,100 33,000.00
105 10,500.00
100 200,000.00
100 200,000.00
105 157,500.00
 105 210,000.00
105 210,000.00
112 224,000.00
270 48,600.00
2,700 135,000.00
85 17,000.00
91 45,500.00
90,000 450,000.00
42,800 513,600.00
2,300 9,200.00
1,408 7,040.00
3,000 30,000.00
3,000 30,000.00
505 101,000.00
22,000 66,000.00
2,900 139,200.00
2,900 139,200.00
45,830 1,054,090.00
2,600 124,800.00
126,000 126,000.00
700 70,000.00
710 71,000.00
710 71,000.00
758 151,600.00
2,682 80,460.00
3,682 220,920.00
3,682 110,460.00
3,682 110,460.00
9,680 38,720.00
85 8,500.00
257 25,700.00
4,232 101,568.00
4,232 406,272.00
4,232 406,272.00
210 210,000.00
207 414,000.00
207 621,000.00
207 414,000.00
207 207,000.00
7,000 700,000.00
7,000 140,000.00
210 63,000.00
210 42,000.00
110 330,000.00
110 220,000.00
 110 550,000.00
110 220,000.00
19,360 96,800.00
462 231,000.00
462 138,600.00
360 360,000.00
360 360,000.00
360 180,000.00
476 285,600.00
360 360,000.00
360 252,000.00
360 180,000.00
476 476,000.00
356 178,100.00
356 427,440.00
356 284,960.00
4,200 210,000.00
25,000 500,000.00
2,500 240,000.00
2,500 300,000.00
2,500 360,000.00
2,500 240,000.00
2,500 240,000.00
5,500 1,100,000.00
5,500 550,000.00
5,500 1,100,000.00
3,100 620,000.00
3,100 1,240,000.00
158 31,600.00
90 9,000.00
8,400 840,000.00
17,300 1,730,000.00
17,300 2,595,000.00
2,200 1,760,000.00
13,200 1,980,000.00
13,200 1,320,000.00
7,100 1,065,000.00
7,100 710,000.00
13,200 1,320,000.00
7,100 156,200.00
7,100 710,000.00
13,200 1,320,000.00
60 480,000.00
60 600,000.00
63 630,000.00
 63 504,000.00
24,000 120,000.00
24,000 240,000.00
24,000 240,000.00
24,000 -
130,000 650,000.00
136,500 682,500.00
136,500 409,500.00
136,500 682,500.00
2,300 230,000.00
2,300 230,000.00
1,100 220,000.00
1,100 220,000.00
1,100 275,000.00
1,127 112,700.00
8,000 400,000.00
8,000 800,000.00
7,370 737,000.00
8,000 800,000.00
232,518 465,036.00
389,344 1,946,720.00
389,344 1,946,720.00
389,344 389,344.00
389,344 1,557,376.00
2,600 312,000.00
288 86,400.00
1,050 21,000.00
1,089 13,068.00
1,050 21,000.00
1,089 21,780.00
3,100 148,800.00
3,100 148,800.00
3,100 372,000.00
3,242 311,232.00
1,163 1,163,000.00
1,163 1,163,000.00
4,700 470,000.00
310 248,000.00
310 310,000.00
310 155,000.00
2,007 96,336.00
2,007 240,840.00
2,007 144,504.00
7,000 105,000.00
1,200 120,000.00
 1,200 72,000.00

1,200 72,000.00

1,229 110,610.00

1,229 73,740.00

1,229 73,740.00
41,000 123,000.00
123 61,500.00
123 61,500.00
123 61,500.00
30,000 30,000.00
3,328 33,280.00
3,328 33,280.00
330 99,000.00
330 99,000.00
330 330,000.00
440 220,000.00
440 132,000.00
440 220,000.00
440 220,000.00
440 220,000.00
330 66,000.00
330 99,000.00
19,825 2,379,000.00
20,554 41,108.00
20,554 20,554.00
20,554 226,094.00
31,760 381,120.00
31,570 189,420.00
31,570 126,280.00
31,570 568,260.00
41,784 1,253,520.00
96 192,000.00
96 96,000.00
96 96,000.00
2,684 161,040.00
134 402,000.00
134 335,000.00
340 374,000.00
340 68,000.00
4,000 800,000.00
3,500 168,000.00
3,500 168,000.00
 3,500 336,000.00
2,920 1,168,000.00
115 690,000.00
115 575,000.00
115 345,000.00
115 460,000.00
6,500 260,000.00
6,840 273,600.00
6,840 273,600.00
440 9,680.00
800 80,000.00
790 79,000.00
1,900 190,000.00
1,900 19,000.00
1,199 239,800.00
1,199 119,900.00
1,199 119,900.00
150 135,000.00
139 29,190.00
1,124 56,200.00
1,124 56,200.00
50 1,250,000.00
55 275,000.00
55 550,000.00
53 530,000.00
53 265,000.00
120 1,200,000.00
120 2,400,000.00
1,200 720,000.00
1,200 360,000.00
1,200 1,320,000.00
1,181 944,800.00
1,181 708,600.00
1,181 708,600.00
1,181 944,800.00
17,600 52,800.00
165 4,950.00
131 262,000.00
131 524,000.00
131 -
35,600 356,000.00
36,000 -
36,176 470,288.00
36,176 361,760.00
12,500 125,000.00
12,500 125,000.00
12,500 125,000.00
2,728 272,800.00
2,728 545,600.00
2,900 145,000.00
2,900 58,000.00
2,900 87,000.00
2,900 145,000.00
73 292,000.00
73 365,000.00
253 7,084.00
110 110,000.00
110 220,000.00
100 200,000.00
172 514,826.40
1,200 60,000.00
1,188 59,400.00
9,850 1,970,000.00
9,850 985,000.00
9,850 2,955,000.00
9,850 2,955,000.00
9,850 2,955,000.00
9,850 2,955,000.00
11,975 2,395,000.00
11,975 2,395,000.00
11,975 3,592,500.00
11,975 4,790,000.00
11,975 3,592,500.00
14,344 4,303,200.00
19,480 487,000.00
20,400 2,040,000.00
20,400 2,040,000.00
20,400 510,000.00
20,400 1,530,000.00
20,400 2,040,000.00
20,400 2,040,000.00
284 142,000.00
284 142,000.00
508 1,778,000.00
508 1,778,000.00
900 180,000.00
7,150 7,150,000.00
7,150 7,150,000.00
7,150 7,150,000.00
7,150 3,575,000.00
 7,630 5,341,000.00
7,150 1,430,000.00
7,150 7,150,000.00
21,929 328,935.00
21,929 548,225.00
24,122 120,610.00
24,122 603,050.00
24,122 1,061,368.00
22,433 448,660.00
67 134,000.00
70 140,000.00
70 70,000.00
70 70,000.00
2,704 259,584.00
2,704 259,584.00
2,704 259,584.00
12,000 1,440,000.00
12,000 1,920,000.00
512,204 2,048,816.00
135,000 675,000.00
130,999 1,309,990.00
130,999 654,995.00
130,999 654,995.00
15,000 359,999.20
15,000 359,999.20
110 99,000.00
110 99,000.00
110 108,900.00
110 99,000.00
117 105,257.88
6,789 339,450.00
6,789 339,450.00
354 -
354 15,887,520.00
354 8,028,723.63
360 4,147,200.00
352 2,629,440.00
352 3,801,600.00
352 5,322,240.00
352 922,240.00
352 3,991,680.00
310 62,000.00
310 155,000.00
85 425,000.00
85 425,000.00
 85 425,000.00
85 255,000.00
85 255,000.00
1,691 1,217,520.00
4,300 430,000.00
4,162 208,120.00
4,162 249,744.00
4,162 208,120.00
4,162 291,368.00
3,000 30,000.00
61,996 1,549,900.00
61,996 1,363,912.00
61,996 1,239,920.00
61,996 929,940.00
61,996 1,487,904.00
66,154 1,323,080.00
66,154 1,323,080.00
66,154 1,323,080.00
66,154 1,984,620.00
66,154 2,315,390.00
66,154 2,646,160.00
66,154 2,315,390.00
28,204 2,961,420.00
19,195 1,727,550.00
78,991 3,949,550.00
78,991 4,739,460.00
78,991 4,739,460.00
78,991 4,739,460.00
78,991 4,739,460.00
78,991 3,949,550.00
84,282 4,214,100.00
84,282 4,214,100.00
84,282 5,056,920.00
84,282 4,214,100.00
84,282 5,056,920.00
84,282 4,214,100.00
1,325,000 1,325,000.00
1,325,000 3,975,000.00
23,991 959,640.00
23,991 959,640.00
23,991 959,640.00
23,991 959,640.00
23,991 959,640.00
23,991 719,730.00
25,597 1,023,880.00
 25,597 1,279,850.00
25,597 1,279,850.00
25,597 1,279,850.00
25,597 1,023,880.00
25,597 1,023,880.00
16,995 339,900.00
16,995 169,950.00
16,995 169,950.00
16,995 254,925.00
16,995 254,925.00
16,995 254,925.00
16,995 339,900.00
16,995 339,900.00
16,995 339,900.00
16,995 339,900.00
16,995 3,229,050.00
16,995 339,900.00
132,920 2,924,240.00
155,813 3,895,325.00
155,813 3,895,325.00
155,813 3,895,325.00
155,813 3,895,325.00
155,813 3,895,325.00
155,813 3,895,325.00
155,813 3,895,325.00
155,813 3,895,325.00
155,813 5,453,455.00
155,813 3,116,260.00
155,813 4,674,390.00
155,813 5,453,455.00
158,994 3,974,850.00
158,994 3,179,880.00
158,994 2,384,910.00
158,994 3,179,880.00
158,994 3,179,880.00
169,653 3,393,060.00
169,653 1,696,530.00
169,653 848,265.00
169,653 848,265.00
19,954 897,930.00
19,954 1,097,470.00
19,954 1,396,780.00
19,954 997,700.00
19,954 997,700.00
19,954 598,620.00
 19,954 598,620.00
19,954 997,700.00
19,954 997,700.00
19,954 997,700.00
88 880,000.00
88 880,000.00
88 880,000.00
89 890,000.00
89 890,000.00
89 890,000.00
2,860 85,800.00
2,860 137,280.00
257,151 257,151.00
467 233,500.00
466 233,180.00

Total 528,747,731.71

Jepara, 31-12-2019
YANG MENERIMA
PENGELOLA OBAT PUSKESMAS MAYONG I

PANCA WIDAYATI,S.Farm,Apt
NIP. 198608302019022002
No. Nama Obat
1 ACETOSAL 80 MG TABLET
2 ACETYLCYSTEIN 200MG KAPS
3 ACICLOVIR 400 MG TABLET
4 ACYCLOVIR 5% CREAM
5 ALAT SUNTIK DISP 1 ML
6 ALAT SUNTIK DISP 3 ML
7 ALBENDAZOLE 400 MG TABLET
8 ALKOHOL SWABS
9 ALOPURINOL 100 MG TAB
10 AMINOPILIN 200 MG TABLET
11 AMLODIPIN 5 MG
12 AMOKSILIN FORTE SIRUP
13 AMOKSISILIN 500 MG
14 AMPICILIN SERBUK INJ IM/IV 1000MG/ML
15 ANTASIDA DOEN I TABLET KUNYAH
16 ANTASIDA DOEN II SUSPENSI
17 ANTI BAKTERI DOEN CR (BACITRASIN ZALF)
18 ANTI FUNGI DOEN / WHITE CR
19 AS. ASKORBAT 50 MG
20 AS. MEFENAMAT 500 MG TAB
21 ATROPIN SULFAT INJ 0,25 MG 30A
22 AUTO DISABLE SYRINGE 0.05 ML
23 AUTO DISABLE SYRINGE 0.5 ML
24 AUTO DISABLE SYRINGE 5 ML
25 AZITROMICIN 500 MG
26 BETAHISTINE 6MG TABLET
27 BETAMETASON KRIM 0,1 %
28 BROCON TAB 100S
29 BROMHEXIN 2MG/ML 50ML (BISOLVON)
30 CAPTOPRIL 12,5 TAB
31 CAPTOPRIL 25 MG TAB
32 CATGUT 3/0+JARUM (70CM)
33 CATGUT CHROMIC 2/0 75CM+JARUM
34 CATGUT PLAIN 2/0 70CM+JARUM
35 CEFADROKSIL 250 MG
36 CEFADROKSIL SIRUP KERING 125MG/5 ML
37 CEFIXIME 100 MG
38 CHLORFENIRAMIN M/ CTM 4 MG
39 CIPROFLOKSASIN 500MG
40 CODEIN 10 MG
41 COTRIMOKSASOL 480 MG TAB
42 COTRIMOKSASOL SYR 60 ML
43 CUTICELL CLASSIC 10CM X 40CM
DEHYDRO ARTEMISIN 40 MG + PIPERAQUIN 320 MG
44 (DHP)
45 DEKSAMETASON 0.5 MG
46 DIAFORM/NEW ANTIDES TAB
47 DIAZEPAM 5 MG REKTAL 2,5 ML
48 DIAZEPAM INJ 5 MG 30A
49 DIFENHIDRAMIN INJ 30A
50 DIGOKSIN TAB 0,25 MG
51 DIMENHIDRINATE 50 MG 100S
52 DOKSISIKLIN 100 MG
53 DOMPERIDON 5MG/5ML SYR
54 DOMPERIDONE 10 MG
55 DRESSING PENUTUP LUKA LEBAR 10CM X 5M
56 DRESSING PENUTUP LUKA LEBAR 5CM X 5M
57 EPINEFRENA INJ/ ADRENALIN
58 EPINEFRENA INJ/ ADRENALIN 100S
59 ETAKRIDIN/RIVANOL 300 ML
60 ETAMBUTOL 500 MG
61 ETANOL 70 %
62 ETANOL 70% 100 ML
63 EUGINOL CAIRAN
64 FENOLGLISEROL TT 10%
65 FENOTEROL HBR 0,1% 50ML (BEROTEC)
66 FITO MENADION (VIT K) 10MG
67 FITO MENADION (VIT K) 10MG 100S
68 FITOMENADION (VIT K) 2 MG/1 ML INJ
69 FOLLEY CATHETER 2 WAY NO. 16
70 FUROSEMIDE TAB 40MG
71 GARAM ORALIT U/ 200 ML AIR
72 GENTAMICIN SULFAT TTS MATA
73 GLIMEPIRIDE 2 MG TAB
74 GLUKOSA INFUS (DEXTROSE 5 %)
75 GRISEOVULVIN 125 MG
76 GUAIFENESIN 100 MG TAB
77 HANDSCUN GYNAECOLOG 56 CM
78 HANDSCUN L
79 HANDSCUN M
80 HANDSCUN S
81 HANDSCUN STERIL 6
82 HES (INFUS) 6 %
83 HIDROKORTISON SALF
84 INFUSION SET DEWASA
85 ISONIAZID 300 MG
86 ISOSORBID DINITRAT TAB SUB.LI 100S
87 IV CATHETER NO 18
88 IV CATHETER NO 20G (PORT)
89 IV CATHETER NO.22G(PORT)
90 IV DRESSING 6X7 S
91 IV. CATHETER NO. 20
92 IV. CATHETER NO. 22
93 IV. CATHETER NO. 24
94 KALSIUM LAKTAT 500MG TAB
 95 KAPAS ABSORBEN 250 GR
96 KASA HIDROFIL 36M X 80CM
97 KASA PEMBALUT HIDROFIL 4 M X 10 CM
98 KASA PEMBALUT HIDROFIL 4M X 5CM
99 KASA STERIL
100 KATEGORI (OAT) ANAK
101 KATEGORI I (FDC)
102 KETOKONAZOLE SALEP
103 KETOKONAZOLE TAB
104 KETOROLAC INJ 30 MG
105 KLORAMFENICOL 2% SALEP ( BUFACETIN )
106 KLORAMFENIKOL 500MG
107 KLORAMFENIKOL 500MG
108 KLORAMFENIKOL SUSP. 125 MG/5 ML
109 KLORAMPENIKOL 250MG KAPSUL
110 KLORAMPENIKOL SF MT 24T
111 KLORAMPENIKOL TT 3% 24T
112 LIDOKAIN INJ

113 LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-2ML

114 LISOL 1000 ML
115 LORATADIN
116 LUGOL
117 MAGNESIUM SULFAT INJ 20% 25ML
118 MASKER 3 PLY EARLOOP
119 MASKER 3 PLY PLUS EARLOOP
120 MASKER 3 PLY TIE ON
121 MASKER 3M 1860 N95
122 MB ANAK
123 MB DEWASA
124 METFORMIN HCL TAB 500 MG
125 METIL ERGOMETRIN MALAET INJ
126 METILPREDNISOLON 4MG TABLET
127 METRONIDAZOL 500 MG
128 METRONIDAZOL SYR 125MG/5ML
129 MICONAZOLE ZALF
130 MINERAL MIX
131 NA DIKLOFENAK 50 MG
132 NATRIUM CLORIDA INFUS 0,9% 500 ML
133 NEDLEE 23 100S
134 NISTATIN 500000 IU 100S
135 OKSITOSIN INJ
136 OMEPRAZOL 20 MG KAPSUL
137 ONDANSETRON INJ
138 PARASETAMOL 500 MG 1000S
139 PARASETAMOL 500 MG TAB
140 PARASETAMOL SYR
141 PEMBALUT ELASTIS 7,5CM X 4,5M
142 PHENOBARBITAL 30 MG TAB 1000S
143 PIRIDOKSIN 10 MG TABLET
144 PLESTER 4,5 M X 7,5 CM
145 PLESTER ROLL KAIN 4,5M X 2,5CM
146 POT SPUTUM
147 POVIDON IODIUM 30 ML
148 PREDNISON 5 MG 1000S
149 PRIMAQUIN 15 MG
150 RANITIDIN 150 MG 100S
151 RANITIDINE INJEKSI 25MG/2ML
152 RAPID HBS AG
153 RAPID TEST HIV I
154 RAPID TEST HIV III
155 REAGEN SYPHILLIS ( SD )
156 RETINOL 200.000 IU 50S
157 RIFAMPICIN 450 MG 100S
158 RINGER LAKTAT INFUS
159 SAFETY BOX VAKSIN 5 LTR
160 SALBUTAMOL TAB 2 MG 100S
161 SALBUTAMOL TAB 4 MG 100S
162 SALEP 2-4 KOMB 24T
163 SCABIMITE CREAM 10 GR
164 SERUM ABU 5 ML
165 SERUM ANTI TETANUS 1500 IU(20.000 IU)
166 SILK (BENANG SUTERA) 2/0
167 SIMVASTATIN TAB 50S
168 SUKRALFAT 500MG/5ML SYR
169 TABLET TAMBAH DARAH
170 TABLET TAMBAH DARAH 3000S
171 TETRASIKLIN 500 MG 100CAPS
172 TIAMIN HCL (B.I ) 50 MG 1000S
173 TUBE EDTA PLH13X75 3.0
174 UNDERPAD 60X90CM NON STERIL
175 URINE BAG DWS
176 VAKSIN BCG
177 VAKSIN CAMPAK KERING
178 VAKSIN DT
179 VAKSIN DTP-HB-HIB
180 VAKSIN HBIG
181 VAKSIN HEPATITIS B REKOMBINAN
182 VAKSIN JERAP TD
183 VAKSIN MININGITIS
184 VAKSIN MR
185 VAKSIN POLIO IPV
186 VAKSIN POLIO MYELITIS ORAL
187 VIT. B KOMPLEK TAB
188 WATER FOR INJ 25 ML
189 ZIEHL NELLSEN
190 ZINC TAB